MEDSURG HESI PN EXAM NEWEST EXAM |
ALL QUESTIONS AND CORRECT ANSWERS
| GRADED A+ | LATEST VERSION |
VERIFIED ANSWERS
Maintaining the airway during a seizure is a priority for safety. The practical
nurse needs to ensure there is a functioning suction apparatus to ensure
airway clearance and an oxygen delivery system at bedside in the event of
a seizure.
A client asks the practical nurse what type of food is the best to eat reduce
their chances of getting colon cancer. Which type of foods should the PN
suggest to the client? (Select all that apply.)
a. Red meats
b. Fruits and vegetables
c. Dairy products
d. Whole grains
e. Chicken and turkey
f. Protein shakes ------CORRECT ANSWER---------------b. Fruits and
vegetables
d. Whole grains
According to the American Cancer Society, "studies suggest that
fiber in the diet, especially from whole grains, may lower colorectal
cancer risk."
The nurse is caring for a client with glaucoma. The nurse expects which
aspect to be included in the plan of care?
a. Encourage the client to anticipate the return of vision once treatment has
begun.
b. Explain that the cloudy lens can be removed with surgery, usually as an
outpatient.
,c. Encourage the client to place prescribed eye drops directly over the pupil
of the eye.
d. Explain to the client that eye drop use will be necessary for the rest of
the client's life. ------CORRECT ANSWER---------------d. Explain to the client
that eye drop use will be necessary for the rest of the client's life.
Glaucoma is increased intraocular pressure, which can eventually
cause blindness if untreated. Eye drop instillation will be necessary
for the rest of the client's life. Even with early treatment, vision loss
cannot be reversed. A cloudy lens is associated with cataracts, not
glaucoma. Eye drops should be placed in the conjunctival sac, not
directly over the pupil.
The nurse is assisting with planning care for an adult client with a diagnosis
of pneumonia. Which aspects does the nurse expect to see emphasized in
the plan of care? (Select all that apply.)
a. Restrict fluids to less than 1500 mL/day.
b. Use humidified oxygen as prescribed.
c. Assist with deep breathing every 8 hours.
d. Administer antibiotics promptly after the diagnosis is made.
e. Notify the health care provider if the client begins using accessory
muscles to breathe. ------CORRECT ANSWER---------------b. Use humidified
oxygen as prescribed.
d. Administer antibiotics promptly after the diagnosis is made.
e. Notify the health care provider if the client begins using accessory
muscles to breathe.
The client with pneumonia should use humidified oxygen in order to
facilitate looser secretions to expectorate. Antibiotics should be
administered promptly after the diagnosis is made. Using accessory
muscles to breathe is a sign of respiratory distress and should be
reported to the health care provider. Fluids should be encouraged up
to 3000 mL/day unless contraindicated in order to liquefy secretions.
The client should be assisted to deep breathe every 2 hours
,An older adult client with a history of cardiac disease is admitted to the
hospital. Since admission, the client has been confused and complaining
about muscle cramps and has vomited twice. The client's vital signs are BP
130/70, P-47, and R-18. Which medication in the client's history should the
practical nurse (PN) be most concerned?
a. Warfarin
b. Ibuprofen
c. Nitroglycerine
d. Digoxin ------CORRECT ANSWER---------------D. Digoxin
Older adult clients are particularly susceptible to the accumulation
and toxicity of cardiac glycosides, such as digoxin. Toxicity can
cause anorexia, nausea, vomiting, diarrhea, headache, muscle
cramps, and fatigue.
A client with chronic obstructive pulmonary disease (COPD) tells the nurse
"I get so tired when I eat; I'm just about ready to stop eating altogether".
Which nursing intervention is most appropriate for this client?
a. Remind the client to eat three meals a day for best nutrition.
b. Advise the client to take smaller, but more frequent meals.
c. Advise the client to take most of the fluids with the meals.
d. Advise the client to wear an oxygen mask while taking meals ------
CORRECT ANSWER---------------b. Advise the client to take smaller, but
more frequent meals.
Having a full stomach can cause difficulty breathing, and the client is
advised to take frequent small meals and take most of their fluids
between meals. Using an oxygen mask during meals would not be
practical, as it would have to be removed with every bite of food
Which instruction to the unlicensed assistive personnel (UAP) is most
appropriate to provide for a client who has peripheral vascular arterial
disease (PVAD)?
, a. Apply a heating pad to the client's legs for warmth.
b. Cut the client's toenails with a toe nail clipper every week.
c. Make sure the client's knee high stockings are not constrictive.
d. Keep the client's legs lower than the heart when resting in bed. ------
CORRECT ANSWER---------------C. Make sure the client's knee high
stockings are not constrictive.
With peripheral vascular disease, the nurse should make sure the
client is not wearing any restrictive clothing. Heating pads are
contraindicated with PVAD because a lack of blood supply is
frequently associated with poor sensation. A heating pad could easily
burn the client's skin. The toe nails should not be cut with a toe nail
clipper; the client should see a foot care specialist. The client should
not keep the legs in a dependent position.
A client had a bowel resection yesterday and has a nasogastric tube (NGT)
attached to low intermittent suction. The client complains to the practical
nurse of abdominal distention and nausea. What action should the PN take
first?
a. Irrigate the nasogastric tube with sterile normal saline.
b. Assess the NGT drainage in the collection container.
c. Advance the nasogastric tube 5 cm.
d. Notify the health care provider ------CORRECT ANSWER---------------b.
Assess the NGT drainage in the collection container.
The immediate priority is to determine if the tube is functioning
correctly, which the PN can do first by assessing the amount and
characteristic of the drainage from the nasogastric tube. Based on the
findings of the drainage will determine the PN next nursing
intervention.
A client residing in a memory care nursing facility with a diagnosis of
diabetes approaches the nurse crying, saying "I just do not feel good."
What action should the practical nurse take first?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller StudyWay. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $27.99. You're not tied to anything after your purchase.
