Med Surg 1 HESI Final T2 exam with |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
correct answers |||\\\
1. A nurse is visiting a client who is receiving home health care, focusing on medication and
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dietary instructions and management of heart failure. The nurse should reinforce which
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instruction?
A.) If you feel tired and short of breath, lie down flat and prop up your feet.
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B.) Eating liver several times a week will help build up your strength.
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C.) Your daily dose of furosemide should be taken first thing in the morning.
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D.) The dose of enalapril will help prevent vasodilation from occurring. - correct
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answer✔✔Answer: C |||\\\
2. A nurse planning care for a client who has undergone transurethral resection of the prostate
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(TURP) remembers that the most common cause of postoperative pain is which factor?
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A.) Bladder spasms
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B.) Bleeding within the bladder
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C.) The location of the incision
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D.) Tension on the Foley catheter - correct answer✔✔Answer: A
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,3. A nurse assessing the skin of a client who is immobile notes this change in appearance of the
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skin in the sacral area:
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The nurse documents this finding in which way?
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A.) Stage I pressure ulcer
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B.) Stage II pressure ulcer
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C.) Stage III pressure ulcer
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D.) Stage IV pressure ulcer - correct answer✔✔Answer: A
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4. A nurse reinforces teaching given to a client with gastroesophageal reflux disease (GERD)
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about measures to manage the disease. What does the nurse encourage the client to do to
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obtain relief of the symptoms? |||\\\ |||\\\ |||\\\ |||\\\
A.) Limit intake of coffee and tea.
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B.) Eat three large, well-balanced meals per day.
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C.) Rest in a supine position for 30 minutes after each meal.
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D.) Elevate the head of the bed at least 6 to 8 inches for sleep. - correct answer✔✔Answer: D
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, 5. A nurse provides instructions to a client who is taking allopurinol for the treatment of gout.
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Which statements by the client indicate an understanding of the medication?
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A.) "I need to take the medication 1 hour before I eat."
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|||\\\ B.) "I need to drink at least 8 glasses of fluid every day."
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|||\\\ C. "I'll start taking a vitamin C supplement each morning."
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|||\\\ D.) "I can use an antihistamine lotion if I get an itchy rash." - correct answer✔✔Answer: B
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6. A client with phantom limb pain has decided to use transcutaneous electrical nerve
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stimulation (TENS) as prescribed by the health care provider. The nurse reinforces instructions |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
regarding the use of the TENS unit. Which statements by the client indicate a need for further |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
instruction regarding this pain-relief measure? |||\\\ |||\\\ |||\\\ |||\\\
A.) "I'm so glad this will help relieve the pain."
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B.) "Now I won't need to take so many pain medications."
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C.) "I need to put the electrodes on the areas that you marked."
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D.) "I'm not sure I'm going to like having those electrodes attached to my skin." - correct
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answer✔✔Answer: C |||\\\
7. A hospitalized client has just been found to have acute renal failure (ARF). The laboratory
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calls the nursing unit and reports that the client has a serum potassium level of 6.4 mEq/L. On
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the basis of this laboratory finding, the nurse should first take which action?
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correct answers |||\\\
1. A nurse is visiting a client who is receiving home health care, focusing on medication and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
dietary instructions and management of heart failure. The nurse should reinforce which
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
instruction?
A.) If you feel tired and short of breath, lie down flat and prop up your feet.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.) Eating liver several times a week will help build up your strength.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C.) Your daily dose of furosemide should be taken first thing in the morning.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D.) The dose of enalapril will help prevent vasodilation from occurring. - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Answer: C |||\\\
2. A nurse planning care for a client who has undergone transurethral resection of the prostate
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
(TURP) remembers that the most common cause of postoperative pain is which factor?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.) Bladder spasms
|||\\\ |||\\\
B.) Bleeding within the bladder
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C.) The location of the incision
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D.) Tension on the Foley catheter - correct answer✔✔Answer: A
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,3. A nurse assessing the skin of a client who is immobile notes this change in appearance of the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
skin in the sacral area:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse documents this finding in which way?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.) Stage I pressure ulcer
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B.) Stage II pressure ulcer
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C.) Stage III pressure ulcer
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D.) Stage IV pressure ulcer - correct answer✔✔Answer: A
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4. A nurse reinforces teaching given to a client with gastroesophageal reflux disease (GERD)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
about measures to manage the disease. What does the nurse encourage the client to do to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
obtain relief of the symptoms? |||\\\ |||\\\ |||\\\ |||\\\
A.) Limit intake of coffee and tea.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.) Eat three large, well-balanced meals per day.
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C.) Rest in a supine position for 30 minutes after each meal.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D.) Elevate the head of the bed at least 6 to 8 inches for sleep. - correct answer✔✔Answer: D
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, 5. A nurse provides instructions to a client who is taking allopurinol for the treatment of gout.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Which statements by the client indicate an understanding of the medication?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.) "I need to take the medication 1 hour before I eat."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
|||\\\ B.) "I need to drink at least 8 glasses of fluid every day."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
|||\\\ C. "I'll start taking a vitamin C supplement each morning."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
|||\\\ D.) "I can use an antihistamine lotion if I get an itchy rash." - correct answer✔✔Answer: B
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6. A client with phantom limb pain has decided to use transcutaneous electrical nerve
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
stimulation (TENS) as prescribed by the health care provider. The nurse reinforces instructions |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
regarding the use of the TENS unit. Which statements by the client indicate a need for further |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
instruction regarding this pain-relief measure? |||\\\ |||\\\ |||\\\ |||\\\
A.) "I'm so glad this will help relieve the pain."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.) "Now I won't need to take so many pain medications."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C.) "I need to put the electrodes on the areas that you marked."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D.) "I'm not sure I'm going to like having those electrodes attached to my skin." - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Answer: C |||\\\
7. A hospitalized client has just been found to have acute renal failure (ARF). The laboratory
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
calls the nursing unit and reports that the client has a serum potassium level of 6.4 mEq/L. On
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the basis of this laboratory finding, the nurse should first take which action?
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