HESI PN adult medical surgical EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution vc




Med Surg Final HESI Cartes 2026 A+ GRADE ASSURED C
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OMPLETE SOLUTIONS AND VERIFIED ANSWERS (2CDC8 vc vc vc vc vc




)




QUESTION 1 vc




A client with a productive cough has obtained a sputum specimen for culture as instructe
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d. What is the best initial nursing action?
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A. Administer the first dose of antibiotic therapy
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B. Observe the color, consistency, and amount of sputum
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C. Encourage the client to consume plenty of warm liquids
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D. Send the specimen to the lab for analysis
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ANSWER

B. Observe the color, consistency, and amount of sputum
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QUESTION 2 vc




After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a c
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lient develops pontine myselinolysis. Which intervention should the nurse implement fir
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st?
A. Reorient client to his room
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B. Place a patch on one eye
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C. Evaluate client's ability to swallow
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D. Perform range of motion exercises
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ANSWER

A. Reorient client to his room
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QUESTION 3 vc




A male client with heart failure (HF) calls the clinic and reports that he cannot put his sh
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oes on because they are too tight. Which additional information should the nurse obtain?
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A. What time did he take his last medications?
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,B. Has his weight changed in the last several days?
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C. Is he still able to tighten his belt buckle?
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D. How many hours did he sleep last night?
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ANSWER

B. Has his weight changed in the last several days?
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QUESTION 4 vc




A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg. The h
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eparin is available in a 2 ml vial, labeled 10,000 units/ml. How many ml should the nurs
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e administer? (Enter numeric value only. If rounding is required, round to the nearest te
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nth.)
ANSWER

0.6 ml vc




QUESTION 5 vc




A client with Cushing's syndrome is recovering from an elective laparoscopic procedure.
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Which assessment finding warrants immediate intervention by the nurse?
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A. Irregular apical pulse
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B. Purple marks on the skin of the abdomen
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C. Quarter size blood spot on dressing
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D. Pitting ankle edema
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ANSWER

A. Irregular apical pulse
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QUESTION 6 vc




A male client with Herpes zoster (shingles) on his thorax tells the nurse that he is having
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difficulty sleeping. What is the probable etiology of this problem?
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A. Pain vc



B. Nocturia
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C. Dyspnea
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D. Frequent cough
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ANSWER

A. Pain
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QUESTION 7 vc

, A client with Addison's disease started taking hydrocortisone in a divided daily dose last
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week. It is most important for the nurse to monitor which serum laboratory value?
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A. Osmolarity
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B. Glucose
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C. Albumin
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D. Platelets
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ANSWER

B. Glucose
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QUESTION 8 vc




A client with acquired immunodeficiency syndrome (AIDS) has impaired gas exchange fr
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om a respiratory infection. Which assessment finding warrants immediate intervention
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by the nurse?
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A. Elevated temperature
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B. Generalized weakness
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C. Diminished lung sounds
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D. Pain when swallowing
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ANSWER

D. Pain when swallowing
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QUESTION 9 vc




During a paracentesis, two liters of fluid are removed from the abdomen of a client with
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ascites. A drainage bag is placed, and 50 ml of clear, straw-
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colored fluid drains within the first hour. What action should the nurse implement?
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A. Palpate for abdominal distention
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B. Send fluid to the lab for analysis
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C. Continue to monitor the fluid output
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D. Clamp the drainage tube for 5 minutes
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ANSWER

C. Continue to monitor the fluid output
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QUESTION 10 vc




A client who took a camping vacation two weeks ago in a county with a tropical climate c
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omes to the clinic describing vague symptoms and diarrhea for the past week. Which fin
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ding is most important for the nurse report to the healthcare provider?
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A. Weakness and fatigue
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B. Intestinal cramping
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