a. Palpate6for6the6presence6of6femoral6pulses6bilaterally.
b. Assess6for6the6presence6of6a6positive6Homan's6sign.
c. Observe6the6appearance6of6the6skin6on6the6client's6legs.
d. Watch6the6client's6posture6and6balance6during6ambulation.
6
2.6 The6healthcare6provider6prescribes6156mg/kg6of6Streptomycin6for6an6infant6weighing6
46pounds.
The6drug6is6diluted6in6256ml6of6D5W6to6run6over686hours.6How6much6Streptom
ycin6will6the6infant6receive?
a. 96mg.
b. 186mg.
c. 276mg.
d. 366mg.
6
2023/2024 HESI Med Surg Exit Exam (V1 Version 1) Brand New (160Q
6 6 6 6 6 6 6 6 6 6 6
3.6 In6assessing6a6client6with6preeclampsia6who6is6receiving6magnesium6sulfate,6th
e6nurse6determines6that6her6deep6tendon6reflexes6are61+;6respiratory6rate6is6126bre
aths/minute;6urinary6output6is6906ml6in646hours;6magnesium6sulfate6level6is696mg/dl
.6 Based6on6these6findings,6what6intervention6should6the6nurse6implement?
a. Continue6the6magnesium6sulfate6infusion6as6prescribed.
b. Decrease6the6magnesium6sulfate6infusion6by6one-half.
c. Stop6the6magnesium6sulfate6infusion6immediately.
d. Administer6calcium6gluconate6immediately.
6
4.6A6client6is6on6a6mechanical6ventilator.6Which6client6response6indicates6that6t
he6neuromuscular6blocker6tubocurarine6chloride6(Tubarine)6is6effective?
a. The6client’s6expremities6are6paralyzed.
b. The6peripheral6nerve6stimulator6causes6twitching.
c. The6client6clinches6fist6upon6command.
d. The6client’s6Glagow6Coma6Scale6score6is614.
6 5.6An6elderly6female6client6comes6to6the6clinic6for6a6regular6check-
up.6The6client6tells6the6nurse6that6she6has6increased6her6daily6doses6of6acetamino
phen6(Tylenol)6for6the6past6month6to6control6joint6pain.6Based6on6this6client's6co
mment,6what6previous6lab6values6should6the6nurse6compare6with6today's6lab6rep
ort?
a. Look6at6last6quarter's6hemoglobin6and6hematocrit,6expecting6an6in
crease6today6due6to6dehydration.
2023/2024 HESI Med Surg Exit Exam (V1 Version 1) Brand New (160Q
6 6 6 6 6 6 6 6 6 6 6
b. Look6for6an6increase6in6today's6LDH6compared6to6the6previous6o
ne6to6assess6for6possible6liver6damage.
c. Expect6to6find6an6increase6in6today's6APTT6as6compared6to6last6
quarter's6due6to6bleeding.
d. Determine6if6there6is6a6decrease6in6serum6potassium6due6to6renal6compromise.
2023/2024 HESI Med Surg Exit Exam (V1 Version 1) Brand New (160Q
6 6 6 6 6 6 6 6 6 6 6
on Guaranteed Success Latest Update 2022/2023 With ASSURANCE OF
6 6 6 6 6 6 6 6
GRADE A+
6 6 6
6 6.6Aspirin6is6prescribed6for6a69-year-
old6child6with6rheumatic6fever6to6control6the6inflammatory6process,6promote6co
mfort,6and6reduce6fever.6What6intervention6is6most6important6for6the6nurse6to6i
mplement?
a. Instruct6the6parents6to6hold6the6aspirin6until6the6child6has6first6ha
d6a6tepid6sponge6bath.
b. Administer6the6aspirin6with6at6least6two6ounces6of6water6or6juice.
c. Notify6the6healthcare6provider6if6the6child6complains6of6ringing6in6the6ears.
d. Advise6the6parents6to6question6the6child6about6seeing6yellow6halos6around6object
s.
6
7.6Which6signs6or6symptoms6are6characteristic6of6an6adult6client6diagnos
ed6with6Cushing's6syndrome?
a. Husky6voice6and6complaints6of6hoarseness.
b. Warm,6soft,6moist,6salmon-colored6skin.
c. Visible6swelling6of6the6neck,6with6no6pain.
d. Central-type6obesity,6with6thin6extremities.
6
8.6A6charge6nurse6agrees6to6cover6another6nurse’s6assignment6during6a6lunch6b
reak.6Based6on6the6status6report6provided6by6the6nurse6who6is6leaving6for6lunch,6w
hich6client6should6be6checked6first6by6the6charge6nurse?6The6client
2022/2023 HESI Med Surg Exit Exam (V1 Version 1) Brand New (160Q
6 6 6 6 6 6 6 6 6 6 6
on Guaranteed Success Latest Update 2022/2023 With ASSURANCE OF
6 6 6 6 6 6 6 6
GRADE A+
6 6 6
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