Med surg HESI EXIT EXAM COMPREHENSIVE QUESTIONS AND ANSWERS Latest 2024 |100% Accuracy.

applying triple antibiotic ointment for two days, but there has been no improvement.” What instruction should the nurse provide? a- Antibiotics take two weeks to become effective against infections such as athlete’s foot. bContinue using the ointment for a full week, even after the symptoms disappear. c- Applying too much ointment can deter its effectiveness. Apply a thin layer to prevent maceration. d- Stop using the ointment and encourage complete drying of the feet and wearing clean socks. 21. A 26-year-old female client is admitted to the hospital for treatment of a simple goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the nurse that the prescribed dosage is too high for this client? The client experiences a- Palpitations and shortness of breath b- Bradycardia and constipation c- Lethargy and lack of appetite d- Muscle cramping and dry, flushed skin 22. A client with a history of heart failure presents to the clinic with a nausea, vomiting, yellow vision and palpitations. Which finding is most important for the nurse to assess to the client? a- Determine the client’s level of orientation and cognition b- Assess distal pulses and signs of peripheral edema c- Obtain a list of medications taken for cardiac history. d- Ask the client about exposure to environmental heat. 23. The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250 ml of D5W at 300 mcg/hour. The nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric value only.) a- 75 24. The pathophysiological mechanisms are responsible for ascites related to liver failure? (Select all that apply) a- Bleeding that results from a decreased production of the body’s clotting factors b- Fluid shifts from intravascular to interstitial area due to decreased serum protein c- Increased hydrostatic pressure in portal circulation increases fluid shifts into abdomen d- Increased circulating aldosterone levels that increase sodium and water retention e- Decreased absorption of fatty acids in the duodenum leading to abdominal distention. 25. The nurse is auscultating a client’s heart sounds. Which description should the nurse use to document this sound? (Please listen to the audio first to select the option that applies) a- S1 S2 b- S1 S2 S3 c- Murmur d- Pericardial friction rub. 26. The healthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours IM for an infant. The 500 mg vial is labeled with the instruction to add 5.3 ml diluent to provide a concentration of 100 mg/ml. How many ml should the nurse administered for each dose? (Enter numeric value only. If rounding is required, round to the nearest tenth) a- 0.4 27. The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six hours for four days. What assessment is most important for the nurse to complete? aAuscultate the client's bowel sounds b- Observe for edema around the ankles c- Measure the client’s capillary glucose level d- Count the apical and radial