HESI-RN Med-Surg Test
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Terms in this set (125)
,B The nurse is assessing a client with acute
The nurse is assessing a pancreatitis. Which finding requires the most
client with acute immediate intervention by the nurse?
pancreatitis. Which A.
finding requires the most The client's amylase level is three times higher than
immediate intervention the normal level.
by the nurse? B.
Rationale:A positive The client has a carpal spasm when taking a blood
Trousseau sign indicates pressure.
hypocalcemia and always C.
requires further On a 1 to 10 scale, the client tells the nurse that her
assessment and epigastric pain is at 7.
intervention, regardless D.
of the cause (40% to 75% The client states that she will continue to drink
of those with acute alcohol after going home.
pancreatitis experience
hypocalcemia, which can
have serious, systemic
effects). A key diagnostic
finding of pancreatitis is
serum amylase and lipase
levels that are two to five
times higher than the
normal value. Severe
boring pain is an
expected symptom for
this diagnosis, but
dealing with the
hypocalcemia is a priority
over administering an
analgesic. Long-term
planning and teaching do
not have the same
immediate importance as
a positive Trousseau sign.
,C A 55-year-old male client has been admitted to the
Rationale:Smoking, hospital with a medical diagnosis of chronic
considered to be a obstructive pulmonary disease (COPD). Which risk
modifiable risk factor, is factor is the most significant in the development of
the most significant risk this client's COPD?
factor for the A.
development of COPD. The client's father was diagnosed with COPD in his
The exact mechanism of 50s.
genetic and hereditary B.
implications for the A close family member contracted tuberculosis last
development of COPD is year.
still under investigation, C.
although exposure to The client smokes one to two packs of cigarettes
similar predisposing per day.
factors (e.g., smoking or D.
inhaling secondhand The client has been 40 pounds overweight for 15
smoke) may increase the years.
likelihood of COPD
incidence among family
members. Options B and
D do not exceed the risks
associated with cigarette
smoking in the
development of COPD.
, C In assessing a client diagnosed with primary
Rationale:Clients with aldosteronism, the nurse expects the laboratory test
primary aldosteronism results to indicate a decreased serum level of which
exhibit a profound substance?
decline in serum levels of A.
potassium; hypokalemia; Sodium
hypertension is the most B.
prominent and universal Phosphate
sign. The serum sodium C.
level is normal or Potassium
elevated, depending on D.
the amount of water Glucose
resorbed with the
sodium. Option B is
influenced by
parathyroid hormone
(PTH). Option D is not
affected by primary
aldosteronism.
The nurse is completing an admission interview for a
C client with Parkinson disease. Which question will
Rationale:Clients with provide additional information about manifestations
Parkinson disease that the client is likely to experience?
frequently experience A.
difficulty in initiating, "Have you ever experienced any paralysis of your
maintaining, and arms or legs?"
performing motor B.
activities. They may even "Do you have frequent blackout spells?"
experience being rooted C.
to the spot and unable to "Have you ever been frozen in one spot, unable to
move. Parkinson disease move?"
does not typically cause D.
option A, B, or D. "Do you have headaches, especially ones with
throbbing pain?"
Save
Terms in this set (125)
,B The nurse is assessing a client with acute
The nurse is assessing a pancreatitis. Which finding requires the most
client with acute immediate intervention by the nurse?
pancreatitis. Which A.
finding requires the most The client's amylase level is three times higher than
immediate intervention the normal level.
by the nurse? B.
Rationale:A positive The client has a carpal spasm when taking a blood
Trousseau sign indicates pressure.
hypocalcemia and always C.
requires further On a 1 to 10 scale, the client tells the nurse that her
assessment and epigastric pain is at 7.
intervention, regardless D.
of the cause (40% to 75% The client states that she will continue to drink
of those with acute alcohol after going home.
pancreatitis experience
hypocalcemia, which can
have serious, systemic
effects). A key diagnostic
finding of pancreatitis is
serum amylase and lipase
levels that are two to five
times higher than the
normal value. Severe
boring pain is an
expected symptom for
this diagnosis, but
dealing with the
hypocalcemia is a priority
over administering an
analgesic. Long-term
planning and teaching do
not have the same
immediate importance as
a positive Trousseau sign.
,C A 55-year-old male client has been admitted to the
Rationale:Smoking, hospital with a medical diagnosis of chronic
considered to be a obstructive pulmonary disease (COPD). Which risk
modifiable risk factor, is factor is the most significant in the development of
the most significant risk this client's COPD?
factor for the A.
development of COPD. The client's father was diagnosed with COPD in his
The exact mechanism of 50s.
genetic and hereditary B.
implications for the A close family member contracted tuberculosis last
development of COPD is year.
still under investigation, C.
although exposure to The client smokes one to two packs of cigarettes
similar predisposing per day.
factors (e.g., smoking or D.
inhaling secondhand The client has been 40 pounds overweight for 15
smoke) may increase the years.
likelihood of COPD
incidence among family
members. Options B and
D do not exceed the risks
associated with cigarette
smoking in the
development of COPD.
, C In assessing a client diagnosed with primary
Rationale:Clients with aldosteronism, the nurse expects the laboratory test
primary aldosteronism results to indicate a decreased serum level of which
exhibit a profound substance?
decline in serum levels of A.
potassium; hypokalemia; Sodium
hypertension is the most B.
prominent and universal Phosphate
sign. The serum sodium C.
level is normal or Potassium
elevated, depending on D.
the amount of water Glucose
resorbed with the
sodium. Option B is
influenced by
parathyroid hormone
(PTH). Option D is not
affected by primary
aldosteronism.
The nurse is completing an admission interview for a
C client with Parkinson disease. Which question will
Rationale:Clients with provide additional information about manifestations
Parkinson disease that the client is likely to experience?
frequently experience A.
difficulty in initiating, "Have you ever experienced any paralysis of your
maintaining, and arms or legs?"
performing motor B.
activities. They may even "Do you have frequent blackout spells?"
experience being rooted C.
to the spot and unable to "Have you ever been frozen in one spot, unable to
move. Parkinson disease move?"
does not typically cause D.
option A, B, or D. "Do you have headaches, especially ones with
throbbing pain?"
