100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
N491 Med-Surg HESI Practice Exam Questions and Answers | 100% Pass $12.49   Add to cart

Exam (elaborations)

N491 Med-Surg HESI Practice Exam Questions and Answers | 100% Pass

 0 view  0 purchase
  • Course
  • 2024/2025
  • Institution
  • 2024/2025

N491 Med-Surg HESI Practice Exam Questions and Answers | 100% Pass Which intervention should the nurse implement for a female client diagnosed with pelvic relaxation disorder? A. Discuss the importance of keeping a diary of daily temperature and menstrual cycle events. B. Describe proper admin...

[Show more]

Preview 4 out of 60  pages

  • October 6, 2024
  • 60
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • 2024/2025
  • 2024/2025
avatar-seller
EmillyCharlotte
EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024




N491 Med-Surg HESI Practice Exam
Questions and Answers | 100% Pass

Which intervention should the nurse implement for a female client diagnosed with pelvic relaxation

disorder?


A. Discuss the importance of keeping a diary of daily temperature and menstrual cycle events.


B. Describe proper administration of vaginal suppositories and cream.


C. Encourage the client to perform Kegel exercises 10 times daily.


D. Explain the importance of using condoms when having sexual intercourse. - Answer✔✔-C. Encourage

the client to perform Kegel exercises 10 times daily.




Pelvic relaxation disorders are structural disorders resulting from weakening support tissues of the

pelvis. Kegel exercises help strengthen the surrounding muscles.


The nurse is assessing a client with chronic kidney disease (CKD). Which finding is most important for the

nurse to respond to first?


A. Peripheral neuropathy.


B. Potassium 6.0 mEq.


C. Uremic fetor.


D. Daily urine output of 400 ml. - Answer✔✔-B. Potassium 6.0 mEq.

Page 1/60

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


During assessment of a client with amyotrophic lateral sclerosis (ALS), which finding should the nurse

identify when planning care for this client?


A. Muscle weakness.


B. A decline in cognitive function.


C. Abnormal involuntary movements.


D. Urinary frequency. - Answer✔✔-A. Muscle weakness.


A client with multiple sclerosis has experienced an exacerbation of symptoms, including paresthesias,

diplopia, and nystagmus. Which instruction should the nurse provide?


A. Restrict intake of high protein foods.


B. Schedule extra rest periods.


C. Stay out of direct sunlight.


D. Go to the emergency room immediately. - Answer✔✔-B. Schedule extra rest periods.


The nurse is assessing a client's laboratory values following administration of chemotherapy. Which lab

value leads the nurse to suspect that the client is experiencing tumor lysis syndrome (TLS)?


A. Oxygen saturation of 90%.


B. Serum calcium of 5 mg/dL.


C. Hemoglobin of 10 g/dL.


D. Serum PTT of 10 seconds. - Answer✔✔-B. Serum calcium of 5 mg/dL




Page 2/60

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024




TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and hyperphosphatemia.


A middle-aged male client with diabetes continues to eat an abundance of foods that are high in sugar

and fat. According to the Health Belief Model, which event is most likely to increase the client's

willingness to become compliant with the prescribed diet?


A. His wife expresses a sincere willingness to prepare meals that are within his prescribed diet.


B. He comments on the community service announcements about preventing complications associated

with diabetes.


C. He is provided with the most current information about the dangers of untreated diabetes.


D. He visits his diabetic brother who just had surgery to amputate an infected foot. - Answer✔✔-D. He

visits his diabetic brother who just had surgery to amputate an infected foot.


The nurse is assessing a client who has a history of Parkinson's disease for the past 5 years. Which

symptoms would this client most likely exhibit?


A. Shuffling gait, masklike facial expression, and tremors of the head.


B. Numbness of the extremities, loss of balance, and visual disturbances.


C. Extreme muscular weakness, easy fatigability, and ptosis.


D. Loss of short-term memory, facial tics and grimaces, and constant writhing movements. - Answer✔✔-

A. Shuffling gait, masklike facial expression, and tremors of the head.




Page 3/60

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry unit. Which initial

medication should the nurse anticipate administering to the client?


A. Procainamide.


B. Phenytoin.


C. Digoxin.


D. Xylocaine. - Answer✔✔-C. Digoxin.


Which assessment finding by the nurse during a client's clinical breast examination requires follow-up?


A. Newly retracted nipple.


B. Whitish nipple discharge.


C. A thickened area where the skin folds under the breast.


D. Tender lumpiness noted bilaterally throughout the breasts. - Answer✔✔-A. Newly retracted nipple.


The nurse is initiating the client's fourth dose of gentamycin sulfate IV. The health care provider (HCP)

has prescribed peak and trough levels. Which is the most important action for the nurse to implement

next?


A. Draw the peak 15 minutes before and the trough 15 minutes after the next dose.


B. Draw the peak one hour before and one hour after the next dose.


C. Draw the trough 30 minutes before and 30 minutes after the next dose.


D. Draw the trough 5 minutes before and the peak 30 minutes after the next dose - Answer✔✔-D. Draw

the trough 5 minutes before and the peak 30 minutes after the next dose

Page 4/60

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 EmillyCharlotte. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

78834 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.49
  • (0)
  Add to cart