Med-Surg HESI Test Bank |300 Questions with Approved Answers and Rationale | Latest 2025/2026 | 100% Correct.

Med-Surg HESI Test Bank |300 Questions i,- i,- i,- i,- i,- i,-




with Approved Answers and Rationale | i,- i,- i,- i,- i,- i,-




Latest 2025/2026 | 100% Correct. i,- i,- i,- i,-




A client who is receiving an angiotensin-converting enzyme (ACE)
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inhibitor for hypertension calls the clinic and reports the recent
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onset of a cough to the nurse. Which action should the nurse
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implement?


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A. Advise the client to come to the clinic immediately for further
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assessment.
B. Instruct the client to discontinue use of the drug and to make
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an appointment at the clinic.
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C. Suggest that the client learn to accept the cough as a side
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effect to a necessary prescription.
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D. Encourage the client to keep taking the drug until seen by the
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health care provider. D. Encourage the client to keep taking
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the drug until seen by the health care provider.
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Rationale:
Coughing is a common side effect of ACE inhibitors and is not an
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indication to discontinue the medication. Immediate evaluation is
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not needed. Antihypertensive medications should not be stopped
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,abruptly because rebound hypertension may occur. Option C is
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demeaning because the cough may be very disruptive to the i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



client, and other antihypertensive medications may produce the
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desired effect without the adverse effect.
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When assigning clients on a medical-surgical floor to an RN and a
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PN, it is best for the charge nurse to assign which client to the PN?
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A. A young adult with bacterial meningitis with recent seizures
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i,- B. An older adult client with pneumonia and viral meningitis
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C. A female client in isolation with meningococcal meningitis
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D. A male client 1 day postoperative after drainage of a brain
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abscess B. An older adult client with pneumonia and viral
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meningitis
Rationale:
The most stable client is option B. Options A, C, and D are all at
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high risk for increased intracranial pressure and require the
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expertise of the RN for assessment and management of care.
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In assessing a client diagnosed with primary aldosteronism, the
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nurse expects the laboratory test results to indicate a decreased
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serum level of which substance? i,- i,- i,- i,-




i,- A.Sodium

,i,- B.Phosphate
i,- C.Potassium
D.Glucose i,-i,- i,- C. Potassium
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Rationale:
Clients with primary aldosteronism exhibit a profound decline in
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serum levels of potassium; hypokalemia; hypertension is the most
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prominent and universal sign. The serum sodium level is normal
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or elevated, depending on the amount of water resorbed with the
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sodium. Option B is influenced by parathyroid hormone (PTH).
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Option D is not affected by primary aldosteronism.
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A client on telemetry has a pattern of uncontrolled atrial
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fibrillation with a rapid ventricular response. Based on this
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finding, the nurse anticipates assisting the physician with which
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treatment?
i,- A.Administer lidocaine, 75 mg intravenous push. i,- i,- i,- i,- i,-




i,- B.Perform synchronized cardioversion. i,- i,- i,-




i,- C.Defibrillate the client as soon as possible. i,- i,- i,- i,- i,- i,-




D.Administer atropine, 0.4 mg intravenous push.
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synchronized cardioversion. i,-




Rationale:
With uncontrolled atrial fibrillation, the treatment of choice is
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synchronized cardioversion to convert the cardiac rhythm back to i,- i,- i,- i,- i,- i,- i,- i,- i,-



normal sinus rhythm. Option A is a medication used for
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, ventricular dysrhythmias. Option C is not for a client with atrial
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fibrillation; it is reserved for clients with life-threatening i,- i,- i,- i,- i,- i,- i,- i,-



dysrhythmias, such as ventricular fibrillation and unstable i,- i,- i,- i,- i,- i,- i,-



ventricular tachycardia. Option D is the drug of choice in i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



symptomatic sinus bradycardia, not atrial fibrillation. i,- i,- i,- i,- i,-




A client with hypertension has been receiving ramipril (Altace), 5
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mg PO, daily for 2 weeks and is scheduled to receive a dose at
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0900. At 0830, the client's blood pressure is 120/70 mm Hg.
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Which action should the nurse take?
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i,- A.Administer the prescribed dose at the scheduled time. i,- i,- i,- i,- i,- i,- i,- i,-




i,- B.Hold the dose and contact the health care provider.
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i,- C.Hold the dose and recheck the blood pressure in 1 hour.
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D.Check the health care provider's prescription to clarify the
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dose. A. Administer the prescribed dose at the scheduled time
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Rationale:
The client's blood pressure is within normal limits, indicating that
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the ramipril, an antihypertensive, is having the desired effect and
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should be administered. Options B and C would be appropriate if
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the client's blood pressure was excessively low (<100 mm Hg
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systolic) or if the client were exhibiting signs of hypotension such
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as dizziness. This prescribed dose is within the normal dosage
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