MED SURG HESI EXAM QUESTIONS WITH ALL ANSWERS VERIFIED AND CORRECT NEW UPDATE

MED SURG HESI EXAM QUESTIONS 2022-2023
WITH ALL ANSWERS VERIFIED AND CORRECT
NEW UPDATE


A client with eczema is using an over-the-counter (OTC) topical
b b b b b b b b b


product with urea 10% OTC (Aqua Care Cream) to the affected
b b b b b b b b b b b


skin areas. Which finding reflects the expected therapeutic
b b b b b b b b


response? ...ANSWER... Hydration of affected dry skin areas
b bbb bb b b b b b




The charge nurse observes a newly employed nurse gathering
b b b b b b b b


equipment to obtain a venous blood sample from a client's
b b b b b b b b b b


implanted port. The nurse has obtained the equipment seen in the
b b b b b b b b b b b


photo. What actions should the charge nurse take? (Select all that
b b b b b b b b b b b


apply) ...ANSWER... Determine if the nurse has ever performed
b bbb bb b b b b b b


this skill
b b




Assist in obtaining the correct needle to access the port
b b b b b b b b b




* Venous Insufficiency. All Apply? ...ANSWER... -When the pt.
b b b b bbb bb b b


is sitting or lying elevate the legs
b b b b b b b




-Diet rich in protein and Vit. A and C
b b b b b b b b




-Assessment the legs for dark discoloration* b b b b b




A young adult male who has had type 2 diabetes mellitus (DM) is
b b b b b b b b b b b b


admitted to the intensive care unit with hyperglycemic nonketotic
b b b b b b b b b


syndrome (HHNS). A sliding scale protocol for an isotonic IV
b b b b b b b b b b


solution with regular insulin is prescribed based on the results of a
b b b b b b b b b b b b


continuous blood glucose monitoring device that is attached to the
b b b b b b b b b b

,bclient's central venous catheter. When the client's respirations
b b b b b b b


bbecome labored and his lungs sound indicate crackles what action
b b b b b b b b b


bshould the nurse take? ...ANSWER... decrease infusion rate to
b b b bbb bb b b b


baddress fluid overload b b




A client diagnose with stable angina secondary to ischemic heart
b b b b b b b b b


disease has a prescription for sublingual (SL) nitroglycerin (NTG).
b b b b b b b b b


The nurse should tell the client to follow which instructions if
b b b b b b b b b b b


chest pain is not relieved after taking 3 NTG tables 5 min apart
b b b b b b b b b b b b b bb


...ANSWER... call 911 pain is unrelieved and chew a tablet of
b bb b b b b b b b b b


aspirin 325mg
b b




A client experiences an ABO incompatibility reaction after
b b b b b b b


multiple blood transfusions. Which finding should the nurse report
b b b b b b b b b


immediately to the health care provider? ...ANSWER... low back
b b b b b b bbb bb b


pain and hypotension
b b b




A client in the operating room received succinylcholine. The client
b b b b b b b b b


is experiencing muscle rigidity and has an extremely high
b b b b b b b b b


temperature. What action should the nurse implement?
b b b b b b b bb


...ANSWER... Call the PACU nurse to prepare for prolonged
b bb b b b b b b b


ventilatory support Also know that PACU is BP, Respiration and
b b b b b b b b b b


Pulse
b




A client is admitted with a sudden onset of right sided the nurse
b b b b b b b b b b b b


complete first? ...ANSWER... Observe for peripheral edema
b b bbb bb b b b

,A client is discharged with a prescription for warfarin (Coumadin).
b b b b b b b b b


What discharge instructions should the nurse emphasize to the
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client? ...ANSWER... avoid going barefoot especially outside
b bbb bb b b b b




A client is who is diagnose with schizophrenia receives a
b b b b b b b b b


prescription for an atypical antipsychotic drug aripipazole
b b b b b b b


(Abilify). Which assessment should the nurse perform to monitor
b b b b b b b b b


for an adrenergic receptor antagonist side effect that commonly
b b b b b b b b b


occurs atypical antipsychotic agents ...ANSWER... obtain the
b b b b bbb bb b


client finger stick glucose levels
b b b b b




A client returns from surgery following a hiatal hernia repair via
b b b b b b b b b b


Nissen fundoplication. Which position should the nurse implement
b b b b b b b b


for this client? ...ANSWER... 30 degree semi-Fowler's to drop
b b b bbb bb b b b b


the diaphragm
b b




A client subjective data includes dysuria, urgency, and urinary
b b b b b b b b


frequency. What action should the nurse implement next?
b b b b b b b b bb


...ANSWER... collect a clean catch specimen
b bb b b b b




A client tells the nurse that her biopsy results indicate that the
b b b b b b b b b b b


cancer cells are well differentiated How should the nurse respond?
b b b b b b b b b b b


...ANSWER... ask the client in the healthcare provider has giving
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her any information about the classification of her cancer
b b b b b b b b b




A client uses triamcinolone (Kenalog), a corticosteroid ointment, to
b b b b b b b b


manage pruritis caused by a chronic skin rash. The client calls the
b b b b b b b b b b b b


clinic nurse to report increased erythema with purulent exudate at
b b b b b b b b b b


the site. What action should the nurse implement? ...ANSWER...
b b b b b b b b bbb b

, bSchedule an appointment for the client to see the healthcare
b b b b b b b b b


bproviderSchedule an appointment for the client to see the b b b b b b b b


bhealthcare provider b




A client who had a biliopancreatic diversion procedure (BOP) 3
b b b b b b b b b


months ago is admitted with severe dehydration. Which
b b b b b b b b


assessment finding warrants immediate intervention by the nurse?
b b b b b b b b bb


...ANSWER... Gastroccult positive emesis
b bb b b




A client who had a myocardial infarction is admitted to the
b b b b b b b b b b


coronary critical care unit (CCU) with a nitroglycerin drip
b b b b b b b b b


infusing. The clients last blood pressure measurements was
b b b b b b b b


78/36.What action should the nurse implement? ...ANSWER...
b b b b b b bbb b


reduce the rate of the nitroglycerin infusion
b b b b b b b




A client who has a history of long-standing back pain treated with
b b b b b b b b b b b


methadone (Dolophine), is admitted to the surgical unit following
b b b b b b b b b


urological surgery. What modifications in the plan of care should
b b b b b b b b b b


the nurse make for this client's pain management during the
b b b b b b b b b b


postoperative period? ...ANSWER... Maintain client's
b b bbb bb b


methadone, and medicate surgical pain based on pain rating
b b b b b b b b b




A client who is receiving packed red blood cells develops nausea
b b b b b b b b b b


and vomiting. What action should the nurse take first?
b b b b b b b b b bb


...ANSWER... Stop the infusion of blood
b bb b b b b




A client who is taking and oral dose of tetracycline complains of
b b b b b b b b b b b


gastrointestinal upset. What snack should the nurse instruct the
b b b b b b b b b