HESI RN MED SURG EXIT 400 FINAL PAPER
2026 COMPLETE QUESTIONS AND ANSWERS
◉ A client on telemetry has a pattern of uncontrolled atrial
fibrillation with a rapid ventricular response. Based on this finding,
the nurse anticipates assisting the physician with which treatment?
A.
Administer lidocaine, 75 mg intravenous push.
B.
Perform synchronized cardioversion.
C.
Defibrillate the client as soon as possible.
D.
Administer atropine, 0.4 mg intravenous push.
Answer: B
Rationale:With uncontrolled atrial fibrillation, the treatment of
choice is synchronized cardioversion to convert the cardiac rhythm
back to normal sinus rhythm. Option A is a medication used for
ventricular dysrhythmias. Option C is not for a client with atrial
fibrillation; it is reserved for clients with life-threatening
dysrhythmias, such as ventricular fibrillation and unstable
ventricular tachycardia. Option D is the drug of choice in
symptomatic sinus bradycardia, not atrial fibrillation.
,◉ The nurse is preparing a client for discharge after a right total
knee replacement. Which client statements about use of a walker
indicate to the nurse the teaching was effective? (Select all that
apply.)
A.
"I will walk in the middle of the walker."
B.
"I will make sure all four feet of the walker are on the floor before I
use the hand pieces."
C.
"I will move my right foot forward into the walker, and then my left
foot."
D.
"I will collapse the walker and put it in the chair opposite the bed at
night."
E.
"I will use a silicone-based cleaning product to clean the hand pieces
and rubber tips."
Answer: A, B, C
Rationale:The nurse is teaching about use of a walker. Having the
walker collapsed at night does not help with nighttime ambulation
to the restroom. The client is at risk for falling. Silicone is a slippery
material and placing silicone on the rubber tips of the walker places
,the client at risk for falling. The remaining client statements about
use of a walker are correct.
◉ A resident in a long-term care facility is diagnosed with hepatitis
B. Which action should the nurse take with the staff caring for this
client?
A.
Determine if all employees have had the hepatitis B vaccine series.
B.
Explain that this type of hepatitis can be transmitted when feeding
the client.
C.
Assure the employees that they cannot contract hepatitis B when
providing direct care.
D.
Tell the employees that wearing gloves and a gown are required
when providing all care.
Answer: A
Rationale:Hepatitis B vaccine should be administered to all health
care providers. Hepatitis A (not hepatitis B) can be transmitted by
fecal-oral contamination. There is a chance that staff could contract
hepatitis B if exposed to the client's blood and/or body fluids;
therefore, option C is incorrect. There is no need to wear gloves and
gowns except with blood or body fluid contact.
, ◉ The nurse is providing care to a client admitted to the emergency
room with a blood glucose level of 40 mg/dL and is semiconscious.
What are the nurse's next actions? (Select all that apply.)
A.
Place 4 sugar cubes under the tongue.
B.
Place 1 tablespoon of honey in the client's cheek.
C.
Start an IV of Normal Saline.
D.
Obtain a 50% dextrose solution.
E.
Administer glucagon as per the standing order.
F.
Turn the client to the side.
Answer: C, D, E, F
Rationale:Oral carbohydrates, such as sugar and honey, should never
be given to the semiconscious or unconscious clients with low blood
sugar levels, for concern for aspiration. Glucagon can be
administered immediately, followed by starting an IV. Await the
orders for the 50% dextrose solution. Place the client in a side lying
position as there is a risk for vomiting and aspiration with these
clients.
2026 COMPLETE QUESTIONS AND ANSWERS
◉ A client on telemetry has a pattern of uncontrolled atrial
fibrillation with a rapid ventricular response. Based on this finding,
the nurse anticipates assisting the physician with which treatment?
A.
Administer lidocaine, 75 mg intravenous push.
B.
Perform synchronized cardioversion.
C.
Defibrillate the client as soon as possible.
D.
Administer atropine, 0.4 mg intravenous push.
Answer: B
Rationale:With uncontrolled atrial fibrillation, the treatment of
choice is synchronized cardioversion to convert the cardiac rhythm
back to normal sinus rhythm. Option A is a medication used for
ventricular dysrhythmias. Option C is not for a client with atrial
fibrillation; it is reserved for clients with life-threatening
dysrhythmias, such as ventricular fibrillation and unstable
ventricular tachycardia. Option D is the drug of choice in
symptomatic sinus bradycardia, not atrial fibrillation.
,◉ The nurse is preparing a client for discharge after a right total
knee replacement. Which client statements about use of a walker
indicate to the nurse the teaching was effective? (Select all that
apply.)
A.
"I will walk in the middle of the walker."
B.
"I will make sure all four feet of the walker are on the floor before I
use the hand pieces."
C.
"I will move my right foot forward into the walker, and then my left
foot."
D.
"I will collapse the walker and put it in the chair opposite the bed at
night."
E.
"I will use a silicone-based cleaning product to clean the hand pieces
and rubber tips."
Answer: A, B, C
Rationale:The nurse is teaching about use of a walker. Having the
walker collapsed at night does not help with nighttime ambulation
to the restroom. The client is at risk for falling. Silicone is a slippery
material and placing silicone on the rubber tips of the walker places
,the client at risk for falling. The remaining client statements about
use of a walker are correct.
◉ A resident in a long-term care facility is diagnosed with hepatitis
B. Which action should the nurse take with the staff caring for this
client?
A.
Determine if all employees have had the hepatitis B vaccine series.
B.
Explain that this type of hepatitis can be transmitted when feeding
the client.
C.
Assure the employees that they cannot contract hepatitis B when
providing direct care.
D.
Tell the employees that wearing gloves and a gown are required
when providing all care.
Answer: A
Rationale:Hepatitis B vaccine should be administered to all health
care providers. Hepatitis A (not hepatitis B) can be transmitted by
fecal-oral contamination. There is a chance that staff could contract
hepatitis B if exposed to the client's blood and/or body fluids;
therefore, option C is incorrect. There is no need to wear gloves and
gowns except with blood or body fluid contact.
, ◉ The nurse is providing care to a client admitted to the emergency
room with a blood glucose level of 40 mg/dL and is semiconscious.
What are the nurse's next actions? (Select all that apply.)
A.
Place 4 sugar cubes under the tongue.
B.
Place 1 tablespoon of honey in the client's cheek.
C.
Start an IV of Normal Saline.
D.
Obtain a 50% dextrose solution.
E.
Administer glucagon as per the standing order.
F.
Turn the client to the side.
Answer: C, D, E, F
Rationale:Oral carbohydrates, such as sugar and honey, should never
be given to the semiconscious or unconscious clients with low blood
sugar levels, for concern for aspiration. Glucagon can be
administered immediately, followed by starting an IV. Await the
orders for the 50% dextrose solution. Place the client in a side lying
position as there is a risk for vomiting and aspiration with these
clients.
