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HESI RN MED SURG EXAM PACK-EXAM MERGED FROM 2021|2022|2023|2024 ACTUAL EXAMS.NEXT GEN-ACTUAL EXAM REVIEW MED SURG EXAM PACK BEST FOR 20$17.99
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HESI RN MED SURG EXAM PACK-EXAM
MERGED FROM 2021|2022|2023|2024
ACTUAL EXAMS.NEXT GEN-ACTUAL
EXAM REVIEW MED SURG EXAM PACK
BEST FOR 2024
A client with a productive cough has obtained a sputum specimen for culture as instructed. What is the
best initial nursing action? - ---ASNWERS----Answer: Administer the first dose of prescribed antibiotic
therapy
A client is brought to the Emergency Department by ambulation in cardiac arrest with cardiopulmonary
resuscitation (CPR) in progress. The client is intubated and 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? - ---ASNWERS----Answer: Core body temperature
During cardiac arrest the blood dose not flow to the organs of the body . Brain may also not get enough
blood. Then the functioning of the hypothalamus get disturbed and hypothermia will occur. The
hypothermia leads to ; coldness and diaphoresis. And the alterations in the blood flow to the body leads
to cynosis
After hospitalization for Syndrome of Inappropriate Antidiuretic hormone (SIADH), a client develops
myelinolysis. Which intervention should the nurse implement first? - ---ASNWERS----Answer: 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? - ---ASNWERS----Answer: Has
his weight changed in the last several days?
An older adult woman with a long history of COPD is admitted with progressive shortness of breath and
a persistent cough. She is anxious and is complaining of a dry mouth. Which intervention should the
nurse implement? - ---ASNWERS----Answer: Apply a high-flow venturi mask.
A client with a history of asthma and bronchitis arrives at the clinic with SOB, productive cough with
thickened, tenacious mucous, and the inability to walk up flight of stairs without experiencing
breathlessness. Which action is most important for the nurse to instruct the client about self-care? - ---
ASNWERS----Answer: Increase the daily intake of oral fluids to liquefy secretions.
A cardiac catheterization of a client with heart disease indicates the following blockages: 95% LAD, 99%
proximal circumflex, and 95% proximal RCA. The client later asks the nurse "what does all that mean for
me?" - ---ASNWERS----Answer: Three main arteries have major blockage with only 1 to 5% of the blood
flow getting through to the heart muscle.
A client who weighs 175 pounds is receiving an 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, round to nearest tenth.) - ---ASNWERS----Answer: 1.3 mL
after calculations: the calculator will show 1.272727272727273, but you must round to the nearest
tenth. So, the answer is 1.3 mL.
What information should the nurse include in the teaching plan of a client diagnosed with
gastroesophageal reflux disease (GERD)? - ---ASNWERS----Answer: minimize symptoms by wearing loose,
comfortable clothing.
The nurse is caring for a client with a lower left lobe pulmonary abscess. Which position should the nurse
instruct the client to maintain? - ---ASNWERS----Answer: Left Lateral.
A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink
without becoming nauseated and vomiting. Which finding should the nurse report to the healthcare
provider? - ---ASNWERS----Answer: Yellow Sclera
,While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performs a neurological
assessment every four hours. Which assessment finding warrants immediate intervention by the nurse? -
---ASNWERS----C. Weakened cough effort
The nurse is providing preoperative education for a Jewish client scheduled to receive a xenograft to
promote burn healing. Which information should the nurse provide this client? - ---ASNWERS----Answer:
The xenograft is taken from nonhuman sources
male client who had colon surgery 3 days ago is anxious and request assistance to reposition. The wound
dehiscences and eviscerates. The nurse moistens an available sterile dressing and palaces it over the
wound. Which intervention should the nurse implement next? - ---ASNWERS----answer: prepare the
client to return to the operating room.
A client with carcinoma of the lung is complaining of weakness and has a serum sodium level of 117
mEq/L. Which nursing problem should the nurse include in this client's plan of care? - ---ASNWERS----
answer: fluid volume excess
female client enters the clinic and insists on being seen. She is weak, nervous, and reports a racing heart
beat and recent weight loss of 15 pounds. After ruling out substance withdrawal, the healthcare provider
suspects hyperthyroidism. Which action should the nurse implement? - ---ASNWERS----answer: space
the client's care to provide periods of rest
The nurse is teaching a client with glomerulonephritis about self-care. Which dietary recommendations
should the nurse encourage the client to follow? - ---ASNWERS----answer: restrict intake by limiting
meats and other high-protein foods.
An overweight, young adult male who has recently diagnosed with type diabetes mellitus is admitted for
a hernia repair. He tells the nurse he is feeling very weak and jittery. Which actions should the nurse
implement? (select all that apply). - ---ASNWERS----☒Assess his skin temperature and moisture.
☒Document anxiety on the surgical checklist.
☒Administer a PRN dose of regular insulin
, A client with Cushing's syndrome is recovering from an elective laparoscopic procedure. Which
assessment finding warrants immediate intervention by the nurse? - ---ASNWERS----answer: irregular
apical pulse
An adult woman with primary Raynaud phenomenon develops pallor and then cyanosis of her fingers.
After warming her hands, the fingers turn red and the client reports a burning sensation. What action
should the nurse take? - ---ASNWERS----answer: secure a pulse oximeter to monitor the client's oxygen
saturation
Secure a pulse oximeter to monitor the clients oxygen saturation, other options are wrong because
option a, cold compress will cause worsenig of symptoms reynauds usually triggers by cold,
Option c, reporting is important but the primary action should be securing pulse oxumeter.
Option D, monitoring is also important but after pulse oxymetry and reporting.
A male client with muscular dystrophy fell in his home and is admitted with a right hip fracture. His right
foot is cool, with palpable pedal pulses. Lungs are coarse with diminished bibasilar breath sounds. Vital
signs are temperature 101° F, heart rate 128 beats/minute, respirations 28 breaths/minute, and blood
pressure 122/82, which intervention is most important for the nurse to implement first? - ---ASNWERS---
-Answer: assess lower extremity circulation.
The nurse is completing the preoperative assessment of a client who is scheduled for a laparoscopic
cholecystectomy under general anesthesia. Which finding warrants notification of the healthcare
provider prior to proceeding with the scheduled procedure? - ---ASNWERS----answer: the client's blood
pressure is 184/88 mm Hg.
A client who has a history of hypothyroidism was initially admitted with lethargy and confusion. Which
additional finding warrants the most immediate action by the nurse? - ---ASNWERS----answer:
hematocrit of 30%
Following surgical repair of the bladder, a female client is being discharged from the hospital to home
with an indwelling urinary catheter. Which instruction is most important for the nurse to provide to this
client? - ---ASNWERS----answer: keep the drainage bag lower than the level of the bladder
Which client has the highest risk for developing skin cancer? - ---ASNWERS----answer: a 65-year-old fair
skinned male who is a construction worker.
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