1|Page
MED SURG FINAL HESI (CORRECTED)
WITH QUESTIONS AND ANSWERS 100%
VERIFIED
After a computer tomography (CT) scan with intravenous contrast
medium, a client returns to the room complaining of shortness of
breath and itching. Which intervention should the nurse implement?
A. Call respiratory therapy to give a breathing treatment
B. Send another nurse for an emergency tracheotomy set
C. Prepare a dose of epinephrine (Adrenalin)
D. Review the client's complete list of allergies - correct answer_ C.
Prepare a dose of epinephrine (Adrenalin)
The nurse reports that a client is at risk for a brain attack (stroke) based
on which assessment finding?
A. Nuchal rigidity
B. Carotid bruit
C. Jugular vein distention
D. Palpable cervical lymph node - correct answer_ B. Carotid bruit
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The nurse is preparing to administer enoxaparin (Lovenox) 135 mg
subcutaneously. The medication is available in a cartridge labeled 150
mg/ml. How many ml should the nurse administer? (enter numeric
value only. If rounding is required, round to the nearest tenth.) - correct
answer_ 0.9 ml
The nurse is obtaining a client's fingerstick glucose level. After gently
milking the client's finger, the nurse observes that the distal tip of the
finger appears reddened and engorged. What action should the nurse
take?
A. Collect the blood sample
B. Assess radial pulse volume
C. Apply pressure to the site
D. Select another finger - correct answer_ A. Collect the blood sample
A client admitted to a surgical unit is being evaluated for an intestinal
obstruction. The healthcare provider prescribes a nasogastric tube
(NGT) to be inserted and placed to intermittent low wall suction. Which
intervention should the nurse implement to facilitate proper tube
placement?
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A. Soak nasogastric tube in warm water
B. Insert tube with client's head tilted back
C. Apply suction while inserting tube
D. Elevate head of bed 60 to 90 degrees - correct answer_ D. elevate
HEAD of bed 60 to 90 degrees
A young female client with seven children is having frequent morning
headaches, dizziness, and blurred vision. Her blood pressure (BP) is
168/104 mmHg. The client reports that her husband recently lost his
job and she is not sleeping well. After administering a STAT dose of an
antihypertensive IV medication, which intervention is most important
for the nurse to implement?
A. Measure urine output hourly to assess for rental perfusion
B. Request a prescription for pain medication
C. Use an automated BP machine to monitor for hypotension
D. Provide a quiet environment with low lighting - correct answer_ C.
Use an automated BP machine to monitor for hypotension
The wife of a client with Parkinson's disease expresses concern because
her husband has lost so much weight. Which teaching is best for the
nurse to provide?
MED SURG FINAL HESI (CORRECTED)
WITH QUESTIONS AND ANSWERS 100%
VERIFIED
After a computer tomography (CT) scan with intravenous contrast
medium, a client returns to the room complaining of shortness of
breath and itching. Which intervention should the nurse implement?
A. Call respiratory therapy to give a breathing treatment
B. Send another nurse for an emergency tracheotomy set
C. Prepare a dose of epinephrine (Adrenalin)
D. Review the client's complete list of allergies - correct answer_ C.
Prepare a dose of epinephrine (Adrenalin)
The nurse reports that a client is at risk for a brain attack (stroke) based
on which assessment finding?
A. Nuchal rigidity
B. Carotid bruit
C. Jugular vein distention
D. Palpable cervical lymph node - correct answer_ B. Carotid bruit
,2|Page
The nurse is preparing to administer enoxaparin (Lovenox) 135 mg
subcutaneously. The medication is available in a cartridge labeled 150
mg/ml. How many ml should the nurse administer? (enter numeric
value only. If rounding is required, round to the nearest tenth.) - correct
answer_ 0.9 ml
The nurse is obtaining a client's fingerstick glucose level. After gently
milking the client's finger, the nurse observes that the distal tip of the
finger appears reddened and engorged. What action should the nurse
take?
A. Collect the blood sample
B. Assess radial pulse volume
C. Apply pressure to the site
D. Select another finger - correct answer_ A. Collect the blood sample
A client admitted to a surgical unit is being evaluated for an intestinal
obstruction. The healthcare provider prescribes a nasogastric tube
(NGT) to be inserted and placed to intermittent low wall suction. Which
intervention should the nurse implement to facilitate proper tube
placement?
, 3|Page
A. Soak nasogastric tube in warm water
B. Insert tube with client's head tilted back
C. Apply suction while inserting tube
D. Elevate head of bed 60 to 90 degrees - correct answer_ D. elevate
HEAD of bed 60 to 90 degrees
A young female client with seven children is having frequent morning
headaches, dizziness, and blurred vision. Her blood pressure (BP) is
168/104 mmHg. The client reports that her husband recently lost his
job and she is not sleeping well. After administering a STAT dose of an
antihypertensive IV medication, which intervention is most important
for the nurse to implement?
A. Measure urine output hourly to assess for rental perfusion
B. Request a prescription for pain medication
C. Use an automated BP machine to monitor for hypotension
D. Provide a quiet environment with low lighting - correct answer_ C.
Use an automated BP machine to monitor for hypotension
The wife of a client with Parkinson's disease expresses concern because
her husband has lost so much weight. Which teaching is best for the
nurse to provide?
