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MED SURG HESI LATEST EXAM AND STUDY GUIDE | UPDATE COMPREHENSIVE MOST FREQUENTLY TESTED QUESTIONS AND VERIFIED ANSWERS |GRADED A+ |GET IT 100% ACCURATE!!$22.99
MED SURG HESI LATEST EXAM AND STUDY GUIDE | UPDATE COMPREHENSIVE MOST FREQUENTLY TESTED QUESTIONS AND VERIFIED ANSWERS |GRADED A+ |GET IT 100% ACCURATE!!
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Course
MED SURG HESI
Institution
MED SURG HESI
MED SURG HESI LATEST EXAM AND STUDY GUIDE
| UPDATE COMPREHENSIVE MOST FREQUENTLY TESTED QUESTIONS AND VERIFIED ANSWERS |GRADED A+ |GET IT 100% ACCURATE!!
1. A client with a productive cough has obtained a spu- B. Observe the
tum specimen for culture as color, consistency,
instructed. What is the best initial nursing action? and
A. Administer the first dose of antibiotic therapy amount of sputum
B. Observe the color, consistency, and amount of
sputum
C. Encourage the client to consume plenty of warm
liquids
D. Send the specimen to the lab for analysis
2. A client is brought to the ED by ambulance in cardiac A. Breath sounds
arrest with cardiopulmonary over bilateral lung
resuscitation (CPR) in progress. The client is intubat- fields
ed and is 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?
A. Breath sounds over bilateral lung fields.
B. Carotid pulsation during compressions
C. Deep tendon reflexes
D. Core body temperature
3. After a hospitalization for Syndrome of Inappropriate A. Reorient client
Antidiuretic Hormone (SIADH), a to his room
client develops pontine myselinolysis. Which inter-
vention should the nurse implement
first?
A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
D. Perform range of motion exercises
4. A male client with heart failure (HF) calls the clinic B. Has his weight
and reports that he cannot put his changed in the
shoes on because they are too tight. Which additional last several days?
information should the nurse
obtain?
A. What time did he take his last medications?
, MED SURG HESI 2023- LATEST exam questions
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night?
5. An older adult woman with a long history of chronic D. Assign her to an
obstructive pulmonary disease upright position
(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. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high-flow venturi mask
D. Assist her to an upright position
6. A client with a history of asthma and bronchitis ar- A. Increase the
rives at the clinic with shortness of daily intake of oral
breath, productive cough with thickened tenacious fluids to liquefy se-
mucous, and the inability to walk up cretions
a flight of stairs without experiencing breathless-
ness. Which action is most important for
the nurse to instruct the client about self-care?
A. Increase the daily intake of oral fluids to liquefy
secretions
B. Avoid crowded enclosed areas to reduce pathogen
exposure
C. Call the clinic if undesirable side effects of media-
tions occur
D. Teach anxiety reduction methods for feelings of
suffocation
7. A cardiac catherterization of a client with heart dis- C. Three main ar-
ease indicates the following teries have ma-
blockages: 95% proximal left anterior descending jor blockages, with
(LAD), 99% proximal circumflex, and only 1 to 5% of
? % proximal right coronary artery (RCA). The client blood flow get-
later asks the nurse "what does all ting through to the
this mean for me?" What information should the heart muscle
, MED SURG HESI 2023- LATEST exam questions
nurse provide?
A. Blood supply to the heart is diminished by
artherosclerotic lesions, which necessitate
lifestyle changes.
B. Blood vessels supplying the pumping chamber
have blockages indicating a past
heart attack.
C. Three main arteries have major blockages, with
only 1 to 5% of blood flow getting
through to the heart muscle.
D. The heart is not receiving enough blood, so there
is a risk of heart failure and fluid
retention.
8. A client who weighs 175 pounds is receiving IV bolus C. Minimize symp-
dose of heparin 80 units/kg. The toms by wearing
heparin is available in a 2 ml vial, labeled 10,000 loose, comfortable
units/ml. How many ml should the clothing
nurse administer? (Enter numeric value only. If round-
ing is required, round to the
nearest tenth.) - 0.6 ml
What information should the nurse include in the
teaching plan of a client diagnosed
with gastroesophageal reflux disease (GERD)?
A. Sleep without pillows at night to maintain neck
alignment.
B. Adjust food intake to three full meals per day and
no snacks.
C. Minimize symptoms by wearing loose, comfortable
clothing
D. Avoid participation in any aerobic exercise pro-
grams
9. The nurse is caring for a client with a lower left lobe A. Left lateral
pulmonary abscess. Which position
should the nurse instruct the client to maintain?
A. left lateral
B. Supine, knees flexed
, MED SURG HESI 2023- LATEST exam questions
C. Dorsal recumbent
D. Knee-chest
10. A client with cholelithiasis has a gallstone lodged in C. Yellow Sclera
the common bile duct and is unable
to eat or drink without becoming nauseated and vom-
iting. Which finding should the
nurse report to the healthcare provider.
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence
11. While caring for a client with Amyotrophic Lateral C. Weakened
Sclerosis (ALS), the nurse performs a cough effort
neurological assessment every four hours. Which as-
sessment finding warrants
immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness
12. The nurse is providing preoperative education for a B. The xenograft is
Jewish client scheduled to receive a taken from nonhu-
xenograft graft to promote burn healing. Which infor- man sources
mation should the nurse provide this
client?
A. Grafting increases the risk for bacterial infections
B. The xenograft is taken from nonhuman sources
C. Grafts are later removed by a debriding procedure
D. As the burn heals, the graft permanently attaches
13. A male client who had colon surgery 3 days ago is B. Prepare the
anxious and requesting assistance to client to return
reposition. While the nurse is turning him, the wound to the operating
dehiscences and eviscerates. The room
nurse moistens an available sterile dressing and
places it over the wound. What
intervention should the nurse implement next?
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