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Exam (elaborations)

(Complete 320 Q&A ) HESI Med Surg I Test Bank

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(Complete 320 Q&A ) HESI Med Surg I Test Bank

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Uploaded on
December 14, 2024
Number of pages
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Written in
2024/2025
Type
Exam (elaborations)
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10/6/23,q11:44qA Medqsurgqhesiqexitqexamqlatestq2022qtestqbankqwithqrationalesqcompleteqaqg
M …
medqhesi




MED SURG HESI EXIT EXAM/Latest
q qq q q


2022/Test Bank q


Followingqdischargeqteaching,qaqmaleqclientqwithqduodenalqulcerqtellsqtheqnurseqt
heqheqwillqdrinkqplentyqofqdairyqproducts,qsuchqasqmilk,qtoqhelpqcoatqandqprotect
qhisqulcer.qWhatqisqtheqbestqfollow-upqaction qby qtheqnurse?

(ANS-
qReviewqwith qtheqclientqtheqneed qto qavoid qfoods qthatqareqrich qin qmilk qandqcrea

m

Aqmaleqclientqwithqhypertension,qwhoqreceivedqnewqantihypertensiveqprescriptio
nsqatqhisqlastqvisitqreturnsqtoqtheqclinicqtwoqweeksqlaterqtoqevaluateqhisqbloodqpre
ssureq(BP).qHisqBPqisq158/106qandqheqadmitsqthatqheqhasqnotqbeenqtakingqtheqpre
scribedqmedicationqbecauseqtheqdrugsqmakeqhimq"feelqbad".qInqexplainingqtheqne
edqforqhypertensionqcontrol,qtheqnurseqshouldqstressqthatqanqelevatedqBPqplacesqt
heqclientqatqriskqforqwhichqpathophysiologicalqcondition?
(ANS-qStrokeqsecondaryqtoqhemorrhage

Theqnurseqobservesqanqunlicensedqassistiveqpersonnelq(UAP)qpositioningqaqnewl
yqadmittedqclientqwhoqhasqaqseizureqdisorder.qTheqclientqisqsupineqandqtheqUAPq
isqplacingqsoftqpillowsqalongqtheqsideqrails.qWhatqactionqshouldqtheqnurseqimplem
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ymbalta)qforqtheqpastq12qdays.qWhichqassessmentqfindingqrequiresqimmediateqf
ollow-up?
(ANS-qDescribesqlifeqwithoutqpurpose

Aq60-year-
oldqfemaleqclientqwithqaqpositiveqfamilyqhistoryqofqovarianqcancerqhasqdevelope
dqanqabdominalqmassqandqisqbeingqevaluatedqforqpossibleqovarianqcancer.qHerqPa
panicolauq(Pap)qsmearqresultsqareqnegative.qWhatqinformationqshouldqtheqnurse
qinclude qin qtheqclient'sqteaching qplan?

(ANS-qFurtherqevaluationqinvolvingqsurgeryqmayqbeqneeded




Aqclientqwhoqrecentlyqunderwearqaqtracheostomyqisqbeingqpreparedqforqdischargeq
toqhome.qWhichqinstructionsqisqmostqimportantqforqtheqnurseqtoqincludeqinqtheqdis
chargeqplan?
(ANS-q Teachq trachealq suctioningq techniques
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M …
Inqassessingqanqadultqclientqwithqaqpartialqrebreatherqmask,qtheqnurseqnotesqthatqthe




about:blank 2/224

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M …




Aqclientqwhoqrecentlyqunderwearqaqtracheostomyqisqbeingqpreparedqforqdischargeq
toqhome.qWhichqinstructionsqisqmostqimportantqforqtheqnurseqtoqincludeqinqtheqdis
chargeqplan?
(ANS-q Teachq trachealq suctioningq techniques

Inqassessingqanqadultqclientqwithqaqpartialqrebreatherqmask,qtheqnurseqnotesqthatqt
heqoxygenqreservoirqbagqdoesqnotqdeflateqcompletelyqduringqinspirationqandqtheqcl
ient'sqrespiratoryqrateqisq14qbreathsq/qminute.qWhatqactionqshouldqtheqnurseqimple
ment?q(ANS-qDocumentqtheqassessmentqdata

Rationale:qreservoirqbagqshouldqnotqdeflateqcompletelyqduringqinspirationqandqt
heqclient'sqrespiratoryqrateqisqwithinqnormalqlimits.

Duringqshiftqreport,qtheqcentralqelectrocardiogramq(EKG)qmonitoringqsyste
mqalarms.qWhichqclientqalarmqshouldqtheqnurseqinvestigateqfirs?
(ANS-qRespiratoryqapneaqofq30qseconds

Duringqaqhomeqvisit,qtheqnurseqobservedqanqelderlyqclientqwithqdiabetesqslipqa
ndqfall.qWhatqactionqshouldqtheqnurseqtakeqfirst?
(ANS-qCheckqtheqclientqforqlacerationsqorqfractures

Atq0600qwhileqadmittingqaqwomanqforqaqscheduleqrepeatqcesareanqsectionq(C-
qSection),qtheqclientqtellsqtheqnurseqthatqsheqdrank qaqcup qaqcoffee qatq0400qbecause q

sheqwantedqtoqavoidqgettingqaqheadache.qWhichqactionqshouldqtheqnurseqtakeqfirst
?q(ANS-qInformqtheqanesthesiaqcareqprovider

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S2qheartqsounds.qToqdetermineqifqanqS3qheartqsoundqisqpresent,qwhatqactionqshoul
dqtheqnurseqtakeqfirst?
(ANS-qListenqwithqtheqbellqatqtheqsameqlocation

Aq66-year-
oldqwomanqisqretiringqandqwillqnoqlongerqhaveqaqhealthqinsuranceqthroughqherqpla
ceqofqemployment.qWhichqagencyqshouldqtheqclientqbeqreferredqtoqbyqtheqemploye
eqhealthqnurseqforqhealthqinsuranceqneeds?
(ANS-qMedicare




Aqclientqwhoqisqtakingqanqoralqdoseqofqaqtetracyclineqcomplainsqofqgastrointestin
alqupset.qWhatqsnackqshouldqtheqnurseqinstructqtheqclientqtoqtakeqwithqtheqtetracycl
ine?q(ANS-qToastedqwheatqbreadqandqjelly

Followingqaqlumbarqpuncture,qaqclientqvoicesqseveralqcomplaints.qWhatqcomplaint
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M …




Aqclientqwhoqisqtakingqanqoralqdoseqofqaqtetracyclineqcomplainsqofqgastrointestin
alqupset.qWhatqsnackqshouldqtheqnurseqinstructqtheqclientqtoqtakeqwithqtheqtetracycl
ine?q(ANS-qToastedqwheatqbreadqandqjelly

Followingqaqlumbarqpuncture,qaqclientqvoicesqseveralqcomplaints.qWhatqcomplai
ntqindicatedqtoqtheqnurseqthatqtheqclientqisqexperiencingqaqcomplication?
(ANS-q"IqhaveqaqheadacheqthatqgetsqworseqwhenqIqsitqup"
"IqamqhavingqpainqinqmyqlowerqbackqwhenqIqmoveqmyqleg
s"q"MyqthroatqhurtsqwhenqIqswallow"
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Anqelderlyqclientqseemsqconfusedqandqreportsqtheqonsetqofqnausea,qdysuria,qa
ndqurgencyqwithqincontinence.qWhichqactionqshouldqtheqnurseqimplement?
(ANS-qObtainqaqcleanqcatchqmid-streamqspecimen

Theqnurseqisqassistingqtheqmotherqofqaqchildqwithqphenylketonuriaq(PKU)qtoqsele
ctqfoodsqthatqareqinqkeepingqwithqtheqchild'sqdietaryqrestrictions.qWhichqfoodsqa
reqcontraindicatedqforqthisqchild?
(ANS-qFoodsqsweetenedqwithqaspartame

Beforeqpreparingqaqclientqforqtheqfirstqsurgicalqcaseqofqtheqday,qaqpart-
timeqscrubqnurseqasksqtheqcirculatingqnurseqifqaq3qminuteqsurgicalqhandqscrubqisq
adequateqpreparationqforqthisqclient.qWhichqresponseqshouldqtheqcirculatingqnurs
eqprovide?q(ANS-
qDirectqtheqnurseqto qcontinue qtheqsurgicalqhand qscrub qforqaq5 qminute qduration



Whichqbreakfastqselectionqindicatesqthatqtheqclientqunderstandsqtheqnurse
'sqinstructionsqaboutqtheqdietaryqmanagementqofqosteoporosis?
(ANS-qBagelqwithqjellyqandqskimqmilk

Theqchargeqnurseqofqaqcriticalqcarequnitqisqinformedqatqtheqbeginningqofqtheqshiftqt
hatqlessqthanqtheqoptimalqnumberqofqregisteredqnursesqwillqbeqworkingqthatqshift.q
Inqplanningqassignments,qwhichqclientqshouldqreceiveqtheqmostqcareqhoursqbyqaqr
egisteredqnurseq(RN)?




(ANS-qAnq82-year-oldqclientqwithqAlzheimer'sqdiseaseqnewly-
fracturesqfemurqwhoqhasqaqFoleyqcatheterqandqsoftqwristqrestrainsqapplied

Aqmotherqbringsqherq6-year-
oldqchild,qwhoqhasqjustqsteppedqonqaqrustyqnail,qtoqtheqpediatrician'sqoffice.qUpo
nqinspection,qtheqnurseqnotesqthatqtheqnailqwentqthroughqtheqshoeqandqpiercedqth
about:blank 4/224
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