Med surg HESI EXIT EXAM Updated 2023Test Bank

Med surg HESI
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EXIT EXAM
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Updated
2023TestBank
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,Med surg HESI EXIT EXAM Updated 2023Test Bank
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1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he
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will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What
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is the best follow-up action by the nurse?
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• Review with the client the need to avoid foods that are rich in milk and cream
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2. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
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admitted 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?
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• Instruct the UAP to obtain soft blankets to secure to the side rails instead of
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pillows. v




3. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
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vthe past 12 days. Which assessment finding requires immediate follow-up?
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• Describes life without purpose v v v



4. A 60-year-old female client with a positive family history of ovarian cancer has
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vdeveloped an abdominal mass and is being evaluated for possible ovarian cancer. Her
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vPapanicolau (Pap) smear results are negative. What information should the nurse include
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vin the client’s teaching plan?
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• Further evaluation involving surgery may be needed v v v v v v



5. A client who recently underwear a tracheostomy is being prepared for discharge to home.
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vWhich instructions is most important for the nurse to include in the discharge plan?
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• Teach tracheal suctioning techniques v v v


6. In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen
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reservoir bag does not deflate completely during inspiration and the client’s respiratory
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vrate is 14 breaths / minute. What action should the nurse implement?
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• Document the assessment data v v v


• Rational: reservoir bag should not deflate completely during inspiration and the
client’s respiratory rate is within normal limits.
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7. During shift report, the central electrocardiogram (EKG) monitoring system alarms.
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vWhich client alarm should the nurse investigate firs?
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, • Respiratory apnea of 30 seconds v v v v


8. During a home visit, the nurse observed an elderly client with diabetes slip and fall. What
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v action should the nurse take first?
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• Check the client for lacerations or fractures v v v v v v


9. At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the
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client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid
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v getting a headache. Which action should the nurse take first?
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• Inform the anesthesia care provider v v v v


10. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart
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sounds. To determine if an S3 heart sound is present, what action should the nurse take
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v first?
• Listen with the bell at the same location v v v v v v v


11. A 66-year-old woman is retiring and will no longer have a health insurance through her
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place of employment. Which agency should the client be referred to by the employee
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v health nurse for health insurance needs?
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• Medicare
12. A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
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v What snack should the nurse instruct the client to take with the tetracycline?
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• Toasted wheat bread and jelly v v v v



13. Following a lumbar puncture, a client voices several complaints. What complaint
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v indicated to the nurse that the client is experiencing a complication?
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• “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”
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• “My 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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14. An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
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vwith incontinence. Which action should the nurse implement?
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• Obtain a clean catch mid-stream specimen v v v v v



15. The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
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vfoods that are in keeping with the child’s dietary restrictions. Which foods are
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vcontraindicated for this child? v v v


• Foods sweetened with aspartame v v v



16. Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks
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vthe circulating nurse if a 3 minute surgical hand scrub is adequate preparation for this
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vclient. Which response should the circulating nurse provide?
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• Direct the nurse to continue the surgical hand scrub for a 5 minute duration
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17. Which breakfast selection indicates that the client understands the nurse’s instructions
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about the dietary management of osteoporosis?
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• Bagel with jelly and skim milk v v v v v

, 18. The charge nurse of a critical care unit is informed at the beginning of the shift that
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vless than the optimal number of registered nurses will be working that shift. In
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vplanning assignments, which client should receive the most care hours by a registered
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vnurse (RN)? v


• An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a
Foley catheter and soft wrist restrains applied
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19. A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
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vpediatrician’s office. Upon inspection, the nurse notes that the nail went through the
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vshoe and pierced the bottom of the child’s foot. Which action should the nurse implement
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vfirst?
• Cleanse the foot with soap and water and apply an antibiotic ointment
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• Provide teaching about the need for a tetanus booster within the next 72 hours.
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• have the mother check the child's temperature q4h for the next 24 hours
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• transfer the child to the emergency department to receive a gamma globulin
injection
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20. The mother of an adolescent tells the clinic nurse, “My son has athlete’s foot, I have been
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vapplying triple antibiotic ointment for two days, but there has been no improvement.”
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vWhat instruction should the nurse provide?
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• Stop using the ointment and encourage complete drying of the feet and wearing
clean socks.
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21. A 26-year-old female client is admitted to the hospital for treatment of a simple goiter,
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vand levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to
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vthe nurse that the prescribed dosage is too high for this client? The client
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vexperiences
• Bradycardia and constipation v v


• Lethargy and lack of appetite v v v v


• Muscle cramping and dry, flushed skin v v v v v


• Palpitations and shortness of breath v v v v


22. A client with a history of heart failure presents to the clinic with a nausea, vomiting,
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vyellow vision and palpitations. Which finding is most important for the nurse to assess
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vto the client?
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• Obtain a list of medications taken for cardiac history
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23. The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250
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ml of D5W at 300 mcg/hour. The nurse should program the infusion pump to deliver how
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vmany ml/hour? (Enter numeric value only.)
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• 75
• Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour /
1,000 mcg x 250 ml = 3/1 x 25 = 75 ml/hour
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24. The pathophysiological mechanism are responsible for ascites related to liver failure?
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v(Select all that apply) v v v


• Fluid shifts from intravascular to interstitial area due to decreased serum protein
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• Increased hydrostatic pressure in portal circulation increases fluid shifts into
abdomen
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• Increased circulating aldosterone levels that increase sodium and water retention
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25. The nurse is auscultating a client’s heart sounds. Which description should the nurse use
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to document this sound? (Please listen to the audio first to select the option that applies)
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• Murmur