HESI PN MEDSURG EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES |
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,1/27/25, 6:02 PM HESI PN MEDSURG EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | ALREADY GRADED A+ | LATEST V…
An ER nurse is completing A) A carotid bruit.
an assessment on a
patient that is alert but Rationale: the carotid artery (artery to the brain) is
struggles to answer narrowed in clients with a brain attack. A bruit is an
questions. When she abnormal sound heard on auscultation resulting from
attempts to talk, she slurs interference with normal blood flow. Usually the
her speech and appears blood pressure is hypertensive. Initially flaccid
very frightened. What paralysis occurs, resulting in hyporefkexic deep
additional clinical tendon reflexes. Bowel sounds are not indicative of a
manifestation does the brain attack.
nurse expect to find if
nacy's sysmptoms have
been caused by a brain
attack (stroke)?
A. A carotid bruit
B. A hypotensive blood
pressure
C. hyperreflexic deep
tendon relexes.
D. Decreased bowel
sounds
Which clinical D) Global aphasia.
manifestation further
supports an assessment of Rationale: Global aphasia refers to difficulty speaking,
a left-sided brain attack? listening, and understanding, as well as difficulty
reading and writing. Symptoms vary from person to
A) Visual field deficit on person. Aphasia may occur secondary to any brain
the left side. injury involving the left hemisphere. Visual field
B) Spatial-perceptual deficits, spatial-perceptual deficits, and paresthsia of
deficits. the left side usually occur with right-sided brain
C) Paresthesia of the left attack.
side.
D) Global aphasia.
D) Global aphasia.
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,1/27/25, 6:02 PM HESI PN MEDSURG EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | ALREADY GRADED A+ | LATEST V…
When preparing a patient B) Explain that the client will not be able to move her
for a noncontrast head throughout the CT scan.
computed tomography
(CT) scan STAT, what Rationale: Because head motion will distort the
nursing intervention images, Nancy will have to remain still throughout the
should the nurse procedure. Allergies to iodine is important if contrast
implement? dye is being used for the CT scan. Premedicating the
client to decrease pain prior to the procedure is
A) Determine if the client unnecessary because CT scanning is a noninvasive
has any allergies to iodine and painless procedure. Providing an explanation of
B) Explain that the client relaxation exercises prior to the procedure is a
will not be able to move worthwhile intervention to decrease anxiety but is not
her head throughout the of highest priority.
CT scan.
C) Premedicate the client
to decrease pain prior to
having the procedure.
D) Provide an explanation
of relaxation exercises
prior to the procedure.
A neurologist prescribes a C) Right hip replacement.
magnetic resonance
imaging (MRI) of the head The magnetic field generated by the MRI is so strong
STAT for a patient. Which that metal-containing items are strongly attracted to
data warrants immediate the magnet. Because the hip joint is made of metal, a
intervention by the nurse lead shield must be used during the procedure.
concerning this diagnostic Elevated blood pressure, an allergy to shell fish, and a
test? history of atrial fibrillation would not affect the MRI.
A) Elevated blood
pressure.
B) Allergy to shell fish.
C) Right hip replacement.
D) History of atrial
fibrillation.
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, 1/27/25, 6:02 PM HESI PN MEDSURG EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | ALREADY GRADED A+ | LATEST V…
A client's daughter is B) "Your mother has had a stroke, and the blood
sitting by her mother's supply to the brain has been blocked."
bedside who was recently
transferred to the Rationale: The nurse can discuss what a diagnosis
Intermediate Care Unit. means. Nancy is unable to make decisions, so the next
She states "I don't of kin, her daughter, Gail, needs sufficient information
understand what a brain to make informed decisions. The nurse has the
attack is. The healthcare knowledge, and the responsibility, to explain Nancy's
provider told me my condition to Gail. The nurse should give facts first, and
mother is in serious then address her feelings after the information is
condition and they are provided.
going to run several tests.
I just don't know what is
going on. What happened
to my mother?" What is
the best response by the
nurse?
A) "I am sorry, but
according to the Health
Insurance Portability and
Accounting Act (HIPAA), I
cannot give you any
information."
B) "Your mother has had a
stroke, and the blood
supply to the brain has
been blocked."
C) "How do you feel about
what the healthcare
provider said?"
D) "I will call the
healthcare provider so
he/she can talk to you
about your mother's
serious condition."
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