HESI MEDSURG1//Hesi class final exam NGN on
proctorU NEWEST 2024 ACTUAL EXAM COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
1. A client with a productive cough has obtained a sputum specimen for
culture as instructed. What is the best initial nursing action?
A. Administer the first dose of antibiotic therapy
B. Observe the color, consistency, and amount of sputum
C. Encourage the client to consume plenty of warm liquids
D. Send the specimen to the lab for analysis - ✔✔ANSWER✔✔>>B.
Observe the color, consistency, and amount of sputum
2. A client is brought to the ED by ambulance in cardiac arrest with
cardiopulmonary resuscitation (CPR) in progress. The client is
intubated and is receiving 100% oxygen per self-inflating (ambu) bag.
,The nurse determines that the client is cyanotic, cold, and diaphoretic.
Which assessment is most important for the nurse to obtain?
A. Breath sounds over bilateral lung fields.
B. Carotid pulsation during compressions
C. Deep tendon reflexes
D. Core body temperature - ✔✔ANSWER✔✔>>A. Breath sounds
over bilateral lung fields.
3. After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myselinolysis. Which
intervention should the nurse implement first?
A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
D. Perform range of motion exercises - ✔✔ANSWER✔✔>>A.
Reorient client to his room
4. A male client with heart failure (HF) calls the clinic and reports that
he cannot put his shoes on because they are too tight. Which additional
information should the nurse obtain?
A. What time did he take his last medications?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
, D. How many hours did he sleep last night? - ✔✔ANSWER✔✔>>B.
Has his weight changed in the last several days?
5. An older adult woman with a long history of chronic obstructive
pulmonary disease (COPD) is admitted with progressive shortness of
breath and a persistent cough. She is anxious and is complaining of a
dry mouth. Which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high-flow venturi mask
D. Assist her to an upright position - ✔✔ANSWER✔✔>>D. Assist her
to an upright position
23. A client who has a history of hypothyroidism was initially admitted
with lethargy and confusion. Which additional finding warrants the most
immediate action by the nurse?
A. Facial puffiness and periorbital edema
B. Hematocrit of 30%
C. Cold and dry skin
D. Further decline in level of consciousness - ✔✔ANSWER✔✔>>D.
Further decline in level of consciousness
24. Following surgical repair of the bladder, a female client is being
discharged from the hospital to home with an indwelling urinary
proctorU NEWEST 2024 ACTUAL EXAM COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
1. A client with a productive cough has obtained a sputum specimen for
culture as instructed. What is the best initial nursing action?
A. Administer the first dose of antibiotic therapy
B. Observe the color, consistency, and amount of sputum
C. Encourage the client to consume plenty of warm liquids
D. Send the specimen to the lab for analysis - ✔✔ANSWER✔✔>>B.
Observe the color, consistency, and amount of sputum
2. A client is brought to the ED by ambulance in cardiac arrest with
cardiopulmonary resuscitation (CPR) in progress. The client is
intubated and is receiving 100% oxygen per self-inflating (ambu) bag.
,The nurse determines that the client is cyanotic, cold, and diaphoretic.
Which assessment is most important for the nurse to obtain?
A. Breath sounds over bilateral lung fields.
B. Carotid pulsation during compressions
C. Deep tendon reflexes
D. Core body temperature - ✔✔ANSWER✔✔>>A. Breath sounds
over bilateral lung fields.
3. After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myselinolysis. Which
intervention should the nurse implement first?
A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
D. Perform range of motion exercises - ✔✔ANSWER✔✔>>A.
Reorient client to his room
4. A male client with heart failure (HF) calls the clinic and reports that
he cannot put his shoes on because they are too tight. Which additional
information should the nurse obtain?
A. What time did he take his last medications?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
, D. How many hours did he sleep last night? - ✔✔ANSWER✔✔>>B.
Has his weight changed in the last several days?
5. An older adult woman with a long history of chronic obstructive
pulmonary disease (COPD) is admitted with progressive shortness of
breath and a persistent cough. She is anxious and is complaining of a
dry mouth. Which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high-flow venturi mask
D. Assist her to an upright position - ✔✔ANSWER✔✔>>D. Assist her
to an upright position
23. A client who has a history of hypothyroidism was initially admitted
with lethargy and confusion. Which additional finding warrants the most
immediate action by the nurse?
A. Facial puffiness and periorbital edema
B. Hematocrit of 30%
C. Cold and dry skin
D. Further decline in level of consciousness - ✔✔ANSWER✔✔>>D.
Further decline in level of consciousness
24. Following surgical repair of the bladder, a female client is being
discharged from the hospital to home with an indwelling urinary
