HESI RN MED SURG VERSION A & VERSION B
2024-2025 ACTUAL EXAM EACH EXAM
CONTAINS 125 QUESTIONS AND CORRECT
DETAILED ANSWERS
Practice questions for this set
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B
Rationale:The cuff should be inflated before the feeding to block the trachea
and prevent food from entering if oral feedings are started while a cuffed
tracheostomy tube is in place. It should remain inflated throughout the
feeding to prevent aspiration of food into the respiratory system. Options A
and D place the client at risk for aspiration. Option C places the client at risk
for tracheal wall necrosis.
Give this one a try later!
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
The nurse notes that a client who is scheduled for surgery the next morning has an
elevated blood urea nitrogen (BUN) level. Which condition is most likely to have
contributed to this finding?
A.
Myocardial infarction 2 months ago
2 B.
Anorexia and vomiting for the past 2 days
C.
Recently diagnosed type 2 diabetes mellitus
D.
Skeletal traction for a right hip fracture
The nurse is observing an unlicensed assistive personnel (UAP) performing care for a
bedridden client with advanced Huntington disease. Which care measures are most
important for the nurse to supervise? (Select all that apply.)
A.
Oral care
B.
3 Bathing
C.
Foot care
D.
Catheter care
E.
Enteral feeding
Which condition should the nurse anticipate as a potential problem in a female client
with a neurogenic bladder?
A.
Stress incontinence
B.
4
, Infection
C.
Painless gross hematuria
D.
Peritonitis
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Terms in this set (125)
A 25-year-old client was B
admitted yesterday after a Rationale:Clients with basilar skull fractures are at high
motor vehicle collision. risk for infection of the brain, as indicated by an
Neurodiagnostic studies increased oral temperature, because the fracture leaves
have shown a basal skull the meninges open to bacterial invasion. Clients may
fracture in the middle fossa. experience options C and D, but these findings do not
Assessment on admission pose as great a life-threatening risk as infection. Jugular
revealed both halo and distention is not a typical complication of basal skull
Battle signs. Which new fractures.
symptom indicates that the
client is likely to be
experiencing a common
life-threatening
complication associated
with a basal skull fracture?
A.
Bilateral jugular venous
distention
B.
Oral temperature of 102°F
C.
Intermittent focal motor
seizures
D.
Intractable pain in the
cervical region
, A 43-year-old homeless, B
malnourished client with a Rationale:The client with chronic alcoholism is likely to
history of alcoholism is have hypomagnesemia. Option B is the recommended
transferred to the ICU. The drug for torsades de pointes, which is a form of
nurse palpates a heart rate polymorphic ventricular tachycardia (VT) usually
of 160 beats/min, and the associated with a prolonged QT interval that occurs with
client's blood pressure is hypomagnesemia. Options A and D increase the QT
90/54 mm Hg. Based on interval, which can cause the torsades to worsen. Option
these findings, which IV C is the antiarrhythmic of choice in most cases of drug-
medication should the induced monomorphic VT, not torsades.
nurse administer?
A.
Amiodarone (Cordarone)
B.
Magnesium sulfate
C.
Lidocaine (Xylocaine)
D.
Procainamide (Pronestyl)
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