BATON ROUGE COMMUNITY COLLEGE NURSING
MED-SURGE HESI EXIT EXAM NEW LATEST UPDATE
2024/2025 TEST-BANK WITH RATIONALES
COMPLETED QUESTIONS & ANSWERS BEST EXAM
SOLUTION SATISFACTION GUARANTEED SUCCESS
GRADED A+
2024 TestBank f f
Following discharge teaching, a male client with duodenal ulcer tells the nurse
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thehe will drink plenty of dairy products, such as milk, to help coat and protect
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f his ulcer. What is the best follow-up action by the nurse?
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(ANS- Review with the client the need to avoid foods that are rich in milk and
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cream
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A male client with hypertension, who received new antihypertensive
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prescriptionsat his last visit returns to the clinic two weeks later to evaluate his
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f blood pressure (BP). His BP is 158/106 and he admits that he has not been
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f taking the prescribed medication because the drugs make him "feel bad". In
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f explaining the need for hypertension control, the nurse should stress that an
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f elevated BP places the client at risk for which pathophysiological condition?
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(ANS- Stroke secondary to hemorrhage
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The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
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f admitted client who has a seizure disorder. The client is supine and the UAP is
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f placing soft pillows along the side rails. What action should the nurse
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,f implement? (ANS- Instruct the UAP to obtain soft blankets to secure to the side
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rails instead ofpillows.
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An adolescent with major depressive disorder has been taking duloxetine
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f (Cymbalta) for the past 12 days. Which assessment finding requires
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f immediatefollow-up? f
(ANS- Describes life without purpose
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A 60-year-old female client with a positive family history of ovarian cancer has
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f developed an abdominal mass and is being evaluated for possible ovarian
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cancer.Her Papanicolau (Pap) smear results are negative. What information
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f should the nurse include in the client's teaching plan?
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(ANS- Further evaluation involving surgery may be needed
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,A client who recently underwear a tracheostomy is being prepared for
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discharge tohome. Which instructions is most important for the nurse to
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f include in the discharge plan? f f f f
(ANS- Teach tracheal suctioning techniques
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In assessing an adult client with a partial rebreather mask, the nurse notes that
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f the oxygen reservoir bag does not deflate completely during inspiration and the
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f client'srespiratory rate is 14 breaths / minute. What action should the nurse
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f implement? (ANS- Document the assessment data f f f f f
Rationale: reservoir bag should not deflate completely during inspiration and
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theclient's respiratory rate is within normal limits.
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During shift report, the central electrocardiogram (EKG) monitoring system
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alarms. Which client alarm should the nurse investigate firs?
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(ANS- Respiratory apnea of 30 seconds
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During a home visit, the nurse observed an elderly client with diabetes slip
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f andfall. What action should the nurse take first?
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(ANS- Check the client for lacerations or fractures
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At 0600 while admitting a woman for a schedule repeat cesarean section (C-
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f Section), the client tells the nurse that she drank a cup a coffee at 0400 because
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f shewanted to avoid getting a headache. Which action should the nurse take
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f first? (ANS- Inform the anesthesia care provider
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After placing a stethoscope as seen in the picture, the nurse auscultates S1 and
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f S2 heart sounds. To determine if an S3 heart sound is present, what action
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f should thenurse take first? f f f f
, (ANS- Listen with the bell at the same location
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A 66-year-old woman is retiring and will no longer have a health insurance
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f through her place of employment. Which agency should the client be referred to
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f bythe employee health nurse for health insurance needs?
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(ANS- Medicare f
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