2023 HESI PN MED SURGE /MED SURGE PN HESI EXIT EXAM TEST BANK NEWEST ACTUAL EXAM

2023 HESI PN MED SURGE /MED SURGE PN HESI EXIT EXAM TEST BANK NEWEST ACTUAL EXAM A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of thefollowingactions should the nurse take? 1) Provide a diet high in protein. 2) Provide ibuprofen forretroperitoneal discomfort. 3) Monitor intake and output hourly 4) Encourage the client to consume at least 2 L of fluid daily. A nurseisreinforcingteachingaboutanesophagogastroduodenoscopy withaclientwhohasuppergastricpain.Whichofthefollowingstatements shouldthenurseincludeintheteaching? 1) "A flexible tube isintroduced through the nose during the procedure." 2) "During the procedure you are in a sitting position." 3) "You willremain NPO for 8 hours before the procedure." 4) "You will be awake while the procedure is performed." A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following ageneralized tonic-clonic seizure. Which of the following descriptions should the nurse use when documenting this finding in the medical record? 1) Aura phase 2) Presence of automatisms 3) Postictal phase 4) Presence ofabsence seizures A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopiccholecystectomy. Which of the following statements should the nurse make? 1) "The pain results from lying in one position too long during surgery." 2) "The pain occursasa residual pain from cholecystitis." 3) "The pain will dissipate if you ambulate frequently." 4) "The pain iscaused from the nitrous dioxide injected into the abdomen." A nurse is checking the suction control chamber of a client's chest tube and notes that there is nobubbling in the suction control chamber. Which of the following actions should the nurse take? 1) Notifythe provider. Answer Rationale: The nurse should check for kinks and take other measures before notifying the provider. 2) Verifythat the suction regulator is on. 3) Continue to monitorthe client because thisisan expected finding. 4) Milk the chest tube to dislodge anyclots in the tubing that may be occluding it. A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of thefollowing actions should the nurse take?(Selectall that apply.) 1) Encourage fluid intake. 2) Monitorthe puncture site for hematoma. 3) Inserta urinarycatheter. 4) Elevate the client’s head of bed. 5) Applyacervicalcollarto the client. A nurse is assisting with the care of a client who is postoperative following surgical repair of a fracturedmandible. The client’s jaw is wired shut to repair and stabilize the fracture. The nurseshould recognize which of thefollowing is thepriority action? 1) Relieve the client's pain. 2) Check the client’s pressure pointsforredness. 3) Provide oral hygiene. 4) Prevent aspiration. A nurse is collecting data from a client who has scleroderma. Which of the following findings should thenurse expect? 1) A dryraised rash 2) Excessive salivation 3) Periorbital edema 4) Hardened skin A nurse is caring for an older adult client who has dysphagia and left-sided weakness following astroke. Which of the following actions should the nurse take? 1) Instruct the client to tilt her head back when she swallows. 2) Place food on the leftside of the client's mouth. 3) Add thickenerto fluids. 4) Serve food atroom temperature. A nurse is caring for a client who has partial-thickness and full-thickness burns of his head, neck, andchest. The nurse shouldrecognize which of thefollowing is the priority risk tothe client? 1) Airway obstruction 2) Infection 3) Fluid imbalance 4) Contractures A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to start taking neostigmine. Which of the following instructions should the nurse include in the teaching? 1) Take the medication 45 minutes before eating. 2) Expect diaphoresis asa side effect of the neostigmine. 3) If a medication dose is missed, wait until the next scheduled dose to take themedication. 4) Treat nasalrhinitis with an over-the-counterantihistamine. A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there hasnot been any urinary output in the last hour. Which of the following actions should the nurse perform first? 1) Notifythe provider. 2) Administer a prescribed analgesic. 3) Offer oral fluids. 4) Determine the patency of the tubing. A nurse is caring for a client scheduled for a bone marrow biopsy. The client expresses fear about the procedure and asks the nurse if the biopsy will hurt. Which of the following responses should the nursemake? 1) "You must be very worried about what the biopsy will show." 2) "You'll be asleep for the whole biopsy procedure and won't be aware of what’shappening." 3) "Your provider scheduled this, so she will want to know you still have questions aboutthe procedure." 4) "The biopsy can be uncomfortable, but we will try to keep you as comfortable aspossible