Hesi Pn Adult Medical Surgical Exam A+ Grade Assured Complete Solutions And Verified Answers

HESI EXAM ms




Exam Solution
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Med Surg Final HESI Cartes 2026 A+ GRADE ASSURED C
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OMPLETE SOLUTIONS AND VERIFIED ANSWERS (6A06 ms ms ms ms ms




6)




QUESTION 1 ms




A client with a productive cough has obtained a sputum specimen for culture as instr
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ucted. What is the best initial nursing action?
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A. Administer the first dose of antibiotic therapy
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B. Observe the color, consistency, and amount of sputum
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C. Encourage the client to consume plenty of warm liquids
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D. Send the specimen to the lab for analysis
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ANSWER

B. Observe the color, consistency, and amount of sputum
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QUESTION 2 ms




After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH),
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a client develops pontine myselinolysis. Which intervention should the nurse impleme
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nt first?
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A. Reorient client to his room
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B. Place a patch on one eye
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C. Evaluate client's ability to swallow
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D. Perform range of motion exercises
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ANSWER

A. Reorient client to his room
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QUESTION 3 ms




A male client with heart failure (HF) calls the clinic and reports that he cannot put hi
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s shoes on because they are too tight. Which additional information should the nurse
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obtain?

,A. What time did he take his last medications?
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B. Has his weight changed in the last several days?
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C. Is he still able to tighten his belt buckle?
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D. How many hours did he sleep last night?
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ANSWER

B. Has his weight changed in the last several days?
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QUESTION 4 ms




A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg. Th
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e heparin is available in a 2 ml vial, labeled 10,000 units/ml. How many ml should th
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e nurse administer? (Enter numeric value only. If rounding is required, round to the n
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earest tenth.) ms




ANSWER

0.6 ml ms




QUESTION 5 ms




A client with Cushing's syndrome is recovering from an elective laparoscopic procedur
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e. Which assessment finding warrants immediate intervention by the nurse?
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A. Irregular apical pulse
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B. Purple marks on the skin of the abdomen
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C. Quarter size blood spot on dressing
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D. Pitting ankle edema
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ANSWER

A. Irregular apical pulse
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QUESTION 6 ms




A male client with Herpes zoster (shingles) on his thorax tells the nurse that he is hav
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ing difficulty sleeping. What is the probable etiology of this problem?
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A. Pain
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B. Nocturia
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C. Dyspnea
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D. Frequent cough
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ANSWER

A. Pain
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QUESTION 7 ms

, A client with Addison's disease started taking hydrocortisone in a divided daily dose l
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ast week. It is most important for the nurse to monitor which serum laboratory value
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?
A. Osmolarity
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B. Glucose
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C. Albumin
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D. Platelets
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ANSWER

B. Glucose
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QUESTION 8 ms




A client with acquired immunodeficiency syndrome (AIDS) has impaired gas exchange
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from a respiratory infection. Which assessment finding warrants immediate interventi
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on by the nurse?
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A. Elevated temperature
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B. Generalized weakness
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C. Diminished lung sounds
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D. Pain when swallowing
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ANSWER

D. Pain when swallowing
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QUESTION 9 ms




During a paracentesis, two liters of fluid are removed from the abdomen of a client wi
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th ascites. A drainage bag is placed, and 50 ml of clear, straw-
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colored fluid drains within the first hour. What action should the nurse implement?
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A. Palpate for abdominal distention
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B. Send fluid to the lab for analysis
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C. Continue to monitor the fluid output
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D. Clamp the drainage tube for 5 minutes
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ANSWER

C. Continue to monitor the fluid output
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QUESTION 10 ms




A client who took a camping vacation two weeks ago in a county with a tropical clima
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te comes to the clinic describing vague symptoms and diarrhea for the past week. Whi
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ch finding is most important for the nurse report to the healthcare provider?
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A. Weakness and fatigue
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B. Intestinal cramping
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