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MED SURG HESI 2025 Exam with Latest Questions and Answers The nurse is preparing to assist a client with a cuffed tracheostomy tube to eat. What intervention is the priority before the client is permitted to drink or eat? ANSWER Inflate the cuff Rationale: If a client with a tracheostomy is allowed to eat and the tracheostomy has a cuff, the nurse should inflate the cuff to prevent aspiration of food or fluids. The cuff would not be deflated because of the risk of aspiration. The nurse...

HESI Med Surg Exam Prep with Questions and Answers A nurse teaches a client with chronic renal failure that salt substitutes cannot be used in the diet. What is the rationale for the nurse's instruction? ANSWER Salt substitutes usually contain potassium, which can lead to hyperkalemia; dysrhythmias are associated with hyperkalemia. A registered nurse writes a care plan for a client undergoing a renal scan. Which of the following interventions should the nurse include? ANSWER A renal s...

Med Surg HESI Exam Study Material with Questions and Answers Which nursing intervention should the nurse implement that best confirms the placement of an endotracheal tube? A) Use an end-tital CO2 detector. B) Ascultate for bilateral breath sounds. C) Obtain pulse oximeter reading. D) Check symmetrical chest movement. ANSWER A) Use an end-tital CO2 detector The end-tital CO2 detector indicates the presence of CO2 by a color change or a number (A), which is evidence that the ET is...

Med Surg HESI Practice Exam 1 with Questions and Solutions Potassium chloride intravenously is prescribed for a client with heart failure experiencing hypokalemia. Which actions should the nurse take to plan for preparation and administration of the potassium? Select all that apply. 1. Obtain an intravenous (IV) infusion pump 2. Monitor urine output during administration 3. Prepare the med for bolus administration 4. Monitor the IV site for signs of infiltration or phlebitis 5. Ensure th...

Hesi Med Surg Exam Study Set with Questions and Answers 1. The nurse is completing a health assessment of a 42-year-old female with suspected Graves' disease. The nurse should assess this client for: 1. Anorexia. 2. Tachycardia. 3. Weight gain. 4. Cold skin. ANSWER 2. Graves' disease, the most common type of thyrotoxicosis, is a state of hypermetabolism. The increased metabolic rate generates heat and produces tachycardia and fine muscle tremors. Anorexia is associated with hypo...

HESI Med Surg Practice Questions and Verified Solutions A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry unit. Which initial medication should the nurse anticipate administering to the client? Xylocaine. Procainamide. Phenytoin. Digoxin. ANSWER Digoxin. Digoxin is administered for uncontrolled, symptomatic atrial fibrillation resulting in a decreased cardiac output. Digoxin slows the rate of conduction by prolonging the refractory period of the A...

MED SURG II HESI Exam with Questions and Answers A client is admitted for dehydration, and an intravenous (IV) infusion of normal saline at 125 mL/hr has been started. One hour after the IV initiation the client begins screaming, "I can't breathe!" The nursing priority action is: 1. Discontinue the IV site and contact the primary health care provider 2. Elevate the head of the bed and obtain vital signs 3. Contact the primary health care provider to obtain a prescription for...

HESI Med Surg 1 Exam with Questions and Solutions The nurse observes ventricular fibrillation on telemetry and, on entering the client's bathroom, finds the client unconscious on the floor. Which intervention should the nurse implement first? A. Administer an antidysrhythmic medication. B. Start cardiopulmonary resuscitation. C. Defibrillate the client at 200 J. D. Assess the client's pulse oximetry. ANSWER B. Start cardiopulmonary resuscitation. Rationale: Ventricular...

HESI MED SURG 1 Test with Questions and Answers The nurse is providing care to a client after a percutaneous transluminal coronary angioplasty (PTCA). What actions will the nurse include in the client's plan of care? (Select all that apply.) ANSWER A.Frequent vital signs. B.Determine if the client is allergic to aspirin. D.Offer fluids of choice. F.Monitor infusion of IV nitroglycerine. In assessing a client diagnosed with primary aldosteronism, the nurse expects the laboratory test...

Med-Surg HESI Exam 2 with Questions and Answers A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse assesses that there has been no drainage through the nasogastric tube in the last 2 hours. Which action should the nurse take first? A. Irrigate the nasogastric tube with sterile normal saline. B. Reposition the client on her side. C. Advance the nasogastric tube 5 cm. D. Administer an intravenous antiemetic as prescribed. ANSWER B. The...