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)
answer: secure a pulse oximeter to monitor the client's
An adult woman with
oxygen saturation
primary Raynaud
phenomenon develops
Secure a pulse oximeter to monitor the clients oxygen
pallor and then cyanosis
saturation, other options are wrong because option a,
of her fingers. After
cold compress will cause worsenig of symptoms
warming her hands, the
reynauds usually triggers by cold,
fingers turn red and the
Option c, reporting is important but the primary
client reports a burning
action should be securing pulse oxumeter.
sensation. What action
Option D, monitoring is also important but after pulse
should the nurse take?
oxymetry and reporting.
After a computer answer: prepare a dose of epinephrine (adrenalin).
tomography (CT) scan
with intravenous contrast
medium, a client returns to
the room complaining of
SOB and itching. Which
intervention should the
nurse implement?
,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 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 admitted to a answer: insert tube with client's head tilted back
surgical unit is being
evaluated for an intestinal
obstruction. The
healthcare provider
prescribes a nasogastric
tube (NGT) to be inserted
and placed to intermittent
low wall suction. Which
intervention should the
nurse implemented to
facilitate proper tube
placement?
, 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?
A client who has a history answer: hematocrit of 30%
of hypothyroidism was
initially admitted with
lethargy and confusion.
Which additional finding
warrants the most
immediate action by the
nurse?
A client who is newly answer: Allow additional time to complete physical
diagnosed with activities to reduce oxygen demand.
emphysema is being
prepared for discharge.
Which instruction is best
for the nurse to provide
the client to assist them
with dyspnea self‐
management?
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