NGN NURSING Med surg HESI exit exam latest 2024 test bank with rationales complete Rated A

NGN NURSING Med surg HESI exit exam latest 2024 test
bank with rationales complete Rated A+
The45mother45of45an45adolescent45tells45the45clinic45nurse,45"My45son45has45athlete's4
5foot,45I45have45been45applying45triple45antibiotic45ointment45for45two45days,45but45the

re45has45been45no45improvement."45What45instruction45should45the45nurse45provide?
(ANS-
45Stop45using45the45ointment45and45encourage45complete45drying45of45the45feet45and45

wearing45clean45socks.

A4526-year-
old45female45client45is45admitted45to45the45hospital45for45treatment45of45a45simple45goit
er,45and45levothyroxine45sodium45(Synthroid)45is45prescribed.45Which45symptoms45i
ndicate45to45the45nurse45that45the45prescribed45dosage45is45too45high45for45this45client
?45The45client45experiences

Bradycardia45and45constipatio
n45Lethargy45and45lack45of45ap
petite
Muscle45cramping45and45dry,45flushed45skin4
5Palpitations45and45shortness45of45breath

(ANS-45Palpitations45and45shortness45of45breath

A45client45with45a45history45of45heart45failure45presents45to45the45clinic45with45nausea,4
5vomiting,45yellow45vision45and45palpitations.45Which45finding45is45most45important

45for45the45nurse45to45assess45to45the45client?




(ANS-45Obtain45a45list45of45medications45taken45for45cardiac45history

The45healthcare45provider45prescribes45an45IV45solution45of45isoproterenol45(Isupre
l)45145mg45in4525045ml45of45D5W45at4530045mcg/hour.45The45nurse45should45program
45the45infusion45pump45to45deliver45how45many45ml/hour?45(Enter45numeric45value4

5only.)

(ANS-4575

Rationale:45Convert45mg45to45mcg45and45use45the45formula45D/H45x45Q.4530045mcg/hour45/451,000

,NGN45NURSING45Med45surg45HESI45exit45exam45latest45202445t
est4545bank45with45rationales45complete45Rated45A+

,mcg45x4525045ml45=453/145x452545=457545ml/hour

The45pathophysiological45mechanisms45that45are45responsible45for45ascites45related45t
o45liver45failure?45(Select45all45that45apply)
(ANS-
45Fluid45shifts45from45intravascular45to45interstitial45area45due45to45decreased45serum4

5protein

Increased45hydrostatic45pressure45in45portal45circulation45increases45fluid45shifts45into
45abdomen

Increased45circulating45aldosterone45levels45that45increase45sodium45and45water45retention

The45nurse45is45auscultating45a45client's45heart45sounds.45Which45description45sh
ould45the45nurse45use45to45document45this45sound?45(Please45listen45to45the45audi
o45first45to45select45the45option45that45applies)
(ANS-45Murmur

Rationale:45A45murmur45is45auscultated45as45a45swishing45sound45that45is45associated
45with45the45blood45turbulence45created45by45the45heart45or45valvular45defect.



The45healthcare45provider45prescribes45celtazidime45(Fortax)453545mg45every45845ho
urs45IM45for45an45infant.45The4550045mg45vial45is45labeled45with45the45instruction45to45
add455.345ml45diluent45to45provide45a45concentration45of4510045mg/ml.45How45many45
ml45should45the45nurse45administered45for45each45dose?45(Enter45numeric45value45on
ly.45If45rounding45is45required,45round45to45the45nearest45tenth)
(ANS-450.4

ationale:4535mg/100mg45x45145=450.3545=450.445ml



The45nurse45notes45that45a45client45has45been45receiving45hydromorphone45(Dilaudid)
45every45six45hours45for45four45days.45What45assessment45is45most45important45for45th

e45nurse45to45complete?

Auscultate45the45client's45bowel45sounds45O
bserve45for45edema45around45the45ankles45
Measure45the45client's45capillary45glucose45le
vel
Count45the45apical45and45radial45pulses45simultaneo
usly45(ANS-
45Auscultate45the45client's45bowel45sounds

, NGN45NURSING45Med45surg45HESI45exit45exam45latest45202445t
est4545bank45with45rationales45complete45Rated45A+