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MED SURG FINAL HESI 2023 LATEST EXAM QUESTIONS AND ANSWER.
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MED SURG FINAL HESI 2023 LATEST EXAM QUESTIONS AND ANSWER.
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lOMoARcPSD|7293922MED SURG FINAL HESI 2023
LATEST EXAM QUESTIONS AND
ANSWER
A client with a productive cough has obtained a sputum specimen for culture
as instructed. What is the best initial nursing action?
A. Administer the first dose of antibiotic therapy
B. Observe the color, consistency, and amount of
sputum C. Encourage the client to consume plenty
of warm liquids
D. Send the specimen to the lab for analysis - B. Observe the color,
consistency, and amount of sputum
A client is brought to the ED by ambulance in cardiac arrest with
cardiopulmonary resuscitation (CPR) in progress. The client is intubated and
is receiving 100% oxygen per self-inflating (ambu) bag. The nurse
determines that the client is cyanotic, cold, and diaphoretic. Which
assessment is most important for the nurse to obtain?
A. Breath sounds over bilateral lung
fields. B. Carotid pulsation during
compressions C. Deep tendon
reflexes
D. Core body temperature - A. Breath sounds over bilateral lung fields.
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone
(SIADH), a client develops pontine myselinolysis. Which intervention
should the nurse implement first?
A. Reorient client to his
room B. Place a patch on
one eye
C. Evaluate client's ability to swallow
D. Perform range of motion exercises - A. Reorient client to his room
A male client with heart failure (HF) calls the clinic and reports that he
cannot put his shoes on because they are too tight. Which additional
information should the nurse obtain?
A. What time did he take his last medications?
B. Has his weight changed in the last several
days? C. Is he still able to tighten his belt
buckle?
D. How many hours did he sleep last night? - B. Has his weight changed in
the last several days?
An older adult woman with a long history of chronic obstructive pulmonary
, lOMoARcPSD|7293922
disease (COPD) is admitted with progressive shortness of breath and a
persistent cough. She is
, lOMoARcPSD|7293922
anxious and is complaining of a dry mouth. Which intervention should the
nurse implement?
A. Administer a prescribed
sedative B. Encourage client to
drink water C. Apply a high-
flow venturi mask
D. Assist her to an upright position - D. Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with
shortness of breath, productive cough with thickened tenacious mucous,
and the inability to walk up a flight of stairs without experiencing
breathlessness. Which action is most important for the nurse to instruct the
client about self-care?
A. Increase the daily intake of oral fluids to liquefy secretions
B. Avoid crowded enclosed areas to reduce pathogen
exposure C. Call the clinic if undesirable side effects of
mediations occur
D. Teach anxiety reduction methods for feelings of suffocation - A.
Increase the daily intake of oral fluids to liquefy secretions
A cardiac catherterization of a client with heart disease indicates the
following blockages: 95% proximal left anterior descending (LAD), 99%
proximal circumflex, and
? % proximal right coronary artery (RCA). The client later asks the nurse
"what does all this mean for me?" What information should the nurse
provide?
A. Blood supply to the heart is diminished by artherosclerotic lesions, which
necessitate lifestyle changes.
B. Blood vessels supplying the pumping chamber have blockages
indicating a past heart attack.
C. Three main arteries have major blockages, with only 1 to 5% of blood
flow getting through to the heart muscle.
D. The heart is not receiving enough blood, so there is a risk of heart
failure and fluid retention. - C. Three main arteries have major blockages,
with only 1 to 5% of blood flow getting through to the heart muscle.
A client who weighs 175 pounds is receiving IV bolus dose of heparin 80
units/kg. The heparin is available in a 2 ml vial, labeled 10,000 units/ml. How
many ml should the nurse administer? (Enter numeric value only. If rounding
is required, round to the nearest tenth.) - 0.6 ml
What information should the nurse include in the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)?
A. Sleep without pillows at night to maintain neck alignment.
B. Adjust food intake to three full meals per day and no
snacks. C. Minimize symptoms by wearing loose,
, lOMoARcPSD|7293922
comfortable clothing
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