MED SURG HESI EXAMS V1 AND V2 - 2024/2025 UPDATE ACTUAL
EXAM QUESTIONS WITH VERIFIED ANSWERS A+ GRADED ||100%
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MED SURG HESI V1
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1. 1. Following long-term administration of warfarin sodium to a client with a
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medical diagnosis of deep vein thrombosis, the nurse should expect which
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z treatment?
a. The hemoglobin will be greater than 10 g/dl
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b. The hematocrit will be less than 35%
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c. The PT will be 1.5 times the normal
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d. The PTT will be 1.5 times the normal:
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ANS: c. The PT will be 1.5 times the normal
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2. A client who has been taking finasteride, an enzyme (5 alpha reductase)
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z inhibitor used to shrink the prostate gland, is admitted because of continuing
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benign prostate prostatic hypertrophy (BPH) symptoms when planning care.
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Which nursing problem should the nurse address first?:
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1 z/
,2 zz ANS: Urinary retention
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3. An older client has been diagnosed with chronic venous insufficiency. To
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prevent venous return, which action should the nurse encourage the client to?:
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ANS: Wear cotton socks and enclosed toe shoes whenever outside
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4. When caring for a client with a full thickness burn covering 40% of the body, the
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nurse observes pertinent drainage at the wound. Before reporting this finding to
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the healthcare provider, the nurse should review which of the client's laboratory
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values?:
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ANS: White blood cell (WBC) count
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5. An older client arrives at the outpatient eye surgery clinic for a right cataract
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extraction and implant. During the immediate postoperative period, which
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z intervention should the nurse implement?: z z z z z
ANS: Provide an eye shield to be worn while sleeping
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6. After several days of coughing and taking acetaminophen to treat temper-
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atures of 101 F (38.3 C), a client with DI is admitted to the hospital with an upper
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respiratory infection. Several hours after admission, the client reports having a
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severe headache and feeling dizzy. Which intervention should the nurse
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implement first?:
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ANS: Reassess vital signs
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2 z/
,3
7. A client takes daily supplemental iron tablets for iron deficiency anemia
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z reports feeling increasingly fatigued. Which laboratory values should the
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z nurse review?: z z
ANS: Complete blood count
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8. The nurse is caring for a client post anesthesia care unit (PACU) who un-
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z derwent a thoracotomy two hours ago. The nurse observes the following vital
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z signs: heart rate 140 beats/ minute, respirations 26 breaths/minute, and blood
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z pressure 140/90 mmHg. Which intervention is most important for the nurse to
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z implement?: z
ANS: Medicate for pain and monitor vital signs according to protocol
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9. A client who was involved in a motor vehicle collision is admitted with a
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z fractured left femur which is immobilized using a fracture traction splint in
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z preparation for an open reduction internal fraction (ORIF). The nurse deter-
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z mines that the client's distal pulses are diminished in the left foot. Which
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z interventions should the nurse implement? (SATA): z z z z z z
ANS: - Verify pedal pulses using a doppler pulse device
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- Monitor left leg for pain, pallor, paresthesia, paralysis, pressured. - Evaluate th
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z application of the splint to the left leg z z z z z z z
3 z/
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