MED SURG 2 HESI TEST BANK REAL EXAM
100+ QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES|AGRADE
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NS 213 Test 1 (ch. 30, 33, 35, 36, 65) Nursing 50 Chapters 1-7 Midterm St... N1220 Exam 1 Iggy Qs (wks 1 &2) Nursing
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1. A client with Cushing's syndrome is recovering from an b. Irregular apical pulse
elective laparoscopic procedure. Which assessment
finding warrant's immediate intervention by the nurse?
a. Purple marks on skin of the abdomen
b. Irregular apical pulse
c. Quarter size blood spot on dressing
d. Pitting ankle edema
2. A client with lung cancer who wears a subcutaneous b. Administer a narcotic antagonist
morphine sulfate patch for pain is short of breath and is
difficult to arouse. When performing a head to toe
assessment, the nurse discovers four analgesic patches
on the clients body. Which intervention should the nurse
implement first?
a. Remove all of the morphine patches
b. Administer a narcotic antagonist
c. Apply oxygen per face mask
d. Measure the client's blood pressure
,3. A client receives prescriptions for a multidrug regimen a. Adherence to the regimen is imperative
for the treatment of tuberculosis. Which information
should the nurse prioritize?
a. Adherence to the regimen is imperative
b. Medications should be taken with food
c. Serum liver panels are collected regularly
d. Enhanced sun protection measures will be needed
4. The nurse is preparing a client for surgery who was a. Notify the healthcare provider of the client's medication history
admitted to the emergency center following a motor
vehicle collision. The client has an open fracture of the
femur and is bleeding moderately from the bone
protrusion site. During the prescriptive assessment, the
nurse determines that the client currently receives
heparin sodium 5,000 units subcutaneously daily. What is
the priority nursing action?
a. Notify the healthcare provider of the client's
medication history
b. Observe the heparin injections sites for signs of
bruising
c. Have the client sign the surgical and transfusion
permits
d. Ensure that the potential for bleeding is explained to
the client
5. A client with orthopnea expresses concern about the c. The procedure is performed with the client in an upright position
ability to "get enough air" during a scheduled
thoracentesis. On which information should the nurse's
response be based?
a. A thoracentesis is a brief process that has minimal
discomfort
b. Orthopnea is frequently caused by a client's
uncontrolled anxiety
c. The procedure is performed with the client in an
upright position
d. Extra pillows can be used if needed to elevate the
client's head
, 6. What information should the nurse include in the c. Minimize symptoms by wearing loose, comfortable clothing
teaching plan of a client diagnosed with
gastroesophageal reflux disease (GERD)?
a. Sleep without pillows at night to maintain neck
alignment
b. Adjust food intake to three full meals per day and no
snacks
c. Minimize symptoms by wearing loose, comfortable
clothing
d. Avoid participation in any aerobic exercise programs
7. The nurse is providing teaching to a client with Type 2 a. Family members can help with regular foot exams
diabetes mellitus and peripheral neuropathy. Which
information should the nurse provide?
a. Family members can help with regular foot exams
b. Heating pads are useful if on the low setting
c. Aching feet may be soaked in lukewarm water for one
hour or more
d. Shoes should be worn outside the house, but it is fine
to be barefoot inside
8. A client in the operating room received b. Prepare ice packs for placement in the clients axillary area
succinylcholine. The client is experiencing muscle rigidity
and has an extremely high temperature. What action
should the nurse implement?
a. Hold a prescription for dantrolene until fever is
reduced
b. Prepare ice packs for placement in the clients axillary
area
c. Call the PACU nurse to prepare for prolonged
ventilator support
d. Determine if prescribed antibiotics were administered
preoperatively
9. The nurse is developing a plan of care for a client who c. The clients daily blood pressure will be less than 140/80 this month
reports blurred vision and who is newly diagnosed with
cardiovascular disease. Which outcome should the nurse
include in the plan of care for this client?
a. The nurse will encourage the client to walk thirty
minutes every day
b. The clients family will state signs and symptoms about
the disease
c. The clients daily blood pressure will be less than
140/80 this month
d. The client blood pressure readings will be less than
160/90
100+ QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES|AGRADE
Leave the first rating
Save
Students also studied
Flashcard sets Study guides
NS 213 Test 1 (ch. 30, 33, 35, 36, 65) Nursing 50 Chapters 1-7 Midterm St... N1220 Exam 1 Iggy Qs (wks 1 &2) Nursing
Teacher 46 terms Teacher 87 terms Teacher 228 terms Teacher
EXTENSION123 Preview yellostone7878 Preview laban_munyao Preview cliff
Terms in this set (231) Hide definitions
1. A client with Cushing's syndrome is recovering from an b. Irregular apical pulse
elective laparoscopic procedure. Which assessment
finding warrant's immediate intervention by the nurse?
a. Purple marks on skin of the abdomen
b. Irregular apical pulse
c. Quarter size blood spot on dressing
d. Pitting ankle edema
2. A client with lung cancer who wears a subcutaneous b. Administer a narcotic antagonist
morphine sulfate patch for pain is short of breath and is
difficult to arouse. When performing a head to toe
assessment, the nurse discovers four analgesic patches
on the clients body. Which intervention should the nurse
implement first?
a. Remove all of the morphine patches
b. Administer a narcotic antagonist
c. Apply oxygen per face mask
d. Measure the client's blood pressure
,3. A client receives prescriptions for a multidrug regimen a. Adherence to the regimen is imperative
for the treatment of tuberculosis. Which information
should the nurse prioritize?
a. Adherence to the regimen is imperative
b. Medications should be taken with food
c. Serum liver panels are collected regularly
d. Enhanced sun protection measures will be needed
4. The nurse is preparing a client for surgery who was a. Notify the healthcare provider of the client's medication history
admitted to the emergency center following a motor
vehicle collision. The client has an open fracture of the
femur and is bleeding moderately from the bone
protrusion site. During the prescriptive assessment, the
nurse determines that the client currently receives
heparin sodium 5,000 units subcutaneously daily. What is
the priority nursing action?
a. Notify the healthcare provider of the client's
medication history
b. Observe the heparin injections sites for signs of
bruising
c. Have the client sign the surgical and transfusion
permits
d. Ensure that the potential for bleeding is explained to
the client
5. A client with orthopnea expresses concern about the c. The procedure is performed with the client in an upright position
ability to "get enough air" during a scheduled
thoracentesis. On which information should the nurse's
response be based?
a. A thoracentesis is a brief process that has minimal
discomfort
b. Orthopnea is frequently caused by a client's
uncontrolled anxiety
c. The procedure is performed with the client in an
upright position
d. Extra pillows can be used if needed to elevate the
client's head
, 6. What information should the nurse include in the c. Minimize symptoms by wearing loose, comfortable clothing
teaching plan of a client diagnosed with
gastroesophageal reflux disease (GERD)?
a. Sleep without pillows at night to maintain neck
alignment
b. Adjust food intake to three full meals per day and no
snacks
c. Minimize symptoms by wearing loose, comfortable
clothing
d. Avoid participation in any aerobic exercise programs
7. The nurse is providing teaching to a client with Type 2 a. Family members can help with regular foot exams
diabetes mellitus and peripheral neuropathy. Which
information should the nurse provide?
a. Family members can help with regular foot exams
b. Heating pads are useful if on the low setting
c. Aching feet may be soaked in lukewarm water for one
hour or more
d. Shoes should be worn outside the house, but it is fine
to be barefoot inside
8. A client in the operating room received b. Prepare ice packs for placement in the clients axillary area
succinylcholine. The client is experiencing muscle rigidity
and has an extremely high temperature. What action
should the nurse implement?
a. Hold a prescription for dantrolene until fever is
reduced
b. Prepare ice packs for placement in the clients axillary
area
c. Call the PACU nurse to prepare for prolonged
ventilator support
d. Determine if prescribed antibiotics were administered
preoperatively
9. The nurse is developing a plan of care for a client who c. The clients daily blood pressure will be less than 140/80 this month
reports blurred vision and who is newly diagnosed with
cardiovascular disease. Which outcome should the nurse
include in the plan of care for this client?
a. The nurse will encourage the client to walk thirty
minutes every day
b. The clients family will state signs and symptoms about
the disease
c. The clients daily blood pressure will be less than
140/80 this month
d. The client blood pressure readings will be less than
160/90
