NURS MED SURG PRACTICE EXAM QUESTIONS FROM EV
G G G G GG G G
OLVE HESI Q & AS BEST EXAM SOLUTION LATEST UPDA
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TE 2021/2022 RATED A+ G G G
Questions
□
The nurse is assessing a client's laboratory valu
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esfollowing administration of chemotherapy. Which lab val
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ue leads the nurse to suspect that the client is experiencin
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g tumor lysis syndrome (TLS)?
G G G G
A Serum PTT of 10 seconds.
G G G G
B Serum calcium of 5 mg/dl. Correct
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C Oxygen saturation of 90%.G G G
D Hemoglobin of 10 g/dl. G G G
□ TLS results in hyperkalemia, hypocalcemia, hyperuri
G G G G G
cemia, and hyperphosphatemia. A serum calcium level of
G G G G G G G G
5 (B), which is low, is an indicator of possible tumorlysis sy
G G G G G G G G G G G G
ndrome. (A, C, and D) are not particularly related to TLS.
G G G G G G G G G G G
Awarded 0.0 points out of 1.0 possible points.
G G G G G G G
□ 2.ID: 6974889585A client is admitted to the hospital
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with a diagnosis of severe acute diverticulitis. Which assess
G G G G G G G G
ment finding should the nurse expect this client to exhibit?
G G G G G G G G G
A Lower left quadrant pain and a low-grade fever. Correct
G G G G G G G G
NURS MED SURG PRACTICE EXAM QUESTIONS FROM EV
G G G G GG G G
OLVE HESI Q & AS BEST EXAM SOLUTION LATEST UPDA
G G G G G G G G G
TE 2021/2022 RATED A+ G G G
,NURS MED SURG PRACTICE EXAM QUESTIONS FROM EV
G G G G GG G G
OLVE HESI Q & AS BEST EXAM SOLUTION LATEST UPDA
G G G G G G G G G
TE 2021/2022 RATED A+ G G G
B Severe pain at McBurney's point and nause
G G G G G G
a.C G Abdominal pain and intermittent tenesmus. G G G G
D Exacerbations of severe diarrhea. G G G
□ Left lower quadrant pain occurs with diverticulitis bec
G G G G G G G
ause the sigmoid colon is the most common area for diverti
G G G G G G G G G G
cula, and the inflammation of diverticula causes a low-
G G G G G G G G
grade fever (A). (B) would be indicative of appendicitis. (C a
G G G G G G G G G G G
nd D) are symptoms exhibited with ulcerative colitis.
G G G G G G G
Awarded 0.0 points out of 1.0 possible points.
G G G G G G G
□ Hypokalemia (C) can precipitate digitalis toxicity in p G G G G G G G
ersons receiving digoxin which will increase the chance o
G G G G G G G G
fdangerous dysrhythmias (normal potassium level is 3.5
G G G G G G G G
to
5.5 mEq/L). The therapeutic range for digoxin is 0.8 to 2 ng
G G G G G G G G G G G
/ml (toxic levels=>2 ng/ml); (A) is within this range. (B) wo
G G G G G G G G G G
uld not warrant the nurse withholding the digoxin. The nur
G G G G G G G G G
se should withhold the digoxin if the apical pulse is lesstha
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n 60/min (D). Awarded 0.0 points out of 1.0 possible points.
G G G G G G G G G G
□ 8.ID: 6974890473After the fourth dose of gentamicin
G G G G G G
sulfate (Garamycin) IV, the nurse plans to draw blood sam
G G G G G G G G G G
NURS MED SURG PRACTICE EXAM QUESTIONS FROM EV
G G G G GG G G
OLVE HESI Q & AS BEST EXAM SOLUTION LATEST UPDA
G G G G G G G G G
TE 2021/2022 RATED A+ G G G
,NURS MED SURG PRACTICE EXAM QUESTIONS FROM EV
G G G G GG G G
OLVE HESI Q & AS BEST EXAM SOLUTION LATEST UPDA
G G G G G G G G G
TE 2021/2022 RATED A+ G G G
ples to determine peak and trough levels. When are thebe
G G G G G G G G G G
st times to draw these samples?
G G G G G
A
15 minutes before and 15 minutes after the next dos
G G G G G G G G G
e.B G One hour before and one hour after the next dose.
G G G G G G G G G
C 5 minutes before and 30 minutes after the next dose. Corre
G G G G G G G G G G
ct
D 30 minutes before and 30 minutes after the next dose.
G G G G G G G G G
□ Peak drug serum levels are achieved 30 minutes afte
G G G G G G G G
r IV administration of aminoglycosides. The best time to dr
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awa trough is the closest time to the next administration (C
G G G G G G G G G G G
). (A, B, and D) are not as good a time to draw the trough as
G G G G G G G G G G G G G G G
(C). (B and D) are not the best times to draw the peak of a
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naminoglycoside that has been administered IV. Awarded
G G G G G G G G
0.0points out of 1.0 possible points.
G G G G G G
□ 9.ID: 6974891711A client has undergone insertion of
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a permanent pacemaker. When developing a discharge tea
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ching plan, the nurse writes a goal of, "The client will verba
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lize symptoms of pacemaker failure." Which symptomsare
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most important to teach the client?
G G G G G
NURS MED SURG PRACTICE EXAM QUESTIONS FROM EV
G G G G GG G G
OLVE HESI Q & AS BEST EXAM SOLUTION LATEST UPDA
G G G G G G G G G
TE 2021/2022 RATED A+ G G G
, NURS MED SURG PRACTICE EXAM QUESTIONS FROM EV
G G G G GG G G
OLVE HESI Q & AS BEST EXAM SOLUTION LATEST UPDA
G G G G G G G G G
TE 2021/2022 RATED A+ G G G
A Facial flushing. G
B Fever.
C Pounding headache. G
D Feelings of dizziness. Correct G G G
□ Feelings of dizziness (D) may occur as the result of a
G G G G G G G G G G
G decreased heart rate, leading to decreased cardiac outp
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ut.(A and C) will not occur as the result of pacemaker failu
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re.
(A) may be an indication of infection postoperatively, but
G G G G G G G G
isnot an indication of pacemaker failure. Awarded 0.0 poi
G G G G G G G G G
nts out of 1.0 possible points.
G G G G G
□ 10.ID: 6974890487A client with heart disease is
G G G G G G G
on acontinuous telemetry monitor and has developed
G G G G G G G
G sinus bradycardia. In determining the possible cause
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of the G
bradycardia, the nurse assesses the client's medication G G G G G G
record. Which medication is most likely the cause of t
G G G G G G G G G G
hebradycardia?
G
A Propanolol (Inderal). Correct G G
B Captopril (Capoten). G
NURS MED SURG PRACTICE EXAM QUESTIONS FROM EV
G G G G GG G G
OLVE HESI Q & AS BEST EXAM SOLUTION LATEST UPDA
G G G G G G G G G
TE 2021/2022 RATED A+ G G G
G G G G GG G G
OLVE HESI Q & AS BEST EXAM SOLUTION LATEST UPDA
G G G G G G G G G
TE 2021/2022 RATED A+ G G G
Questions
□
The nurse is assessing a client's laboratory valu
G G G G G G G
esfollowing administration of chemotherapy. Which lab val
G G G G G G G
ue leads the nurse to suspect that the client is experiencin
G G G G G G G G G G
g tumor lysis syndrome (TLS)?
G G G G
A Serum PTT of 10 seconds.
G G G G
B Serum calcium of 5 mg/dl. Correct
G G G G G
C Oxygen saturation of 90%.G G G
D Hemoglobin of 10 g/dl. G G G
□ TLS results in hyperkalemia, hypocalcemia, hyperuri
G G G G G
cemia, and hyperphosphatemia. A serum calcium level of
G G G G G G G G
5 (B), which is low, is an indicator of possible tumorlysis sy
G G G G G G G G G G G G
ndrome. (A, C, and D) are not particularly related to TLS.
G G G G G G G G G G G
Awarded 0.0 points out of 1.0 possible points.
G G G G G G G
□ 2.ID: 6974889585A client is admitted to the hospital
G G G G G G G G
with a diagnosis of severe acute diverticulitis. Which assess
G G G G G G G G
ment finding should the nurse expect this client to exhibit?
G G G G G G G G G
A Lower left quadrant pain and a low-grade fever. Correct
G G G G G G G G
NURS MED SURG PRACTICE EXAM QUESTIONS FROM EV
G G G G GG G G
OLVE HESI Q & AS BEST EXAM SOLUTION LATEST UPDA
G G G G G G G G G
TE 2021/2022 RATED A+ G G G
,NURS MED SURG PRACTICE EXAM QUESTIONS FROM EV
G G G G GG G G
OLVE HESI Q & AS BEST EXAM SOLUTION LATEST UPDA
G G G G G G G G G
TE 2021/2022 RATED A+ G G G
B Severe pain at McBurney's point and nause
G G G G G G
a.C G Abdominal pain and intermittent tenesmus. G G G G
D Exacerbations of severe diarrhea. G G G
□ Left lower quadrant pain occurs with diverticulitis bec
G G G G G G G
ause the sigmoid colon is the most common area for diverti
G G G G G G G G G G
cula, and the inflammation of diverticula causes a low-
G G G G G G G G
grade fever (A). (B) would be indicative of appendicitis. (C a
G G G G G G G G G G G
nd D) are symptoms exhibited with ulcerative colitis.
G G G G G G G
Awarded 0.0 points out of 1.0 possible points.
G G G G G G G
□ Hypokalemia (C) can precipitate digitalis toxicity in p G G G G G G G
ersons receiving digoxin which will increase the chance o
G G G G G G G G
fdangerous dysrhythmias (normal potassium level is 3.5
G G G G G G G G
to
5.5 mEq/L). The therapeutic range for digoxin is 0.8 to 2 ng
G G G G G G G G G G G
/ml (toxic levels=>2 ng/ml); (A) is within this range. (B) wo
G G G G G G G G G G
uld not warrant the nurse withholding the digoxin. The nur
G G G G G G G G G
se should withhold the digoxin if the apical pulse is lesstha
G G G G G G G G G G G
n 60/min (D). Awarded 0.0 points out of 1.0 possible points.
G G G G G G G G G G
□ 8.ID: 6974890473After the fourth dose of gentamicin
G G G G G G
sulfate (Garamycin) IV, the nurse plans to draw blood sam
G G G G G G G G G G
NURS MED SURG PRACTICE EXAM QUESTIONS FROM EV
G G G G GG G G
OLVE HESI Q & AS BEST EXAM SOLUTION LATEST UPDA
G G G G G G G G G
TE 2021/2022 RATED A+ G G G
,NURS MED SURG PRACTICE EXAM QUESTIONS FROM EV
G G G G GG G G
OLVE HESI Q & AS BEST EXAM SOLUTION LATEST UPDA
G G G G G G G G G
TE 2021/2022 RATED A+ G G G
ples to determine peak and trough levels. When are thebe
G G G G G G G G G G
st times to draw these samples?
G G G G G
A
15 minutes before and 15 minutes after the next dos
G G G G G G G G G
e.B G One hour before and one hour after the next dose.
G G G G G G G G G
C 5 minutes before and 30 minutes after the next dose. Corre
G G G G G G G G G G
ct
D 30 minutes before and 30 minutes after the next dose.
G G G G G G G G G
□ Peak drug serum levels are achieved 30 minutes afte
G G G G G G G G
r IV administration of aminoglycosides. The best time to dr
G G G G G G G G G
awa trough is the closest time to the next administration (C
G G G G G G G G G G G
). (A, B, and D) are not as good a time to draw the trough as
G G G G G G G G G G G G G G G
(C). (B and D) are not the best times to draw the peak of a
G G G G G G G G G G G G G G G
naminoglycoside that has been administered IV. Awarded
G G G G G G G G
0.0points out of 1.0 possible points.
G G G G G G
□ 9.ID: 6974891711A client has undergone insertion of
G G G G G G G
a permanent pacemaker. When developing a discharge tea
G G G G G G G
ching plan, the nurse writes a goal of, "The client will verba
G G G G G G G G G G G
lize symptoms of pacemaker failure." Which symptomsare
G G G G G G G G
most important to teach the client?
G G G G G
NURS MED SURG PRACTICE EXAM QUESTIONS FROM EV
G G G G GG G G
OLVE HESI Q & AS BEST EXAM SOLUTION LATEST UPDA
G G G G G G G G G
TE 2021/2022 RATED A+ G G G
, NURS MED SURG PRACTICE EXAM QUESTIONS FROM EV
G G G G GG G G
OLVE HESI Q & AS BEST EXAM SOLUTION LATEST UPDA
G G G G G G G G G
TE 2021/2022 RATED A+ G G G
A Facial flushing. G
B Fever.
C Pounding headache. G
D Feelings of dizziness. Correct G G G
□ Feelings of dizziness (D) may occur as the result of a
G G G G G G G G G G
G decreased heart rate, leading to decreased cardiac outp
G G G G G G G
ut.(A and C) will not occur as the result of pacemaker failu
G G G G G G G G G G G G
re.
(A) may be an indication of infection postoperatively, but
G G G G G G G G
isnot an indication of pacemaker failure. Awarded 0.0 poi
G G G G G G G G G
nts out of 1.0 possible points.
G G G G G
□ 10.ID: 6974890487A client with heart disease is
G G G G G G G
on acontinuous telemetry monitor and has developed
G G G G G G G
G sinus bradycardia. In determining the possible cause
G G G G G G G
of the G
bradycardia, the nurse assesses the client's medication G G G G G G
record. Which medication is most likely the cause of t
G G G G G G G G G G
hebradycardia?
G
A Propanolol (Inderal). Correct G G
B Captopril (Capoten). G
NURS MED SURG PRACTICE EXAM QUESTIONS FROM EV
G G G G GG G G
OLVE HESI Q & AS BEST EXAM SOLUTION LATEST UPDA
G G G G G G G G G
TE 2021/2022 RATED A+ G G G
