HESI RN Medical Surgical Exit Exam 2023/2024 V1 (Don’t Forget Answer Key on the last page

HESI RN Medical Surgical Exit Exam 2023/2024 V1 (Don’t Forget Answer Key on the last page Multiple Choice Identify the letter of the choice that best completes the statement or answers the question. 1. While assessing a client with diabetes mellitus, the nurse observes an absence of hair growthon the client's legs. What additional assessment provides further data to support this finding? a. Palpate for the presence of femoral pulses bilaterally. b. Assess for the presence of a positive Homan's sign. c. Observe the appearance of the skin on the client's legs. d. Watch the client's posture and balance during ambulation. 2. The healthcare provider prescribes 15 mg/kg of Streptomycin for an infant weighing 4 pounds. The drug is diluted in 25 ml of D5W to run over 8 hours. How much Streptomycin will theinfant receive? a. 9mg. b. 18 mg. c. 27 mg. d. 36 mg. 3. In assessing a client with preeclampsia who is receiving magnesium sulfate, the nurse determines that her deep tendon reflexes are 1+; respiratory rate is 12 breaths/minute;urinary output is 90 ml in 4 hours; magnesium sulfate level is 9 mg/dl. Based on these findings, what intervention should the nurse implement? a. Continue the magnesium sulfate infusion as prescribed. b. Decrease the magnesium sulfate infusion by one-half. c. Stop the magnesium sulfate infusion immediately. d. Administer calcium gluconate immediately. 4. A client is on a mechanical ventilator. Which client response indicates that the neuromuscularblocker tubocurarine chloride (Tubarine) is effective? a. The client’s expremities are paralyzed. b. The peripheral nerve stimulator causes twitching. c. The client clinches fist upon command. d. The client’s Glagow Coma Scale score is 14. 5. An elderly female client comes to the clinic for a regular check-up. The client tells the nurse that she has increased her daily doses of acetaminophen (Tylenol) for the past month to control joint pain. Based on this client's comment, what previous lab values should the nursecompare with today's lab report? a. Look at last quarter's hemoglobin and hematocrit, expecting an increase today dueto dehydration. b. Look for an increase in today's LDH compared to the previous one to assessfor possible liver damage.