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MedSurg 3 NSG233 Final HESI Exam Prep With Complete Questions and Correc
Verified Answers/ NSG 233 Med Surg III Hesi Practice Test (newest!)
1. Burns- partial thickness: 2nd degree burn
entire dermis, some dermis
painful w/blisters heals in 2-3 weeks
2. V fib: *SHOCK*
irregular rhythm, no P wave, PR/QRS: not measurable.
Unresponsive, no pulse/heart sound.
Mgt: CPR, Defib, Epi.
3. Burns- Full Thickness: 3rd degree burn
Epidermis and dermis and some underlying tissue
pale, white, red, brown, charred color
lacks sensation= no pain
leathery appearance
silver sulfadiazine
grafting
debridement
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4. Colon cancer tumor marker: CEA: tumor marker assess presence of colorectal
cancer. een for extent
Other tests: contrast CT scans of the abdomen, pelvis, and chest, to scr
of the tumor and any metastases.
5. Diffusing anger in the ED: Self safety is PRIORITY
gunfire- protect self
separate feuding individuals explains activities, eliminate triggers.
6. Heat Stroke **: Priority action: *Lower body temperature; O2, fluids, cool towel,
cool bath (NO ICE BATH) elevate feet
+HR, +temp, confusion, headache, anxiety, cramps, gooseflesh, HOT,DRY skin, NO
sweating
7. Alcoholic- first assessment: CAGE: Cut, Annoyed, Guilty, Eye-opener.
Assess: psych, w/drawal.
Mgt: blood glucose, benzo, barbiturate, seizure precautions.
Let them sleep if calm-
not calm- benzo's-
check on patient regularly for - LOC
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Blood glucose range: 70-110
8. Non-fatal drowning **: Priority: manage hypoxia, acidosis and hypothermia >
airway, oxygen
Management: CPR, core temp (rectal) rewarming procedures during CPR, tra-
ch/PEEP, O2
Risks: ARDS> hypoxia, hypercarbia and respiratory acidosis can occur
Hypothermia> metabolic acidosis
NGT> decompress stomach and prevent aspirating gastric contents.
Monitor: ECG, ICP, I/O
Labs: serum electrolytes
Highest risk: <5 yo, >85 yo
Freshwater: loss of surfactant- inability to expand lungs
Saltwater: pulmonary edema
Observe pt for 23 + hours
9. Serum Electrolytes: * Mg+ 1.5-2.5
* Phos 2.5-4.5
* K+ 3.5-5
* Ca 8.5-10.9
* Chl 95-105
10. Bite Priority: Human bite: know what to do first with a
human bite! Animal: rabies prophylaxis
Snakebite: lie down, removing constrictive items, providing warmth, cleansing the
wound, covering the wound with a light sterile dressing, and immobilizing the injured
body part below the level of the heart.
CABs (Circulation, Airway Breathing)
MedSurg 3 NSG233 Final HESI Exam Prep With Complete Questions and Correc
Verified Answers/ NSG 233 Med Surg III Hesi Practice Test (newest!)
1. Burns- partial thickness: 2nd degree burn
entire dermis, some dermis
painful w/blisters heals in 2-3 weeks
2. V fib: *SHOCK*
irregular rhythm, no P wave, PR/QRS: not measurable.
Unresponsive, no pulse/heart sound.
Mgt: CPR, Defib, Epi.
3. Burns- Full Thickness: 3rd degree burn
Epidermis and dermis and some underlying tissue
pale, white, red, brown, charred color
lacks sensation= no pain
leathery appearance
silver sulfadiazine
grafting
debridement
,2|Page
4. Colon cancer tumor marker: CEA: tumor marker assess presence of colorectal
cancer. een for extent
Other tests: contrast CT scans of the abdomen, pelvis, and chest, to scr
of the tumor and any metastases.
5. Diffusing anger in the ED: Self safety is PRIORITY
gunfire- protect self
separate feuding individuals explains activities, eliminate triggers.
6. Heat Stroke **: Priority action: *Lower body temperature; O2, fluids, cool towel,
cool bath (NO ICE BATH) elevate feet
+HR, +temp, confusion, headache, anxiety, cramps, gooseflesh, HOT,DRY skin, NO
sweating
7. Alcoholic- first assessment: CAGE: Cut, Annoyed, Guilty, Eye-opener.
Assess: psych, w/drawal.
Mgt: blood glucose, benzo, barbiturate, seizure precautions.
Let them sleep if calm-
not calm- benzo's-
check on patient regularly for - LOC
,3|Page
Blood glucose range: 70-110
8. Non-fatal drowning **: Priority: manage hypoxia, acidosis and hypothermia >
airway, oxygen
Management: CPR, core temp (rectal) rewarming procedures during CPR, tra-
ch/PEEP, O2
Risks: ARDS> hypoxia, hypercarbia and respiratory acidosis can occur
Hypothermia> metabolic acidosis
NGT> decompress stomach and prevent aspirating gastric contents.
Monitor: ECG, ICP, I/O
Labs: serum electrolytes
Highest risk: <5 yo, >85 yo
Freshwater: loss of surfactant- inability to expand lungs
Saltwater: pulmonary edema
Observe pt for 23 + hours
9. Serum Electrolytes: * Mg+ 1.5-2.5
* Phos 2.5-4.5
* K+ 3.5-5
* Ca 8.5-10.9
* Chl 95-105
10. Bite Priority: Human bite: know what to do first with a
human bite! Animal: rabies prophylaxis
Snakebite: lie down, removing constrictive items, providing warmth, cleansing the
wound, covering the wound with a light sterile dressing, and immobilizing the injured
body part below the level of the heart.
CABs (Circulation, Airway Breathing)
