HESI MEDSURG EXAM PACK 4 VERSIONS ALL INCLUSIVE TEST BANK ACCURATELY UPDATED 2025 | VERIFIED QUESTIONS AND ANSWERS | GUARANTEED PASS | HIGHEST LEVEL

HESI MEDSURG EXAM PACK 4 VERSIONS ALL INCLUSIVE
TEST BANK ACCURATELY UPDATED 2025 | VERIFIED
QUESTIONS AND ANSWERS | GUARANTEED PASS | HIGHEST
LEVEL



A client diagnosed with chronic kidney disease (CKD) 2 years ago is regularly treated at a community
x x x x x x x x x x x x x x x x




hemodialysisfacility.Beforehisscheduleddialysistreatment,whichelectrolyte imbalance should the
x x x x x x x x x x x x




nurse anticipate?
x x




A) Hypophosphatemia.
B) Hypocalcemia.
C) Hyponatremia.
D) Hypokalemia
B.
Hypocalcemia develops in CKD because of chronic hyperphosphatemia. Increased phosphate levels x x x x x x x x x x




cause the peripheraldeposition of calcium and resistance to vitamin Dabsorption needed forcalcium
x x x x x x x x x x x x x x x




absorption.Priortodialysis,thenurse wouldexpecttofindtheclienthypernatremic and hyperkalemic,
x x x x x x x x x x x x x x x




not with C or D.
x x x x x




The home health nurse is assessing a male client being treated for Parkinson's disease with Sinemet.
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Thenurseobserves thathedoesnotdemonstrateanyapparent emotion whenspeaking and rarely blinks.
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Which intervention should the nurse implement?
x x x x x x




A) Perform a complete cranial nerveassessment. x x x x x




B) Instructtheclient that he maybe experiencingmedication toxicity.
x x x x x x x x x




C) Documentthe presenceof these assessment findings. x x x x x x




D) Advise theclient to seek immediate medical evaluation. x x x x x x x




C.
Amasklikeexpressionandinfrequentblinkingarecommonclinicalfeaturesofparkinsonism. The
x x x x x x x x x x x x




nurse should document these expected findings. Signs of toxicity of Sinemet include dyskinesia,
x x x x x x x x x x x x x




hallucinations, and psychosis.
x x x




AclientwithCHFandAfib developsventricularectopywith apatternof8 ectopicbeats/min. Which
x x x x x x x x x x x x x x x x




action should the nurse take based on this observation?
x x x x x x x x x




A) Assess for bilateral jugular vein distention. x x x x x




B) Increaseoxygenflowvia nasal cannula. x x x x x




C) AdministerPRN Lasix. x x




D) Auscultate for a pleural friction rub. x x x x x

,B.
Theclient should havethe oxygen flow immediatelyincreased to promote oxygenation of the
x x x x x x x x x x x x x

,myocardium.Ventricularectopy,characterizedbymultiplePVCs,isoftencausedbymyocardial x x x x x x x x x x x




ischemia exacerbated by hypokalemia.
x x x x




Duringthechangeofshift report,thechargenurse reviews theinfusions beingreceivedby clients on the
x x x x x x x x x x x x x x x x x




oncologyunit. The client receiving which infusion should be assessed first?
x x x x x x x x x x x




A) Continuous IVinfusion of magnesium. x x x x




B) One-timeinfusion ofalbumin. x x x




C) Continuous epidural infusion of morphine. x x x x




D) Intermittent infusion of IV vancomycin. x x x x




C.
All four of these clients have a potential to have significant complications. The client with the
x x x x x x x x x x x x x x x




morphineepiduralinfusion isat highest risk for respiratorydepression and shouldbeassessed first.
x x x x x x x x x x x x x x x




A 25-year-old client was admitted yesterday after a motor vehicle collision. Neurodiagnostic studies
x x x x x x x x x x x x




haveshownabasalskullfractureinthemiddlefossa.Assessment onadmissionrevealed both halo and
x x x x x x x x x x x x x x x x x




battle signs. Which new symtom indicates that the client is likely to be experiencing a common life-
x x x x x x x x x x x x x x x x x




threatening complication associated with a basal skull fracture? x x x x x x x




A) Bilateraljugularvein distension. x x x




B) Oral temp of 102. x x x




C) Intermittent focal motorseizures. x x x




D) Intractablepain inthe cervical region. x x x x x




B.
Clients with basilar skull fractures are at high risk for infection of the brain, as indicated by an
x x x x x x x x x x x x x x x x x




increased oral temp because the fracture leaves the meninges open to bacterial invasion.
x x x x x x x x x x x x x




An older client is admitted with a diagnosis of bacterial pneumonia. Which symptom should the nurse
x x x x x x x x x x x x x x x




report to the HCP after assessing the client?
x x x x x x x x




A) Leukocytosisand febrile. x x




B) Polycythemia andcrackles. x x




C) Pharyngitisand sputum production. x x x




D) Confusion and tachycardia. x x




D.
The onset of Pneumonia in the older client may be signaled by general deterioration, confusion,
x x x x x x x x x x x x x x




increased HR, and/or increased respirations. A, B, and C are often absent in the older client with
x x x x x x x x x x x x x x x x x




bacterial pneumonia.
x x




Thenurseisreviewingroutinemedicationstaken bya clientwithchronicangle closure glaucoma.
x x x x x x x x x x x x x x




Which medication prescription should the nurse question?
x x x x x x x

, A) Antianginal with atherapeutic effect of vasodilation. x x x x x x




B) Anticholinergic with aside effect of pupillarydilation. x x x x x x x




C) Antihistamine with a side effect ofsedation. x x x x x x




D) Corticosteroid with a side effect of hyperglycemia. x x x x x x




B.
Clients with angle-closure glaucoma should not take medications that dilate the pupil because theycan
x x x x x x x x x x x x x x




precipitateacuteandseverelyincreased IOP.A,C,andDdonotcauseincreased IOP, which is the
x x x x x x x x x x x x x x x x x x




primary concern with angle-closure glaucoma.
x x x x x




Thenurseis caringfora criticallyillclient with cirrhosis oftheliverwho hasaNGtubedraining bright red
x x x x x x x x x x x x x x x x x x x x x




blood. The nurse notes that the client's serum hemoglobin and hematocrit levels are decreased. Which
x x x x x x x x x x x x x x x




additional change in laboratory data should the nurse expect?
x x x x x x x x x




A) Increasedserumalbumin level. x x x




B) Decreasedserum creatinine. x x




C) Decreasedserum ammonia level. x x x




D) Increasedliverfunction test results. x x x x




C.
Thebreakdownof glutamineintheintestineand theincreased activityofcolonicbacteriafrom the
x x x x x x x x x x x x x x x




digestion of proteins increase ammonia levels in clients with advanced liver disease, so removalof
x x x x x x x x x x x x x x x




blood,aproteinsource,fromtheintestineresults inareducedlevelofammonia.A, B, and D will not be
x x x x x x x x x x x x x x x x x x x x x




significantly affected by the removal of blood.
x x x x x x x




Aresidentinalong-term carefacilityisdiagnosed withHepB.Whichinterventionshouldthe nurse
x x x x x x x x x x x x x x x x




implement with the staff caring for this client?
x x x x x x x x




A) Determineif all employees have had theHep B vaccine series. x x x x x x x x x x




B) Explainthatthis typeof hepatitis can betransmitted when feedingthe client. x x x x x x x x x x x x




C) Assurethe employees that theycannot contract Hep B when providingdirect care.
x x x x x x x x x x x x




D) Tellthe employees that wearing gloves anda gown arerequired when providingcare.
x x x x x x x x x x x x x




A.
HepBvaccineshouldbe administeredtoallhealthcareproviders.HepA(not HepB)canbe transmitted
x x x x x x x x x x x x x x x x x x




by fecal-oral contamination. There is a chance that staff could contract Hep B if exposed to the client's
x x x x x x x x x x x x x x x x x x




blood and/or bodyfluids, therefore C is incorrect. There is no need to wear gloves and gowns except
x x x x x x x x x x x x x x x x x x




with blood or body fluid contact.
x x x x x x




A client with HTN has been receiving ramipril (altace), 5mg, PO, daily for 2 weeks and is scheduledto
x x x x x x x x x x x x x x x x x x




receiveadoseat0900.At 0830,theclient's blood pressureis120/70.Whichaction should the nurse take?
x x x x x x x x x x x x x x x x x x x




A) Administerthe prescribed dose at the scheduled time. x x x x x x x




B) Hold the dose and contact the HCP. x x x x x x