Untitled
NURSING NR324 MED
SURG HESI EXIT
EXAM LATEST 2026
TEST BANK WITH
RATIONALES
COMPLETE RATED A+
1
, Untitled
The Mother Of An Adolescent Tells The Clinic Nurse, "My Son Has Athlete's Foot, I
Have Been Applying Triple Antibiotic Ointment For Two Days, But There Has Been No
Improvement." What Instruction Should The Nurse Provide?
ANSWER: Stop Using The Ointment And Encourage Complete Drying Of The Feet And
Wearing Clean Socks.
A 26-Year-Old Female Client Is Admitted To The Hospital For Treatment Of A Simple
Goiter, And Levothyroxine Sodium (Synthroid) Is Prescribed. Which Symptoms
Indicate To The Nurse That The Prescribed Dosage Is Too High For This Client? The
Client Experiences
Bradycardia And Constipation
Lethargy And Lack Of
Appetite
Muscle Cramping And Dry, Flushed Skin
Palpitations And Shortness Of Breath
ANSWER: Palpitations And Shortness Of Breath
A Client With A History Of Heart Failure Presents To The Clinic With Nausea, Vomiting,
Yellow Vision And Palpitations. Which Finding Is Most Important For The Nurse To
Assess To The Client?
ANSWER: Obtain A List Of Medications Taken For Cardiac History
The Healthcare Provider Prescribes An IV Solution Of Isoproterenol (Isuprel) 1 Mg In
250 Ml Of D5W At 300 Mcg/Hour. The Nurse Should Program The Infusion PumpTo
Deliver How Many Ml/Hour? (Enter Numeric Value Only.)
ANSWER: 75
Rationale: Convert Mg To Mcg And Use The Formula D/H X Q. 300 Mcg/Hour / 1,000
Mcg X 250 Ml = 3/1 X 25 = 75 Ml/Hour
2
, Untitled
The Pathophysiological Mechanisms That Are Responsible For Ascites Related To
LiverFailure? (Select All That Apply)
ANSWER: Fluid Shifts From Intravascular To Interstitial Area Due To Decreased
SerumProtein
Increased Hydrostatic Pressure In Portal Circulation Increases Fluid Shifts Into
Abdomen
Increased Circulating Aldosterone Levels That Increase Sodium And Water Retention
The Nurse Is Auscultating A Client's Heart Sounds. Which Description Should
The Nurse Use To Document This Sound? (Please Listen To The Audio First To
Select TheOption That Applies)
ANSWER: Murmur
Rationale: A Murmur Is Auscultated As A Swishing Sound That Is Associated With
TheBlood Turbulence Created By The Heart Or Valvular Defect.
The Healthcare Provider Prescribes Celtazidime (Fortax) 35 Mg Every 8 Hours IM For
An Infant. The 500 Mg Vial Is Labeled With The Instruction To Add 5.3 Ml DiluentTo
Provide A Concentration Of 100 Mg/Ml. How Many Ml Should The Nurse Administered
For Each Dose? (Enter Numeric Value Only. If Rounding Is Required, Round To The
Nearest Tenth)
ANSWER: 0.4
Ationale: 35mg/100mg X 1 = 0.35 = 0.4 Ml
The Nurse Notes That A Client Has Been Receiving Hydromorphone (Dilaudid) Every
Six Hours For Four Days. What Assessment Is Most Important For The Nurse To
Complete?
Auscultate The Client's Bowel Sounds
Observe For Edema Around The Ankles
Measure The Client's Capillary Glucose
Level
3
, Untitled
Count The Apical And Radial Pulses
SimultaneouslyANSWER: Auscultate The Client's
Bowel Sounds
Rationale: Hydromorphone Is A Potent Opioid Analgesic That Slows Peristalsis And
Frequently Causes Constipation, So It Is Most Important To Auscultate The Client's
Bowel Sounds
A Female Client Is Admitted With End Stage Pulmonary Disease Is Alert, Oriented, And
Complaining Of Shortness Of Breath. The Client Tells The Nurse That She Wants "No
Heroic Measures" Taken If She Stops Breathing, And She Asks The Nurse To
Document This In Her Medical Record. What Action Should The Nurse Implement?
ANSWER: Ask The Client To Discuss "Do Not Resuscitate" With Her Healthcare Provider
A Client Is Receiving A Full Strength Continuous Enteral Tube Feeding At 50 Ml/Hour
And Has Developed Diarrhea. The Client Has A New Prescription To Change The
Feeding To Half Strength. What Intervention Should The Nurse Implement?
ANSWER: Add Equal Amounts Of Water And Feeding To A Feeding Bag And Infuse At
50ml/Hour
A Female Client Reports That Her Hair Is Becoming Coarse And Breaking Off, That The
Outer Part Of Her Eyebrows Have Disappeared, And That Her Eyes Are All Puffy.
Which Follow-Up Question Is Best For The Nurse To Ask?
ANSWER: Have You Noticed Any Changes In Your Fingernails?
Rationale: The Pattern Of Reported Manifestations Is Suggestive Of Hypothyroidism
Following Discharge Teaching, A Male Client With Duodenal Ulcer Tells The Nurse The
He Will Drink Plenty Of Dairy Products, Such As Milk, To Help Coat And Protect His
Ulcer. What Is The Best Follow-Up Action By The Nurse?
ANSWER: Review With The Client The Need To Avoid Foods That Are Rich In Milk And
Cream
A Male Client With Hypertension, Who Received New Antihypertensive Prescriptions
At His Last Visit Returns To The Clinic Two Weeks Later To Evaluate His Blood
Pressure (BP). His BP Is 158/106 And He Admits That He Has Not Been Taking The
4
NURSING NR324 MED
SURG HESI EXIT
EXAM LATEST 2026
TEST BANK WITH
RATIONALES
COMPLETE RATED A+
1
, Untitled
The Mother Of An Adolescent Tells The Clinic Nurse, "My Son Has Athlete's Foot, I
Have Been Applying Triple Antibiotic Ointment For Two Days, But There Has Been No
Improvement." What Instruction Should The Nurse Provide?
ANSWER: Stop Using The Ointment And Encourage Complete Drying Of The Feet And
Wearing Clean Socks.
A 26-Year-Old Female Client Is Admitted To The Hospital For Treatment Of A Simple
Goiter, And Levothyroxine Sodium (Synthroid) Is Prescribed. Which Symptoms
Indicate To The Nurse That The Prescribed Dosage Is Too High For This Client? The
Client Experiences
Bradycardia And Constipation
Lethargy And Lack Of
Appetite
Muscle Cramping And Dry, Flushed Skin
Palpitations And Shortness Of Breath
ANSWER: Palpitations And Shortness Of Breath
A Client With A History Of Heart Failure Presents To The Clinic With Nausea, Vomiting,
Yellow Vision And Palpitations. Which Finding Is Most Important For The Nurse To
Assess To The Client?
ANSWER: Obtain A List Of Medications Taken For Cardiac History
The Healthcare Provider Prescribes An IV Solution Of Isoproterenol (Isuprel) 1 Mg In
250 Ml Of D5W At 300 Mcg/Hour. The Nurse Should Program The Infusion PumpTo
Deliver How Many Ml/Hour? (Enter Numeric Value Only.)
ANSWER: 75
Rationale: Convert Mg To Mcg And Use The Formula D/H X Q. 300 Mcg/Hour / 1,000
Mcg X 250 Ml = 3/1 X 25 = 75 Ml/Hour
2
, Untitled
The Pathophysiological Mechanisms That Are Responsible For Ascites Related To
LiverFailure? (Select All That Apply)
ANSWER: Fluid Shifts From Intravascular To Interstitial Area Due To Decreased
SerumProtein
Increased Hydrostatic Pressure In Portal Circulation Increases Fluid Shifts Into
Abdomen
Increased Circulating Aldosterone Levels That Increase Sodium And Water Retention
The Nurse Is Auscultating A Client's Heart Sounds. Which Description Should
The Nurse Use To Document This Sound? (Please Listen To The Audio First To
Select TheOption That Applies)
ANSWER: Murmur
Rationale: A Murmur Is Auscultated As A Swishing Sound That Is Associated With
TheBlood Turbulence Created By The Heart Or Valvular Defect.
The Healthcare Provider Prescribes Celtazidime (Fortax) 35 Mg Every 8 Hours IM For
An Infant. The 500 Mg Vial Is Labeled With The Instruction To Add 5.3 Ml DiluentTo
Provide A Concentration Of 100 Mg/Ml. How Many Ml Should The Nurse Administered
For Each Dose? (Enter Numeric Value Only. If Rounding Is Required, Round To The
Nearest Tenth)
ANSWER: 0.4
Ationale: 35mg/100mg X 1 = 0.35 = 0.4 Ml
The Nurse Notes That A Client Has Been Receiving Hydromorphone (Dilaudid) Every
Six Hours For Four Days. What Assessment Is Most Important For The Nurse To
Complete?
Auscultate The Client's Bowel Sounds
Observe For Edema Around The Ankles
Measure The Client's Capillary Glucose
Level
3
, Untitled
Count The Apical And Radial Pulses
SimultaneouslyANSWER: Auscultate The Client's
Bowel Sounds
Rationale: Hydromorphone Is A Potent Opioid Analgesic That Slows Peristalsis And
Frequently Causes Constipation, So It Is Most Important To Auscultate The Client's
Bowel Sounds
A Female Client Is Admitted With End Stage Pulmonary Disease Is Alert, Oriented, And
Complaining Of Shortness Of Breath. The Client Tells The Nurse That She Wants "No
Heroic Measures" Taken If She Stops Breathing, And She Asks The Nurse To
Document This In Her Medical Record. What Action Should The Nurse Implement?
ANSWER: Ask The Client To Discuss "Do Not Resuscitate" With Her Healthcare Provider
A Client Is Receiving A Full Strength Continuous Enteral Tube Feeding At 50 Ml/Hour
And Has Developed Diarrhea. The Client Has A New Prescription To Change The
Feeding To Half Strength. What Intervention Should The Nurse Implement?
ANSWER: Add Equal Amounts Of Water And Feeding To A Feeding Bag And Infuse At
50ml/Hour
A Female Client Reports That Her Hair Is Becoming Coarse And Breaking Off, That The
Outer Part Of Her Eyebrows Have Disappeared, And That Her Eyes Are All Puffy.
Which Follow-Up Question Is Best For The Nurse To Ask?
ANSWER: Have You Noticed Any Changes In Your Fingernails?
Rationale: The Pattern Of Reported Manifestations Is Suggestive Of Hypothyroidism
Following Discharge Teaching, A Male Client With Duodenal Ulcer Tells The Nurse The
He Will Drink Plenty Of Dairy Products, Such As Milk, To Help Coat And Protect His
Ulcer. What Is The Best Follow-Up Action By The Nurse?
ANSWER: Review With The Client The Need To Avoid Foods That Are Rich In Milk And
Cream
A Male Client With Hypertension, Who Received New Antihypertensive Prescriptions
At His Last Visit Returns To The Clinic Two Weeks Later To Evaluate His Blood
Pressure (BP). His BP Is 158/106 And He Admits That He Has Not Been Taking The
4
