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MED-SURG HESI EXIT NGN NURSING EXAM
ACTUAL PREP QUESTIONS AND WELL
REVISED ANSWERS - LATEST AND COMPLETE
UPDATE WITH VERIFIED SOLUTIONS –
ASSURES PASS
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I
have been applying triple antibiotic ointment for two days, but there has been no
improvement." What instruction should the nurse provide?
- ANSWER: Stop using the ointment and encourage complete drying of the feet
and wearing clean socks.
A 26-year-old female client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms
indicate to the nurse that the prescribed dosage is too high for this client? The
client experiences
Bradycardia and constipation Lethargy and lack of appetite
Muscle cramping and dry, flushed skin Palpitations and shortness of breath
- ANSWER: Palpitations and shortness of breath
A client with a history of heart failure presents to the clinic with nausea, vomiting,
yellow vision and palpitations. Which finding is most important for the nurse to
assess to the client?
,2|Page
- ANSWER: Obtain a list of medications taken for cardiac history
The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg
in 250 ml of D5W at 300 mcg/hour. The nurse should program the infusion pump
to deliver how many ml/hour? (Enter numeric value only.)
- ANSWER: 75
Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour / 1,000
The nurse is auscultating a client's heart sounds. Which description should the
nurse use to document this sound? (Please listen to the audio first to select the
option that applies)
- ANSWER: Murmur
Rationale: A murmur is auscultated as a swishing sound that is associated with the
blood turbulence created by the heart or valvular defect.
The healthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours IM
for an infant. The 500 mg vial is labeled with the instruction to add 5.3 ml diluent
to provide a concentration of 100 mg/ml. How many ml should the nurse
administered for each dose? (Enter numeric value only. If rounding is required,
round to the nearest tenth)
- ANSWER: 0.4
ationale: 35mg/100mg x 1 = 0.35 = 0.4 ml
,3|Page
The nurse notes that a client has been receiving hydromorphone (Dilaudid) every
six hours for four days. What assessment is most important for the nurse to
complete?
Auscultate the client's bowel sounds Observe for edema around the ankles Measure
the client's capillary glucose level
Count the apical and radial pulses simultaneously - ANSWER: Auscultate the
client's bowel sounds
A client is receiving a full strength continuous enteral tube feeding at 50 ml/hour
and has developed diarrhea. The client has a new prescription to change the
feeding to half strength. What intervention should the nurse implement? -
ANSWER: Add equal amounts of water and feeding to a feeding bag and infuse at
50ml/hour
A female client reports that her hair is becoming coarse and breaking off, that the
outer part of her eyebrows have disappeared, and that her eyes are all puffy. Which
follow-up question is best for the nurse to ask?
- ANSWER: Have you noticed any changes in your fingernails?
Rationale: The pattern of reported manifestations is suggestive of hypothyroidism
Following discharge teaching, a male client with duodenal ulcer tells the nurse the
he will drink plenty of dairy products, such as milk, to help coat and protect his
ulcer. What is the best follow-up action by the nurse?
- ANSWER: Review with the client the need to avoid foods that are rich in milk
and cream
, 4|Page
A male client with hypertension, who received new antihypertensive prescriptions
at his last visit returns to the clinic two weeks later to evaluate his blood pressure
(BP). His BP is 158/106 and he admits that he has not been taking the prescribed
medication because the drugs make him "feel bad". In explaining the need for
hypertension control, the nurse should stress that an elevated BP places the client
at risk for which pathophysiological condition?
- ANSWER: Stroke secondary to hemorrhage
The nurse observes unlicensed assistive personnel (UAP) positioning a newly
admitted client who has a seizure disorder. The client is supine and the UAP is
placing soft pillows along the side rails. What action should the nurse implement? -
ANSWER: Instruct the UAP to obtain soft blankets to secure to the side rails
instead of pillows.
An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires immediate
follow-up?
- ANSWER: Describes life without purpose
A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian cancer.
Her Papanicolau (Pap) smear results are negative. What information should the
nurse include in the client's teaching plan?
- ANSWER: Further evaluation involving surgery may be needed
MED-SURG HESI EXIT NGN NURSING EXAM
ACTUAL PREP QUESTIONS AND WELL
REVISED ANSWERS - LATEST AND COMPLETE
UPDATE WITH VERIFIED SOLUTIONS –
ASSURES PASS
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I
have been applying triple antibiotic ointment for two days, but there has been no
improvement." What instruction should the nurse provide?
- ANSWER: Stop using the ointment and encourage complete drying of the feet
and wearing clean socks.
A 26-year-old female client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms
indicate to the nurse that the prescribed dosage is too high for this client? The
client experiences
Bradycardia and constipation Lethargy and lack of appetite
Muscle cramping and dry, flushed skin Palpitations and shortness of breath
- ANSWER: Palpitations and shortness of breath
A client with a history of heart failure presents to the clinic with nausea, vomiting,
yellow vision and palpitations. Which finding is most important for the nurse to
assess to the client?
,2|Page
- ANSWER: Obtain a list of medications taken for cardiac history
The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg
in 250 ml of D5W at 300 mcg/hour. The nurse should program the infusion pump
to deliver how many ml/hour? (Enter numeric value only.)
- ANSWER: 75
Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour / 1,000
The nurse is auscultating a client's heart sounds. Which description should the
nurse use to document this sound? (Please listen to the audio first to select the
option that applies)
- ANSWER: Murmur
Rationale: A murmur is auscultated as a swishing sound that is associated with the
blood turbulence created by the heart or valvular defect.
The healthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours IM
for an infant. The 500 mg vial is labeled with the instruction to add 5.3 ml diluent
to provide a concentration of 100 mg/ml. How many ml should the nurse
administered for each dose? (Enter numeric value only. If rounding is required,
round to the nearest tenth)
- ANSWER: 0.4
ationale: 35mg/100mg x 1 = 0.35 = 0.4 ml
,3|Page
The nurse notes that a client has been receiving hydromorphone (Dilaudid) every
six hours for four days. What assessment is most important for the nurse to
complete?
Auscultate the client's bowel sounds Observe for edema around the ankles Measure
the client's capillary glucose level
Count the apical and radial pulses simultaneously - ANSWER: Auscultate the
client's bowel sounds
A client is receiving a full strength continuous enteral tube feeding at 50 ml/hour
and has developed diarrhea. The client has a new prescription to change the
feeding to half strength. What intervention should the nurse implement? -
ANSWER: Add equal amounts of water and feeding to a feeding bag and infuse at
50ml/hour
A female client reports that her hair is becoming coarse and breaking off, that the
outer part of her eyebrows have disappeared, and that her eyes are all puffy. Which
follow-up question is best for the nurse to ask?
- ANSWER: Have you noticed any changes in your fingernails?
Rationale: The pattern of reported manifestations is suggestive of hypothyroidism
Following discharge teaching, a male client with duodenal ulcer tells the nurse the
he will drink plenty of dairy products, such as milk, to help coat and protect his
ulcer. What is the best follow-up action by the nurse?
- ANSWER: Review with the client the need to avoid foods that are rich in milk
and cream
, 4|Page
A male client with hypertension, who received new antihypertensive prescriptions
at his last visit returns to the clinic two weeks later to evaluate his blood pressure
(BP). His BP is 158/106 and he admits that he has not been taking the prescribed
medication because the drugs make him "feel bad". In explaining the need for
hypertension control, the nurse should stress that an elevated BP places the client
at risk for which pathophysiological condition?
- ANSWER: Stroke secondary to hemorrhage
The nurse observes unlicensed assistive personnel (UAP) positioning a newly
admitted client who has a seizure disorder. The client is supine and the UAP is
placing soft pillows along the side rails. What action should the nurse implement? -
ANSWER: Instruct the UAP to obtain soft blankets to secure to the side rails
instead of pillows.
An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires immediate
follow-up?
- ANSWER: Describes life without purpose
A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian cancer.
Her Papanicolau (Pap) smear results are negative. What information should the
nurse include in the client's teaching plan?
- ANSWER: Further evaluation involving surgery may be needed
