MED SURG HESI 2023 EXAM / 80 + QUESTIONS AND CORRECT SOLUTIONS LATEST UPDATE GRADED A+ ( BEST FOR REVISION !!! ) .

1. A clientis admitted with rapid atrialflutter is receiving amiodarone 1mg/min via a peripheral line.The UAP reports to the nurse that the client's HR is 90 BPM, and BP is 110/50.Which intervention should the nurse implement? A. tell the uap to turn off the amiodarone B. restart the IV infusion in another site C. Determine the regularity of the peripheral pulses D. Evaluate the rhythm of the heart rate ANSWER $. Evaluate the rhythm of the heart rate 2. The nurse notes there is bloody drainage trickling from under a client who had a thyroidectomy yesterday. Which action should the nurse take? A. Apply pressure to client's incision. B. reinforced the dressing with sterile gauze C. Remove the dressing and apply steri strips D. Assess the client's ability to swallow ANSWER 4. Assess the client's ability to swallow 3. A client tells the nurse that her biopsy results indicate that the cancer cells were well differentiated. How should the nurse respond? A. Offer the client reassurance that this indicates the cancer cells are benign B. explain that these tissue cells often respond more effectively to radiation than chemo C. help the client make plans to begin immediate treatment since her cancer is likely to spread D. Ask the clientif the healthcare provider has given her any information about the classification of her cancer ANSWER 4. 4. the nurse is teaching a client recently diagnosed with SLE about self-care. Which instruction should be included in this client's teaching plan? A. Encourage use of a cromolyn inhaler prior to activity B. use tanning beds in place of sun bathing 3, remove tags, curtains, and other dust collection items in the home 4. avoid large crowds and people with infections ANSWER 4, avoid large crowds and people with infections 5. a client is being treated for SIADH. On examination the client has a weight gain of 4.4lbs.In 24 hours, and an elevated HR.Which intervention should the nurse implement first? A. Record usual eating patterns B. Measure ankle circumference C. Review ABG's D. Enurse the client takes a diuretic every morning ANSWER 4.Ensure the client takes a diuretic every morning 6. A client recently diagnosed with DM is admitted with watery diarrhea, deep rapid respirations, and reports having a sever headache for the past week.VS 3 / 27 80/40, HR 134 bpm, RR 36.Which interventions should the nurse implement first A. Rapidly infused bolus of NS B. Obtain the clietns admission weight C. Check the urine for ketones D. Assess for evidence of fruity breath ANSWER !.Rapidly infused bolus of NS 7. A client with DM seems confused and parents with onset of headache, polyuria, fatigue, and blurry vision. What action should the nurse implement. A. Arrange for a vision consultation B. Request a urine culture C. Provide the client with a cup of juice D. check the client's blood glucose ANSWER 4. check the client's blood glucose 8. After 3 days of nausea, vomiting, and fatigue a client with adrenal insuf- ficiency presents to the ED. Which findings attained during the admission assessment warrants immediate intervention by the nurse A. Postural hypotension B. extremity weakness C. Signs of dehydration D. Increased HR ANSWER 3. Signs of Dehydration 9. A client with HF is admitted to the medical surgical unit with pneumonia. To reduce cardiac workload, which interventions should the nurse include in the plan of care A. assist with ambulation in the hallway B. teach to sleep in a side lying position C. provide a bedside commode for toileting D. encourage active range of motion exervcises ANSWER 3.Provide a bedside commonde for toileting 10. A client with hyperthyroidism tellsthe nurse " Istopped taking my anti-thy- roid medication and now I feel anxious. I can feel my heart pounding.Which assessment is most important for the nurse to obtain A. VS B. Peripheral pulses C. Emotional status D. Presence of goiter ANSWER 1.VS 11. An older client with a history of anemia presents to the clinic with weak- ness and general fatigue.Which assessment should the nurse perform to evaluate the client's tissue perfusion A. observe for bruising on the arms and legs 4 / 27 B. note the presence of nailbed cyanosis C. palpate the volume of the pedal pulses D. determine elasticity of skin turgor ANSWER B. Note the presence of nail bed cyanosis 12. A client is being treated for AKI. On exam the client has generalized edema and changes in mental status. Which intervention should the nurse include in the client's plan of care measure the ankle circumference e A. auscultate for irregular HR B. Review ABG results C. Measure and document urine output ANSWER 4. measure and document urine output 13. An older male clientis broughtto theED by his daughter.He is complaining of abdominal pain and the inability to urine, except for small amounts of incontinence, what action should the nurse implement first? A. scan bladder to determine amount of urine in bladder B. insert an indwelling catheter to drain bladder of retained urine C. obtain a urine sample from incontinnce for culture and sensivity D. administer IV pain medication for the abd pain ANSWER bladder 14. The HCP prescribes an IV fluid bolus for a client in adrenal crisis who is confused and unncooperative.The RN has attempted to obtain IV accesstwice without success.The client's VS are temp 103, BP 88/50, HR 132 and RR 30. Which intervention should the nurse implement first A. insert a temporary intraosseous access B. Have a family remain at bedside C. ask charge nurse to assist with access D. Ask HCP to obtain central line access ANSWER 3. Ask charge nurse to assist with access 15. an adult male is admitted with dyspnea on exertion, persistent cought, and palpitations. The telemetry revels afib.Which additional findings warrants the most immediate interventions by the nurse. A. Production of frothy, pink tinged sputum. B. Pitting edema of the ankles bilaterally C. RR of 22 breaths/min D. Irregular apical heart rhythm ANSWER 1. Production of frothy pink tinged sputum 16. A client with AIDS has impaird gas exchange from a respiratory infection. Which assessment finding warrants immediate intervention by the RN A. Generalized weakness B. Pain when swallowing C. Diminished lung sounds D. Elevated temperature ANSWER 2. Pain when swall