HESI MED - SURGERY V1 -V7
PREDICTOR FINAL EXAM REAL EXAM
COMPLETE VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED RATIONALES) |ALREADY
GRADED A+
The nurse is completing an admission interview for a client with Parkinson disease. Which
question will provide additional information about manifestations that the client is likely to
experience?
A.
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"Have you ever experienced any paralysis of your arms or legs?"
B.
"Do you have frequent blackout spells?"
C.
"Have you ever been frozen in one spot, unable to move?"
D.
"Do you have headaches, especially ones with throbbing pain?" –
Correct Answer :Correct Answer: C
Rationale:Clients with Parkinson disease frequently experience difficulty in initiating,
maintaining, and performing motor activities. They may even experience being rooted to the
spot and unable to move. Parkinson disease does not typically cause option A, B, or D
The nurse is preparing a 45-year-old client for discharge from a cancer center following
ileostomy surgery for colon cancer. Which discharge goal should the nurse include in this client's
discharge plan?
A.
Reduce the daily intake of animal fat to 10% of the diet within 6 weeks.
B.
Exhibit regular, soft-formed stool within 1 month.
C.
Demonstrate the irrigation procedure correctly within 1 week.
D.
Attend an ostomy support group within 2 weeks –
Correct Answer :Correct Answer: D
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Rationale:Attending a support group will be beneficial to the client and should be encouraged
because adaptation to the ostomy can be difficult. This goal is attainable and is measurable.
Option A is not specifically related to ileostomy care. The client with an ileostomy will not be able
to accomplish option B. Option C is not necessary
The nurse receives the client's next scheduled bag of TPN labeled with the additive NPH insulin.
Which action should the nurse implement?
A.
Hang the solution at the current rate.
B.
Refrigerate the solution until needed.
C.
Prepare the solution with new tubing.
D.
Return the solution to the pharmacy –
Correct Answer :Correct Answer: D
Rationale:Only regular insulin is administered by the IV route, so the TPN solution containing
NPH insulin should be returned to the pharmacy. Options A, B, and C are not indicated because
the solution should not be administered
The nurse observes ventricular fibrillation on telemetry and, on entering the client's bathroom,
finds the client unconscious on the floor. Which action should the nurse take first?
A.
Administer an antidysrhythmic medication.
B.
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Start cardiopulmonary resuscitation.
C.
Prepare for mechanical ventilation.
D.
Assess the client's pulse oximetry. –
Correct Answer :Correct Answer: B
Rationale:Ventricular fibrillation is a life-threatening dysrhythmia, and CPR should be started
immediately until the crash cart arrives. Options A and C are appropriate, but CPR is the priority
action until a defibrillator is available, which is the most effective treatment for ventricular
fibrillation. The client is dying, and option D does not address the seriousness of this situation.
A client with a nasogastric tube attached to low suction states that she is nauseated. The nurse
assesses that there has been no drainage through the nasogastric tube in the last 2 hours. Which
action should the nurse take first?
A.
Irrigate the nasogastric tube with sterile normal saline.
B.
Reposition the client on her side.
C.
Advance the nasogastric tube 5 cm.
D.
Administer an intravenous antiemetic as prescribed. –
Correct Answer :Correct Answer: B
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