2022 HESI Med Surg Version 1 (v1) exit exam – Brand New Q&As! Guaranteed Pass wA+ Actual Screenshots wQuestions & Answers Included!!!.pdf

MEDn SURGn RNnBRANDnNEWn HESInEXITnVERSIONn 1n(V1)n TESTn BANK l




MED SURG HESI EXIT EXAM/Latest n n n n




2023/Test Bank n




Following discharge teaching, a male client with duodenal ulcer tells the nurse the he
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nwill drink plenty of dairy products, such as milk, to help coat and protect his ulcer.
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What is the best follow-up action by the nurse?
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(ANS- Review with the client the need to avoid foods that are rich in milk and cream
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A male client with hypertension, who received new antihypertensive prescriptions at
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nhis last visit returns to the clinic two weeks later to evaluate his blood pressure (BP).
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nHis BP is 158/106 and he admits that he has not been taking the prescribed medicati
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on because the drugs make him "feel bad". In explaining the need for hypertension c
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ontrol, the nurse should stress that an elevated BP places the client at risk for which
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pathophysiological condition? n


(ANS- Stroke secondary to hemorrhage
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The nurse observes an unlicensed assistive personnel (UAP) positioning a newly ad
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mitted client who has a seizure disorder. The client is supine and the UAP is placing
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soft pillows along the side rails. What action should the nurse implement? (ANS-
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Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
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An adolescent with major depressive disorder has been taking duloxetine (Cymb
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alta) for the past 12 days. Which assessment finding requires immediate follow-
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up?
(ANS- Describes life without purpose
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A 60-year-
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old female client with a positive family history of ovarian cancer has developed an a
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bdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (
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Pap) smear results are negative. What information should the nurse include in the cli
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ent's teaching plan?n n


(ANS- Further evaluation involving surgery may be needed
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, MEDn SURGn RNnBRANDnNEWn HESInEXITnVERSIONn 1n(V1)n TESTn BANK




A client who recently underwear a tracheostomy is being prepared for discharge to h
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ome. Which instructions is most important for the nurse to include in the discharge p
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lan?
(ANS- Teach tracheal suctioning techniques
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In assessing an adult client with a partial rebreather mask, the nurse notes that the ox
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ygen reservoir bag does not deflate completely during inspiration and the client's resp
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iratory rate is 14 breaths / minute. What action should the nurse implement? (ANS-
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nDocument the assessment data n n n




Rationale: reservoir bag should not deflate completely during inspiration and the clie
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nt's respiratory rate is within normal limits.
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During shift report, the central electrocardiogram (EKG) monitoring system alar
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ms. Which client alarm should the nurse investigate firs?
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(ANS- Respiratory apnea of 30 seconds
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During a home visit, the nurse observed an elderly client with diabetes slip and fa
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ll. What action should the nurse take first?
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(ANS- Check the client for lacerations or fractures
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At 0600 while admitting a woman for a schedule repeat cesarean section (C-
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Section), the client tells the nurse that she drank a cup a coffee at 0400 because she w
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anted to avoid getting a headache. Which action should the nurse take first? (ANS-
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Inform the anesthesia care provider
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After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 he
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art sounds. To determine if an S3 heart sound is present, what action should the nurs
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e take first?
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(ANS- Listen with the bell at the same location
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A 66-year-
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old woman is retiring and will no longer have a health insurance through her place of
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employment. Which agency should the client be referred to by the employee health n
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urse for health insurance needs?
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(ANS- Medicare n

, MEDn SURGn RNnBRANDnNEWn HESInEXITnVERSIONn 1n(V1)n TESTn BANK




A client who is taking an oral dose of a tetracycline complains of gastrointestinal up
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set. What snack should the nurse instruct the client to take with the tetracycline? (AN
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S- Toasted wheat bread and jelly
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Following a lumbar puncture, a client voices several complaints. What complaint indicat
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ed to the nurse that the client is experiencing a complication?
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(ANS- "I have a headache that gets worse when I sit up"
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"I am having pain in my lower back when I move my legs" "
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My throat hurts when I swallow"
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"I feel sick to my stomach and am going to throw up"
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An elderly client seems confused and reports the onset of nausea, dysuria, and urgenc
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y with incontinence. Which action should the nurse implement?
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(ANS- Obtain a clean catch mid-stream specimen
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The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foo
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ds that are in keeping with the child's dietary restrictions. Which foods are contraind
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icated for this child? n n n


(ANS- Foods sweetened with aspartame n n n n




Before preparing a client for the first surgical case of the day, a part-
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time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequ
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ate preparation for this client. Which response should the circulating nurse provide?
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n(ANS- Direct the nurse to continue the surgical hand scrub for a 5 minute duration
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Which breakfast selection indicates that the client understands the nurse's instruction
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s about the dietary management of osteoporosis?
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(ANS- Bagel with jelly and skim milk n n n n n n




The charge nurse of a critical care unit is informed at the beginning of the shift that les
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s than the optimal number of registered nurses will be working that shift. In planning
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assignments, which client should receive the most care hours by a registered nurse (R
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N)?

, MEDn SURGn RNnBRANDnNEWn HESInEXITnVERSIONn 1n(V1)n TESTn BANK




(ANS- An 82-year-old client with Alzheimer's disease newly-
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fractures femur who has a Foley catheter and soft wrist restrains applied
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A mother brings her 6-year-
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old child, who has just stepped on a rusty nail, to the pediatrician's office. Upon ins
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pection, the nurse notes that the nail went through the shoe and pierced the bottom o
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f the child's foot. Which action should the nurse implement first?
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-Cleanse the foot with soap and water and apply an antibiotic ointment
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-Provide teaching about the need for a tetanus booster within the next 72hours.
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-have the mother check the child's temperature q4h for the next 24 hours
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-
transfer the child to the emergency department to receive a gamma globulin injection
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(ANS- Cleanse the foot with soap and water and apply an antibiotic ointment
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The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I have
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been applying triple antibiotic ointment for two days, but there has been no improve
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ment." What instruction should the nurse provide?
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(ANS-
nStop using the ointment and encourage complete drying of the feet and wearing clea
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n socks.n




A 26-year- n


old female client is admitted to the hospital for treatment of a simple goiter, and levot
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hyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the nurse t
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hat the prescribed dosage is too high for this client? The client experiences
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Bradycardia and constipation n n n


Lethargy and lack of appetite n n n n


Muscle cramping and dry, flushed skin Palp
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itations and shortness of breath n n n n


(ANS- Palpitations and shortness of breath
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A client with a history of heart failure presents to the clinic with nausea, vomiting, ye
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llow vision and palpitations. Which finding is most important for the nurse to assess
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to the client?
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