NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
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AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
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est Bank p
During a home visit, the nurse observed an elderly client with diabetes slip andfa
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ll. What action should the nurse take first?
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(ANS- Check the client for lacerations or fractures
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At 0600 while admitting a woman for a schedule repeat cesarean section (C-
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p Section), the client tells the nurse that she drank a cup a coffee at 0400 because shew
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anted to avoid getting a headache. Which action should the nurse take first? (ANS-
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Inform the anesthesia care provider
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After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2he
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art sounds. To determine if an S3 heart sound is present, what action should thenurs
p p p p p p p p p p p p p p p
e take first?
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(ANS- Listen with the bell at the same location
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Following discharge teaching, a male client with duodenal ulcer tells the nurse thehe
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will drink plenty of dairy products, such as milk, to help coat and protect his ulcer.
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What is the best follow-up action by the nurse?
p p p p p p p p
(ANS- Review with the client the need to avoid foods that are rich in milk andcream
p p p p p p p p p p p p p p p p
A male client with hypertension, who received new antihypertensive prescriptionsat
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his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP).
p p p p p p p p p p p p p p p p
His BP is 158/106 and he admits that he has not been taking the prescribed medicatio
p p p p p p p p p p p p p p p
n because the drugs make him "feel bad". In explaining the need for hypertension co
p p p p p p p p p p p p p p
ntrol, the nurse should stress that an elevated BP places the client at risk for which pa
p p p p p p p p p p p p p p p p
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
p p p p p p p p
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
p p p p
est Bank p
,NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
p p p p p p p p
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
p p p p
est Bank p
thophysiological condition? p
(ANS- Stroke secondary to hemorrhage
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The nurse observes an unlicensed assistive personnel (UAP) positioning a newly ad
p p p p p p p p p p p
mitted client who has a seizure disorder. The client is supine and the UAP is placing
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soft pillows along the side rails. What action should the nurse implement? (ANS-
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Instruct the UAP to obtain soft blankets to secure to the side rails instead ofpillows.
p p p p p p p p p p p p p p p p
An adolescent with major depressive disorder has been taking duloxetine (Cymb
p p p p p p p p p p
alta) for the past 12 days. Which assessment finding requires immediatefollow-
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up?
(ANS- Describes life without purpose
p p p p
A 60-year-
p
old female client with a positive family history of ovarian cancer has developed an a
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bdominal mass and is being evaluated for possible ovarian cancer.Her Papanicolau (
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Pap) smear results are negative. What information should the nurse include in the cli
p p p p p p p p p p p p p
ent's teaching plan?
p p
(ANS- Further evaluation involving surgery may be needed
p p p p p p p
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
p p p p p p p p
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
p p p p
est Bank p
,NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
p p p p p p p p
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
p p p p
est Bank p
A client who recently underwear a tracheostomy is being prepared for discharge toh
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ome. Which instructions is most important for the nurse to include in the discharge p
p p p p p p p p p p p p p p
lan?
(ANS- Teach tracheal suctioning techniques
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In assessing an adult client with a partial rebreather mask, the nurse notes that the oxy
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gen reservoir bag does not deflate completely during inspiration and the client'srespir
p p p p p p p p p p p p
atory rate is 14 breaths / minute. What action should the nurse implement? (ANS-
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Document the assessment data
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Rationale: reservoir bag should not deflate completely during inspiration and theclie
p p p p p p p p p p p
nt's respiratory rate is within normal limits.
p p p p p p
During shift report, the central electrocardiogram (EKG) monitoring systemalarms.
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Which client alarm should the nurse investigate firs?
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(ANS- Respiratory apnea of 30 seconds
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A 66-year-
p
old woman is retiring and will no longer have a health insurance through her place of
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employment. Which agency should the client be referred to bythe employee health n
p p p p p p p p p p p p p
urse for health insurance needs?
p p p p
(ANS- Medicare p
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
p p p p p p p p
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
p p p p
est Bank p
, NURS 11 MED SURG HESI EXIT EXAM QUESTIONS p p p p p p p p
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
p p p p
est Bank p
A client who is taking an oral dose of a tetracycline complains of gastrointestinal ups
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et. What snack should the nurse instruct the client to take with the tetracycline?(ANS
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- Toasted wheat bread and jelly
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Following a lumbar puncture, a client voices several complaints. What complaintin
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dicated to the nurse that the client is experiencing a complication?
p p p p p p p p p p
(ANS- "I have a headache that gets worse when I sit up"
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"I am having pain in my lower back when I move my legs""My
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throat hurts when I swallow"
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"I feel sick to my stomach and am going to throw up"
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An elderly client seems confused and reports the onset of nausea, dysuria, andurgency
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with incontinence. Which action should the nurse implement?
p p p p p p p
(ANS- Obtain a clean catch mid-stream specimen
p p p p p p
The nurse is assisting the mother of a child with phenylketonuria (PKU) to selectfood
p p p p p p p p p p p p p p
s that are in keeping with the child's dietary restrictions. Which foods are contraindic
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ated for this child?p p p
(ANS- Foods sweetened with aspartamep p p p
Before preparing a client for the first surgical case of the day, a part-
p p p p p p p p p p p p p
time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequ
p p p p p p p p p p p p p p p
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS p p p p p p p p
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
p p p p
est Bank p
p p p p p p p p
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
p p p p
est Bank p
During a home visit, the nurse observed an elderly client with diabetes slip andfa
p p p p p p p p p p p p p p
ll. What action should the nurse take first?
p p p p p p p
(ANS- Check the client for lacerations or fractures
p p p p p p p
At 0600 while admitting a woman for a schedule repeat cesarean section (C-
p p p p p p p p p p p p
p Section), the client tells the nurse that she drank a cup a coffee at 0400 because shew
p p p p p p p p p p p p p p p p p
anted to avoid getting a headache. Which action should the nurse take first? (ANS-
p p p p p p p p p p p p p
Inform the anesthesia care provider
p p p p p
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2he
p p p p p p p p p p p p p p p
art sounds. To determine if an S3 heart sound is present, what action should thenurs
p p p p p p p p p p p p p p p
e take first?
p p
(ANS- Listen with the bell at the same location
p p p p p p p p
Following discharge teaching, a male client with duodenal ulcer tells the nurse thehe
p p p p p p p p p p p p p p
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer.
p p p p p p p p p p p p p p p p
What is the best follow-up action by the nurse?
p p p p p p p p
(ANS- Review with the client the need to avoid foods that are rich in milk andcream
p p p p p p p p p p p p p p p p
A male client with hypertension, who received new antihypertensive prescriptionsat
p p p p p p p p p p p
his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP).
p p p p p p p p p p p p p p p p
His BP is 158/106 and he admits that he has not been taking the prescribed medicatio
p p p p p p p p p p p p p p p
n because the drugs make him "feel bad". In explaining the need for hypertension co
p p p p p p p p p p p p p p
ntrol, the nurse should stress that an elevated BP places the client at risk for which pa
p p p p p p p p p p p p p p p p
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
p p p p p p p p
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
p p p p
est Bank p
,NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
p p p p p p p p
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
p p p p
est Bank p
thophysiological condition? p
(ANS- Stroke secondary to hemorrhage
p p p p
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly ad
p p p p p p p p p p p
mitted client who has a seizure disorder. The client is supine and the UAP is placing
p p p p p p p p p p p p p p p p
soft pillows along the side rails. What action should the nurse implement? (ANS-
p p p p p p p p p p p p
Instruct the UAP to obtain soft blankets to secure to the side rails instead ofpillows.
p p p p p p p p p p p p p p p p
An adolescent with major depressive disorder has been taking duloxetine (Cymb
p p p p p p p p p p
alta) for the past 12 days. Which assessment finding requires immediatefollow-
p p p p p p p p p p p
up?
(ANS- Describes life without purpose
p p p p
A 60-year-
p
old female client with a positive family history of ovarian cancer has developed an a
p p p p p p p p p p p p p p
bdominal mass and is being evaluated for possible ovarian cancer.Her Papanicolau (
p p p p p p p p p p p p
Pap) smear results are negative. What information should the nurse include in the cli
p p p p p p p p p p p p p
ent's teaching plan?
p p
(ANS- Further evaluation involving surgery may be needed
p p p p p p p
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
p p p p p p p p
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
p p p p
est Bank p
,NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
p p p p p p p p
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
p p p p
est Bank p
A client who recently underwear a tracheostomy is being prepared for discharge toh
p p p p p p p p p p p p p
ome. Which instructions is most important for the nurse to include in the discharge p
p p p p p p p p p p p p p p
lan?
(ANS- Teach tracheal suctioning techniques
p p p p
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxy
p p p p p p p p p p p p p p p
gen reservoir bag does not deflate completely during inspiration and the client'srespir
p p p p p p p p p p p p
atory rate is 14 breaths / minute. What action should the nurse implement? (ANS-
p p p p p p p p p p p p p
Document the assessment data
p p p p
Rationale: reservoir bag should not deflate completely during inspiration and theclie
p p p p p p p p p p p
nt's respiratory rate is within normal limits.
p p p p p p
During shift report, the central electrocardiogram (EKG) monitoring systemalarms.
p p p p p p p p p p
Which client alarm should the nurse investigate firs?
p p p p p p p
(ANS- Respiratory apnea of 30 seconds
p p p p p
A 66-year-
p
old woman is retiring and will no longer have a health insurance through her place of
p p p p p p p p p p p p p p p p
employment. Which agency should the client be referred to bythe employee health n
p p p p p p p p p p p p p
urse for health insurance needs?
p p p p
(ANS- Medicare p
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
p p p p p p p p
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
p p p p
est Bank p
, NURS 11 MED SURG HESI EXIT EXAM QUESTIONS p p p p p p p p
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
p p p p
est Bank p
A client who is taking an oral dose of a tetracycline complains of gastrointestinal ups
p p p p p p p p p p p p p p
et. What snack should the nurse instruct the client to take with the tetracycline?(ANS
p p p p p p p p p p p p p p
- Toasted wheat bread and jelly
p p p p p
Following a lumbar puncture, a client voices several complaints. What complaintin
p p p p p p p p p p p
dicated to the nurse that the client is experiencing a complication?
p p p p p p p p p p
(ANS- "I have a headache that gets worse when I sit up"
p p p p p p p p p p p
"I am having pain in my lower back when I move my legs""My
p p p p p p p p p p p p p
throat hurts when I swallow"
p p p p p
"I feel sick to my stomach and am going to throw up"
p p p p p p p p p p p
An elderly client seems confused and reports the onset of nausea, dysuria, andurgency
p p p p p p p p p p p p p p
with incontinence. Which action should the nurse implement?
p p p p p p p
(ANS- Obtain a clean catch mid-stream specimen
p p p p p p
The nurse is assisting the mother of a child with phenylketonuria (PKU) to selectfood
p p p p p p p p p p p p p p
s that are in keeping with the child's dietary restrictions. Which foods are contraindic
p p p p p p p p p p p p p
ated for this child?p p p
(ANS- Foods sweetened with aspartamep p p p
Before preparing a client for the first surgical case of the day, a part-
p p p p p p p p p p p p p
time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequ
p p p p p p p p p p p p p p p
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS p p p p p p p p
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
p p p p
est Bank p
