MED SURG HESI V2 - 2024/2025 ACTUAL
EXAMI QUESTIONS FULLY ANSWERED
A GRADED
What nqinformation nqshould nqthe nqnurse nqinclude nqin nqthe nqteaching nqplan nqof nqa
nqclient nqdiagnosed nqwith nqGERD? nq
A. nqSleep nqwithout nqpillows nq
B. nqAdjust nqfood nqintake nqto nqthree nqfull nqmeals nqper nqday nqwith nqno nqsnacks nq
C. nqMinimize nqsymptoms nqby nqwearing nqloose nqcomfortable nqclothing nq
D. nqAvoid nqparticipation nqin nqany nqaerobic nqexercise nqprogram nq- nqCorrect nq
nqAnswer nq✔✔ nq- nqMinimize nqsymptoms nqby nqwearing nqloose nqcomfortable nqclothing
After nqhospitalization nqfor nqSIADH, nqa nqclient nqdevelops nqpontine nqmyelinolysis.
nqWhich nqintervention nqshould nqthe nqnurse nqimplement nqfirst? nq
A. nqReorient nqclient nqto nqroom nq
B. nqPlace nqa nqpatch nqon nqone nqeye nq
C. nqEvaluate nqclients nqability nqto nqswallow nq
D. nqPerform nqrange nqof nqmotion nqexercises nq- nqCorrect nq nqAnswer nq✔✔ nq-
nqReorient nqclient nqto nqroom
A nqmale nqclient nqwith nqheart nqfailure nqcalls nqthe nqclinic nqand nqreports nqthat nqhe
nqcannot nqput nqhis nqshoes nqon nqbecause nqthey nqare nqtoo nqtight. nqWhich nqadditional
nqinformation nqshould nqthe nqnurse nqobtain? nq
A. nqWhat nqtime nqdid nqhe nqtake nqhis nqmedication? nq
B. nqHas nqhis nqweight nqchanged nqin nqthe nqlast nqseveral nqdays? nq
C. nqIs nqhe nqstill nqable nqto nqtighten nqhis nqbelt nqbuckle? nq
D. nqHow nqmany nqhours nqdid nqhe nqsleep nqlast nqnight? nq- nqCorrect nq nqAnswer nq✔✔
nq- nqHas nqhis nqweight nqchanged nqin nqthe nqlast nqseveral nqdays?
An nqolder nqadult nqwoman nqwith nqa nqlong nqhistory nqof nqCOPD nqis nqadmitted nqwith
nqprogressive nqshortness nqof nqbreath nqand nqa nqpersistent nqcough, nqis nqanxious, nqand
nqis nqcomplaining nqof nqdry nqmouth. nqwhich nqintervention nqshould nqthe nqnurse
nqimplement? nq
A. nqAdminister nqa nqprescribed nqsedative nq
B. nqEncourage nqclient nqto nqdrink nqwater nq
, C. nqApply nqa nqhigh nqflow nqVenturi nqmask nq
D. nqAssist nqher nqto nqan nqupright nqposition nq- nqCorrect nq nqAnswer nq✔✔ nq- nqAssist
nqher nqto nqan nqupright nqposition
A nqclient nqwith nqa nqhistory nqof nqasthma nqand nqbronchitis nqarrives nqat nqthe nqclinic
nqwith nqshortness nqof nqbreath, nqproductive nqcough nqwith nqthickening nqmucous nqand
nqthe nqinability nqto nqwalk nqup nqa nqflight nqof nqstairs nqwithout nqexperiencing
nqbreathlessness. nqWhich nqaction nqis nqmost nqimportant nqfor nqthe nqnurse nqto nqinstruct
nqthe nqclient nqabout nqself nqcare? nq
A. nqIncrease nqthe nqdaily nqintake nqof nqoral nqfluids nqto nqliquify nqsecretions nq
B. nqAvoid nqcrowded nqenclosed nqareas nqto nqreduce nqpathogens nqexposure nq
C. nqCall nqthe nqclinic nqif nqundesirable nqside nqeffects nqor nqmedications nq- nqCorrect nq
nqAnswer nq✔✔ nq- nqIncrease nqthe nqdaily nqintake nqof nqoral nqfluids nqto nqliquify
nqsecretions
A nqcardiac nqcatherization nqof nqa nqclient nqwith nqheart nqdisease nqindicates nqthe
nqfollowing nqblockages: nq95% nqproximal nqleft nqanterior nqdescending nq(LAD), nq99%
nqproximal nqcircumflex, nqand nq95% nqproximal nqright nqcoronary nqartery nq(RCA) nqthe
nqclient nqlater nqasks nqthe nqnurse nq"What nqdoes nqall nqof nqthat nqmean nqfor nqme?"
nqWhat nqinformation nqshould nqthe nqnurse nqprovide. nq
B. nqThree nqmain nqarteries nqhave nqmajor nqblockages, nqwith nqonly nq1-5% nqof nqthe
nqblood nqflow nqgetting nqthrough nqto nqthe nqheart nqmuscles nq- nqCorrect nq nqAnswer nq✔
✔ nq- nqThree nqmain nqarteries nqhave nqmajor nqblockages, nqwith nqonly nq1-5% nqof nqthe
nqblood nqflow nqgetting nqthrough nqto nqthe nqheart nqmuscles
The nqnurse nqis nqcaring nqfor nqa nqclient nqwith nqa nqlower nqleft nqlobe nqpulmonary
nqabscess. nqwhat nqposition nqshould nqthe nqnurse nqinstruct nqthe nqclient nqto nqmaintain?
nq
A. nqLeft nqlateral
B. nqSupine, nqknees nqflexed. nq
C. nqDorsal nqrecumbent nq
D. nqKnee-chest nq- nqCorrect nq nqAnswer nq✔✔ nq- nqLeft nqlateral
A nqclient nqwith nqCholelithiasis nqhas nqa nqgallstone nqlodged nqin nqthe nqcommon nqbile
nqduct nqand nqis nqunable nqto nqeat nqor nqdrink nqwithout nqbecoming nqnauseous nqand
nqvomiting. nqWhich nqfinding nqshould nqthe nqnurse nqreport nqto nqthe nqhealthcare
nqprovider? nq
A. nqBelching nq
B. nqAmber nqurine nq
C. nqYellow nqsclera nq
D. nqFlatulence nq- nqCorrect nq nqAnswer nq✔✔ nq- nqYellow nqsclera
While nqcaring nqfor nqa nqclient nqwith nqAmyotrophic nqlateral nqsclerosis nq(ALS) nqa
nqnurse nqperforms nqa nqneurological nqassessment nqevery nq4 nqhours. nqWhich
nqassessment nqfinding nqwarrants nqimmediate nqintervention nqby nqthe nqnurse? nq
EXAMI QUESTIONS FULLY ANSWERED
A GRADED
What nqinformation nqshould nqthe nqnurse nqinclude nqin nqthe nqteaching nqplan nqof nqa
nqclient nqdiagnosed nqwith nqGERD? nq
A. nqSleep nqwithout nqpillows nq
B. nqAdjust nqfood nqintake nqto nqthree nqfull nqmeals nqper nqday nqwith nqno nqsnacks nq
C. nqMinimize nqsymptoms nqby nqwearing nqloose nqcomfortable nqclothing nq
D. nqAvoid nqparticipation nqin nqany nqaerobic nqexercise nqprogram nq- nqCorrect nq
nqAnswer nq✔✔ nq- nqMinimize nqsymptoms nqby nqwearing nqloose nqcomfortable nqclothing
After nqhospitalization nqfor nqSIADH, nqa nqclient nqdevelops nqpontine nqmyelinolysis.
nqWhich nqintervention nqshould nqthe nqnurse nqimplement nqfirst? nq
A. nqReorient nqclient nqto nqroom nq
B. nqPlace nqa nqpatch nqon nqone nqeye nq
C. nqEvaluate nqclients nqability nqto nqswallow nq
D. nqPerform nqrange nqof nqmotion nqexercises nq- nqCorrect nq nqAnswer nq✔✔ nq-
nqReorient nqclient nqto nqroom
A nqmale nqclient nqwith nqheart nqfailure nqcalls nqthe nqclinic nqand nqreports nqthat nqhe
nqcannot nqput nqhis nqshoes nqon nqbecause nqthey nqare nqtoo nqtight. nqWhich nqadditional
nqinformation nqshould nqthe nqnurse nqobtain? nq
A. nqWhat nqtime nqdid nqhe nqtake nqhis nqmedication? nq
B. nqHas nqhis nqweight nqchanged nqin nqthe nqlast nqseveral nqdays? nq
C. nqIs nqhe nqstill nqable nqto nqtighten nqhis nqbelt nqbuckle? nq
D. nqHow nqmany nqhours nqdid nqhe nqsleep nqlast nqnight? nq- nqCorrect nq nqAnswer nq✔✔
nq- nqHas nqhis nqweight nqchanged nqin nqthe nqlast nqseveral nqdays?
An nqolder nqadult nqwoman nqwith nqa nqlong nqhistory nqof nqCOPD nqis nqadmitted nqwith
nqprogressive nqshortness nqof nqbreath nqand nqa nqpersistent nqcough, nqis nqanxious, nqand
nqis nqcomplaining nqof nqdry nqmouth. nqwhich nqintervention nqshould nqthe nqnurse
nqimplement? nq
A. nqAdminister nqa nqprescribed nqsedative nq
B. nqEncourage nqclient nqto nqdrink nqwater nq
, C. nqApply nqa nqhigh nqflow nqVenturi nqmask nq
D. nqAssist nqher nqto nqan nqupright nqposition nq- nqCorrect nq nqAnswer nq✔✔ nq- nqAssist
nqher nqto nqan nqupright nqposition
A nqclient nqwith nqa nqhistory nqof nqasthma nqand nqbronchitis nqarrives nqat nqthe nqclinic
nqwith nqshortness nqof nqbreath, nqproductive nqcough nqwith nqthickening nqmucous nqand
nqthe nqinability nqto nqwalk nqup nqa nqflight nqof nqstairs nqwithout nqexperiencing
nqbreathlessness. nqWhich nqaction nqis nqmost nqimportant nqfor nqthe nqnurse nqto nqinstruct
nqthe nqclient nqabout nqself nqcare? nq
A. nqIncrease nqthe nqdaily nqintake nqof nqoral nqfluids nqto nqliquify nqsecretions nq
B. nqAvoid nqcrowded nqenclosed nqareas nqto nqreduce nqpathogens nqexposure nq
C. nqCall nqthe nqclinic nqif nqundesirable nqside nqeffects nqor nqmedications nq- nqCorrect nq
nqAnswer nq✔✔ nq- nqIncrease nqthe nqdaily nqintake nqof nqoral nqfluids nqto nqliquify
nqsecretions
A nqcardiac nqcatherization nqof nqa nqclient nqwith nqheart nqdisease nqindicates nqthe
nqfollowing nqblockages: nq95% nqproximal nqleft nqanterior nqdescending nq(LAD), nq99%
nqproximal nqcircumflex, nqand nq95% nqproximal nqright nqcoronary nqartery nq(RCA) nqthe
nqclient nqlater nqasks nqthe nqnurse nq"What nqdoes nqall nqof nqthat nqmean nqfor nqme?"
nqWhat nqinformation nqshould nqthe nqnurse nqprovide. nq
B. nqThree nqmain nqarteries nqhave nqmajor nqblockages, nqwith nqonly nq1-5% nqof nqthe
nqblood nqflow nqgetting nqthrough nqto nqthe nqheart nqmuscles nq- nqCorrect nq nqAnswer nq✔
✔ nq- nqThree nqmain nqarteries nqhave nqmajor nqblockages, nqwith nqonly nq1-5% nqof nqthe
nqblood nqflow nqgetting nqthrough nqto nqthe nqheart nqmuscles
The nqnurse nqis nqcaring nqfor nqa nqclient nqwith nqa nqlower nqleft nqlobe nqpulmonary
nqabscess. nqwhat nqposition nqshould nqthe nqnurse nqinstruct nqthe nqclient nqto nqmaintain?
nq
A. nqLeft nqlateral
B. nqSupine, nqknees nqflexed. nq
C. nqDorsal nqrecumbent nq
D. nqKnee-chest nq- nqCorrect nq nqAnswer nq✔✔ nq- nqLeft nqlateral
A nqclient nqwith nqCholelithiasis nqhas nqa nqgallstone nqlodged nqin nqthe nqcommon nqbile
nqduct nqand nqis nqunable nqto nqeat nqor nqdrink nqwithout nqbecoming nqnauseous nqand
nqvomiting. nqWhich nqfinding nqshould nqthe nqnurse nqreport nqto nqthe nqhealthcare
nqprovider? nq
A. nqBelching nq
B. nqAmber nqurine nq
C. nqYellow nqsclera nq
D. nqFlatulence nq- nqCorrect nq nqAnswer nq✔✔ nq- nqYellow nqsclera
While nqcaring nqfor nqa nqclient nqwith nqAmyotrophic nqlateral nqsclerosis nq(ALS) nqa
nqnurse nqperforms nqa nqneurological nqassessment nqevery nq4 nqhours. nqWhich
nqassessment nqfinding nqwarrants nqimmediate nqintervention nqby nqthe nqnurse? nq
