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Med Surg Hesi Exit 2024 Real Exam And Practice Questions (55 Real Exam Questions And 160 Practice) Questions And Correct Detailed Answers $12.49   Add to cart

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Med Surg Hesi Exit 2024 Real Exam And Practice Questions (55 Real Exam Questions And 160 Practice) Questions And Correct Detailed Answers

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TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD OWNER: EMILLYCHARLOTTE COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISHED: SEPTEMBER 2024 2. The healthcare provider prescribes 15 mg/kg of Streptomycin for an infant weighing 4 pounds. The drug is diluted in 25 ml...

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  • September 18, 2024
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  • 2024/2025
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  • Questions & answers
  • 2024/2025
  • 2024/2025
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EmillyCharlotte
TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

Med Surg Hesi Exit 2024 Real Exam And Practice
Questions (55 Real Exam Questions And 160 Practice)
Questions And Correct Detailed Answers

1. While assessing a client with diabetes mellitus, the nurse observes an absence of

hair growth

on the client's legs. What additional assessment provides further data to support this

finding?

a. Palpate for the presence of femoral pulses bilaterally.

b. Assess for the presence of a positive Homan's sign.

c. Observe the appearance of the skin on the client's legs.

d. Watch the client's posture and balance during ambulation - Answer✔️✔️-ANS: C

Signs of chronic arterial insufficiency include decreased hair growth in the legs and feet,

absent or decreased pedal pulses, infection in the foot, poor wound healing, thickened

nails,

and a shiny appearance of the skin (C). Femoral pulses (A) should still be palpable in

the

diabetic with chronic arterial insufficiency. A positive Homan's sign is an indicator of

deep

vein thrombosis (B). (D) would probably not be affected significantly by chronic arterial

insufficiency.

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
2. The healthcare provider prescribes 15 mg/kg of Streptomycin for an infant weighing 4

pounds.

The drug is diluted in 25 ml of D5W to run over 8 hours. How much Streptomycin will

the

infant receive?

a. 9 mg.

b. 18 mg.

c. 27 mg.

d. 36 mg - Answer✔️✔️-ANS: C

4 lbs / 2.2 = 1.8 kg. 1.8 x 15 = 27 mg (C).

NOTE, the fact that the drug is diluted in 25 ml of D5W, is not relevant to the calculation

requested

In assessing a client with preeclampsia who is receiving magnesium sulfate, the nurse

determines that her deep tendon reflexes are 1+; respiratory rate is 12 breaths/minute;

urinary output is 90 ml in 4 hours; magnesium sulfate level is 9 mg/dl. Based on these

findings, what intervention should the nurse implement?

a. Continue the magnesium sulfate infusion as prescribed.

b. Decrease the magnesium sulfate infusion by one-half.

c. Stop the magnesium sulfate infusion immediately.

d. Administer calcium gluconate immediately. - Answer✔️✔️-ANS: C

The client is exhibiting symptoms of magnesium sulfate toxicity--decreased reflexes

(normal is

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
+2), a low normal respiratory rate (normal is 12 to 20 breaths/min), a less than average

urinary output (30 ml/hour is average), and a low magnesium sulfate level (normal is 4

to

8mg/dl). Based on these findings, the nurse should stop the infusion (C). (A) is

contraindicated. (B) would not fully alleviate the magnesium sulfate toxicity symptoms.

(D)

(the antagonist for magnesium sulfate) would be indicated if the respiratory rate were

less

than 12 breaths/minute.

A client is on a mechanical ventilator. Which client response indicates that the

neuromuscular

blocker tubocurarine chloride (Tubarine) is effective?

a. The client's expremities are paralyzed.

b. The peripheral nerve stimulator causes twitching.

c. The client clinches fist upon command.

d. The client's Glagow Coma Scale score is 14 - Answer✔️✔️-ANS: A

This medication causes paralysis (A) following intravenous injection. Peak effects

persist for

35 to 60 minutes. (B and C) would not be possible if the medication is effective. The

Glasgow

coma scale is used to evaluate the neurological status of the client and does not

evaluate the

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
effectiveness (D) of this medication.

5. An elderly female client comes to the clinic for a regular check-up. The client tells the

nurse

that she has increased her daily doses of acetaminophen (Tylenol) for the past month to

control joint pain. Based on this client's comment, what previous lab values should the

nurse

compare with today's lab report?

a. Look at last quarter's hemoglobin and hematocrit, expecting an increase today due

to dehydration.

b. Look for an increase in today's LDH compared to the previous one to assess

for possible liver damage. c. Expect to find an increase in today's APTT as compared to

last quarter's due

to bleeding.

d. Determine if there is a decrease in serum potassium due to renal compromise. -

Answer✔️✔️-ANS: B

Frequent and/or large doses of acetaminophen can cause an increase in liver enzymes,

indicating possible liver damage (B). If the client reported unusual bleeding, or an

increase in

aspirin usage, it would be important for the nurse to assess for increased bleeding and

monitor

(A and/or C). (D) is not affected by increases in acetaminophen doses.

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