RN Exit v2 Test ** HESI Med Surg Real Exit Exam Questions with Answers NGN

RN Exit v2 Test ** HESI Med Surg Real Exit
Exam Questions with Answers NGN
TheMnurseMassumesMcareMofMaMpostoperativeMadultMclientMwithMtypeM2MdiabetesMmellitusMandMlear
nsMthatMtheMclientMhasMaMcurrentMbloodMglucoseMlevelMofM720Mmg/dL.MWhenMassessingMtheMclient,
MwhatMisMtheMpriority?



A.MAssessMforMsignsMofMfluidMvolumeMdeficit

B.MObserveMwoundMdrainageMcharacteristics
C.MMeasureMtheMlevelMofMacuteMpain

D.MDetermineMwhenMtheMclientMlastMateM-MCORRECTMANSWERM-
A.MAssessMforMsignsMofMfluidMvolumeMdeficit



AMmaleMclientMtellsMtheMnurseMthatMheMisMconcernedMthatMheMmayMhaveMaMstomachMulcer,Mbecause
MheMisMexperiencingMheartburnMandMdullMgnawingMpainMthatMisMrelievedMwhenMheMeats.MWhichMisMt


heMbestMresponseMbyMtheMnurse?
A.MEncourageMtheMclientMtoMobtainMaMcompleteMphysicalMexam,MsinceMtheseMsymptomsMareMconsis
tentMwithManMulcer

B.MAssureMtheMclientMthatMhisMsymptomsMmayMonlyMreflectMreflux,MsinceMulcerMpainMisMnotMrelieve
dMwithMfood

C.MInstructMtheMclientMthatMtheseMmildMsymptomsMcanMgenerallyMbeMcontrolledMwithMchangesMinMh
isMdiet

D.MAdviseMtheMclientMthatMheMneedsMtoMseekMimmediateMmedicalMevaluationMandMtreatmentMofMthe
seMsymptomsM-MCORRECTMANSWERM-
A.MEncourageMtheMclientMtoMobtainMaMcompleteMphysicalMexam,MsinceMtheseMsymptomsMareMconsis
tentMwithManMulcer



AMmaleMclientMwithMstomachMcancerMreturnsMtoMtheMunitMfollowingMaMtotalMgastrectomy.MHeMhasMa
MnasogastricMtubeMtoMsuctionMandMisMreceivingMLactatedMRinger'sMsolutionMatM75MmL/hrMIV.MOneM


hourMafterMadmissionMtoMtheMunit,MtheMnurseMnotesM300mLMofMbloodMinMtheMsuctionMcanister,MtheM
client'sMheartMrateMisM155Mbeats/minute,MandMhisMbloodMpressureMisM78/48MmmHg.MInMadditionMtoM
reportingMtheMfindingsMtoMtheMsurgeon,MwhichMactionMshouldMtheMnurseMimplementMfirst?
A.MMeasureMandMdocumentMtheMclient'sMurinaryMoutput

,B.MRequestMtheMclient'sMreservedMunitMofMpackedMredMbloodMcells

C.MPrepareMforMplacementMofMaMcentralMvenousMcatheter

D.MIncreaseMtheMinfusionMrateMofMLactatedMRinger'sMsolutionM-MCORRECTMANSWERM-
D.MIncreaseMtheMinfusionMrateMofMLactatedMRinger'sMsolution



AMheparinMinfusionMisMprescribedMforMaMclientMwhoMweighsM220Mpounds.MAfterMadministeringMaMb
olusMdoseMofM80Munits/kg,MtheMnurseMcalculatesMtheMinfusionMrateMforMtheMheparinMsolutionMasM18M
units/kg/hour.MTheMavailableMsolutionMisMHeparinMSodiumM25,000MUnitsMinM5%MDextroseMInjecti
onM250MmL.MTheMnurseMshouldMprogramMtheMinfusionMpumpMtoMdeliverMhowMmanyMmL/hour?M-
MCORRECTMANSWERM--1st:McalculateMtheMweightM=M220/2.2=M100kg



-ThenMcalculateMtotalMdoseMinMunitsM=M18unitsMxM100kgM=M1800Munits/hr

-M25000MunitsM-MinM250

1800MunitsM---inMXMml
M



xM=M1800MxM250/25000M=18MmL/hr



AnMadultMmaleMwhoMfellM20MfeetMfromMtheMroofMofMhisMhomeMhasMmultipleMinjuries,MincludingMaMr
ightMpneumothorax.MChestMtubesMwereMinsertedMinMtheMemergencyMdepartmentMpriorMtoMhisMtransf
erMtoMtheMintensiveMcareMunitM(ICU).MTheMnurseMnotesMthatMtheMsuctionMcontrolMchamberMisMbubbl
ingMatMtheM-
10cmMH2OMmark,MwhichMfluctuationMinMtheMwaterMseal,MandMoverMtheMpastMhourM75MmLMofMbrigh
tMredMbloodMisMmeasuredMinMtheMcollectionMchamber.MWhichMinterventionMshouldMtheMnurseMimple
ment?

A.MAddMsterileMwaterMtoMtheMsuctionMcontrolMchamber
B.MGiveMbloodMfromMtheMcollectionMchamberMasMautotransfusion
C.MManipulateMbloodMinMtubingMtoMdrainMintoMchamber

D.MIncreaseMwallMsuctionMtoMeliminateMfluctuationMinMwaterMsealM-MCORRECTMANSWERM-
A.MAddMsterileMwaterMtoMtheMsuctionMcontrolMchamber



AnMadultMmaleMwasMdiagnosedMwithMstageMIVMlungMcancerMthreeMweeksMago.MHisMwifeMapproach
esMtheMnurseMandMasksMhowMsheMwillMknowMthatMherMhusband'sMdeathMisMimminentMbecauseMtheirM
twoMadultMchildrenMwantMtoMbeMthereMwhenMheMdies.MWhichMisMtheMbestMresponseMbyMtheMnurse?M
A.MGatherMinformationMregardingMhowMlongMitMwillMtakeMforMtheMchildrenMtoMarrive

,B.MExplainMthatMtheMclientMwillMstartMtoMloseMconsciousnessMandMtheMbodyMsystemsMwillMslowMdo
wn

C.MReassureMtheMspouseMthatMtheMhealthcareMproviderMwillMnotifyMwhenMtoMcallMtheMchildrenM

D.MOfferMtoMdiscussMtheMclient'sMhealthMstatusMwithMeachMofMtheMadultMchildrenM-
MCORRECTMANSWERM-


B.MExplainMthatMtheMclientMwillMstartMtoMloseMconsciousnessMandMtheMbodyMsystemsMwillMslowMdo
wn


TheMchargeMnurseMofMaMcriticalMcareMunitMisMinformedMatMtheMbeginningMofMtheMshiftMthatMlessMtha
nMtheMoptimalMnumberMofMregisteredMnursesMwillMbeMworkingMthatMshift.MInMplanningMassignments
,MwhichMclientMshouldMreceiveMtheMmostMcareMhoursMbyMaMregisteredMnurseM(RN)?

A.MAM48-year-
oldMmarathonMrunnerMwithMaMcentralMvenousMcatheterMwhoMisMexperiencingMnauseaMandMvomiting
MdueMtoMelectrolyteMdisturbanceMfollowingMaMrace



B.MAM34-year-
oldMadmittedMtodayMafterManMemergencyMappendectomyMwhoMhasMaMperipheralMintravenousMcathe
terMandMaMFoleyMcatheter

C.MAM63-year-
oldMchainMsmokerMadmittedMwithMchronicMbronchitisMwhoMisMreceivingMoxygenMviaMnasalMcannula
MandMhasMaMsaline-lockedMperipheralMintravenousMcatheter



D.MAnM82-year-oldMclientMwithMAlzheimer'sMdiseaseMandMaMnewly-
fracturedMfemurMwhoMhasMaMFoleyMcatheterMandMsoftMwristMrestraintsMappliedM-
MCORRECTMANSWERM-D.MAnM82-year-oldMclientMwithMAlzheimer'sMdiseaseMandMaMnewly-


fracturedMfemurMwhoMhasMaMFoleyMcatheterMandMsoftMwristMrestraintsMapplied



TheMnurseMisMpreparingMaMdoseMofM60MmcgMofMteriparatide.MTheMmedicationMisMlabeledM"750Mmcg
/2.4mL".MHowMmanyMmLMshouldMtheMnurseMadminister?MRoundMtoMnearestMtenth.M-
MCORRECTMANSWERM-0.2MmL




InMcaringMforMaMclientMwithMCushing'sMSyndrome,MwhichMserumMlaboratoryMvalueMisMmostMimport
antMforMtheMnurseMtoMmonitor?

A.MCreatinine
B.MLactate

, C.MGlucose

D.MHemoglobinM-MCORRECTMANSWERM-C.MGlucose



AMclientMwhoMreceivedMhemodialysisMyesterdayMisMexperiencingMaMbloodMpressureMofM200/100Mm
mHg,MheartMrateM110Mbeats/minute,MandMrespiratoryMrateM36Mbreaths/minute.MTheMclientMisMmanif
estingMshortnessMofMbreath,MbilateralM2+MpedalMedema,MandManMoxygenMsaturationMonMroomMairMof
M89%.MWhichMactionMshouldMtheMnurseMtakeMfirst?



A.MElevateMtheMfootMofMtheMbed

B.MRestrictMtheMclient'sMfluids

C.MBeginMsupplementalMoxygen

D.MPrepareMclientMforMhemodialysisM-MCORRECTMANSWERM-C.MBeginMsupplementalMoxygen


WhenMcaringMforMaMclientMwithMfullMthicknessMburnsMtoMbothMlowerMextremities,MwhichMassessme
ntMfindingsMwarrantMimmediateMintervention?MSelectMallMthatMapply
A.MSloughingMtissueMaroundMwoundMedges

B.MComplaintMofMincreasedMpainMandMpressure

C.MChangeMinMtheMqualityMofMtheMperipheralMpulses

D.MLossMofMsensationMtoMtheMleftMlowerMextremity

E.MWeepingMserosanguineousMfluidMfromMwoundsM-MCORRECTMANSWERM-
B.MComplaintMofMincreasedMpainMandMpressure

C.MChangeMinMtheMqualityMofMtheMperipheralMpulses
D.MLossMofMsensationMtoMtheMleftMlowerMextremity



AnMolderMclientMisMadmittedMwithMfluidMvolumeMdeficitMandMdehydration.MWhichMassessmentMfind
ingMisMtheMbestMindicatorMofMhydrationMthatMtheMnurseMshouldMreportMtoMtheMhealthcareMprovider?

A.MUrineMspecificMgravityMisM1.040
B.MSystolicMbloodMpressureMdecreasesM10MpointsMwhenMstanding

C.MTheMclientMdeniesMbeingMthirsty