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Exam (elaborations)

Hesi rn med surg exam 20 exam sets

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Hesi rn med surg exam 20 exam sets

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December 14, 2024
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Written in
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HESIyRNyMed-SurgyExamy(20yExamySets,y1500+yQy&yA,yNewest-2022)y/yRNyHESIyMed-SurgyExamy/yMed-
ySurgyHESIyRNyExamy/yMed-

SurgyRNyHESIyExamy/yHESIyRNyMedySurgyExamy/yRNyHESIyMedySurgyExamy/yMedySurgyHESIyRNyExamy|Co
mpleteyDocumentyforyHESIyExamy|



1. Whaty instructiony shouldy they nursey includey iny they dischargey teachingy plany
ofyay clienty whoy hady ay cataracty extractiony today?
a. Sexualy activitiesy mayy bey resumedy upony returny home
b. Lightyhousekeepingyisypermittedybutyavoidyheavyylifting
c. Usey ay metaly eyey shieldy ony operativey eyey duringy they day
d. Administery eyey ointmenty beforey applyingy eyey drops

2. Aymaleyadultycomesytoytheyurgentycareyclinicy5ydaysyafterybeingydiagnoseywi
thy influenza.y Hey isy shorty ofy breath,y febrile,y andy coughingy greeny coloredysp
utum.y Whichy interventiony shouldy they nursey implementy first?
a. Obtainyaysputumysampleyforyculture
b. Checkyhisyoxygenysaturationylevel
c. Administery any oraly antipyretic
d. Auscultatey bilateraly lungy sound

3. Any eldery maley clienty tellsy they nursey thaty hey isy loosingy sleepy becausey hey
hasy toy gety upy severaly timesy aty nighty toy goy toy they bathroomy thaty hey hasyt
roubleystartingyhisyurinaryystreamyandythatyheydoesynotyfeelylikeyhisybladd
ery isy every completelyy empty.y Whichy interventiony shouldy they nurseyimple
ment?
a. collecty ay uriney specimeny fory culturey analysis
b. obtainyayfingerstickybloodyglucoseylevel
c. palpateytheybladderyaboveytheysymphysisypubis
d. reviewy they clienty fluidy intake

4. Any adulty clienty isy admittedy withy diabeticy ketoacidosisy (DKA)y andy ay urinaryy
tractyinfectiony(UTI)yPrescriptionsyforyintravenousyantibioticsyandyinsulinyinf
usionyareyinitiated.yWhichyserumylaboratoryyvalueywarrantsytheymostyimme
diatey interventiony byy they nurse?
a. bloodyphyofy7.30
b. glucoseyofy350ymgy/dl
c. whitey bloody celly county ofy 15000mm
d. potassiumyofy2.5ymeq/l

5. Ayclientywithysickleycellyanemiaydevelopsyayfeveryduringytheylastyhouryof




TestBankWorld.org

,HESIyRNyMed-SurgyExamy(20yExamySets,y1500+yQy&yA,yNewest-2022)y/yRNyHESIyMed-SurgyExamy/yMed-
ySurgyHESIyRNyExamy/yMed-

SurgyRNyHESIyExamy/yHESIyRNyMedySurgyExamy/yRNyHESIyMedySurgyExamy/yMedySurgyHESIyRNyExamy|Co
mpleteyDocumentyforyHESIyExamy|

administrationyofyayunityofypackedyredybloodycell.yWhenynotifyingythey
healthcareyproviderywhatyinformationyshouldytheynurseyprovideyfirsty
usingythey SBARy communicationy process?
a. explainyspecificyreasonyforyurgentynotification




TestBankWorld.org

,HESIyRNyMed-SurgyExamy(20yExamySets,y1500+yQy&yA,yNewest-2022)y/yRNyHESIyMed-SurgyExamy/yMed-
ySurgyHESIyRNyExamy/yMed-

SurgyRNyHESIyExamy/yHESIyRNyMedySurgyExamy/yRNyHESIyMedySurgyExamy/yMedySurgyHESIyRNyExamy|Co
mpleteyDocumentyforyHESIyExamy|

b. prefacey they reporty byy statingy they clientsy namey andy admittingy
diagnosis
c. communicatey they pre-transfusiony temperatures
d. optainy prny prescriptiony fory acetaminopheny fory fevery 101f

6. Anyadultymaleyclientyisyadmittedyforypneumocystisycarinilypneumoniay(P
CP)ysecondaryytoyaids.yWhileyhospitalizeyheyreceivesyIVypentamidineyiset
hionatey therapy.y Iny preparingy thisy clienty fory dischargey whaty importantyasp
ectyregardingyhisymedicationytherapyyshouldytheynurseyexplain?
a. AZTytherapyymustybeystoppedywhenyIVyaerosolypentamineyisybeingyus
ed.
b. IVy pentaminey willy bey giveny untily oraly pentaminey cany bey tolerated
c. ItywillybeynecessaryytoycontinueyprophylacticydosesyofyIVyory
aerosoly pentaminey everyy month
d. Ivy pentaminey mayy offery protectiony toy othersy aidsy relatedy conditionsy
suchy asy kaposisy sarcoma

7. Ay clienty subjectivey datay includesy dysuria,y urgency,y andy urinaryy frequency.y
Whaty actiony shouldy theynursey implementy next?
a. collectyaycleanycatchyspecimen
b. palpatey they suprapubicy region
c. instructytoywipeyfromyfrontytoyback
d. inquirey abouty recenty sexualy activity

8. Ayclientytellsytheynurseythatyherybiopsyyresultsyindicateythatytheycancery
cellsyarey wellydifferentiatedy Howyshouldy theynursey respond?
a. offerytheyclientyreassuranceythatythisyinformationyindicatesythatythey
clientsy cancery cellsy arey benign
b. explainythatytheseytissueycellsyoftenyrespondymoreyeffectivelyytoy
radiationy thany toy chemotherapy
c. askytheyclientyinytheyhealthcareyprovideryhasygivingyheryanyy
informationyabouty theyclassificationy ofyherycancer
d. helpytheyclientymakeyplansytoybeginyinmediateytreatmentysinceyheryca
ncery isy likelyy toy spready quickly

9. Ay clienty withy ay chronicy kidneyy diseasey isy treatedy ony hemodialysis.y Duringy
they1ytreatmentyclientsybloodypressureydropsyfromy150/90ytoy80/30yWh
ichyactiony shouldy they nursey takey first?
a. monitorybpyq45yminutes
b. lowery they heady ofy they chairy andy elevatey feet
c. stopydialysisytreatment
d. administery5%albuminyIV


TestBankWorld.org

, HESIyRNyMed-SurgyExamy(20yExamySets,y1500+yQy&yA,yNewest-2022)y/yRNyHESIyMed-SurgyExamy/yMed-
ySurgyHESIyRNyExamy/yMed-

SurgyRNyHESIyExamy/yHESIyRNyMedySurgyExamy/yRNyHESIyMedySurgyExamy/yMedySurgyHESIyRNyExamy|Co
mpleteyDocumentyforyHESIyExamy|

10. Ayclientywithydeepyvainythrombosisy(DVT)yisyreceivingyaycontinuesyinfusio
ny ofy hepariny sodiumy 25,000y unity iny 5%y dextrosey injectiony 250ml.yThey pr
escriptiony indicatesy they dosagey shouldy bey increasey 900y units/hr.yTheynu
rseyshouldyprogramytheyinfusionypumpytoydeliveryhowymanyyml/hr?
=9

11. Theynurseyisyobtainingytheyadmissionyhistoryyforyayclientywithysuspectedy
pepticyulcerydiseasey(PUD).yWhichysubjectiveydatayreportedybyytheyclienty
supportsythisy diagnosis?
a. uppery midy abdominaly gnawingy andy burningy pain
b. severey abdominaly crampsy andy diarrheay aftery eatingy spicyy foods
c. markedylossyofyweightyandyappetiteyoverytheylastyfewymonths
d. useyofychewableyandyliquidyantacidsyforyindigestion


12. Theynurseyisyprovidingypreoperativeyeducationyforyayjewishyclientysc
heduley toy receivey ay xenografty grafty toy promotey burny healing.y Whichyin
formationy shouldy theynursey providey thisy client?
a. theyxenograftyisytakenyfromynonhumanysources
b. graftingy increasesy they risky fory bacterialy infection
c. asy they burny healsy they grafty permanentlyy attaches
d. graftsy arey latery removedy byy debridingy procedure


13. Ayclientywhoytookyaycampingyvacationytwoyweeksyagoyinyaycountryywithyayt
ropicalyclimatey comesytoytheyclinicydescribingy vagueysymptomsyandydiarr
heayforytheypastyweek.yWhichyfindingyisymostyimportantyforytheynurseytoy re
port?
a. jaundiceysclera
b. intestinaly cramping
c. weaknessy andy fatigue
d. weightyloss


14. Duringyayhomeyvisitytheynurseyassessesytheyskinyofyayclientywithyeczemay
whoyreportsythanyanyexacerbationyofysymptomsyhasyoccurredyduringytheyla
sty week.y Whichy informationy isy mosty usefuly iny determiningy they possibleyc
ausey ofy they symptoms?
a. anyoldyfriendywithyeczemaycameyforyvisit
b. recentlyy receivedy any influenzay immunization
c. corticosteroidy creamy wasy appliedy toy eczema
d. aygrandsonyandyhisynewydogyrecentlyyvisited



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