MED SURG RN HESI EXIT EXAM 2024 VERSION 3
/HESI RN MED SURG EXIT EXAM VERSION 3 COMPLETE
ALL QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) | ALREADY
GRADED A+
The caregiver is completing an admission interview and assessment
on a patient with a history of Parkinson's disease. Which question
should provide information relevant to the patient's plan of care?
Have you ever experienced any paralysisof your arms or legs?
Have you ever sustained a severe head injury? Have you ever
been 'frozen' in onespot, unable to move?
Do you have headaches, especially ones with throbbing pain? -
...ANSWER...Have youever been 'frozen' in one spot, unable to
move?
EXPLANATION:-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 patient, who has no health problems, asks the caregiver
about the Pneumovaxvaccine. The caregiver's response to the patient
should be based on which information?
,The vaccine is given annually before the fluseason to those over
50 years of age.
The immunization is administered once to older adults or persons
with a history of chronicillness.
The vaccine is for all ages and is given primarily to those persons
traveling overseasto areas of infection. The vaccine will preventthe
occurrence of pneumococcal pneumonia for up to five years. -
...ANSWER...B) The immunization is
administered
once to older adults or persons with a history ofchronic illness.
EXPLANATION:-It is usually recommended that persons over 65
years of age and those with ahistory of chronic illness receive the
vaccine once in a lifetime (B). (Some resources recommend
obtaining the vaccine at 50 yearsof age.) The influenza vaccine is given
once a year, not the Pneumovax (A). Although the vaccine might be
given to a person traveling overseas, that is not the main rationale
for administering the vaccine (C). It is usually given once in a
lifetime (D), but with immunosuppressed patients or patients with a
history of pneumonia re-vaccination is sometimes required.
Which reaction should the caregiver identify in a patient whois responding
to stimulation of the sympathetic nervous
system?
Pupil constriction.
Increased heart rate.
, Bronchial constriction.
Decreased blood pressure. - ...ANSWER...B)Increased
heart rate.
EXPLANATION:-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 patient 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
caregiver conclude as an early symptom of renal insufficiency?
Dyspnea.
Nocturia.
Confusion.
Stomatitis. - ...ANSWER...B) Nocturia
EXPLANATION:-As the glomerular filtration rate decreases in
early renal insufficiency, metabolic wasteproducts, including urea,
creatinine, and other
substances, such phenols, hormones, electrolytes, accumulate in the
blood. In the early stage of renal
insufficiency, polyuria results from the inability of the kidneys to
concentrate urine and contribute to nocturia(B). (A, C, and D) are more
common in the later stages of renal failure.
A patient taking furosemide (Lasix), reports difficulty sleeping. What
question is important for the caregiver toask the patient?
What dose of medication are you taking?Are you
eating foods rich in potassium?
, Have you lost weight recently?
At what time do you take your medication? -
...ANSWER...D) At what time do you take yourmedication?
EXPLANATION:-The caregiver needs to first determine atwhat
time of day the patient takes the Lasix (D).
Because of the diuretic effect of Lasix, patients should take the medication
in the morning to prevent nocturia.The actual dose of medication (A) is of
less importance than the time taken. (B) is not related to the insomnia.
(C) is valuable information about the effect of the diuretic, but is not
likely to be related to insomnia.
The caregiver is interviewing a male patient with hypertension.
Which additional medical diagnosis inthe patient's history presents
the greatest risk for developing a cerebral vascular accident (CVA)?
Diabetes mellitus.
Hypothyroidism.
Parkinson's disease.
Recurring pneumonia. - ...ANSWER...A) Diabetesmellitus.
EXPLANATION:-A history of diabetes mellitus
poses the
may place the patient at some risk due to immobility, butdo not present a
risk as great as (A).
Which healthcare practice is most important for the caregiver to teach
a postmenopausal patient?
Wear layers of clothes if experiencing hot flashes. Use a water-
soluble lubricant for vaginal dryness. Consume adequate foods
rich in calcium.
Participate in stimulating mental exercises. -
/HESI RN MED SURG EXIT EXAM VERSION 3 COMPLETE
ALL QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) | ALREADY
GRADED A+
The caregiver is completing an admission interview and assessment
on a patient with a history of Parkinson's disease. Which question
should provide information relevant to the patient's plan of care?
Have you ever experienced any paralysisof your arms or legs?
Have you ever sustained a severe head injury? Have you ever
been 'frozen' in onespot, unable to move?
Do you have headaches, especially ones with throbbing pain? -
...ANSWER...Have youever been 'frozen' in one spot, unable to
move?
EXPLANATION:-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 patient, who has no health problems, asks the caregiver
about the Pneumovaxvaccine. The caregiver's response to the patient
should be based on which information?
,The vaccine is given annually before the fluseason to those over
50 years of age.
The immunization is administered once to older adults or persons
with a history of chronicillness.
The vaccine is for all ages and is given primarily to those persons
traveling overseasto areas of infection. The vaccine will preventthe
occurrence of pneumococcal pneumonia for up to five years. -
...ANSWER...B) The immunization is
administered
once to older adults or persons with a history ofchronic illness.
EXPLANATION:-It is usually recommended that persons over 65
years of age and those with ahistory of chronic illness receive the
vaccine once in a lifetime (B). (Some resources recommend
obtaining the vaccine at 50 yearsof age.) The influenza vaccine is given
once a year, not the Pneumovax (A). Although the vaccine might be
given to a person traveling overseas, that is not the main rationale
for administering the vaccine (C). It is usually given once in a
lifetime (D), but with immunosuppressed patients or patients with a
history of pneumonia re-vaccination is sometimes required.
Which reaction should the caregiver identify in a patient whois responding
to stimulation of the sympathetic nervous
system?
Pupil constriction.
Increased heart rate.
, Bronchial constriction.
Decreased blood pressure. - ...ANSWER...B)Increased
heart rate.
EXPLANATION:-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 patient 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
caregiver conclude as an early symptom of renal insufficiency?
Dyspnea.
Nocturia.
Confusion.
Stomatitis. - ...ANSWER...B) Nocturia
EXPLANATION:-As the glomerular filtration rate decreases in
early renal insufficiency, metabolic wasteproducts, including urea,
creatinine, and other
substances, such phenols, hormones, electrolytes, accumulate in the
blood. In the early stage of renal
insufficiency, polyuria results from the inability of the kidneys to
concentrate urine and contribute to nocturia(B). (A, C, and D) are more
common in the later stages of renal failure.
A patient taking furosemide (Lasix), reports difficulty sleeping. What
question is important for the caregiver toask the patient?
What dose of medication are you taking?Are you
eating foods rich in potassium?
, Have you lost weight recently?
At what time do you take your medication? -
...ANSWER...D) At what time do you take yourmedication?
EXPLANATION:-The caregiver needs to first determine atwhat
time of day the patient takes the Lasix (D).
Because of the diuretic effect of Lasix, patients should take the medication
in the morning to prevent nocturia.The actual dose of medication (A) is of
less importance than the time taken. (B) is not related to the insomnia.
(C) is valuable information about the effect of the diuretic, but is not
likely to be related to insomnia.
The caregiver is interviewing a male patient with hypertension.
Which additional medical diagnosis inthe patient's history presents
the greatest risk for developing a cerebral vascular accident (CVA)?
Diabetes mellitus.
Hypothyroidism.
Parkinson's disease.
Recurring pneumonia. - ...ANSWER...A) Diabetesmellitus.
EXPLANATION:-A history of diabetes mellitus
poses the
may place the patient at some risk due to immobility, butdo not present a
risk as great as (A).
Which healthcare practice is most important for the caregiver to teach
a postmenopausal patient?
Wear layers of clothes if experiencing hot flashes. Use a water-
soluble lubricant for vaginal dryness. Consume adequate foods
rich in calcium.
Participate in stimulating mental exercises. -
