RN HESI MED SURG EXAM 700 HIGH-YIELD
CARDIOVASCULAR, RESPIRATORY, RENAL, AND
NEURO NURSING CARE SUMMARY 2026
◉ The nurse is administering a saturated solution of potassium
iodide (SSKI). The nurse should:
1. Pour the solution over ice chips.
2. Mix the solution with an antacid.
3. Dilute the solution with water, milk, or fruit juice and have the
client drink it with a straw.
4. Disguise the solution in a pureed fruit or vegetable..
Answer: 3. Dilute the solution with water, milk, or fruit juice and
have the client drink it with a straw.
SSKI should be diluted well in milk, water, juice, or a carbonated
beverage before administration to help disguise the strong, bitter
taste. Also, this drug is irritating
to mucosa if taken undiluted. The client should sip the diluted
preparation through a drinking straw to help prevent staining of the
teeth. Pouring the solution over ice chips will not sufficiently dilute
the SSKI or cover the taste. Antacids are not used to dilute or cover
the taste of SSKI. Mixing in a puree would put the SSKI in contact
with the teeth.
,CN: Pharmacological and parenteral therapies; CL: Apply
◉ Following a subtotal thyroidectomy, the nurse asks the client to
speak
immediately upon regaining consciousness. The nurse does this to
monitor for signs of which of the following?
1. Internal hemorrhage.
2. Decreasing level of consciousness.
3. Laryngeal nerve damage.
4. Upper airway obstruction..
Answer: 3. Laryngeal nerve damage.
Laryngeal nerve damage is a potential complication of thyroid
surgery because of the proximity of the thyroid gland to the
recurrent laryngeal nerve. Asking the
client to speak helps assess for signs of laryngeal nerve damage.
Persistent or worsening hoarseness and weak voice are signs of
laryngeal nerve damage and should
be reported to the physician immediately. Internal hemorrhage is
detected by changes in vital signs. The client's level of consciousness
can be partially assessed by asking her to speak, but that is not the
,primary reason for doing so in this situation. Upper airway
obstruction is detected by color and respiratory rate and pattern.
CN: Reduction of risk potential; CL: Analyze
◉ A client who has undergone a subtotal thyroidectomy is subject to
complications in the first 48 hours after surgery. The nurse should
obtain and keep at the bedside equipment to:
1. Begin total parenteral nutrition.
2. Start a cutdown infusion.
3. Administer tube feedings.
4. Perform a tracheotomy..
Answer: 4. Perform a tracheotomy
◉ One day following a subtotal thyroidectomy, a client begins to
have tingling in the fingers and toes. The nurse should first:
1. Encourage the client to flex and extend the fingers and toes.
2. Notify the physician.
3. Assess the client for thrombophlebitis.
4. Ask the client to speak..
, Answer: 2. Notify the physician
◉ Which of the following medications should be available to provide
emergency treatment if a client develops tetany after a subtotal
thyroidectomy?
1. Sodium phosphate.
2. Calcium gluconate.
3. Echothiophate iodide.
4. Sodium bicarbonate..
Answer: 2. Calcium gluconate
◉ A 60-year-old female is diagnosed with hypothyroidism. The
nurse should
assess the client for which of the following?
1. Tachycardia.
2. Weight gain.
3. Diarrhea.
4. Nausea..
Answer: Weight gain
CARDIOVASCULAR, RESPIRATORY, RENAL, AND
NEURO NURSING CARE SUMMARY 2026
◉ The nurse is administering a saturated solution of potassium
iodide (SSKI). The nurse should:
1. Pour the solution over ice chips.
2. Mix the solution with an antacid.
3. Dilute the solution with water, milk, or fruit juice and have the
client drink it with a straw.
4. Disguise the solution in a pureed fruit or vegetable..
Answer: 3. Dilute the solution with water, milk, or fruit juice and
have the client drink it with a straw.
SSKI should be diluted well in milk, water, juice, or a carbonated
beverage before administration to help disguise the strong, bitter
taste. Also, this drug is irritating
to mucosa if taken undiluted. The client should sip the diluted
preparation through a drinking straw to help prevent staining of the
teeth. Pouring the solution over ice chips will not sufficiently dilute
the SSKI or cover the taste. Antacids are not used to dilute or cover
the taste of SSKI. Mixing in a puree would put the SSKI in contact
with the teeth.
,CN: Pharmacological and parenteral therapies; CL: Apply
◉ Following a subtotal thyroidectomy, the nurse asks the client to
speak
immediately upon regaining consciousness. The nurse does this to
monitor for signs of which of the following?
1. Internal hemorrhage.
2. Decreasing level of consciousness.
3. Laryngeal nerve damage.
4. Upper airway obstruction..
Answer: 3. Laryngeal nerve damage.
Laryngeal nerve damage is a potential complication of thyroid
surgery because of the proximity of the thyroid gland to the
recurrent laryngeal nerve. Asking the
client to speak helps assess for signs of laryngeal nerve damage.
Persistent or worsening hoarseness and weak voice are signs of
laryngeal nerve damage and should
be reported to the physician immediately. Internal hemorrhage is
detected by changes in vital signs. The client's level of consciousness
can be partially assessed by asking her to speak, but that is not the
,primary reason for doing so in this situation. Upper airway
obstruction is detected by color and respiratory rate and pattern.
CN: Reduction of risk potential; CL: Analyze
◉ A client who has undergone a subtotal thyroidectomy is subject to
complications in the first 48 hours after surgery. The nurse should
obtain and keep at the bedside equipment to:
1. Begin total parenteral nutrition.
2. Start a cutdown infusion.
3. Administer tube feedings.
4. Perform a tracheotomy..
Answer: 4. Perform a tracheotomy
◉ One day following a subtotal thyroidectomy, a client begins to
have tingling in the fingers and toes. The nurse should first:
1. Encourage the client to flex and extend the fingers and toes.
2. Notify the physician.
3. Assess the client for thrombophlebitis.
4. Ask the client to speak..
, Answer: 2. Notify the physician
◉ Which of the following medications should be available to provide
emergency treatment if a client develops tetany after a subtotal
thyroidectomy?
1. Sodium phosphate.
2. Calcium gluconate.
3. Echothiophate iodide.
4. Sodium bicarbonate..
Answer: 2. Calcium gluconate
◉ A 60-year-old female is diagnosed with hypothyroidism. The
nurse should
assess the client for which of the following?
1. Tachycardia.
2. Weight gain.
3. Diarrhea.
4. Nausea..
Answer: Weight gain
