Hesi Med-Surg Next Gen Questions And Correct Verified Answers

HESI MED-SURG NEXT GEN QUESTIONS
AND CORRECT VERIFIED ANSWERS
PatientA2Scenario:A2AA268-year-
oldA2patientA2presentsA2toA2theA2hospitalA2withA2abdominalA2painA2andA2distension.A2TheA2
patientA2hasA2aA2historyA2ofA2chronicA2alcoholA2abuse.A2WhichA2conditionA2shouldA2theA2n
urseA2suspect?A2-A2Ans--
TheA2nurseA2shouldA2suspectA2liverA2cirrhosisA2asA2theA2patientA2hasA2aA2historyA2ofA2chro
nicA2alcoholA2abuseA2andA2presentsA2withA2abdominalA2painA2andA2distension.

PatientA2Scenario:A2AA245-year-
oldA2patientA2withA2typeA22A2diabetesA2hasA2aA2bloodA2glucoseA2levelA2ofA2360A2mg/
dL.A2TheA2patientA2isA2experiencingA2symptomsA2ofA2dehydration.A2WhatA2shouldA2theA2n
urseA2suspect?A2-A2Ans--
TheA2nurseA2shouldA2suspectA2hyperglycemiaA2asA2theA2patient'sA2bloodA2glucoseA2levelA
2isA2significantlyA2high,A2andA2symptomsA2ofA2dehydrationA2areA2present.


PatientA2Scenario:A2AA272-year-
oldA2patientA2presentsA2toA2theA2emergencyA2departmentA2withA2chestA2painA2andA2shortn
essA2ofA2breath.A2TheA2patientA2hasA2aA2historyA2ofA2hypertensionA2andA2smoking.A2Which
A2conditionA2shouldA2theA2nurseA2suspect?A2-
A2Ans--:A2TheA2nurseA2shouldA2suspectA2aA2myocardialA2infarctionA2(heartA2attack)A2asA2th
eA2patientA2presentsA2withA2chestA2painA2andA2shortnessA2ofA2breath,A2andA2hasA2aA2histor
yA2ofA2hypertensionA2andA2smoking

PatientA2Scenario:A2AA255-year-
oldA2patientA2isA2admittedA2toA2theA2hospitalA2withA2aA2suspectedA2gastrointestinalA2bleed.
A2TheA2patientA2isA2experiencingA2abdominalA2pain,A2weakness,A2andA2dizziness.A2WhatA2
shouldA2theA2nurseA2suspect?A2-A2Ans--
TheA2nurseA2shouldA2suspectA2anemiaA2asA2theA2patientA2isA2experiencingA2symptomsA2of
A2abdominalA2pain,A2weakness,A2andA2dizziness,A2whichA2areA2commonA2inA2patientsA2wit
hA2aA2gastrointestinalA2bleed.

PatientA2Scenario:A2AA265-year-
oldA2patientA2presentsA2toA2theA2emergencyA2departmentA2withA2acuteA2onsetA2ofA2confusi
onA2andA2lethargy.A2TheA2patientA2hasA2aA2historyA2ofA2hypertensionA2andA2diabetes.A2Wh
ichA2conditionA2shouldA2theA2nurseA2suspect?A2-A2Ans--
TheA2nurseA2shouldA2suspectA2hyperglycemiaA2orA2hypoglycemiaA2asA2theA2patientA2hasA2
aA2historyA2ofA2hypertensionA2andA2diabetesA2andA2isA2experiencingA2acuteA2onsetA2ofA2co
nfusionA2andA2lethargy.

PatientA2Scenario:A2AA250-year-
oldA2patientA2withA2aA2historyA2ofA2asthmaA2presentsA2toA2theA2clinicA2withA2shortnessA2ofA2
breathA2andA2wheezing.A2WhatA2isA2theA2appropriateA2nursingA2intervention?A2-A2Ans--

, TheA2appropriateA2nursingA2interventionA2isA2toA2administerA2aA2bronchodilatorA2medicatio
nA2andA2assessA2theA2patient'sA2oxygenA2saturationA2levels.

PatientA2Scenario:A2AA260-year-
oldA2patientA2withA2aA2historyA2ofA2heartA2failureA2presentsA2toA2theA2clinicA2withA2edemaA2i
nA2theA2legsA2andA2difficultyA2breathing.A2WhatA2isA2theA2appropriateA2nursingA2interventio
n?A2-A2Ans--
TheA2appropriateA2nursingA2interventionA2isA2toA2administerA2diureticA2medicationA2andA2
monitorA2theA2patient'sA2fluidA2intakeA2andA2output.

PatientA2Scenario:A2AA245-year-
oldA2patientA2withA2aA2historyA2ofA2rheumatoidA2arthritisA2presentsA2toA2theA2clinicA2withA2jo
intA2painA2andA2stiffness.A2WhatA2isA2theA2appropriateA2nursingA2intervention?A2-A2Ans--
TheA2appropriateA2nursingA2interventionA2isA2toA2administerA2non-steroidalA2anti-
inflammatoryA2drugsA2(NSAIDs)A2andA2assessA2theA2patient'sA2rangeA2ofA2motionA2andA2
mobility

PatientA2Scenario:A2AA270-year-
oldA2patientA2withA2aA2historyA2ofA2chronicA2obstructiveA2pulmonaryA2diseaseA2(COPD)A2pr
esentsA2toA2theA2clinicA2withA2increasedA2difficultyA2breathingA2andA2coughingA2upA2blood.
A2WhatA2isA2theA2appropriateA2nursingA2intervention?A2-A2Ans--
TheA2appropriateA2nursingA2interventionA2isA2toA2administerA2bronchodilatorA2medicationA2
andA2oxygenA2therapy,A2monitorA2theA2patient'sA2respiratoryA2status,A2andA2assessA2forA2s
ignsA2ofA2respiratoryA2distress.

PatientA2Scenario:A2AA255-year-
oldA2patientA2withA2aA2historyA2ofA2chronicA2kidneyA2diseaseA2presentsA2toA2theA2clinicA2wit
hA2decreasedA2urineA2outputA2andA2swellingA2inA2theA2legs.A2WhatA2isA2theA2appropriateA2
nursingA2intervention?A2-A2Ans--
TheA2appropriateA2nursingA2interventionA2isA2toA2monitorA2theA2patient'sA2fluidA2intakeA2an
dA2output,A2administerA2diureticA2medication,A2andA2assessA2theA2patient'sA2electrolyteA2le
vels.

AA2patientA2withA2aA2historyA2ofA2heartA2failureA2presentsA2withA2shortnessA2ofA2breath,A2fa
tigue,A2andA2edema.A2WhichA2ofA2theA2followingA2medicationsA2wouldA2youA2anticipateA2b
eingA2prescribed?A2-A2Ans--AA2diureticA2suchA2asA2furosemideA2(Lasix)

AA2patientA2withA2chronicA2obstructiveA2pulmonaryA2diseaseA2(COPD)A2isA2admittedA2toA2t
heA2hospitalA2withA2worseningA2dyspnea.A2WhatA2interventionsA2wouldA2youA2expectA2toA2
beA2implemented?A2-A2Ans--
OxygenA2therapy,A2bronchodilatorA2medication,A2andA2possiblyA2corticosteroids

AA2patientA2isA2receivingA2aA2bloodA2transfusionA2whenA2theyA2suddenlyA2developA2aA2ras
hA2andA2difficultyA2breathing.A2WhatA2actionA2shouldA2theA2nurseA2takeA2first?A2-A2Ans--
StopA2theA2transfusionA2immediatelyA2andA2assessA2theA2patient'sA2airway,A2breathing,A2a
ndA2circulation.