NURSING NR324 Med surg HESI exit exam latest 2022 test bank
v v v v v v v v v v
with rationales complete Rated A+
g v v v v
Thebgmotherbgofbganbgadolescentbgtellsbgthebgclinicbgnurse,bg"Mybgsonbghasbgathlete'sbgfoot,bgIbgha
vebgbbgeenbgapplyingbgtriplebgantibioticbgointmentbgforbgtwobgdays,bgbutbgtherebghasbgbeenbgnoi
mprovembgent."bgWhatbginstructionbgshouldbgthebgnursebgprovide?
(ANS-
Stop using the ointment and encourage complete drying of the feet and wearing clea
v v v v v v v v v v v v v v
n socks.
v
Abg26-year-
oldbgfemalebgclientbgisbgadmittedbgtobgthebghospitalbgforbgtreatmentbgofbgabgsimplegoiter,bgandbg
levotbghyroxinebgsodiumbg(Synthroid)bgisbgprescribed.bgWhichbgsymptomsbgindicatebgtobgth
ebgnursebgthbgatbgthebgprescribedbgdosagebgisbgtoobghighbgforbgthisbgclient?bgThebgclientbgexperi
ences
BradycardiabgandbgconstipationbgLe
thargybgandbglackbgofbgappetite
Musclebgcrampingbgandbgdry,bgflushedbgskinbgPa
lpitationsbgandbgshortnessbgofbgbreath
(ANS- Palpitations and shortness of breath
v v v v v
Abgclientbgwithbgabghistorybgofbgheartbgfailurebgpresentsbgtobgthebgclinicbgwithbgnausea,bgvomitin
g,yelbglowbgvisionbgandbgpalpitations.bgWhichbgfindingbgisbgmost important forbgthebgnursebgt v v
obgassessbgtbgobgthebgclient?
(ANS- Obtain a list of medications taken for cardiac history
v v v v v v v v v
ThebghealthcarebgproviderbgprescribesbganbgIVbgsolutionbgofbgisoproterenolbg(Isuprel)bg1bgm
gbginbg250bgmlbgofbgD5Wbgatbg300bgmcg/hour.bgThebgnursebgshouldbgprogrambgthebginfusionbgpu
mptobgdelibgverbghowbgmanybgml/hour?bg(Enterbgnumericbgvaluebgonly.)
(ANS-bg75
Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour / 1,000 m
v v v v v v v v v v v v v v v v
NURSINGNR324 Medsurg HESIexitexamlatest 2022 test bank bg bg bg bg
withrationalescomplete Rated A+
g bg bg
,NURSING NR324 Med surg HESI exit exam latest 2022 test bank
v v v v v v v v v v
with rationales complete Rated A+
g v v v v
cg x 250 ml = 3/1 x 25 = 75 ml/hour
v v v v v v v v v v
NURSINGNR324 Medsurg HESIexitexamlatest 2022 test bankbg bg bg bg
withrationalescomplete Rated A+
g bg bg
,NURSING NR324 Med surg HESI exit exam latest 2022 test bank
v v v v v v v v v v
with rationales complete Rated A+
g v v v v
Thebgpathophysiologicalbgmechanismsbgthatbgarebgresponsiblebgforbgascitesbgrelatedbgtobglive
rfabgilure?bg(Selectbgallbgthatbgapply)
(ANS-
vFluid shifts from intravascular to interstitial area due to decreased serum protein
v v v v v v v v v v v
Increased hydrostatic pressure in portal circulation increases fluid shifts into abdome
v v v v v v v v v v
bgn
Increased circulating aldosterone levels that increase sodium and water retention
v v v v v v v v v
Thebgnursebgisbgauscultatingbgabgclient'sbgheartbgsounds.bgWhichbgdescriptionbgshouldbgt
he nbgursebgusebgtobgdocumentbgthisbgsound?bg(Pleasebglistenbgtobgthebgaudiobgfirst tobgsele
v v
ctbgtheoptibgonbgthatbgapplies)
(ANS- Murmur v
Rationale: A murmur is auscultated as a swishing sound that is associated with the bl
v v v v v v v v v v v v v v
ood turbulence created by the heart or valvular defect.
v v v v v v v v
Thebghealthcarebgproviderbgprescribesbgceltazidimebg(Fortax)bg35bgmgbgeverybg8bghoursbgIMb
gforbganbginfant.bgThebg500bgmgbgvialbgisbglabeledbgwithbgthebginstructionbgtobgaddbg5.3bgmlbgdilu
enttobgprovbgidebgabgconcentrationbgofbg100bgmg/ml.bgHowbgmanybgmlbgshouldbgthebgnursebgad
ministeredbgforbgebgachbgdose?bg(Enterbgnumericbgvaluebgonly.bgIfbgroundingbgisbgrequired,bgro
undbgtobgthebgnearest tenbgth) v
(ANS- 0.4 v
ationale: 35mg/100mg x 1 = 0.35 = 0.4 ml
v v v v v v v v
Thebgnursebgnotesbgthatbgabgclientbghasbgbeenbgreceivingbghydromorphonebg(Dilaudid)bgevery
sixbghoursbgforbgfourbgdays.bgWhatbgassessmentbgisbgmostbgimportantbgforbgthebgnursebgtobgco
mplete?
Auscultatebgthebgclient'sbgbowelbgsoundsbgObs
erbgvebgforbgedemabgaroundbgthebganklesbgMeasur
ebgthebgclient'sbgcapillarybgglucosebglevel
Count thebgapicalbgandbgradialbgpulsesbgsimultaneousl
v
y(bgANS- Auscultate the client's bowel sounds
v v v v v
Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis and freq
NURSINGNR324 Medsurg HESIexitexamlatest 2022 test bank
v v v v v v v v v v v
bg bg bg bg
withrationalescomplete Rated A+
g bg bg
, NURSING NR324 Med surg HESI exit exam latest 2022 test bank
v v v v v v v v v v
with rationales complete Rated A+
v v v v
uently causes constipation, so it is most important to Auscultate the client's bowel so
v v v v v v v v v v v v v
unds
Abgfemalebgclientbgisbgadmittedbgwithbgendbgstagebgpulmonarybgdiseasebgisbgalert,bgoriented,bgan
dcobgmplainingbgofbgshortnessbgofbgbreath.bgThebgclientbgtellsbgthebgnursebgthatbgshebgwantsbg"
nobgheroicbgmeasures"bgtakenbgifbgshebgstopsbgbreathing,bgandbgshebgasksbgthebgnursebgtobgdocum
entbgthisbginbgherbgmedicalbgrecord.bgWhatbgactionbgshouldbgthebgnursebgimplement?
(ANS- Ask the client to discuss "do not resuscitate" with her healthcare provider
v v v v v v v v v v v v
Abgclientbgisbgreceivingbgabgfullbgstrengthbgcontinuousbgenteralbgtubebgfeedingbgatbg50bgml/hou
randbghasbgdevelopedbgdiarrhea.bgThebgclientbghasbgabgnewbgprescriptionbgtobgchangebgthebgfee
dingbgtobghabglfbgstrength.bgWhatbginterventionbgshouldbgthebgnursebgimplement?
(ANS-
Add equal amounts of water and feeding to a feeding bag and infuse at 50ml/hour
v v v v v v v v v v v v v v v
Abgfemalebgclientbgreportsbgthatbgherbghairbgisbgbecomingbgcoarsebgandbgbreakingbgoff,bgthatbgth
ebgoutbgerbgpartbgofbgherbgeyebrowsbghavebgdisappeared,bgandbgthatbgherbgeyesbgarebgallbgpuffy.bg
Whichfollobgw-upbgquestionbgisbgbestbgforbgthebgnursebgtobgask?
(ANS- Have you noticed any changes in your fingernails?
v v v v v v v v
Rationale:bgThebgpatternbgofbgreportedbgmanifestationsbgisbgsuggestivebgofbghypothyroidism
Followingbgdischargebgteaching,bgabgmalebgclientbgwithbgduodenalbgulcerbgtellsbgthebgnursebgt
hehebgwillbgdrinkbgplentybgofbgdairybgproducts,bgsuchbgasbgmilk,bgtobghelpbgcoatbgandbgprotectbghi
sbgulcer.bgWbghatbgisbgthebgbestbgfollow-upbgactionbgbybgthebgnurse?
(ANS- Review with the client the need to avoid foods that are rich in milk and cream
v v v v v v v v v v v v v v v v
Abgmalebgclientbgwithbghypertension,bgwhobgreceivedbgnewbgantihypertensivebgprescription
satbghisbglast visitbgreturnsbgtobgthe clinicbgtwobgweeksbglaterbgtobgevaluatebghisbgbloodbgpressu
v v
rebg(BP).bgHisbgBPbgisbg158/106bgandbghebgadmitsbgthatbghebghasbgnotbgbeenbgtakingbgthebgprescri
bedbgmedicatiobgnbgbecausebgthebgdrugsbgmakebghimbg"feelbgbad".bgInbgexplainingbgthebgneedbg
forbghypertensionbgcobgntrol,bgthebgnursebgshouldbgstressbgthatbganbgelevatedbgBPbgplacesbgthebg
clientbgatbgriskbgforbgwhichbgpabgthophysiologicalbgcondition?
(ANS- Stroke secondary to hemorrhage
v v v v
Thebgnursebgobservesbgunlicensedbgassistivebgpersonnelbg(UAP)bgpositioningbgabgnewlybga
dmitbgtedbgclientbgwhobghasbgabgseizurebgdisorder.bgThebgclientbgisbgsupinebgandbgthebgUAPbgisbgpl
acingbgsoft
NURSINGNR324 Medsurg HESIexitexamlatest 2022 test bank bg bg bg bg
withrationalescomplete Rated A+
g bg bg
v v v v v v v v v v
with rationales complete Rated A+
g v v v v
Thebgmotherbgofbganbgadolescentbgtellsbgthebgclinicbgnurse,bg"Mybgsonbghasbgathlete'sbgfoot,bgIbgha
vebgbbgeenbgapplyingbgtriplebgantibioticbgointmentbgforbgtwobgdays,bgbutbgtherebghasbgbeenbgnoi
mprovembgent."bgWhatbginstructionbgshouldbgthebgnursebgprovide?
(ANS-
Stop using the ointment and encourage complete drying of the feet and wearing clea
v v v v v v v v v v v v v v
n socks.
v
Abg26-year-
oldbgfemalebgclientbgisbgadmittedbgtobgthebghospitalbgforbgtreatmentbgofbgabgsimplegoiter,bgandbg
levotbghyroxinebgsodiumbg(Synthroid)bgisbgprescribed.bgWhichbgsymptomsbgindicatebgtobgth
ebgnursebgthbgatbgthebgprescribedbgdosagebgisbgtoobghighbgforbgthisbgclient?bgThebgclientbgexperi
ences
BradycardiabgandbgconstipationbgLe
thargybgandbglackbgofbgappetite
Musclebgcrampingbgandbgdry,bgflushedbgskinbgPa
lpitationsbgandbgshortnessbgofbgbreath
(ANS- Palpitations and shortness of breath
v v v v v
Abgclientbgwithbgabghistorybgofbgheartbgfailurebgpresentsbgtobgthebgclinicbgwithbgnausea,bgvomitin
g,yelbglowbgvisionbgandbgpalpitations.bgWhichbgfindingbgisbgmost important forbgthebgnursebgt v v
obgassessbgtbgobgthebgclient?
(ANS- Obtain a list of medications taken for cardiac history
v v v v v v v v v
ThebghealthcarebgproviderbgprescribesbganbgIVbgsolutionbgofbgisoproterenolbg(Isuprel)bg1bgm
gbginbg250bgmlbgofbgD5Wbgatbg300bgmcg/hour.bgThebgnursebgshouldbgprogrambgthebginfusionbgpu
mptobgdelibgverbghowbgmanybgml/hour?bg(Enterbgnumericbgvaluebgonly.)
(ANS-bg75
Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour / 1,000 m
v v v v v v v v v v v v v v v v
NURSINGNR324 Medsurg HESIexitexamlatest 2022 test bank bg bg bg bg
withrationalescomplete Rated A+
g bg bg
,NURSING NR324 Med surg HESI exit exam latest 2022 test bank
v v v v v v v v v v
with rationales complete Rated A+
g v v v v
cg x 250 ml = 3/1 x 25 = 75 ml/hour
v v v v v v v v v v
NURSINGNR324 Medsurg HESIexitexamlatest 2022 test bankbg bg bg bg
withrationalescomplete Rated A+
g bg bg
,NURSING NR324 Med surg HESI exit exam latest 2022 test bank
v v v v v v v v v v
with rationales complete Rated A+
g v v v v
Thebgpathophysiologicalbgmechanismsbgthatbgarebgresponsiblebgforbgascitesbgrelatedbgtobglive
rfabgilure?bg(Selectbgallbgthatbgapply)
(ANS-
vFluid shifts from intravascular to interstitial area due to decreased serum protein
v v v v v v v v v v v
Increased hydrostatic pressure in portal circulation increases fluid shifts into abdome
v v v v v v v v v v
bgn
Increased circulating aldosterone levels that increase sodium and water retention
v v v v v v v v v
Thebgnursebgisbgauscultatingbgabgclient'sbgheartbgsounds.bgWhichbgdescriptionbgshouldbgt
he nbgursebgusebgtobgdocumentbgthisbgsound?bg(Pleasebglistenbgtobgthebgaudiobgfirst tobgsele
v v
ctbgtheoptibgonbgthatbgapplies)
(ANS- Murmur v
Rationale: A murmur is auscultated as a swishing sound that is associated with the bl
v v v v v v v v v v v v v v
ood turbulence created by the heart or valvular defect.
v v v v v v v v
Thebghealthcarebgproviderbgprescribesbgceltazidimebg(Fortax)bg35bgmgbgeverybg8bghoursbgIMb
gforbganbginfant.bgThebg500bgmgbgvialbgisbglabeledbgwithbgthebginstructionbgtobgaddbg5.3bgmlbgdilu
enttobgprovbgidebgabgconcentrationbgofbg100bgmg/ml.bgHowbgmanybgmlbgshouldbgthebgnursebgad
ministeredbgforbgebgachbgdose?bg(Enterbgnumericbgvaluebgonly.bgIfbgroundingbgisbgrequired,bgro
undbgtobgthebgnearest tenbgth) v
(ANS- 0.4 v
ationale: 35mg/100mg x 1 = 0.35 = 0.4 ml
v v v v v v v v
Thebgnursebgnotesbgthatbgabgclientbghasbgbeenbgreceivingbghydromorphonebg(Dilaudid)bgevery
sixbghoursbgforbgfourbgdays.bgWhatbgassessmentbgisbgmostbgimportantbgforbgthebgnursebgtobgco
mplete?
Auscultatebgthebgclient'sbgbowelbgsoundsbgObs
erbgvebgforbgedemabgaroundbgthebganklesbgMeasur
ebgthebgclient'sbgcapillarybgglucosebglevel
Count thebgapicalbgandbgradialbgpulsesbgsimultaneousl
v
y(bgANS- Auscultate the client's bowel sounds
v v v v v
Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis and freq
NURSINGNR324 Medsurg HESIexitexamlatest 2022 test bank
v v v v v v v v v v v
bg bg bg bg
withrationalescomplete Rated A+
g bg bg
, NURSING NR324 Med surg HESI exit exam latest 2022 test bank
v v v v v v v v v v
with rationales complete Rated A+
v v v v
uently causes constipation, so it is most important to Auscultate the client's bowel so
v v v v v v v v v v v v v
unds
Abgfemalebgclientbgisbgadmittedbgwithbgendbgstagebgpulmonarybgdiseasebgisbgalert,bgoriented,bgan
dcobgmplainingbgofbgshortnessbgofbgbreath.bgThebgclientbgtellsbgthebgnursebgthatbgshebgwantsbg"
nobgheroicbgmeasures"bgtakenbgifbgshebgstopsbgbreathing,bgandbgshebgasksbgthebgnursebgtobgdocum
entbgthisbginbgherbgmedicalbgrecord.bgWhatbgactionbgshouldbgthebgnursebgimplement?
(ANS- Ask the client to discuss "do not resuscitate" with her healthcare provider
v v v v v v v v v v v v
Abgclientbgisbgreceivingbgabgfullbgstrengthbgcontinuousbgenteralbgtubebgfeedingbgatbg50bgml/hou
randbghasbgdevelopedbgdiarrhea.bgThebgclientbghasbgabgnewbgprescriptionbgtobgchangebgthebgfee
dingbgtobghabglfbgstrength.bgWhatbginterventionbgshouldbgthebgnursebgimplement?
(ANS-
Add equal amounts of water and feeding to a feeding bag and infuse at 50ml/hour
v v v v v v v v v v v v v v v
Abgfemalebgclientbgreportsbgthatbgherbghairbgisbgbecomingbgcoarsebgandbgbreakingbgoff,bgthatbgth
ebgoutbgerbgpartbgofbgherbgeyebrowsbghavebgdisappeared,bgandbgthatbgherbgeyesbgarebgallbgpuffy.bg
Whichfollobgw-upbgquestionbgisbgbestbgforbgthebgnursebgtobgask?
(ANS- Have you noticed any changes in your fingernails?
v v v v v v v v
Rationale:bgThebgpatternbgofbgreportedbgmanifestationsbgisbgsuggestivebgofbghypothyroidism
Followingbgdischargebgteaching,bgabgmalebgclientbgwithbgduodenalbgulcerbgtellsbgthebgnursebgt
hehebgwillbgdrinkbgplentybgofbgdairybgproducts,bgsuchbgasbgmilk,bgtobghelpbgcoatbgandbgprotectbghi
sbgulcer.bgWbghatbgisbgthebgbestbgfollow-upbgactionbgbybgthebgnurse?
(ANS- Review with the client the need to avoid foods that are rich in milk and cream
v v v v v v v v v v v v v v v v
Abgmalebgclientbgwithbghypertension,bgwhobgreceivedbgnewbgantihypertensivebgprescription
satbghisbglast visitbgreturnsbgtobgthe clinicbgtwobgweeksbglaterbgtobgevaluatebghisbgbloodbgpressu
v v
rebg(BP).bgHisbgBPbgisbg158/106bgandbghebgadmitsbgthatbghebghasbgnotbgbeenbgtakingbgthebgprescri
bedbgmedicatiobgnbgbecausebgthebgdrugsbgmakebghimbg"feelbgbad".bgInbgexplainingbgthebgneedbg
forbghypertensionbgcobgntrol,bgthebgnursebgshouldbgstressbgthatbganbgelevatedbgBPbgplacesbgthebg
clientbgatbgriskbgforbgwhichbgpabgthophysiologicalbgcondition?
(ANS- Stroke secondary to hemorrhage
v v v v
Thebgnursebgobservesbgunlicensedbgassistivebgpersonnelbg(UAP)bgpositioningbgabgnewlybga
dmitbgtedbgclientbgwhobghasbgabgseizurebgdisorder.bgThebgclientbgisbgsupinebgandbgthebgUAPbgisbgpl
acingbgsoft
NURSINGNR324 Medsurg HESIexitexamlatest 2022 test bank bg bg bg bg
withrationalescomplete Rated A+
g bg bg
