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8/21/24, 9:07 PMHESI RN MEDICAL SURGICAL EXAM PACK 2024
QUESTIONS AND ANSWERS
Jeremiah
Practice questions for this set
Learn 1/7 Study with Learn
A) A carotid bruit.
Rationale: the carotid artery (artery to the brain) is narrowed in clients with a brain attack.
A bruit is an abnormal sound heard on auscultation resulting from interference with
normal blood flow. Usually the blood pressure is hypertensive. Initially flaccid paralysis
occurs, resulting in hyporefkexic deep tendon reflexes. Bowel sounds are not indicative
of a brain attack.
Choose matching term
When preparing a patient for a noncontrast computed tomography (CT) scan STAT, what nursing
intervention should the nurse implement?
1 A) Determine if the client has any allergies to iodine
B) Explain that the client will not be able to move her head throughout the CT scan.
C) Premedicate the client to decrease pain prior to having the procedure.
D) Provide an explanation of relaxation exercises prior to the procedure.
2 patient complaining of leg pain
HESI RN MEDICAL SURGICAL EXAM PACK 2024 QUESTIONS AND ANSWERS
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,8/21/24, 9:07 PM
(stroke)?
3
A carotid bruit
A hypotensive blood pressure
Decreased bowel sounds
demonstrate?
Don't know?
Terms in this set (230)
An ER nurse is completing an assessment on A) A carotid bruit.
a patient that is alert but struggles to answer
questions. When she attempts to talk, she Rationale: the carotid artery (artery to the brain) is narrowed in clients with a brain
slurs her speech and appears very attack. A bruit is an abnormal sound heard on auscultation resulting from interference
frightened. What additional clinical with normal blood flow. Usually the blood pressure is hypertensive. Initially flaccid
manifestation does the nurse expect to find paralysis occurs, resulting in hyporefkexic deep tendon reflexes. Bowel sounds are not
if nacy's sysmptoms have been caused by a indicative of a brain attack.
brain attack (stroke)?
A. A carotid bruit
B. A hypotensive blood pressure
C. hyperreflexic deep tendon relexes.
D. Decreased bowel sounds
Which clinical manifestation further supports D) Global aphasia.
an assessment of a left-sided brain attack?
Rationale: Global aphasia refers to difficulty speaking, listening, and understanding, as
A) Visual field deficit on the left side. well as difficulty reading and writing. Symptoms vary from person to person. Aphasia
B) Spatial-perceptual deficits. may occur secondary to any brain injury involving the left hemisphere. Visual field
C) Paresthesia of the left side. deficits, spatial-perceptual deficits, and paresthsia of the left side usually occur with
D) Global aphasia. right-sided brain attack.
D) Global aphasia.
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When preparing a patient for a noncontrast B) Explain that the client will not be able to move her head throughout the CT scan.
computed tomography (CT) scan STAT, what
nursing intervention should the nurse Rationale: Because head motion will distort the images, Nancy will have to remain still
implement? throughout the procedure. Allergies to iodine is important if contrast dye is being used
for the CT scan. Premedicating the client to decrease pain prior to the procedure is
A) Determine if the client has any allergies to unnecessary because CT scanning is a noninvasive and painless procedure. Providing
iodine an explanation of relaxation exercises prior to the procedure is a worthwhile
B) Explain that the client will not be able to intervention to decrease anxiety but is not of highest priority.
move her head throughout the CT scan.
C) Premedicate the client to decrease pain
prior to having the procedure.
D) Provide an explanation of relaxation
exercises prior to the procedure.
A neurologist prescribes a magnetic C) Right hip replacement.
resonance imaging (MRI) of the head STAT
for a patient. Which data warrants immediate The magnetic field generated by the MRI is so strong that metal-containing items are
intervention by the nurse concerning this strongly attracted to the magnet. Because the hip joint is made of metal, a lead shield
diagnostic test? must be used during the procedure. Elevated blood pressure, an allergy to shell fish,
and a history of atrial fibrillation would not affect the MRI.
A) Elevated blood pressure.
B) Allergy to shell fish.
C) Right hip replacement.
D) History of atrial fibrillation.
A client's daughter is sitting by her mother's B) "Your mother has had a stroke, and the blood supply to the brain has been blocked."
bedside who was recently transferred to the
Intermediate Care Unit. She states "I don't Rationale: The nurse can discuss what a diagnosis means. Nancy is unable to make
understand what a brain attack is. The decisions, so the next of kin, her daughter, Gail, needs sufficient information to make
healthcare provider told me my mother is in informed decisions. The nurse has the knowledge, and the responsibility, to explain
serious condition and they are going to run Nancy's condition to Gail. The nurse should give facts first, and then address her
several tests. I just don't know what is going feelings after the information is provided.
on. What happened to my mother?" What is
the best response by the nurse?
A) "I am sorry, but according to the Health
Insurance Portability and Accounting Act
(HIPAA), I cannot give you any information."
B) "Your mother has had a stroke, and the
blood supply to the brain has been
blocked."
C) "How do you feel about what the
healthcare provider said?"
D) "I will call the healthcare provider so
he/she can talk to you about your mother's
serious condition."
The normal range for cardiac output to ensure cerebral blood flow and oxygen
What is the normal range for cardiac output?
delivery is 4 to 8 L/min.
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