HESI RN MED SURG VERSION A & VERSION B
2024-2025 ACTUAL EXAM EACH EXAM
CONTAINS 125 QUESTIONS AND CORRECT
DETAILED ANSWERS
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The nurse is assessing a client with B
acute pancreatitis. Which finding The nurse is assessing a client with acute
requires the most immediate pancreatitis. Which finding requires the most
intervention by the nurse? immediate intervention by the nurse?
A. Rationale:A positive Trousseau sign indicates
The client's amylase level is three hypocalcemia and always requires further
times higher than the normal level. assessment and intervention, regardless of the
B. cause (40% to 75% of those with acute pancreatitis
The client has a carpal spasm when experience hypocalcemia, which can have serious,
taking a blood pressure. systemic effects). A key diagnostic finding of
C. pancreatitis is serum amylase and lipase levels that
On a 1 to 10 scale, the client tells the are two to five times higher than the normal value.
nurse that her epigastric pain is at 7. Severe boring pain is an expected symptom for this
D. diagnosis, but dealing with the hypocalcemia is a
The client states that she will priority over administering an analgesic. Long-term
continue to drink alcohol after going planning and teaching do not have the same
home. immediate importance as a positive Trousseau sign.
,A 55-year-old male client has been C
admitted to the hospital with a Rationale:Smoking, considered to be a modifiable
medical diagnosis of chronic risk factor, is the most significant risk factor for the
obstructive pulmonary disease development of COPD. The exact mechanism of
(COPD). Which risk factor is the most genetic and hereditary implications for the
significant in the development of this development of COPD is still under investigation,
client's COPD? although exposure to similar predisposing factors
A. (e.g., smoking or inhaling secondhand smoke) may
The client's father was diagnosed increase the likelihood of COPD incidence among
with COPD in his 50s. family members. Options B and D do not exceed
B. the risks associated with cigarette smoking in the
A close family member contracted development of COPD.
tuberculosis last year.
C.
The client smokes one to two packs
of cigarettes per day.
D.
The client has been 40 pounds
overweight for 15 years.
In assessing a client diagnosed with C
primary aldosteronism, the nurse Rationale:Clients with primary aldosteronism
expects the laboratory test results to exhibit a profound decline in serum levels of
indicate a decreased serum level of potassium; hypokalemia; hypertension is the most
which substance? prominent and universal sign. The serum sodium
A. level is normal or elevated, depending on the
Sodium amount of water resorbed with the sodium. Option
B. B is influenced by parathyroid hormone (PTH).
Phosphate Option D is not affected by primary aldosteronism.
C.
Potassium
D.
Glucose
,The nurse is completing an C
admission interview for a client with Rationale:Clients with Parkinson disease frequently
Parkinson disease. Which question experience difficulty in initiating, maintaining, and
will provide additional information performing motor activities. They may even
about manifestations that the client is experience being rooted to the spot and unable to
likely to experience? move. Parkinson disease does not typically cause
A. option A, B, or D.
"Have you ever experienced any
paralysis of your arms or legs?"
B.
"Do you have frequent blackout
spells?"
C.
"Have you ever been frozen in one
spot, unable to move?"
D.
"Do you have headaches, especially
ones with throbbing pain?"
, Client census is often used to C
determine staffing needs. Which Rationale:An average daily census is determined by
method of obtaining census trend data and takes into account seasonal and
determination for a particular unit daily fluctuations, so it is the best method for
provides the best formula for determining staffing needs. Options A and B
determining long-range staffing provide data at a certain point in time, and that
patterns? data could change quickly. It is unrealistic to
A. expect to obtain an hourly census, and such data
Midnight census would only provide information about a certain
B. point in time.
Oncoming shift census
C.
Average daily census
D.
Hourly census
A male client has just undergone a B
laryngectomy and has a cuffed Rationale:The cuff should be inflated before the
tracheostomy tube in place. When feeding to block the trachea and prevent food
initiating bolus tube feedings from entering if oral feedings are started while a
postoperatively, when should the cuffed tracheostomy tube is in place. It should
nurse inflate the cuff? remain inflated throughout the feeding to prevent
A. aspiration of food into the respiratory system.
Immediately after feeding Options A and D place the client at risk for
B. aspiration. Option C places the client at risk for
Just prior to tube feeding tracheal wall necrosis.
C.
Continuous inflation is required
D.
Inflation is not required
2024-2025 ACTUAL EXAM EACH EXAM
CONTAINS 125 QUESTIONS AND CORRECT
DETAILED ANSWERS
Leave the first rating
Save
Terms in this set (125) Hide definitions
The nurse is assessing a client with B
acute pancreatitis. Which finding The nurse is assessing a client with acute
requires the most immediate pancreatitis. Which finding requires the most
intervention by the nurse? immediate intervention by the nurse?
A. Rationale:A positive Trousseau sign indicates
The client's amylase level is three hypocalcemia and always requires further
times higher than the normal level. assessment and intervention, regardless of the
B. cause (40% to 75% of those with acute pancreatitis
The client has a carpal spasm when experience hypocalcemia, which can have serious,
taking a blood pressure. systemic effects). A key diagnostic finding of
C. pancreatitis is serum amylase and lipase levels that
On a 1 to 10 scale, the client tells the are two to five times higher than the normal value.
nurse that her epigastric pain is at 7. Severe boring pain is an expected symptom for this
D. diagnosis, but dealing with the hypocalcemia is a
The client states that she will priority over administering an analgesic. Long-term
continue to drink alcohol after going planning and teaching do not have the same
home. immediate importance as a positive Trousseau sign.
,A 55-year-old male client has been C
admitted to the hospital with a Rationale:Smoking, considered to be a modifiable
medical diagnosis of chronic risk factor, is the most significant risk factor for the
obstructive pulmonary disease development of COPD. The exact mechanism of
(COPD). Which risk factor is the most genetic and hereditary implications for the
significant in the development of this development of COPD is still under investigation,
client's COPD? although exposure to similar predisposing factors
A. (e.g., smoking or inhaling secondhand smoke) may
The client's father was diagnosed increase the likelihood of COPD incidence among
with COPD in his 50s. family members. Options B and D do not exceed
B. the risks associated with cigarette smoking in the
A close family member contracted development of COPD.
tuberculosis last year.
C.
The client smokes one to two packs
of cigarettes per day.
D.
The client has been 40 pounds
overweight for 15 years.
In assessing a client diagnosed with C
primary aldosteronism, the nurse Rationale:Clients with primary aldosteronism
expects the laboratory test results to exhibit a profound decline in serum levels of
indicate a decreased serum level of potassium; hypokalemia; hypertension is the most
which substance? prominent and universal sign. The serum sodium
A. level is normal or elevated, depending on the
Sodium amount of water resorbed with the sodium. Option
B. B is influenced by parathyroid hormone (PTH).
Phosphate Option D is not affected by primary aldosteronism.
C.
Potassium
D.
Glucose
,The nurse is completing an C
admission interview for a client with Rationale:Clients with Parkinson disease frequently
Parkinson disease. Which question experience difficulty in initiating, maintaining, and
will provide additional information performing motor activities. They may even
about manifestations that the client is experience being rooted to the spot and unable to
likely to experience? move. Parkinson disease does not typically cause
A. option A, B, or D.
"Have you ever experienced any
paralysis of your arms or legs?"
B.
"Do you have frequent blackout
spells?"
C.
"Have you ever been frozen in one
spot, unable to move?"
D.
"Do you have headaches, especially
ones with throbbing pain?"
, Client census is often used to C
determine staffing needs. Which Rationale:An average daily census is determined by
method of obtaining census trend data and takes into account seasonal and
determination for a particular unit daily fluctuations, so it is the best method for
provides the best formula for determining staffing needs. Options A and B
determining long-range staffing provide data at a certain point in time, and that
patterns? data could change quickly. It is unrealistic to
A. expect to obtain an hourly census, and such data
Midnight census would only provide information about a certain
B. point in time.
Oncoming shift census
C.
Average daily census
D.
Hourly census
A male client has just undergone a B
laryngectomy and has a cuffed Rationale:The cuff should be inflated before the
tracheostomy tube in place. When feeding to block the trachea and prevent food
initiating bolus tube feedings from entering if oral feedings are started while a
postoperatively, when should the cuffed tracheostomy tube is in place. It should
nurse inflate the cuff? remain inflated throughout the feeding to prevent
A. aspiration of food into the respiratory system.
Immediately after feeding Options A and D place the client at risk for
B. aspiration. Option C places the client at risk for
Just prior to tube feeding tracheal wall necrosis.
C.
Continuous inflation is required
D.
Inflation is not required
