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HESI MED SURG 1
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HESI MED SURG 1
HESI MED SURG 1 FINAL EXAM TEST BANK LATEST 2024 ACTUAL EXAM 350 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
HESI MED SURG 1 FINAL EXAM TEST BANK LATEST 2024 ACTUAL EXAM 350 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |...
hesi med surg 1 final exam test bank latest 2024 a
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A female client with an NG tube attached to low suction states that she is
nauseated. The nurse assesses that there has been no drainage through the NG tube
in the last 2 hours. Which action should the nurse take?
A) Irrigate the NG tube with sterile normal saline.
B) Reposition the client on her side.
C) Advance the NG tube 5cm.
D) Administer an IV antiemetic as prescribed.-ANSWER--B.
The immediate priority is to determine if the tube is functioning correctly,
which would then relieve the client's nausea. The least invasive intervention,
repositioning the client, should be attempted first followed by the others.
Which change in lab values indicates to the nurse that a client with rheumatoid
arthritis may be experiencing an adverse effect of methotrexate (Mexate) therapy?
A) Increase in rheumatoid factor.
B) Decrease in hemoglobin level.
C) Increase in blood glucose level.
D) Decrease in erythrocyte sedimentation rate (ESR; sed rate)-ANSWER--B.
Methotrexate is an immunosuppressant. A common side effect is bone
marrow depression, which would be reflected by a decrease in the hemoglobin
level. A indicates disease progression but is not a side effect of the medication.
C is not related to this medication. D indicates that inflammation associated
with the disease has diminished.
,The nurse is counseling a healthy 30 -year-old female client regarding osteoporosis
prevention. Which activity would be most beneficial in achieving the client's goal
of osteoporosis?
A) Cross-country skiing.
B) Scuba diving.
C) Horseback riding.
D) Kayaking.-ANSWER--A.
Weight-bearing exercise is an important measure to reduce the risk of
osteoporosis. Cross-country skiing includes the most weight-bearing exercise
out of the choices.
A male client has just undergone a laryngectomy and has a cuffed tracheostomy
tube in place. When initiating bolus tube feedings postoperatively, when should the
nurse inflate the cuff?
A) Immediately after feeding.
B) Just prior to tube feeding.
C) Continuous inflation is required.
D) Inflation is not required.-ANSWER--B.
The cuff should be inflate before the feeding to block the trachea and prevent
food from entering if oral feedings are started while a cuff tracheostomy tube
is in place. It should remain inflated throughout feeding to prevent aspiration
of food into the respiratory system. C places the patient at risk for tracheal
wall necrosis.
,What is the most important nursing priority for a client who has been admitted for
a possible kidney stone?
A) Reducing dairy products in the diet.
B) Straining all urine.
C) Measuring intake and output.
D) Increasing fluid intake.-ANSWER--Straining all urine is the most important
nursing action to take in this case. Encouraging fluid intake is important for
any client who may have a kidney stone, but is even more important to strain
urine. Straining the urine will enable the nurse to determine when the kidney
stone has been passed and may prevent the need for surgery.
Which data would the nurse expect to find when reviewing laboratory values of an
80-year-old man who is in good health overall?
A) CBC reveals increased WBC and decreased RBC.
B) Chemistries reveal an increased serum billirubin level with slightly increased
liver enzyme levels.
C) Urinalysis reveals slight protein in the urine and bacteriuria, with pyurina.
D) Serum electrolytes reveal a decreased sodium level and increased potassium
level.-ANSWER--C.
In older adults, the protein found in urine slightly rises, probably as a result
of kidney changes or subclinical UTIs, and clients frequently experience
asymptomatic bacteriuria and pyuria as a result of incomplete bladder
emptying. Lab findings in A, B, and D are not considered to be normal
findings in an older adult.
, During assessment of a client in the ICU, the nurse notes that the client's breath
sounds are clear on auscultation, but jugular vein distention and muffled heart
sounds are present. Which intervention should the nurse implement?
A) Prepare the client for a pericardial tap.
B) Administer IV Lasix.
C) Assist the client to cough and breathe deeply.
D) Instruct the client to restrict the oral fluid intake.-ANSWER--A.
The client is exhibiting symptoms of cardiac tamponade, a collection of fluid
in the pericardial sac that results in a reduction in cardiac output, which is a
potentially fatal complication of pericarditis. Treatment for a tamponade is a
pericardial tap. Fluids are frequently increased in the initial treatment of
tamponade to compensate for the decrease in cardiac output, but this is not
the same priority as A.
Which consideration is most important when the nurse is assigning a room for a
client being admitted with progressive systemic sclerosis (scleroderma)?
A) Provide a room that can be kept warm.
B) Make sure that the room can be kept dark.
C) Keep the client close to the nursing unit.
D) Select a room that is visible from the nurses' desk.-ANSWER--A.
Abnormal blood flow in response to cold (Raynaud's phenomenon) is
precipitated in clients with scleroderma.
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