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MED SURG HESI EXIT EXAM/Latest 2024/2024 Test Bank
MED SURG HESI EXIT EXAM/Latest 2024/2024 Test Bank MED SURG HESI EXIT EXAM/Latest 2024/2024 Test Bank
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MED SURG HESI EXIT EXAM/Latest2024/2024 Test Bank
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he at at at at at at at at at at at at a t at
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. Wha
at at at at at at at at at at at at at at a t at
t is the best follow-up action by the nurse?
at at at at at at at at
(ANS- Review with the client the need to avoid foods that are rich in milk and cream
at at at at at at at at at at at at at at at atat
A male client with hypertension, who received new antihypertensive prescriptions at
at at at at at at at at at a t at
his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). Hi
at at at at at at at at at at at at at at a t at
s BP is 158/106 and he admits that he has not been taking the prescribed medication bec
at at at at at at at at at at at at at at a t at
ause the drugs make him "feel bad". In explaining the need for hypertension control, th
at at at at at at at at at at at a t at at
e nurse should stress that an elevated BP places the client at risk for which pathophysiol
at at at at at at at at at at a t at at at at
ogical condition? at
(ANS- Stroke secondary to hemorrhage at at at at
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admi
at at at at at at at at at at a t
tted client who has a seizure disorder. The client is supine and the UAP is placing soft pil
at at at at at at at at at at at at at at a t at at
lows along the side rails. What action should the nurse implement? (ANS-
at at at at at at at at at at a t
Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
at at at at at at at at at at at at at at at atat
An adolescent with major depressive disorder has been taking duloxetine (Cymbal
at at at at at at at at at a t
ta) for the past 12 days. Which assessment finding requires immediate follow-up?
at at at at at at at at at at a t
(ANS- Describes life without purpose at at at at
A 60-year- at
old female client with a positive family history of ovarian cancer has developed an abd
at at at at at at at at at at at a t at at
ominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap
at at at at at at at at at a t at at
) smear results are negative. What information should the nurse include in the client's t
at at at at at at at at a t at at at at at
eaching plan? at
(ANS- Further evaluation involving surgery may be needed at at at at at at at
,A client who recently underwear a tracheostomy is being prepared for discharge to ho
at at at at at at at at at at at at a t
me. Which instructions is most important for the nurse to include in the discharge plan?
at at at at at at at at at at at at a t at
(ANS- Teach tracheal suctioning techniques at at at at
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxyg
at at at at at at at at at at at at at at a t
en reservoir bag does not deflate completely during inspiration and the client's respirat
at at at at at at at at at at at a t
ory rate is 14 breaths / minute. What action should the nurse implement? (ANS-
at at at at at at at at at at at at a t
Document the assessment data
at at at at
Rationale: reservoir bag should not deflate completely during inspiration and the client'
at at at at at at at at at at atat
s respiratory rate is within normal limits.
at at at at at at
During shift report, the central electrocardiogram (EKG) monitoring system alarms.
at at at at at at at at a t at
Which client alarm should the nurse investigate firs?
at at at at at at at
(ANS- Respiratory apnea of 30 seconds at at at at at
During a home visit, the nurse observed an elderly client with diabetes slip and fall. W
at at at at at at at at at at at at at a t at
hat action should the nurse take first?
at at at at at at
(ANS- Check the client for lacerations or fractures
at at at at at at at
At 0600 while admitting a woman for a schedule repeat cesarean section (C-
at at at at at at at at at at at at
Section), the client tells the nurse that she drank a cup a coffee at 0400 because she wan
a t at at at at at at at at at at at at at at at at a t
ted to avoid getting a headache. Which action should the nurse take first? (ANS-
at at at at at at at at at at at at a t
Inform the anesthesia care provider
at at at at at
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart
at at at at at at at at at at at at at at a t a
sounds. To determine if an S3 heart sound is present, what action should the nurse take
t at at at at at at at at at at at at at a t at
first?
at
(ANS- Listen with the bell at the same location
at at at at at at at at
A 66-year- at
old woman is retiring and will no longer have a health insurance through her place of em
at at at at at at at at at at at ata t at at at at
ployment. Which agency should the client be referred to by the employee health nurse f
at at at at at at at at at a t at at at at
or health insurance needs?
at at at
(ANS- Medicare at
,A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
at at at at at at at at at at at at at a t at
What snack should the nurse instruct the client to take with the tetracycline? (ANS-
at at at at at at at at at at at at a t
Toasted wheat bread and jelly
at at at at at
Following a lumbar puncture, a client voices several complaints. What complaint indi at at at at at at at at at at a t
cated to the nurse that the client is experiencing a complication?
at at at at at at at at at at
(ANS- "I have a headache that gets worse when I sit up"
at at at at at at at at at at at
"I am having pain in my lower back when I move my legs" "M
at at at at at at at at at at at at a t
y throat hurts when I swallow"
at at at at at
"I feel sick to my stomach and am going to throw up"
at at at at at at at at at at at
An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
at at at at at at at at at at at at a t at
with incontinence. Which action should the nurse implement?
at at at at at at at
(ANS- Obtain a clean catch mid-stream specimen at at at at at at
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods
at at at at at at at at at at at at at a t a
that are in keeping with the child's dietary restrictions. Which foods are contraindicate
t at at at at at at at at at at at a t
d for this child?
at at at
(ANS- Foods sweetened with aspartame at at at at
Before preparing a client for the first surgical case of the day, a part-
at at at at at at at at at at at at at
time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequate
at a t at at at at at at at at at at at at at a
tpreparation for this client. Which response should the circulating nurse provide? (AN at at at at at at at at at at a t
S- Direct the nurse to continue the surgical hand scrub for a 5 minute duration
at at at at at at at at at at at at at at
Which breakfast selection indicates that the client understands the nurse's instructions
at at at at at at at at at a t at
about the dietary management of osteoporosis?
at at at at at
(ANS- Bagel with jelly and skim milk at at at at at at
The charge nurse of a critical care unit is informed at the beginning of the shift that less t
at at at at at at at at at at at at at at at at a t at
han the optimal number of registered nurses will be working that shift. In planning assi
at at at at at at at at at at at at a t at
gnments, which client should receive the most care hours by a registered nurse (RN)?
at at at at at at at at at at a t at at
, (ANS- An 82-year-old client with Alzheimer's disease newly-
at at at at at at at
fractures femur who has a Foley catheter and soft wrist restrains applied at at atat at at at at at at at at
A mother brings her 6-year-
at at at at
old child, who has just stepped on a rusty nail, to the pediatrician's office. Upon inspect
at at at at at at at at at at at a t at at at
ion, the nurse notes that the nail went through the shoe and pierced the bottom of the chi
at at at at at at at at a t at at at at at at at at
ld's foot. Which action should the nurse implement first?
at at at at at at a t at
-Cleanse the foot with soap and water and apply an antibiotic ointment at at at at at at at at at at at
-Provide teaching about the need for a tetanus booster within the next 72hours.
at at at at at at at at at at at at
-have the mother check the child's temperature q4h for the next 24 hours
at at at at at at at at at at at at
-transfer the child to the emergency department to receive a gamma globulin injection
at at at at at at at at at at at a t
(ANS- Cleanse the foot with soap and water and apply an antibiotic ointment
at at at at at at at at at at at at
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I have bee
at at at at at at at at at at at at at at a t at
n applying triple antibiotic ointment for two days, but there has been no improvement.
at at at at at at at at at at at at a t
" What instruction should the nurse provide?
at at at at at at
(ANS-
Stop using the ointment and encourage complete drying of the feet and wearing clean s
at at at at at at at at at at at at atat at at
ocks.
A 26-year- at
old female client is admitted to the hospital for treatment of a simple goiter, and levothy
at at at at at at at at at at at at a t at at
roxine sodium (Synthroid) is prescribed. Which symptoms indicate to the nurse that t
at at at at at at a t at at at at at
he prescribed dosage is too high for this client? The client experiences
at at at at at at at at at a t at
Bradycardia and constipation Letharg at at a t
y and lack of appetite
at at at at
Muscle cramping and dry, flushed skin Palpitati at at at at at a t
ons and shortness of breath
at at at at
(ANS- Palpitations and shortness of breath at at at at at
A client with a history of heart failure presents to the clinic with nausea, vomiting, yell
at at at at at at at at at at at at at at a t
ow vision and palpitations. Which finding is most important for the nurse to assess to t
at at at at at at at at at at at at a t at at
he client? at
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