NURSING NR324 Med surg HESI exit exam latest 2022 test bank with rationales complete Rated A+

NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v



with rationales complete Rated A+
v v v v v




The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I have b
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een applying triple antibiotic ointment for two days, but there has been noimprovem
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ent." What instruction should the nurse provide?
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(ANS-
Stop using the ointment and encourage complete drying of the feet andwearing clea
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n socks.
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A 26-year-
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old female client is admitted to the hospital for treatment of a simplegoiter, and levot
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hyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the nurse th
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at the prescribed dosage is too high for this client? The client experiences
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Bradycardia and constipation v v v


Lethargy and lack of appetite v v v v


Muscle cramping and dry, flushed skin v v v v v v


Palpitations and shortness of breath v v v v


(ANS- Palpitations and shortness of breath
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A client with a history of heart failure presents to the clinic with nausea, vomiting,yel
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low vision and palpitations. Which finding is most important for the nurse to assess t
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o the client?
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(ANS- Obtain a list of medications taken for cardiac history
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The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in
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250 ml of D5W at 300 mcg/hour. The nurse should program the infusion pumpto deli
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ver how many ml/hour? (Enter numeric value only.)
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(ANS- 75 v




Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour / 1,000m
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cg x 250 ml = 3/1 x 25 = 75 ml/hour
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NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v



with rationales complete Rated A+
v v v v v

,NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v



with rationales complete Rated A+
v v v v v




The pathophysiological mechanisms that are responsible for ascites related to liverfa
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ilure? (Select all that apply)
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(ANS-
vFluid shifts from intravascular to interstitial area due to decreased serumprotein
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Increased hydrostatic pressure in portal circulation increases fluid shifts intoabdome
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n
Increased circulating aldosterone levels that increase sodium and water retention
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The nurse is auscultating a client's heart sounds. Which description should then
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urse use to document this sound? (Please listen to the audio first to select theopti
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on that applies)
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(ANS- Murmur v




Rationale: A murmur is auscultated as a swishing sound that is associated with thebl
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ood turbulence created by the heart or valvular defect.
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The healthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours IM for
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an infant. The 500 mg vial is labeled with the instruction to add 5.3 ml diluentto prov
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ide a concentration of 100 mg/ml. How many ml should the nurse administered for e
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ach dose? (Enter numeric value only. If rounding is required, round to the nearest ten
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th)
(ANS- 0.4 v




ationale: 35mg/100mg x 1 = 0.35 = 0.4 mlv v v v v v v v




The nurse notes that a client has been receiving hydromorphone (Dilaudid) everysix
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hours for four days. What assessment is most important for the nurse to complete?
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Auscultate the client's bowel sounds Obser v v v v v


ve for edema around the ankles Measure the
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client's capillary glucose level
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Count the apical and radial pulses simultaneously(
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ANS- Auscultate the client's bowel sounds
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Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis andfreq
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NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v



with rationales complete Rated A+
v v v v v

,NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v



with rationales complete Rated A+
v v v v v


uently causes constipation, so it is most important to Auscultate the client's bowel so
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unds

A female client is admitted with end stage pulmonary disease is alert, oriented, andco
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mplaining of shortness of breath. The client tells the nurse that she wants "no heroic
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measures" taken if she stops breathing, and she asks the nurse to document this in her
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medical record. What action should the nurse implement?
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(ANS- Ask the client to discuss "do not resuscitate" with her healthcare provider
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A client is receiving a full strength continuous enteral tube feeding at 50 ml/hourand
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has developed diarrhea. The client has a new prescription to change the feeding to ha
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lf strength. What intervention should the nurse implement?
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(ANS-
vAdd equal amounts of water and feeding to a feeding bag and infuse at50ml/hour
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A female client reports that her hair is becoming coarse and breaking off, that the out
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er part of her eyebrows have disappeared, and that her eyes are all puffy. Whichfollo
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w-up question is best for the nurse to ask?
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(ANS- Have you noticed any changes in your fingernails?
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Rationale: The pattern of reported manifestations is suggestive of hypothyroidism
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Following discharge teaching, a male client with duodenal ulcer tells the nurse thehe
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will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. W
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hat is the best follow-up action by the nurse?
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(ANS- Review with the client the need to avoid foods that are rich in milk andcream
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A male client with hypertension, who received new antihypertensive prescriptionsat
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his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP).
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His BP is 158/106 and he admits that he has not been taking the prescribed medicatio
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n because the drugs make him "feel bad". In explaining the need for hypertension co
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ntrol, the nurse should stress that an elevated BP places the client at risk for which pa
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thophysiological condition? v


(ANS- Stroke secondary to hemorrhage
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The nurse observes unlicensed assistive personnel (UAP) positioning a newly admit
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ted client who has a seizure disorder. The client is supine and the UAP is placing soft
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NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v



with rationales complete Rated A+
v v v v v

, NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v



with rationales complete Rated A+
v v v v v


pillows along the side rails. What action should the nurse implement? (ANS-
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Instruct the UAP to obtain soft blankets to secure to the side rails instead ofpillows.
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An adolescent with major depressive disorder has been taking duloxetine (Cymb
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alta) for the past 12 days. Which assessment finding requires immediatefollow-
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up?
(ANS- Describes life without purpose
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A 60-year-
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old female client with a positive family history of ovarian cancer has developed an a
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bdominal mass and is being evaluated for possible ovarian cancer.Her Papanicolau (
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Pap) smear results are negative. What information should the nurse include in the cli
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ent's teaching plan?
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(ANS- Further evaluation involving surgery may be needed
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A client who recently underwear a tracheostomy is being prepared for discharge toh
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ome. Which instructions is most important for the nurse to include in the discharge p
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lan?
(ANS- Teach tracheal suctioning techniques
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In assessing an adult client with a partial rebreather mask, the nurse notes that the oxy
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gen reservoir bag does not deflate completely during inspiration and the client'srespir
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atory rate is 14 breaths / minute. What action should the nurse implement? (ANS-
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Document the assessment data
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Rationale: reservoir bag should not deflate completely during inspiration and theclie
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nt's respiratory rate is within normal limits.
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During shift report, the central electrocardiogram (EKG) monitoring systemalarms.
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Which client alarm should the nurse investigate firs?
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(ANS- Respiratory apnea of 30 seconds
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During a home visit, the nurse observed an elderly client with diabetes slip andfa
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ll. What action should the nurse take first?
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NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v



with rationales complete Rated A+
v v v v v