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MED/SURG 600 NCLEX-RN HESI PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS
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MED/SURG 600 NCLEX-RN HESI PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS
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MED/SURG 600 NCLEX-RN HESI PRACTICEQUESTIONS WITH COMPLETE SOLUTIONS
(A, C, and D) are factors that decrease the risk for developing
osteoporosis. Vitamin D and calcium are important supplements
to aid in the decrease of bone loss (B). Regular sleep patterns are
important to overall health but are not identified with a
decreasing risk for osteoporosis (E). Correct Answer
A Correct Answer
A Correct Answer
A Correct Answer
A Correct Answer
A Correct Answer
A Correct Answer
A Correct Answer
A Correct Answer
A 25-year-old client was admitted yesterday after a motor
vehicle collision. Neurodiagnostic studies have shown a basal
skull fracture in the middle fossa. Assessment on admission
revealed both halo and Battle signs. Which new symptom
indicates that the client is likely to be experiencing a common
,life-threatening complication associated with a basal skull
fracture? Correct Answer Oral temperature of 102° F
A 43-year-old homeless, malnourished female client with a
history of alcoholism is transferred to the ICU. She is placed on
telemetry, and the rhythm strip shown is obtained. The nurse
palpates a heart rate of 160 beats/min, and the client's blood
pressure is 90/54 mm Hg. Based on these findings, which IV
medication should the nurse administer? Correct Answer
Magnesium sulfate
A 58-year-old client who has no health problems asks the nurse
about receiving the pneumococcal vaccine (Pneumovax). Which
statement given by the nurse would offer the client accurate
information about this vaccine?
A.The vaccine is given annually before the flu season to those
older than 50 years.
B.The immunization is administered once to older adults or
those at risk for illness.
C.The vaccine is for all ages and is given primarily to those
persons traveling overseas to areas of infection.
D.The vaccine will prevent the occurrence of pneumococcal
pneumonia for up to 5 years. Correct Answer B
It is usually recommended that persons older than 65 years and
those with a history of chronic illness should receive the vaccine
once in their lifetime (B). Some recommend receiving the
vaccine at 50 years of age. The influenza vaccine is given once a
year, not Pneumovax (A). Although the vaccine might be given
to a person traveling overseas, that is not the main rationale for
administering the vaccine (C). The vaccine is usually given once
,in a lifetime (D), but with immunosuppressed clients or clients
with a history of pneumonia, revaccination is sometimes
required.
A 58-year-old client who has no health problems asks the nurse
about receiving the pneumococcal vaccine (Pneumovax). Which
statement given by the nurse would offer the client accurate
information about this vaccine? Correct Answer
A 62-year-old woman who lives alone tripped on a rug in her
home and fractured her hip. Which predisposing factor most
likely contributed to the fracture in the proximal end of her
femur?
A.Failing eyesight resulting in an unsafe environment
B.Renal osteodystrophy resulting from chronic kidney disease
(CKD)
C.Osteoporosis resulting from declining hormone levels
D.Cerebral vessel changes causing transient ischemic attacks
Correct Answer C
The most common cause of a fractured hip in older women is
osteoporosis, resulting from reduced calcium in the bones as a
result of hormonal changes in the perimenopausal years (C). (A)
may or may not have contributed to the accident, but eye
changes were not involved in promoting the hip fracture. (B) is
not a common condition of older people but is associated with
CKD. Although (D) may result in transient ischemic attacks
(TIAs) or stroke, it will not result in fragility of the bones, as
does osteoporosis.
, A 62-year-old woman who lives alone tripped on a rug in her
home and fractured her hip. Which predisposing factor most
likely contributed to the fracture in the proximal end of her
femur? Correct Answer
A 63-year-old client with type 2 diabetes mellitus is admitted for
treatment of an ulcer on the heel of the left foot that has not
healed with wound care. The nurse observes that the entire left
foot is darker in color than the right foot. Which additional
symptom should the nurse expect to find?
A.Pedal pulses will be weak or absent in the left foot.
B.The client will state that the left foot is usually warm.
C.Flexion and extension of the left foot will be limited.
D.Capillary refill of the client's left toes will be brisk. Correct
Answer A
Symptoms associated with decreased blood supply are weak or
absent pedal and tibial pulses (A). The client with diabetes
experiences vascular scarring as a result of atherosclerotic
changes in the peripheral vessels. This results in compromised
perfusion to the dependent extremities, which further delays
wound healing in the affected foot. Although flexion and
extension may be limited (C), depending on the degree of
damage, this is not always the case. (B and D) are signs of
adequate perfusion of the foot, which would not be expected in
this client.
A 63-year-old client with type 2 diabetes mellitus is admitted for
treatment of an ulcer on the heel of the left foot that has not
healed with wound care. The nurse observes that the entire left
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