HESI RN MED SURG TEST 2026 Questions With
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Terms in this set (125)
,The nurse is assessing a client with B
acute pancreatitis. Which finding The nurse is assessing a client with acute pancreatitis.
requires the most immediate Which finding requires the most immediate
intervention by the nurse? intervention by the nurse?
A. Rationale:A positive Trousseau sign indicates
The client's amylase level is three times hypocalcemia and always requires further assessment
higher than the normal level. and intervention, regardless of the cause (40% to 75%
B. of those with acute pancreatitis experience
The client has a carpal spasm when hypocalcemia, which can have serious, systemic
taking a blood pressure. effects). A key diagnostic finding of pancreatitis is
C. serum amylase and lipase levels that are two to five
On a 1 to 10 scale, the client tells the times higher than the normal value. Severe boring
nurse that her epigastric pain is at 7. pain is an expected symptom for this diagnosis, but
D. dealing with the hypocalcemia is a priority over
The client states that she will continue administering an analgesic. Long-term planning and
to drink alcohol after going home. teaching do not have the same immediate importance
as a positive Trousseau sign.
A 55-year-old male client has been C
admitted to the hospital with a medical Rationale:Smoking, considered to be a modifiable risk
diagnosis of chronic obstructive factor, is the most significant risk factor for the
pulmonary disease (COPD). Which risk development of COPD. The exact mechanism of
factor is the most significant in the genetic and hereditary implications for the
development of this client's COPD? development of COPD is still under investigation,
A. although exposure to similar predisposing factors
The client's father was diagnosed with (e.g., smoking or inhaling secondhand smoke) may
COPD in his 50s. increase the likelihood of COPD incidence among
B. family members. Options B and D do not exceed the
A close family member contracted risks associated with cigarette smoking in the
tuberculosis last year. development of COPD.
C.
The client smokes one to two packs of
cigarettes per day.
D.
The client has been 40 pounds
overweight for 15 years.
,In assessing a client diagnosed with C
primary aldosteronism, the nurse Rationale:Clients with primary aldosteronism exhibit a
expects the laboratory test results to profound decline in serum levels of potassium;
indicate a decreased serum level of hypokalemia; hypertension is the most prominent and
which substance? universal sign. The serum sodium level is normal or
A. elevated, depending on the amount of water
Sodium resorbed with the sodium. Option B is influenced by
B. parathyroid hormone (PTH). Option D is not affected
Phosphate by primary aldosteronism.
C.
Potassium
D.
Glucose
, The nurse is completing an admission C
interview for a client with Parkinson Rationale:Clients with Parkinson disease frequently
disease. Which question will provide experience difficulty in initiating, maintaining, and
additional information about performing motor activities. They may even
manifestations that the client is likely to experience being rooted to the spot and unable to
experience? move. Parkinson disease does not typically cause
A. option A, B, or D.
"Have you ever experienced any
paralysis of your arms or legs?"
B.
"Do you have frequent blackout
spells?"
C.
"Have you ever been frozen in one
spot, unable to move?"
D.
"Do you have headaches, especially
ones with throbbing pain?"
Client census is often used to C
determine staffing needs. Which Rationale:An average daily census is determined by
method of obtaining census trend data and takes into account seasonal and daily
determination for a particular unit fluctuations, so it is the best method for determining
provides the best formula for staffing needs. Options A and B provide data at a
determining long-range staffing certain point in time, and that data could change
patterns? quickly. It is unrealistic to expect to obtain an hourly
A. census, and such data would only provide information
Midnight census about a certain point in time.
B.
Oncoming shift census
C.
Average daily census
D.
Hourly census
Complete Solutions Newest Version
Update.
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Match Blocks Charms NEW
Terms in this set (125)
,The nurse is assessing a client with B
acute pancreatitis. Which finding The nurse is assessing a client with acute pancreatitis.
requires the most immediate Which finding requires the most immediate
intervention by the nurse? intervention by the nurse?
A. Rationale:A positive Trousseau sign indicates
The client's amylase level is three times hypocalcemia and always requires further assessment
higher than the normal level. and intervention, regardless of the cause (40% to 75%
B. of those with acute pancreatitis experience
The client has a carpal spasm when hypocalcemia, which can have serious, systemic
taking a blood pressure. effects). A key diagnostic finding of pancreatitis is
C. serum amylase and lipase levels that are two to five
On a 1 to 10 scale, the client tells the times higher than the normal value. Severe boring
nurse that her epigastric pain is at 7. pain is an expected symptom for this diagnosis, but
D. dealing with the hypocalcemia is a priority over
The client states that she will continue administering an analgesic. Long-term planning and
to drink alcohol after going home. teaching do not have the same immediate importance
as a positive Trousseau sign.
A 55-year-old male client has been C
admitted to the hospital with a medical Rationale:Smoking, considered to be a modifiable risk
diagnosis of chronic obstructive factor, is the most significant risk factor for the
pulmonary disease (COPD). Which risk development of COPD. The exact mechanism of
factor is the most significant in the genetic and hereditary implications for the
development of this client's COPD? development of COPD is still under investigation,
A. although exposure to similar predisposing factors
The client's father was diagnosed with (e.g., smoking or inhaling secondhand smoke) may
COPD in his 50s. increase the likelihood of COPD incidence among
B. family members. Options B and D do not exceed the
A close family member contracted risks associated with cigarette smoking in the
tuberculosis last year. development of COPD.
C.
The client smokes one to two packs of
cigarettes per day.
D.
The client has been 40 pounds
overweight for 15 years.
,In assessing a client diagnosed with C
primary aldosteronism, the nurse Rationale:Clients with primary aldosteronism exhibit a
expects the laboratory test results to profound decline in serum levels of potassium;
indicate a decreased serum level of hypokalemia; hypertension is the most prominent and
which substance? universal sign. The serum sodium level is normal or
A. elevated, depending on the amount of water
Sodium resorbed with the sodium. Option B is influenced by
B. parathyroid hormone (PTH). Option D is not affected
Phosphate by primary aldosteronism.
C.
Potassium
D.
Glucose
, The nurse is completing an admission C
interview for a client with Parkinson Rationale:Clients with Parkinson disease frequently
disease. Which question will provide experience difficulty in initiating, maintaining, and
additional information about performing motor activities. They may even
manifestations that the client is likely to experience being rooted to the spot and unable to
experience? move. Parkinson disease does not typically cause
A. option A, B, or D.
"Have you ever experienced any
paralysis of your arms or legs?"
B.
"Do you have frequent blackout
spells?"
C.
"Have you ever been frozen in one
spot, unable to move?"
D.
"Do you have headaches, especially
ones with throbbing pain?"
Client census is often used to C
determine staffing needs. Which Rationale:An average daily census is determined by
method of obtaining census trend data and takes into account seasonal and daily
determination for a particular unit fluctuations, so it is the best method for determining
provides the best formula for staffing needs. Options A and B provide data at a
determining long-range staffing certain point in time, and that data could change
patterns? quickly. It is unrealistic to expect to obtain an hourly
A. census, and such data would only provide information
Midnight census about a certain point in time.
B.
Oncoming shift census
C.
Average daily census
D.
Hourly census
