EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM 2024| 130 REAL EXAM QUESTIONS AND CORRECT ANSWERS ALL GRADED A+|GUARANTEED SUCCESS
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EVOLVE ELSEVIER HESI MED SURG
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EVOLVE ELSEVIER HESI MED SURG
EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM 2024| 130 REAL EXAM QUESTIONS AND CORRECT ANSWERS ALL GRADED A+|GUARANTEED SUCCESS
A client is admitted for dehydration, and an intravenous (IV) infusion of normal saline at 125 mL/hr has been started. One hour after the IV initiation the client be...
EVOLVE ELSEVIER HESI MED SURG ACTUAL
EXAM 2024| 130 REAL EXAM QUESTIONS
AND CORRECT ANSWERS ALL GRADED
A+|GUARANTEED SUCCESS
A client is admitted for dehydration, and an intravenous (IV) infusion of normal
saline at 125 mL/hr has been started. One hour after the IV initiation the client
begins screaming, "I can't breathe!" The nursing priority action is:
1. Discontinue the IV site and contact the primary health care provider
2. Elevate the head of the bed and obtain vital signs
3. Contact the primary health care provider to obtain a prescription for a sedative
4. Assess for allergies and change the IV to an intermittent infusion device -
ANSWER-✅Elevate the head of the bed and obtain vital signs
A nurse is assessing a client with a diagnosis of early left ventricular heart failure.
Specific to this type of heart failure, the nurse expects the client to state:
1. "My ankles are swollen."
2. "I am tired at the end of the day."
3. "When I eat a large meal, I feel bloated."
4. "I have trouble breathing when I walk rapidly - ANSWER-✅4. "I have trouble
breathing when I walk rapidly
A client who had a myocardial infarction asks the nurse, "What's the chance of my
having another heart attack if I carefully watch my diet and stress levels?" What is
the nurse's most appropriate initial response?
1. Focus on the client's feelings by exploring the reason why the question was asked.
2. Explain that it is all right to be frightened and refer the client to the psychiatric
nurse.
3. Provide information that the client is correct in being especially careful in these
areas.
,4. Suggest that the client discuss follow-up care with the health care provider and
the dietitian. - ANSWER-✅1. Focus on the client's feelings by exploring the reason
why the question was asked.
The nurse is assessing a client for signs of right ventricular failure. What should the
nurse expect if this occurs?
A client with bilateral varicose veins of the lower extremities questions the nurse
about the brownish discoloration of the lower legs. The best response by the nurse is,
"This is probably the result of:
1. Inadequate arterial blood supply."
2. Delayed healing of tissues after an injury."
3. Increased production of melanin in the area."
4. Leakage of red blood cells through the vascular wall." - ANSWER-✅4. Leakage of
red blood cells through the vascular wall."
A client with arterial insufficiency of both lower extremities is visited by the home
health care nurse. An essential nursing intervention is to teach the client to:
1. Maintain elevation of both legs
2. Massage the legs when painful
3. Apply a hot water bottle to the legs
4. Check pulses in the legs regularly - ANSWER-✅4. Check pulses in the legs regularly
A client is hospitalized for the treatment of thrombophlebitis. What should the
nurse include in the client's teaching plan related to how to prevent
thrombophlebitis?
1. Perform leg exercises
2. Sit with the knees flexed
,3. Apply warm soaks to the legs daily
4. Put on elastic stockings before arising - ANSWER-✅4. Put on elastic stockings
before arising
During chest physiotherapy (CPT), a client reports fatigue, and the client's heart rate
increases from 90 to 140 beats per minute. What should the nurse do next?
1. Interrupt the therapy.
2. Encourage deep breathing.
3. Place the client in the low-Fowler position.
4. Have the client complete the therapy before resting. - ANSWER-✅1. Interrupt the
therapy.
The nurse is providing teaching to a client with atrial flutter who has received a
prescription for an oral anticoagulant. The client asks the nurse to provide a list of
foods that are high in Vitamin K and that should be avoided. What should the nurse
include on the list? (Select all that apply.)
1. Spinach
2. Oranges
3. Broccoli
4. Chicken breast
5 Sweet potatoes - ANSWER-✅1. Spinach
3. Broccoli
The nurse is planning nutritional education for a client with lower extremity arterial
disease (LEAD). What diet modifications should the nurse include?
1. Decreasing both fluid and sodium intake
2. Increasing both calcium and potassium intake
3. Increasing both vitamin E and refined grain intake
4. Decreasing both cholesterol and saturated fat intake - ANSWER-✅4. Decreasing
both cholesterol and saturated fat intake
, A client on a telemetry unit demonstrates a regular sinus rhythm (RSR) with an
occasional premature atrial contraction (PAC). What action should the nurse take?
1. Continue to monitor the client.
2. Notify the health care provider.
3. Ensure that a defibrillator is close by.
4. Administer lidocaine intravenously as per protocol. - ANSWER-✅1. Continue to
monitor the client.
After abdominal surgery a client suddenly reports numbness in the right leg and a
"funny feeling" in the toes. What should the nurse do first?
1. Elevate the legs and tell the client to drink more fluids.
2. Instruct the client to remain in bed and notify the health care provider.
3. Rub the client's legs to stimulate circulation and cover the client with a blanket.
4. Tell the client about the dangers of prolonged bed rest and encourage ambulation.
- ANSWER-✅2. Instruct the client to remain in bed and notify the health care
provider.The nurse assesses a patient with shortness of breath for evidence of long-
standing hypoxemia by inspecting:
A. Chest excursion
B. Spinal curvatures
C. The respiratory pattern
D. The fingernail and its base - ANSWER-✅D. The fingernail and its base Clubbing, a
sign of long-standing hypoxemia, is evidenced by an increase in the angle between
the base of the nail and the fingernail to 180 degrees or more, usually accompanied
by an increase in the depth, bulk, and sponginess of the end of the finger.
2. The nurse is caring for a patient with COPD and pneumonia who has an order for
arterial blood gases to be drawn. Which of the following is the minimum length of
time the nurse should plan to hold pressure on the puncture site?
A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 15 minutes - ANSWER-✅B. 5 minutes Following obtaining an arterial blood gas,
the nurse should hold pressure on the puncture site for 5 minutes by the clock to be
sure that bleeding has stopped. An artery is an elastic vessel under higher pressure
than veins, and significant blood loss or hematoma formation could occur if the time
is insufficient.
3. The nurse notices clear nasal drainage in a patient newly admitted with facial
trauma, including a nasal fracture. The nurse should:
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