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Med Surg Final HESI Questions With Complete Solutions
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Med Surg Final HESI Questions With Complete Solutions
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Med Surg Final HESI Questions With Complete SolutionsA 70-year-old male client with type 2 diabetes mellitus (DM) is
hospitalized with an infected ulcer on his great right toe. Which
instruction should the nurse emphasize during discharge
teaching? Correct Answer Check the insides and linings of all
enclosed shoes before putting the shoes on
A cardiac catherterization of a client with heart disease indicates
the following blockages: 95% proximal left anterior descending
(LAD), 99% proximal circumflex, and ? % proximal right
coronary artery (RCA). The client later asks the nurse "what
does all this mean for me?" What information should the nurse
provide?
A. Blood supply to the heart is diminished by artherosclerotic
lesions, which necessitate lifestyle changes.
B. Blood vessels supplying the pumping chamber have
blockages indicating a past heart attack.
C. Three main arteries have major blockages, with only 1 to 5%
of blood flow getting through to the heart muscle.
D. The heart is not receiving enough blood, so there is a risk of
heart failure and fluid retention. Correct Answer C. Three main
arteries have major blockages, with only 1 to 5% of blood flow
getting through to the heart muscle.
A client admitted to a surgical unit is being evaluated for an
intestinal obstruction. The healthcare provider prescribes a
nasogastric tube (NGT) to be inserted and placed to intermittent
low wall suction. Which intervention should the nurse
implement to facilitate proper tube placement?
,A. Soak nasogastric tube in warm water
B. Insert tube with client's head tilted back
C. Apply suction while inserting tube
D. Elevate head of bed 60 to 90 degrees Correct Answer D.
Elevate head of bed 60 to 90 degrees
A client is brought to the ED by ambulance in cardiac arrest
with cardiopulmonary resuscitation (CPR) in progress. The
client is intubated and is receiving 100% oxygen per self-
inflating (ambu) bag. The nurse determines that the client is
cyanotic, cold, and diaphoretic. Which assessment is most
important for the nurse to obtain?
A. Breath sounds over bilateral lung fields.
B. Carotid pulsation during compressions
C. Deep tendon reflexes
D. Core body temperature Correct Answer A. Breath sounds
over bilateral lung fields.
A client returns to the unit following a suprapubic
prostatectomy. He has a three-way catheter in place with a
continuous bladder irrigation infusing. Which assessment
finding warrants
immediate intervention by the nurse?
A. True urinary output of 50ml/hr
B. Lower abdominal tenderness
C. Blood urine output with clots
D. Urine leaking around the meatus Correct Answer D. Urine
leaking around the meatus
,A client tells the nurse that her biopsy results indicate that the
cancer cells are
well-differentiated. How should the nurse respond? Correct
Answer Ask the client if the healthcare provider has given her
any information about the classification of her cancer
A client uses triamcinolone (Kenalog), a corticosteroid
ointment, to manage pruritus caused by a chronic skin rash. The
client calls the clinic nurse to report increased erythema with
purulent exudate at the site. Which action should the nurse
implement?
A. Schedule an appointment or the client to see the healthcare
provider
B. Advise the client to apply plastic wrap over the ointment to
promote healing
C. Instruct the client to continue the ointment until all erythema
is relieved
D. Explain the client need to complete all prescribed dose of the
medication Correct Answer A. Schedule an appointment for
the client to see the healthcare provider.
A client who had a biliopancreatic diversion procedure (BDP) 3
months ago is admitted with a severe dehydration. Which
assessment finding warrants immediate intervention by the
nurse.
A. Strong foul-smelling flatus
B. Gastroccult positive emesis
C. Complaint of poor night vision
, D. Loose bowel movements Correct Answer B. Gastroccult
positive emesis
A client who has a history of hypothyroidism was initially
admitted with lethargy and confusion. Which additional finding
warrants the most immediate action by the nurse?
A. Facial puffiness and periorbital edema
B. Hematocrit of 30%
C. Cold and dry skin
D. Further decline in level of consciousness Correct Answer D.
Further decline in level of consciousness
A client who has a history of long-standing back pain treated
with methadone (Dolophines), is admitted to the surgical unit
following urological surgery. Which modifications in the plan of
care should the nurse make for this client's pain management
during the postoperative period?
A. Consult with surgeon about increasing methadone in lieu of
parenteral opioids.
B. Use minimal parenteral opioids for surgical pain, in addition
to oral methadone
C. Maintain client's methadone, and medicate surgical pain
based on pain rating
D. Make no changes in the standard pain management for the
surgery and hold methadone. Correct Answer C. Maintain
client's methadone, and medicate surgical pain based on pain
rating
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