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HESI MED SURG REVIEW EXAM 2024 LATEST NEW GENERATION GRADED A+
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HESI MED SURG REVIEW EXAM 2024 LATEST NEW GENERATION GRADED A+
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HESI MED SURG REVIEW EXAM 2024 LATEST NEW GENERATION GRADED A+1. What instruction should the nurse include in the discharge teaching plan
of a client who had a cataract extraction today?
a. Sexual activities may be resumed upon return home
b. Light housekeeping is permitted but avoid heavy lifting c. Use a metal eye shield
on operative eye during the day d. Administer eye ointment before applying
eye drops
2. A male adult comes to the urgent care clinic 5 days afterbeing diagnose
with influenza. He is short of breath, febrile, and coughing green colored
sputum. Which intervention should the nurse implement first?
a. Obtain a sputum sample for cultureb. Check his
oxygen saturation levelc. Administer an oral
antipyretic
d. Auscultate bilateral lung sound
3. An elder male client tells the nurse that he is loosingsleep because
hehas to get up several times at night to go to the bathroom that he
has trouble starting his urinary stream and that he does not feel like
his bladder is ever completely empty. Which interventionshould the
nurseimplement?
a. collect a urine specimen for culture analysisb. obtain a
fingerstick blood glucose level
c. palpate the bladder above the symphysis pubisd. review the client
fluid intake
4. An adult client is admitted with diabetic ketoacidosis (DKA) and a
urinarytract infection (UTI) Prescriptions for intravenous antibiotics and
insulin infusion are initiated. Which serum laboratory value warrants the
most immediate intervention by the nurse?
b. blood ph of 7.30
c. glucose of 350 mg /dl
, d. white blood cell count of 15000mmd.
potassium of 2.5 meq/l
5. A client with sickle cell anemia develops a fever during the last hour of
administration of a unit of packed red blood cell. When notifying the healthcare
provider what information should the nurse provide first using the SBAR
communication process?
e. explain specific reason for urgent notification preface the report
by stating the clients name and admittingdiagnosis
f. communicate the pre-transfusion temperatures
g. optain prn prescription for acetaminophen for fever101f
6. An adult male client is admitted for pneumocystis carinil
pneumonia (PCP) secondary to aids. While hospitalize he receives
IV pentamidine isethionate therapy. In preparing this client for
discharge whatimportant aspect regarding his medication therapy
should the nurse explain?
h. AZT therapy must be stopped when IV aerosolpentamine is
beingused.
i. IV pentamine will be given until oral pentamine can be tolerated
j. It will be necessary to continue prophylactic doses of IV oraerosol
pentamine every month
k. Iv pentamine may offer protection to others aids related
conditionssuch as kaposis sarcoma
7. A client subjective data includes dysuria, urgency, and urinary
frequency.What action should the nurse implement next?
l. collect a clean catch specimen b. palpate
the suprapubic region
c. instruct to wipe from front to backd. inquire
about recent sexual activity
8. A client tells the nurse that her biopsy results indicate that the
cancercells are well differentiated How should the nurse respond?
m. offer the client reassurance that this informationindicates that
theclients cancer cells are benign
, n. explain that these tissue cells often respondmore
effectively toradiation than to chemotherapy
o. ask the client in the healthcare provider has giving her
anyinformation about the classification of her cancer
p. help the client make plans to begin inmediate treatment since
hercancer is likely to spread quickly
9. A client with a chronic kidney disease is treated on hemodialysis.
Duringthe 1 treatment clients blood pressure drops from 150/90 to
80/30 Which action should the nurse take first?
q. monitor bp q45 minutes
r. lower the head of the chair and elevate feetc. stop
dialysis treatment
s.
d. administer 5%albumin IV
10.A client with deep vain thrombosis (DVT) is receiving a continues
infusion of heparin sodium 25,000 unit in 5% dextrose injection 250ml.
The prescription indicates the dosage should be increase 900 units/hr.
The nurse should program the infusion pump to deliverhow many ml/hr?
=9
11. The nurse is obtaining the admission history for a client with
suspected peptic ulcer disease (PUD). Which subjective data reported
by the clientsupportsthis diagnosis?
a. upper mid abdominal gnawing and burning pain
b. severe abdominal cramps and diarrhea after eatingspicy foods
c. marked loss of weight and appetite over the last few months
d. use of chewable and liquid antacids for indigestion
12. The nurse is providing preoperative education for a jewish client
schedule to receive a xenograft graft to promote burn healing.
Whichinformation shouldthe nurse provide this client?
a. the xenograft is taken from nonhuman sources b. grafting increases
, the risk for bacterial infection
c. as the burn heals the graft permanently attachesd. grafts are later
removed by debriding procedure
13.A client who took a camping vacation two weeks ago in a country with a
tropical climate comes to the clinic describing vague symptoms and
diarrhea for the past week. Which finding is most important for the
nursetoreport?
a. jaundice sclera
b. intestinal cramping
c. weakness and fatigued.
weight loss
14. During a home visit the nurse assesses the skin of a client with eczema
who reports than an exacerbation of symptoms has occurred during
thelast week.
Which information is most useful in determining thepossiblecause of the
symptoms?
a. an old friend with eczema came for visit
b. recently received an influenza immunizationc.
corticosteroid cream was applied to eczema d. a grandson and
his new dog recently visited
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