RN Exit v2 test ****A+ HESI MED SURG REAL
EXIT EXAM WITH NGN UPDATED LATEST
SOLUTIONS
The nurse assumes care of a postoperative adult client with
type 2 diabetes mellitus and learns that the client has a current
blood glucose level of 720 mg/dL. When assessing the client,
what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate - ✔✔ANSWER ✔✔-A.
Assess for signs of fluid volume deficit
,A male client tells the nurse that he is concerned that he may
have a stomach ulcer, because he is experiencing heartburn
and dull gnawing pain that is relieved when he eats. Which is
the best response by the nurse?
A. Encourage the client to obtain a complete physical exam,
since these symptoms are consistent with an ulcer
B. Assure the client that his symptoms may only reflect reflux,
since ulcer pain is not relieved with food
C. Instruct the client that these mild symptoms can generally be
controlled with changes in his diet
D. Advise the client that he needs to seek immediate medical
evaluation and treatment of these symptoms - ✔✔ANSWER
✔✔-A. Encourage the client to obtain a complete physical
exam, since these symptoms are consistent with an ulcer
A male client with stomach cancer returns to the unit following
a total gastrectomy. He has a nasogastric tube to suction and is
receiving Lactated Ringer's solution at 75 mL/hr IV. One hour
after admission to the unit, the nurse notes 300mL of blood in
the suction canister, the client's heart rate is 155 beats/minute,
and his blood pressure is 78/48 mmHg. In addition to reporting
the findings to the surgeon, which action should the nurse
implement first?
A. Measure and document the client's urinary output
,B. Request the client's reserved unit of packed red blood cells
C. Prepare for placement of a central venous catheter
D. Increase the infusion rate of Lactated Ringer's solution -
✔✔ANSWER ✔✔-D. Increase the infusion rate of Lactated
Ringer's solution
A heparin infusion is prescribed for a client who weighs 220
pounds. After administering a bolus dose of 80 units/kg, the
nurse calculates the infusion rate for the heparin solution as 18
units/kg/hour. The available solution is Heparin Sodium 25,000
Units in 5% Dextrose Injection 250 mL. The nurse should
program the infusion pump to deliver how many mL/hour? -
✔✔ANSWER ✔✔--1st: calculate the weight = 220/2.2= 100kg
-Then calculate total dose in units = 18units x 100kg = 1800
units/hr
- 25000 units - in 250
1800 units ---in X ml
x = 1800 x 250/25000 =18 mL/hr
An adult male who fell 20 feet from the roof of his home has
multiple injuries, including a right pneumothorax. Chest tubes
were inserted in the emergency department prior to his
transfer to the intensive care unit (ICU). The nurse notes that
, the suction control chamber is bubbling at the -10cm H2O
mark, which fluctuation in the water seal, and over the past
hour 75 mL of bright red blood is measured in the collection
chamber. Which intervention should the nurse implement?
A. Add sterile water to the suction control chamber
B. Give blood from the collection chamber as autotransfusion
C. Manipulate blood in tubing to drain into chamber
D. Increase wall suction to eliminate fluctuation in water seal -
✔✔ANSWER ✔✔-A. Add sterile water to the suction control
chamber
An adult male was diagnosed with stage IV lung cancer three
weeks ago. His wife approaches the nurse and asks how she will
know that her husband's death is imminent because their two
adult children want to be there when he dies. Which is the best
response by the nurse?
A. Gather information regarding how long it will take for the
children to arrive
B. Explain that the client will start to lose consciousness and the
body systems will slow down
C. Reassure the spouse that the healthcare provider will notify
when to call the children
EXIT EXAM WITH NGN UPDATED LATEST
SOLUTIONS
The nurse assumes care of a postoperative adult client with
type 2 diabetes mellitus and learns that the client has a current
blood glucose level of 720 mg/dL. When assessing the client,
what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate - ✔✔ANSWER ✔✔-A.
Assess for signs of fluid volume deficit
,A male client tells the nurse that he is concerned that he may
have a stomach ulcer, because he is experiencing heartburn
and dull gnawing pain that is relieved when he eats. Which is
the best response by the nurse?
A. Encourage the client to obtain a complete physical exam,
since these symptoms are consistent with an ulcer
B. Assure the client that his symptoms may only reflect reflux,
since ulcer pain is not relieved with food
C. Instruct the client that these mild symptoms can generally be
controlled with changes in his diet
D. Advise the client that he needs to seek immediate medical
evaluation and treatment of these symptoms - ✔✔ANSWER
✔✔-A. Encourage the client to obtain a complete physical
exam, since these symptoms are consistent with an ulcer
A male client with stomach cancer returns to the unit following
a total gastrectomy. He has a nasogastric tube to suction and is
receiving Lactated Ringer's solution at 75 mL/hr IV. One hour
after admission to the unit, the nurse notes 300mL of blood in
the suction canister, the client's heart rate is 155 beats/minute,
and his blood pressure is 78/48 mmHg. In addition to reporting
the findings to the surgeon, which action should the nurse
implement first?
A. Measure and document the client's urinary output
,B. Request the client's reserved unit of packed red blood cells
C. Prepare for placement of a central venous catheter
D. Increase the infusion rate of Lactated Ringer's solution -
✔✔ANSWER ✔✔-D. Increase the infusion rate of Lactated
Ringer's solution
A heparin infusion is prescribed for a client who weighs 220
pounds. After administering a bolus dose of 80 units/kg, the
nurse calculates the infusion rate for the heparin solution as 18
units/kg/hour. The available solution is Heparin Sodium 25,000
Units in 5% Dextrose Injection 250 mL. The nurse should
program the infusion pump to deliver how many mL/hour? -
✔✔ANSWER ✔✔--1st: calculate the weight = 220/2.2= 100kg
-Then calculate total dose in units = 18units x 100kg = 1800
units/hr
- 25000 units - in 250
1800 units ---in X ml
x = 1800 x 250/25000 =18 mL/hr
An adult male who fell 20 feet from the roof of his home has
multiple injuries, including a right pneumothorax. Chest tubes
were inserted in the emergency department prior to his
transfer to the intensive care unit (ICU). The nurse notes that
, the suction control chamber is bubbling at the -10cm H2O
mark, which fluctuation in the water seal, and over the past
hour 75 mL of bright red blood is measured in the collection
chamber. Which intervention should the nurse implement?
A. Add sterile water to the suction control chamber
B. Give blood from the collection chamber as autotransfusion
C. Manipulate blood in tubing to drain into chamber
D. Increase wall suction to eliminate fluctuation in water seal -
✔✔ANSWER ✔✔-A. Add sterile water to the suction control
chamber
An adult male was diagnosed with stage IV lung cancer three
weeks ago. His wife approaches the nurse and asks how she will
know that her husband's death is imminent because their two
adult children want to be there when he dies. Which is the best
response by the nurse?
A. Gather information regarding how long it will take for the
children to arrive
B. Explain that the client will start to lose consciousness and the
body systems will slow down
C. Reassure the spouse that the healthcare provider will notify
when to call the children
