HESI 101- MED SURGE HESI RN 2 LATEST
VERSIONS 2024-2025 EACH VERSION WITH 55
QUESTIONS AND CORRECT ANSWERS|AGRADE
Terms in this set (55)
A client with a productive Answer: Administer the first dose of prescribed
cough has obtained a antibiotic therapy
sputum specimen for
culture as instructed. What
is the best initial nursing
action?
A client is brought to the Answer: Core body temperature
Emergency Department
by ambulation in cardiac During cardiac arrest the blood dose not flow to the
arrest with organs of the body . Brain may also not get enough
cardiopulmonary blood. Then the functioning of the hypothalamus get
resuscitation (CPR) in disturbed and hypothermia will occur. The
progress. The client is hypothermia leads to ; coldness and diaphoresis. And
intubated and receiving the alterations in the blood flow to the body leads to
100% oxygen per self‐ cynosis
inflating (ambu) bag. The
nurse determines that the
client is cyanotic, cold,
and diaphoretic. Which
assessment is most
important for the nurse to
obtain?
,After hospitalization for Answer: Reorient client to his room.
Syndrome of
Inappropriate Antidiuretic
hormone (SIADH), a client
develops myelinolysis.
Which intervention should
the nurse implement first?
A male client with heart Answer: Has his weight changed in the last several
failure (HF) calls the clinic days?
and reports that he cannot
put his shoes on because
they are too tight. Which
additional information
should the nurse obtain?
An older adult woman Answer: Apply a high‐flow venturi mask.
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?
, A client with a history of Answer: Increase the daily intake of oral fluids to
asthma and bronchitis liquefy secretions.
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?
A cardiac catheterization Answer: Three main arteries have major blockage with
of a client with heart only 1 to 5% of the blood flow getting through to the
disease indicates the heart muscle.
following blockages: 95%
LAD, 99% proximal
circumflex, and 95%
proximal RCA. The client
later asks the nurse "what
does all that mean for
me?"
A client who weighs 175 Answer: 1.3 mL
pounds is receiving an IV
bolus dose of heparin 80 after calculations: the calculator will show
units/kg. The heparin is 1.272727272727273, but you must round to the nearest
available in a 2 mL vial, tenth. So, the answer is 1.3 mL.
labeled 10,000 units/mL.
How many mL should the
nurse administer? (enter
numeric value only. If
rounding, round to
nearest tenth.)
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