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HESI MEDSURG EXAM 2022 ACTUAL EXAM

The practical nurse enters a male client's room to administer routine morning medications, and the client is on the phone. Which action is best for the PN to take? A. Ask another nurse to go back with the medication when the client's hung up the phone B. Wait for the client to excuse himself from the telephone conversation, and observe the client taking the medication C. Return the medication to the client's drawer on the cart and document the client refused the dose D. Leave the medica...

The nurse is assessing a client's laboratory values following administration of chemotherapy. Which lab value leads the nurse to suspect that the client is experiencing tumor lysis syndrome (TLS)? a. Serum PTT of 10 seconds. b. Serum calcium of 5 mg/dL. c. Oxygen saturation of 90%. d. Hemoglobin of 10 g/dL - Ans B - Tumor lysis syndrome (TLS) results in hyperkalemia, hypocalcemia, hyperuricemia, and hyperphosphatemia. A serum calcium level of 5, which is low, is an indicator of possible...

Monitor ABGs - PO2 > 80 mm Hg; PCO2 35-45 mm Hg; HCO3 21-28 mEq/L; pH 7.35-7.45 Chronic bronchitis - Airway destruction Chronic sputum with cough production on a daily basis for a minimum of 3 months in 2 consecutive years Reduced responsiveness of respiratory center to hypoxemia stimuli Precipitating factor: higher incidence in smokers "Blue bloaters" - generalized cyanosis of lips, mucous membranes, face, and nail beds Right-sided heart failure (distended neck veins, crackles) ...

The nurse assesses a patient with shortness of breath for evidence of long-standing hypoxemia by inspecting: A. Chest excursion B. Spinal curvatures C. The respiratory pattern D. The fingernail and its base - Ans D. The fingernail and its base Clubbing, a sign of long-standing hypoxemia, is evidenced by an increase in the angle between the base of the nail and the fingernail to 180 degrees or more, usually accompanied by an increase in the depth, bulk, and sponginess of the end of the...

1. A nurse is visiting a client who is receiving home health care, focusing on medication and dietary instructions and management of heart failure. The nurse should reinforce which instruction? A.) If you feel tired and short of breath, lie down flat and prop up your feet. B.) Eating liver several times a week will help build up your strength. C.) Your daily dose of furosemide should be taken first thing in the morning. D.) The dose of enalapril will help prevent vasodilation from oc...

A client with a productive cough has obtained a sputum specimen for culture as instructed. What is the best initial nursing action? A. Administer the first dose of antibiotic therapy B. Observe the color, consistency, and amount of sputum C. Encourage the client to consume plenty of warm liquids D. Send the specimen to the lab for analysis - B. Observe the color, consistency, and amount of sputum A client is brought to the ED by ambulance in cardiac arrest with cardiopulmonary resus...

HESI MEDSURG EXAM 2022 ACTUAL EXAM

HESI MEDSURG EXAM 2022 ACTUAL EXAM

HESI MEDSURG 2022-2023 EXAM REAL EXAM 160 QUESTIONS AND DETAILEDANSWERSWITH RATIONALES(AGRADE)