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Exam (elaborations)

MS HESI RETAKE REVIEW QUESTIONS AND ANSWERS

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  • Course
  • Ati medsurge retake
  • Institution
  • Ati Medsurge Retake

MS HESI RETAKE REVIEW QUESTIONS AND ANSWERS

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  • September 14, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Unknown
  • Ati medsurge retake
  • Ati medsurge retake
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AGRADEPROMASTER
MS HESI RETAKE REVIEW QUESTIONS
AND ANSWERS

Whatxinstructionxshouldxthexnursexincludexinxthexdischargexteachingxplanxofxaxclientxwhoxh
adxaxcataractxextractionxtoday?

a.xSexualxactivitiesxmayxbexresumedxuponxreturnxhomex
b.xLightxhousekeepingxisxpermittedxbutxavoidxheavyxlifting
c.xUsexaxmetalxeyexshieldxonxoperativexeyexduringxthexdayx
d.xAdministerxeyexointmentxbeforexapplyingxeyexdropsx-xans--✔✔ANS:xB

3xofx55

Axmalexadultxcomesxtoxthexurgentxcarexclinicx5xdaysxafterxbeingxdiagnosexwithxinfluenza.x
Hexisxshortxofxbreath,xfebrile,xandxcoughingxgreenxcoloredxsputum.xWhichxinterventionxsh
ouldxthexnurseximplementxfirst?

a.xObtainxaxsputumxsamplexforxculture
b.xCheckxhisxoxygenxsaturationxlevelx
c.xAdministerxanxoralxantipyreticx
d.xAuscultatexbilateralxlungxsoundx-xans--✔✔ANS:xA

4x0fx55

Anxelderxmalexclientxtellsxthexnursexthatxhexisxloosingxsleepxbecausexhexhasxtoxgetxupxsev
eralxtimesxatxnightxtoxgoxtoxthexbathroomxthatxhexhasxtroublexstartingxhisxurinaryxstreamxan
dxthatxhexdoesxnotxfeelxlikexhisxbladderxisxeverxcompletelyxempty.xWhichxinterventionxshou
ldxthexnurseximplement?

a.xcollectxaxurinexspecimenxforxculturexanalysisx
b.xobtainxaxfingerstickxbloodxglucosexlevel
c.xpalpatexthexbladderxabovexthexsymphysisxpubis
d.xreviewxthexclientxfluidxintakex-xans--✔✔ANS:xC

5xofx55

,Anxadultxclientxisxadmittedxwithxdiabeticxketoacidosisx(DKA)xandxaxurinaryxtractxinfectionx(
UTI)xPrescriptionsxforxintravenousxantibioticsxandxinsulinxinfusionxarexinitiated.xWhichxser
umxlaboratoryxvaluexwarrantsxthexmostximmediatexinterventionxbyxthexnurse?

a.xbloodxphxofx7.30
b.xglucosexofx350xmgx/dl
c.xwhitexbloodxcellxcountxofx15000mm
d.xpotassiumxofx2.5xmeq/lx-xans--✔✔ANS:xDx

6xofx55

Axclientxwithxsicklexcellxanemiaxdevelopsxaxfeverxduringxthexlastxhourxofxadministrationxofx
axunitxofxpackedxredxbloodxcell.xWhenxnotifyingxthexhealthcarexproviderxwhatxinformationxs
houldxthexnursexprovidexfirstxusingxthexSBARxcommunicationxprocess?

a.xexplainxspecificxreasonxforxurgentxnotification
b.xprefacexthexreportxbyxstatingxthexclientsxnamexandxadmittingxdiagnosis
c.xcommunicatexthexpre-transfusionxtemperatures
d.xoptainxprnxprescriptionxforxacetaminophenxforxfeverx101fx-xans--✔✔ANS:xAx

7xofx55

Anxadultxmalexclientxisxadmittedxforxpneumocystisxcarinilxpneumoniax(PCP)xsecondaryxtox
aids.xWhilexhospitalizexhexreceivesxIVxpentamidinexisethionatextherapy.xInxpreparingxthisx
clientxforxdischargexwhatximportantxaspectxregardingxhisxmedicationxtherapyxshouldxthexn
ursexexplain?

a.xAZTxtherapyxmustxbexstoppedxwhenxIVxaerosolxpentaminexisxbeingxused.
b.xIVxpentaminexwillxbexgivenxuntilxoralxpentaminexcanxbextoleratedx
c.xItxwillxbexnecessaryxtoxcontinuexprophylacticxdosesxofxIVxorxaerosolxpentaminexeveryxm
onthx
d.xIvxpentaminexmayxofferxprotectionxtoxothersxaidsxrelatedxconditionsxsuchxasxkaposisxsa
rcomax-xans--✔✔ANS:xC

8xofx55

Axclientxsubjectivexdataxincludesxdysuria,xurgency,xandxurinaryxfrequency.xWhatxactionxsh
ouldxthexnurseximplementxnext?

xa.collectxaxcleanxcatchxspecimen
xb.palpatexthexsuprapubicxregionx

c.instructxtoxwipexfromxfrontxtoxback
d.inquirexaboutxrecentxsexualxactivityx-xans--✔✔ANS:xA

9xofx55

, Axclientxtellsxthexnursexthatxherxbiopsyxresultsxindicatexthatxthexcancerxcellsxarexwellxdiffer
entiatedxHowxshouldxthexnursexrespond?

a.xofferxthexclientxreassurancexthatxthisxinformationxindicatesxthatxthexclientsxcancerxcellsx
arexbenign
b.xexplainxthatxthesextissuexcellsxoftenxrespondxmorexeffectivelyxtoxradiationxthanxtoxchem
otherapy
c.xaskxthexclientxinxthexhealthcarexproviderxhasxgivingxherxanyxinformationxaboutxthexclassi
ficationxofxherxcancer
d.xhelpxthexclientxmakexplansxtoxbeginxinmediatextreatmentxsincexherxcancerxisxlikelyxtoxsp
readxquicklyx-xans--✔✔ANS:xC


10xofx55

Axclientxwithxaxchronicxkidneyxdiseasexisxtreatedxonxhemodialysis.xDuringxthex1xtreatmentx
clientsxbloodxpressurexdropsxfromx150/90xtox80/30xWhichxactionxshouldxthexnursextakexfir
st?

a.xmonitorxbpxq45xminutes
b.xlowerxthexheadxofxthexchairxandxelevatexfeet
c.xstopxdialysisxtreatment
d.xadministerx5%albuminxIVx-xans--✔✔ANS:xCx

11xofx55

Axclientxwithxdeepxvainxthrombosisx(DVT)xisxreceivingxaxcontinuesxinfusionxofxheparinxsodi
umx25,000xunitxinx5%xdextrosexinjectionx250ml.xThexprescriptionxindicatesxthexdosagexsh
ouldxbexincreasex900xunits/
hr.xThexnursexshouldxprogramxthexinfusionxpumpxtoxdeliverxhowxmanyxml/hr?x-xans--
✔✔=9

12xofx55

Thexnursexisxobtainingxthexadmissionxhistoryxforxaxclientxwithxsuspectedxpepticxulcerxdisea
sex(PUD).xWhichxsubjectivexdataxreportedxbyxthexclientxsupportsxthisxdiagnosis?

a.xupperxmidxabdominalxgnawingxandxburningxpain
b.xseverexabdominalxcrampsxandxdiarrheaxafterxeatingxspicyxfoods
c.xmarkedxlossxofxweightxandxappetitexoverxthexlastxfewxmonthsx
d.xusexofxchewablexandxliquidxantacidsxforxindigestionx-xans--✔✔ANS:xA

13xofx55

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