EVOLVE ELSEVIER HESI MED
SURG ACTUAL EXAM WITH 400+ REAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
WELL- ELABORATED RATIONALES
EVOLVE HESI MEDICAL SURGICAL LATEST
EXAM (BRAND NEW!!)
WHAT TO FIND IN THIS EXAM
ǪUESTIONS AND ANSWERS IN NCLEX- STYLE
BUTTERFLY ǪUESTION WITH ANSWERS
VERIFIED ANSWERS BY EXPERTS
NEWEST UPDATED VERSION GRADE A+
ǪUESTIONS WITH MULTI CHOICES
ALL ǪUESTIONS WITH VERIFIED RATIONALES
,MULTICHOICES
An ER nurse is completing an assessment on a patient that is alert but
struggles to answer questions. When she attempts to talk, she slurs her
speech and
appears very frightened. What additional clinical manifestation does the
nurse expect to find if nacy's sysmptoms have been caused by a brain attack
(stroke)?
A. A carotid bruit
B. A hypotensive blood pressure
C. hyperreflexia deep tendon relaxes.
D. Decreased bowel sounds
A) A carotid bruit.
Rationale the carotid artery (artery to the brain) is narrowed in clients with a
brain attack. A bruit is an abnormal sound heard on auscultation resulting
from interference with normal blood flow. Usually the blood pressure is
hypertensive. Initially flaccid paralysis occurs, resulting in hyporeflexia deep
tendon reflexes.
Bowel sounds are not indicative of a brain attack.
Which clinical manifestation further supports an assessment of a left-sided
brain attack?
A) Visual field deficit on the left side.
B) Spatial-perceptual deficits.
C) Paresthesia of the left side.
D) Global aphasia.
,D) Global aphasia.
Rationale Global aphasia refers to difficulty speaking, listening, and
understanding, as well as difficulty reading and writing. Symptoms vary from
person to person. Aphasia may occur secondary to any brain injury involving
the left hemisphere. Visual field deficits, spatial-perceptual deficits, and
paresthsia of the left side usually occur with right-sided brain attack.
When preparing a patient for a noncontrast computed tomography (CT)
scan STAT, what nursing intervention should the nurse implement?
A) Determine if the client has any allergies to iodine
B) Explain that the client will not be able to move her head throughout
the CT scan.
C) Premedicate the client to decrease pain prior to having the procedure.
D) Provide an explanation of relaxation exercises prior to the procedure.
B) Explain that the client will not be able to move her head throughout the
CT scan.
Rationale Because head motion will distort the images, Nancy will have to
remain still throughout the procedure. Allergies to iodine is important if
contrast dye is being used for the CT scan. Premedicating the client to
decrease pain prior to the procedure is unnecessary because CT scanning is a
noninvasive and painless
procedure. Providing an explanation of relaxation exercises prior to the
procedure is a worthwhile intervention to decrease anxiety but is not of
highest priority.
A neurologist prescribes a magnetic resonance imaging (MRI) of the head
STAT for a patient. Which data warrants immediate intervention by the
nurse concerning this diagnostic test?
, A) Elevated blood pressure.
B) Allergy to shell fish.
C) Right hip replacement.
D) History of atrial fibrillation.
C) Right hip replacement.
The magnetic field generated by the MRI is so strong that metal-containing
items are strongly attracted to the magnet. Because the hip joint is made of
metal, a lead shield must be used during the procedure. Elevated blood
pressure, an
allergy to shell fish, and a history of atrial fibrillation would not affect the MRI.
A client's daughter is sitting by her mother's bedside who was recently
transferred to the Intermediate Care Unit. She states "I don't understand
what a brain attack is. The healthcare provider told me my mother is in
serious
condition and they are going to run several tests. I just don't know what
is going on. What happened to my mother?" What is the best response by
the nurse?
A) "I am sorry, but according to the Health Insurance Portability and
Accounting Act (HIPAA), I cannot give you any information."
B) "Your mother has had a stroke, and the blood supply to the brain
has been blocked."
C) "How do you feel about what the healthcare provider said?"
D) "I will call the healthcare provider so he/she can talk to you
about your mother's serious condition."
B) "Your mother has had a stroke, and the blood supply to the brain has been
blocked."
Rationale The nurse can discuss what a diagnosis means. Nancy is unable to make
SURG ACTUAL EXAM WITH 400+ REAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
WELL- ELABORATED RATIONALES
EVOLVE HESI MEDICAL SURGICAL LATEST
EXAM (BRAND NEW!!)
WHAT TO FIND IN THIS EXAM
ǪUESTIONS AND ANSWERS IN NCLEX- STYLE
BUTTERFLY ǪUESTION WITH ANSWERS
VERIFIED ANSWERS BY EXPERTS
NEWEST UPDATED VERSION GRADE A+
ǪUESTIONS WITH MULTI CHOICES
ALL ǪUESTIONS WITH VERIFIED RATIONALES
,MULTICHOICES
An ER nurse is completing an assessment on a patient that is alert but
struggles to answer questions. When she attempts to talk, she slurs her
speech and
appears very frightened. What additional clinical manifestation does the
nurse expect to find if nacy's sysmptoms have been caused by a brain attack
(stroke)?
A. A carotid bruit
B. A hypotensive blood pressure
C. hyperreflexia deep tendon relaxes.
D. Decreased bowel sounds
A) A carotid bruit.
Rationale the carotid artery (artery to the brain) is narrowed in clients with a
brain attack. A bruit is an abnormal sound heard on auscultation resulting
from interference with normal blood flow. Usually the blood pressure is
hypertensive. Initially flaccid paralysis occurs, resulting in hyporeflexia deep
tendon reflexes.
Bowel sounds are not indicative of a brain attack.
Which clinical manifestation further supports an assessment of a left-sided
brain attack?
A) Visual field deficit on the left side.
B) Spatial-perceptual deficits.
C) Paresthesia of the left side.
D) Global aphasia.
,D) Global aphasia.
Rationale Global aphasia refers to difficulty speaking, listening, and
understanding, as well as difficulty reading and writing. Symptoms vary from
person to person. Aphasia may occur secondary to any brain injury involving
the left hemisphere. Visual field deficits, spatial-perceptual deficits, and
paresthsia of the left side usually occur with right-sided brain attack.
When preparing a patient for a noncontrast computed tomography (CT)
scan STAT, what nursing intervention should the nurse implement?
A) Determine if the client has any allergies to iodine
B) Explain that the client will not be able to move her head throughout
the CT scan.
C) Premedicate the client to decrease pain prior to having the procedure.
D) Provide an explanation of relaxation exercises prior to the procedure.
B) Explain that the client will not be able to move her head throughout the
CT scan.
Rationale Because head motion will distort the images, Nancy will have to
remain still throughout the procedure. Allergies to iodine is important if
contrast dye is being used for the CT scan. Premedicating the client to
decrease pain prior to the procedure is unnecessary because CT scanning is a
noninvasive and painless
procedure. Providing an explanation of relaxation exercises prior to the
procedure is a worthwhile intervention to decrease anxiety but is not of
highest priority.
A neurologist prescribes a magnetic resonance imaging (MRI) of the head
STAT for a patient. Which data warrants immediate intervention by the
nurse concerning this diagnostic test?
, A) Elevated blood pressure.
B) Allergy to shell fish.
C) Right hip replacement.
D) History of atrial fibrillation.
C) Right hip replacement.
The magnetic field generated by the MRI is so strong that metal-containing
items are strongly attracted to the magnet. Because the hip joint is made of
metal, a lead shield must be used during the procedure. Elevated blood
pressure, an
allergy to shell fish, and a history of atrial fibrillation would not affect the MRI.
A client's daughter is sitting by her mother's bedside who was recently
transferred to the Intermediate Care Unit. She states "I don't understand
what a brain attack is. The healthcare provider told me my mother is in
serious
condition and they are going to run several tests. I just don't know what
is going on. What happened to my mother?" What is the best response by
the nurse?
A) "I am sorry, but according to the Health Insurance Portability and
Accounting Act (HIPAA), I cannot give you any information."
B) "Your mother has had a stroke, and the blood supply to the brain
has been blocked."
C) "How do you feel about what the healthcare provider said?"
D) "I will call the healthcare provider so he/she can talk to you
about your mother's serious condition."
B) "Your mother has had a stroke, and the blood supply to the brain has been
blocked."
Rationale The nurse can discuss what a diagnosis means. Nancy is unable to make
