HESI Final Exam Evolve HESI Med Surg Practice Exam Updated

HESI Final Exam Evolve HESI Med Surg Practice Exam Updated An adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea. The client appears anxious, restless, and mildly cyanotic. The nurse should further assess the client for which condition? - pulmonary embolism - heart failure - tuberculosis - bronchitis - pulmonary embolism Which information should the nurse obtain when performing an initial assessment of a client who presents to the emergency department with a painful ankle injury? (Select all that apply.) - quality of the pain - signs of inflammation - ankle range of motion - muscle strength testing - visible deformities of the joint - - quality of the pain - signs of inflammation - ankle range of motion - visible deformities of the joint Which description of pain is consistent with a diagnosis of rheumatoid arthritis? - joint pain is worse in the morning and involves symmetric joints - joint pain is better in the morning and worsens throughout the day - joint pain is consistent throughout the day and is relieved by pain medication - joint pain is worse during the day and involves unilateral joints - joint pain is worse in the morning and involves symmetric joints Which physical assessment finding should the nurse anticipate in a client with long-term gastroesophagealreflux disease (GERD)? - hoarseness - dry mouth - mouth ulcers - weight loss - hoarseness A client presents with chronic venous insufficiency. Which assessment finding should the nurse anticipate? - bilateral lower leg stasis dermatitis - clubbing of fingers and toes - intermittent claudication - peripheral cyanosis - bilateral lower leg stasis dermatitis A client has been hospitalized with a femur fracture and is being treated with traction. Which action by the nurse is the priority when caring for this client? - assess neurovascular status - change the client's position - inspect the traction equipment - review pain medication orders - assess neurovascular status Which statement made by a client with chronic pancreatitis indicates that further education is needed? - I will cut back on smoking cigarettes daily - I will avoid drinking caffeinated beverages - I will rest frequently and avoid vigorous exercise - I will eat a bland, low-fat, high-protein diet - I will cut back on smoking cigarettes daily (*avoid nicotine entirely) The nurse is teaching a female client who uses a contraceptive diaphragm about reducing the risk for toxic shock syndrome (TSS). Which information should the nurse include? (Select all that apply.) - remove the diaphragm immediately after intercourse - wash the diaphragm with an alcohol solution - use the diaphragm to prevent conception during the menstrual cycle - do not leave the diaphragm in place longer than 8 hours after intercourse - replace the old diaphragm every 3 months - - do not leave the diaphragm in place longer than 8 hours after intercourse - replace the old diaphragm every 3 months A male client who smokes two packs of cigarettes a day states he understands that smoking cigarettes is contributing to the difficulty that he and his wife are having in getting pregnant and wants to know if other factors could be contributing to their difficulty. What information is best for the nurse to provide? (Select all that apply.) - marijuana cigarettes do not affect sperm count - alcohol consumption can cause erectile dysfunction - low testosterone levels affect sperm production - cessation of smoking improves general health and fertility - obesity has no effect on sperm production - - alcohol consumption can cause erectile dysfunction - low testosterone levels affect sperm production - cessation of smoking improves general health and fertility