MED SURG RN HESI EXIT EXAM 2024 VERSION 3 /HESI RN MED SURG EXIT EXAM VERSION 3 COMPLETE ALL 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ The nurse is completing an admission interview and assessment on a client with a history of Parkinson's disease . Which question should provide information relevant to the client's plan of care? Have you ever experienced any paralysis of your arms or legs? Have you ever sustained a severe head injury? Have you ever been 'frozen' in one spot, unable to move? Do you have headaches, especially ones with throbbing pain? - ...ANSWER...Have you ever been 'frozen' in one spot, unable to move? RATIONALE: Clients with Parkinson's disease frequently experience difficulty in initiating, maintaining, and performing motor activities. They may even experience being rooted to the spot and unable to move (C). Parkinson's disease does not cause (A). Parkinson's disease is not usually associated with (B), nor does it typically cause (D) A 58-year-old client, who has no health problems, asks the nurse about the Pneumovax vaccine. The nurse's response to the client should be based on which information? The vaccine is given annually before the flu season to those over 50 years of age. The immunization is administered once to older adults or persons with a history of chronic illness . The vaccine is for all ages and is given primarily to those persons traveling overseas to areas of infection. The vaccine will prevent the occurrence of pneum ococcal pneumonia for up to five years. - ...ANSWER...B) The immunization is administered once to older adults or persons with a history of chronic illness. RATIONALE: It is usually recommended that persons over 65 years of age and those with a history of chronic i llness receive the vaccine once in a lifetime (B). (Some resources recommend obtaining the vaccine at 50 years of age.) The influenza vaccine is given once a year, not the Pneumovax (A). Although the vaccine might be given to a person traveling overseas, t hat is not the main rationale for administering the vaccine (C). It is usually given once in a lifetime (D), but with immunosuppressed clients or clients with a history of pneumonia re -vaccination is sometimes required. Which reaction should the nurse ide ntify in a client who is responding to stimulation of the sympathetic nervous system? Pupil constriction. Increased heart rate. Bronchial constriction. Decreased blood pressure. - ...ANSWER...B) Increased heart rate. RATIONALE: Any stressor that is perceived as threatening to homeostasis acts to stimulate the sympathetic nervous system and manifests as a flight -
or-fight response, which includes an increase in heart rate (B). (A, C, and D) are responses of the parasympathetic nervous system. A client with a 16 -year history of diabetes mellitus is having renal function tests because of recent fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which finding should the nurse conclude as an early symptom of renal insufficiency? Dyspnea. Nocturia. Confusion. Stomatitis. - ...ANSWER...B) Nocturia
or-fight response, which includes an increase in heart rate (B). (A, C, and D) are responses of the parasympathetic nervous system. A client with a 16 -year history of diabetes mellitus is having renal function tests because of recent fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which finding should the nurse conclude as an early symptom of renal insufficiency? Dyspnea. Nocturia. Confusion. Stomatitis. - ...ANSWER...B) Nocturia
