Written by students who passed Immediately available after payment Read online or as PDF Wrong document? Swap it for free 4.6 TrustPilot
logo-home
Document preview thumbnail
Preview 4 out of 53 pages
Exam (elaborations)

HESI - MEDICAL SURGICAL NURSING TEST QUESTIONS AND ANSWERS

Document preview thumbnail
Preview 4 out of 53 pages

HESI - MEDICAL SURGICAL NURSING TEST QUESTIONS AND ANSWERS

Content preview

HESI - MEDICAL SURGICAL NURSING
TEST QUESTIONS AND ANSWERS
Whenxdescribingxpatientxeducationxapproaches,xthexnursexeducatorxwouldxexplainxthatxin
formalxteachingxisxanxapproachxthat

a.xfollowsxformalizedxplans
b.xhasxstandardizedxcontent
c.xoftenxoccursxone-to-one
d.xaddressesxgroupxneedsx-
xans✔✔C.xInformalxteachingxisxindividualizedxonexonxonexteachingxwhichxrepresentsxthex

majorityxofxpatientxeducationxdonexbyxnursesxthatxoccursxwhenxanxinterventionxisxexplaine
dxorxaxquestionxisxanswered.xGroupxneedsxarexoftenxthexfocusxofxformalxpatientxeducation
xcoursesxorxclasses.xInformalxteachingxdoesxnotxnecessarilyxfollowxaxspecificxformalizedxp

lan.xItxmayxbexplannedxwithxspecificxcontent,xbutxitxisxindividualizedxresponsesxtoxpatientxn
eeds.xFormalxteachingxinvolvesxthexusexofxaxcurriculum/
coursexplanxwithxstandardizedxcontent.

Axpatientxexpressesxaxstrongxinterestxinxreturningxtoxtheirxwork,xfamily,xandxhobbiesxafterx
havingxaxstroke.xWhichxtheoryxtypexwouldxthexnursexusextoxdevelopxaxplanxofxcarexforxthex
bestxresultsxofxthisxpatient'sxmotivationxstyle?

a.xfield
b.xbiological
c.xcognitive
d.xsociologicx-
xans✔✔C.xCognitivextheoristsxbelievexthatxattention,xrelevance,xconfidence,xandxsatisfacti

onx(ARCS)xarexthexconditionsxthat,xwhenxintegrated,xmotivatexsomeonextoxlearn.xFieldxth
eoristsxplacexsignificancexonxhowxachievement,xpower,xthexneedxforxaffiliation,xandxavoid
ancexmotivesxinfluencexindividualxbehavior.xSociologicxtheoriesxarexnotxinvolvedxinxmotiv
ation.

Thexnursexisxassessingxaxgroupxofxclients.xWhichxclientsxarexatxgreaterxriskxforxhypothermi
axorxfrostbite?x(selectxallxthatxapply)

a.xanxolderxwomanxwithxhypertension
b.xaxyoungxmanxwithxaxbodyxmassxindexxofx42
c.xaxyoungxmanyxwhoxhasxjustxconsumedxsixxmartinis
d.xanxolderxmanxwhoxsmokesxaxpackxofxcigarettesxaxday
e.xaxyoungxwomanxwhoxisxanorexic
f.xaxyoungxwomanxwhoxisxdiabeticx-xans✔✔C,xD,xE,xF

,clientsxwithxpoorxnutrition,xfatigue,xandxmultiplexchronicxillnessesxarexatxgreaterxriskxforxhy
pothermia.xClientsxwhoxsmoke,xconsumexalcohol,xorxhaveximpairedxperipheralxcirculationx
havexaxhigherxincidencexofxfrostbite.

Whichxstatementxmadexbyxaxnursexrepresentsxthexneedxforxfurtherxeducationxregardingxp
ainxmanagementxinxolderxadultxclients?

a.xolderxadultsxtendxtoxreportxpainxlessxoftenxthanxyoungerxadults
b.xolderxclientsxusuallyxhavexmorexexperiencexwithxpainxthanxyoungerxclients
c.xolderxadultsxarexatxgreatestxriskxforxunderxtreatedxpain
d.xolderxclientsxhavexaxdifferentxpainxmechanismxandxdoxnotxfeelxitxasxmuchx-xans✔✔D

Therexisxnoxevidencextoxsupportxthexideaxthatxolderxadultxclientsxperceivexpainxanyxdiffere
ntlyxthanxyoungerxclients.xThexotherxstatementsxarexaccuratexregardingxolderxclientsxandx
pain.

Thexnursexisxworkingxatxaxfirstxaidxboothxforxaxspringxtrainingxgamexonxaxhotxday.xAxspecta
torxcomesxin,xreportingxthatxhexisxnotxfeelingxwell.xVitalxsignsxarextempx104.1xF,xpulsex132x
BPM,xrespirsx26xbreaths/
min,xandxbloodxpressurex106/66xmmxHg.xHextripsxoverxhisxfeetxasxthexnursexleadsxhimxtox
axcot.xWhatxisxthexprioryxactionxofxthexnurse?

a.xadminxtylenolx650xmgxorally
b.xencouragexrest,xandxreassessxinx15xminutes
c.xspongexthexvictimxwithxcoolxwaterxandxremovexhisxshirt
d.xencouragexdrinkingxofxcoolxwaterxorxsportsxdrinkx-xans✔✔C

Thexspectatorxshowsxsignsxofxheatxstroke,xwhichxisxaxmedicalxemergency.xThexspectatorx
shouldxbextransportedxtoxthexEDxASAP.xThexnursxshouldxtakexactionsxtoxlowerxhisxbodyxte
mpxinxtehxmeantimexbyxremovingxhisxshirtxandxspongingxhisxbodyxwithxcoolxwater.xLoweri
ngxbodyxtempxbyxdrinkingxcoolxfluidsxorxtakingxacetaminophenxisxnotxasxeffectivexinxanxem
ergencyxsituation.xThexclientxneedsxtoxbexcooledxquicklyxandxisxaxpriorityxforxtreatment

ThexclientxisxreceivingxanxIVxofx60xmEqxofxpotassiumxchloridexinax1000xmLxsolutionxofxdex
trosex5%xinx0.45%xsaline.xThexclientxstatesxthatxthexareaxaroundxthexIVxsitexburns.xWhatxi
nterventionxdoesxthexnursexperformxfirst?

a.xassessxforxaxbloodxreturn
b.xnotifyxthexphysician
c.xdocumentxthexfinding
d.xstopxthexIVxinfusionx-xans✔✔D

Potassiumxisxaxseverextissuexirritant.xThexsafestxactionxisxtoxdiscontinuexthexsolutionxthatx
containsxthexpotassiumxandxdiscontinuexthexIVxaltogether,xinxwhichxcasexthexclientxwouldx
needxanotherxsitexstarted.xAssessingxforxaxbloodxreturnxmayxorxmayxnotxbexsuccessful.xTh

,exsolutionxcouldxbexdilutedx(lessxpotassium)xandxthexratexcouldxbexslowedxoncexitxisxdeter
minedxthatxthexneedlexisxinxthexvein.

Axnursexisxcaringxforxanxolderxadultxclientxwhoxlivesxalone.xWhichxeconomicxsituationxpres
entsxthexmostxseriousxproblemxforxthisxclient?

a.xcostsxofxcreatingxaxlivingxwill
b.xstockxmarketxfluctuations
c.xincreasedxproviderxbenefits
d.xsocialxsecurityxasxthexbasisxofxincomex-xans✔✔D

Olderxadultsxonxfixedxincomesxarexunablextoxadjustxtheirxincomextoxmeetxrisingxcostsxasso
ciatedxwithxmeetingxbasicxneeds

Controllingxpainxisximportantxtoxpromotingxwellness.xUnrelievedxpainxhasxbeenxassociate
dxwithx

a.xprolongedxstressxresponsexandxaxcascadexofxharmfulxeffectsxsystemxwide.
b.xdecreasedxtumorxgrowthxandxlongevity
c.xlargextidalxvolumesxandxdecreasedxlungxcapacity
d.xdecreasedxcarbohydrate,xprotein,xandxfatxdestructionx-xans✔✔A

Painxtriggersxaxnumberxofxphysiologicxstressxresponsesxinxthexhumanxbody.xUnrelievedxp
ainxcanxprolongxthexstressxresponsexandxproducexaxcascadexofxharmfulxeffectsxinxallxbody
xsystems.xThexstressxresponsexcausesxthexendocrinexsystemxtoxreleasexexcessivexamou

ntsxofxhormones,xsuchxasxcortisol,xcatecholamines,xandxglucagon.xInsulinxandxtestostero
nexlevelsxdecrease.xIncreasedxendocrinexactivityxinxturnxinitiatesxaxnumberxofxmetabolicxp
rocesses,xinxparticular,xacceleratedxcarbohydrate,xprotein,xandxfatxdestruction,xwhcihxcanx
resultxinxweightxloss,xtachycardia,xincreasedxrespiratoryxrate,xshock,xandxevenxdeath.xThe
ximmunexsystemxisxalsoxaffectedxbyxpainxasxdemonstratedxbyxresearchxshowingxaxlinkxbet

weenxunrelievedxpainxandxaxhigherxincidencexofxnosocomialxinfectionsxandxincreasedxtum
orxgrowth.xLargextidalxvolumesxarexnotxassociatedxwithxpainxwhilexdecreasedxlungxcapacit
yxisxassociatedxwithxunrelievedxpain.xDecreasedxtumorxgrowthxandxlongevityxarexnotxasso
ciatedxwithxunrelievedxpain.xDecreasedxcarbs,xprotein,xandxfatxarexnotxassociatedxwithxpai
nxorxstressxresponse.

Whichxinterventionxinxaxclientxwithxdehydrationxinducedxconfusionxisxmostxlikelyxtoxrelievex
thexconfusion?
a.xincreasingxthexIVxflowxratextox250xmL/hr
b.xapplyingxoxygenxbyxmaskxorxnasalxcannula
c.xplacingxthexclientxinxaxhighxFowler'sxposition
d.xMeasuringxintakexandxoutputxeveryxfourxhoursx-xans✔✔A
Dehydrationxmostxfrequentlyxleadsxtoxpoorxcerebraxperfusionxandxcerebralxhypoxia,xcausi
ngxconfusion.xApplyingxoxygenxcanxreducexconfusion,xevenxifxperfusionxisxstillxlessxthanxo
ptimum.xIncreasingxthexIVxflowxratexwouldxincreasexperfusion.xHowever,xdependingxonxth

, exdegreexofxdehydration,xrehydratingxthexpersonxtooxrapidlyxwithxIVxfluidsxcanxleadxtoxcere
bralxedema.

Whichxclientxisxatxgreatestxriskxforxdehydration?

a.xyoungerxadultxclientxonxbedrest
b.xolderxadultxclientxreceivingxhypotonicxIVxfluid
c.xolderxadultxclientxwithxcognitiveximpairment
d.xyoungerxadultxclientxreceivingxhypertonicxIVxfluidx-xans✔✔C

Olderxadults,xbecausextheyxhavexlessxtotalxbodyxwaterxthanxyoungerxadults,xarexatxgreater
xriskxforxdevelopmentxofxdehydration.xAnyonexwhoxisxcognitivelyximpairedxandxcannotxobt

ainxfluidsxindependentlyxorxcannotxmakexhisxorxherxneedxforxfluidsxknownxisxatxhighxriskxfor
xdehydration



Axnursexisxcaringxforxseveralxclients.xWhichxclientxdoesxthexnursexassessxmostxcarefullyxfo
rxhyperkalemia?

a.xclientxwithxtypex2xdiabetesxtakingxanxoralxanti-diabeticxagent
b.xclientxwithxheartxfailurexusingxaxsaltxsubstitute
c.xclientxtakingxaxthiazidexdiureticxforxhypertension
d.xclientxtakingxnon-steroidalxanti-inflammatoryxdrugsxdailyx-xans✔✔B

Manyxsaltxsubstitutesxarexcomposedxofxpotassiumxchloride.xHeavyxusexcnaxcontributextoxt
hexdevelopmentxofxhyperkalemia.xThexclientxshouldxbextaughtxtoxreadxlabelsxandxtoxchoos
exaxsaltxsubstitutexthatxdoesxnotxcontainxpotassium.xNSAIDsxpromotexthexretentionxofxsodi
umxbutxnotxpotassium.

Anxolderxadultxclientxpresentsxwithxsignsxandxsymptomsxrelatedxtoxdigxtoxicity.xWhichxagex
relatedxchangexmayxhavexcontributedxtoxthisxproblem?

a.xdecreasedxrenalxbloodxflow
b.xincreasedxgastrointestinalxmotility
c.xdecreasedxratioxofxadiposextissuextoxleanxbodyxmass
d.xincreasedxtotalxbodyxwaterx-xans✔✔A

Decreasedxrenalxbloodxflowxandxreducedxglomerularxfiltrationxcanxresultxinxslowerxmedica
tionxexcretionxtime,xpotentiallyxleadingxtoxtoxicxdrugxaccumulation.xAgingxresultsxinxdecrea
sedxtotalxbodyxwaterxandxgastrointestinalxmotilityxandxanxincreasexinxthexratioxofxadiposexti
ssuextoxleanxbodyxmass,xbutxisxnotxrelatedxtoxdigxtoxicity.

Axclientxisxbeingxtreatedxforxdehydration.xWhichxstatementxmadexbyxthexclientxindicatesxun
derstandingxofxthisxcondition?

a.xIxwillxusexaxsaltxsubstitutexwhenxmakingxandxeatingxmyxmeals.
b.xIxmustxdrinkxaxquartxofxwaterxorxotherxliquidxeachxday.

Document information

Uploaded on
August 22, 2024
Number of pages
53
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers
$12.49

Wrong document? Swap it for free Within 14 days of purchase and before downloading, you can choose a different document. You can simply spend the amount again.
Written by students who passed
Immediately available after payment
Read online or as PDF

Seller avatar
Reputation scores are based on the amount of documents a seller has sold for a fee and the reviews they have received for those documents. There are three levels: Bronze, Silver and Gold. The better the reputation, the more your can rely on the quality of the sellers work.
favouredone
4.4
(350)
Sold
391
Followers
36
Items
10249
Last sold
1 day ago




Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can instantly pick a different document that better fits what you're looking for.

Pay as you like, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.

Student with book image

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Working on your references?

Create accurate citations in APA, MLA and Harvard with our free citation generator.

Working on your references?

Frequently asked questions