100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
2024 MED/SURG NCLEX-RN HESI PRACTICE EXAM QUESTIONS WITH VERIFIED ANSWERS AND EXPLAINED SOLUTIONS ALREADY GRADED A+ $24.99   Add to cart
Quickly navigate to
Preview
  2.  
  3. 2024 MED/SURG NCLEX-RN HESI
  4.  
  5. 2024 MED/SURG NCLEX-RN HESI

Exam (elaborations)

2024 MED/SURG NCLEX-RN HESI PRACTICE EXAM QUESTIONS WITH VERIFIED ANSWERS AND EXPLAINED SOLUTIONS ALREADY GRADED A+

1 review
 4 views  0 purchase
  • Course
  • 2024 MED/SURG NCLEX-RN HESI
  • Institution
  • 2024 MED/SURG NCLEX-RN HESI

2024 MED/SURG NCLEX-RN HESI PRACTICE EXAM QUESTIONS WITH VERIFIED ANSWERS AND EXPLAINED SOLUTIONS ALREADY GRADED A+ 2024 MED/SURG NCLEX-RN HESI PRACTICE EXAM QUESTIONS WITH VERIFIED ANSWERS AND EXPLAINED SOLUTIONS ALREADY GRADED A+ 2024 MED/SURG NCLEX-RN HESI PRACTICE EXAM QUESTIONS WITH VER...

[Show more]

Preview 4 out of 93  pages

Document information

  • February 25, 2024
  • 93
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • 2024 medsurg
  • practice exam question
  • 2024 medsurg nclex rn hesi practice exam question
  • nclex rn hesi practice exam question

Written for

  • 2024 MED/SURG NCLEX-RN HESI
All documents for this subject (1)

1  review

review-writer-avatar

By: DrReiss • 3 months ago

Exemplary, Dependable and Efficient

Seller

avatar-seller
erickarimi

Reviews received

Content preview

2024 MED/SURG NCLEX-RN HESI PRACTICE EXAM
QUESTIONS WITH VERIFIED ANSWERS AND
EXPLAINED SOLUTIONS ALREADY GRADED A+

A client on telemetry has a pattern of uncontrolled atrial fibrillation
with a rapid ventricular response. Based on this finding, the nurse
anticipates assisting the physician with which treatment?


A.Administer lidocaine,75 mg intravenous push.
B.Perform synchronized cardioversion.
C.Defibrillate the client as soon as possible.
D.Administer atropine, 0.4 mg intravenous push. - ANSWER--B
With uncontrolled atrial fibrillation, the treatment of choice is
synchronized cardioversion (B) to convert the cardiac rhythm
back to normal sinus rhythm. (A) is a medication used for
ventricular dysrhythmias. (C) is not for a client with atrial
fibrillation; it is reserved for clients with life-threatening
dysrhythmias, such as ventricular fibrillation and unstable
ventricular tachycardia. (D) is the drug of choice in symptomatic
sinus bradycardia, not atrial fibrillation.


A 63-year-old client with type 2 diabetes mellitus is admitted for
treatment of an ulcer on the heel of the left foot that has not
healed with wound care. The nurse observes that the entire left
foot is darker in color than the right foot. Which additional
symptom should the nurse expect to find?


A.Pedal pulses will be weak or absent in the left foot.

, 2024 MED/SURG NCLEX-RN HESI PRACTICE EXAM
QUESTIONS WITH VERIFIED ANSWERS AND
EXPLAINED SOLUTIONS ALREADY GRADED A+
B.The client will state that the left foot is usually warm.
C.Flexion and extension of the left foot will be limited.
D.Capillary refill of the client's left toes will be brisk. - ANSWER--A
Symptoms associated with decreased blood supply are weak or
absent pedal and tibial pulses (A). The client with diabetes
experiences vascular scarring as a result of atherosclerotic
changes in the peripheral vessels. This results in compromised
perfusion to the dependent extremities, which further delays
wound healing in the affected foot. Although flexion and extension
may be limited (C), depending on the degree of damage, this is
not always the case. (B and D) are signs of adequate perfusion of
the foot, which would not be expected in this client.


A client with cirrhosis develops increasing pedal edema and
ascites. Which dietary modification is most important for the nurse
to teach this client?


A.Avoid high-carbohydrate foods.
B.Decrease intake of fat-soluble vitamins.
C.Decrease caloric intake.
D.Restrict salt and fluid intake. - ANSWER--D
Salt and fluid restrictions are the first dietary modifications for a
client who is retaining fluid as manifested by edema and ascites
(D). (A, B, and C) will not affect fluid retention.

, 2024 MED/SURG NCLEX-RN HESI PRACTICE EXAM
QUESTIONS WITH VERIFIED ANSWERS AND
EXPLAINED SOLUTIONS ALREADY GRADED A+

During report, the nurse learns that a client with tumor lysis
syndrome is receiving an IV infusion containing insulin. Which
assessment should the nurse complete first?


A.Review the client's history for diabetes mellitus.
B.Observe the extremity distal to the IV site.
C.Monitor the client's serum potassium and blood glucose levels.
D.Evaluate the client's oxygen saturation and breath sounds. -
ANSWER--C
Clients with tumor lysis syndrome may experience hyperkalemia,
requiring the addition of insulin to the IV solution to reduce the
serum potassium level. It is most important for the nurse to
monitor the client's serum potassium and blood glucose levels to
ensure that they are not at dangerous levels (C). (A, B, and D)
provide valuable assessment data but are of less priority than (C).


A resident in a long-term care facility is diagnosed with hepatitis
B. Which intervention should the nurse implement with the staff
caring for this client?


A.Determine if all employees have had the hepatitis B vaccine
series.

, 2024 MED/SURG NCLEX-RN HESI PRACTICE EXAM
QUESTIONS WITH VERIFIED ANSWERS AND
EXPLAINED SOLUTIONS ALREADY GRADED A+
B.Explain that this type of hepatitis can be transmitted when
feeding the client.
C.Assure the employees that they cannot contract hepatitis B
when providing direct care.
D.Tell the employees that wearing gloves and a gown are
required when providing care. - ANSWER--A
Hepatitis B vaccine should be administered to all health care
providers (A). Hepatitis A (not hepatitis B) can be transmitted by
fecal-oral contamination (B). There is a chance that staff could
contract hepatitis B if exposed to the client's blood and/or body
fluids; therefore, (C) is incorrect. There is no need to wear gloves
and gowns except with blood or body fluid contact (D).


The nurse notes that the client's drainage has decreased from 50
to 5 mL/hr 12 hours after chest tube insertion for hemothorax.
What is the best initial action for the nurse to take?


A.Document this expected decrease in drainage.
B.Clamp the chest tube while assessing for air leaks.
C.Milk the tube to remove any excessive blood clot buildup.
D.Assess for kinks or dependent loops in the tubing. - ANSWER--
D
The least invasive nursing action should be performed first to
determine why the drainage has diminished (D). (A) is completed
after assessing for any problems causing the decrease in

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller erickarimi. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $24.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

77973 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$24.99
  • (1)
  Add to cart