EVOLVE ELSEVIER HESI MED
_ _ _
SURG ACTUAL EXAM WITH 400+ REA
_ _ _ _ _
L EXAM QUESTIONS AND CORRECT A
_ _ _ _ _
NSWERS WITH WELL- _ _
_ ELABORATED RATIONALES _
EVOLVE HESI MEDICAL SURGICAL LA
_ _ _ _
TEST EXAM (BRAND NEW!!)
_ _ _
WHAT TO FIND IN THIS EXAM
_ _ _ _ _
ǪUESTIONS AND ANSWERS IN NCLEX- STYLE
_ _ _ _ _
BUTTERFLY ǪUESTION WITH ANSWERS
_ _ _
VERIFIED ANSWERS BY EXPERTS
_ _ _
NEWEST UPDATED VERSION GRADE A+
_ _ _ _
ǪUESTIONS WITH MULTI CHOICES
_ _ _
ALL ǪUESTIONS WITH VERIFIED RATIONALES
_ _ _ _
,MULTICHOICES
An_ER_nurse_is_completing_an_assessment_on_a_patient_that_is_alert_but_struggle
s_to_answer_questions._When_she_attempts_to_talk,_she_slurs_her_speech_and
appears_very_frightened._What_additional_clinical_manifestation_does_the_nurse_ex
pect_to_find_if_nacy's_sysmptoms_have_been_caused_by_a_brain_attack_(stroke)?
A._A_carotid_bruit
B._A_hypotensive_blood_pressure
C._hyperreflexia_deep_tendon_relaxes.
D._Decreased_bowel_sounds
A) A_carotid_bruit.
Rationale:_the_carotid_artery_(artery_to_the_brain)_is_narrowed_in_clients_with_a_br
ain_attack._A_bruit_is_an_abnormal_sound_heard_on_auscultation_resulting_from_int
erference_with_normal_blood_flow._Usually_the_blood_pressure_is_hypertensive._Ini
tially_flaccid_paralysis_occurs,_resulting_in_hyporeflexia_deep_tendon_reflexes.
Bowel_sounds_are_not_indicative_of_a_brain_attack.
Which_clinical_manifestation_further_supports_an_assessment_of_a_left-
sided_brain_attack?
A) Visual_field_deficit_on_the_left_side.
B) Spatial-perceptual_ deficits.
C) Paresthesia_of_the_left_side.
D) Global_aphasia.
,D)_Global_aphasia.
Rationale:_Global_aphasia_refers_to_difficulty_speaking,_listening,_and
understanding,_as_well_as_difficulty_reading_and_writing._Symptoms_vary_from
person_to_person._Aphasia_may_occur_secondary_to_any_brain_injury_involving_the
_left _hemisphere._Visual_field_deficits,_spatial-
perceptual_deficits,_and_paresthsia_of_the_left _ side_usually_occur_with_right-
sided_brain_attack.
When_preparing_a_patient_for_a_noncontrast_computed_tomography_(CT)_scan_S
TAT,_what_nursing_intervention_should_the_nurse_implement?
A) Determine_if_the_client_has_any_allergies_to_iodine
B) Explain_that_the_client_will_not_be_able_to_move_her_head_throughout_the_
CT_scan.
C) Premedicate_the_client_to_decrease_pain_prior_to_having_the_procedure.
D) Provide_an_explanation_of_relaxation_exercises_prior_to_the_procedure.
B) Explain_that_the_client_will_not_be_able_to_move_her_head_throughout_the_
CT_scan.
Rationale:_Because_head_motion_will_distort_the_images,_Nancy_will_have_to_remai
n_still_throughout_the_procedure._Allergies_to_iodine_is_important_if_contrast_dye_i
s_being_used_for_the_CT_scan._Premedicating_the_client_to_decrease_pain_prior_to_
the_procedure_is_unnecessary_because_CT_scanning_is_a_noninvasive_and_painless
procedure._Providing_an_explanation_of_relaxation_exercises_prior_to_the_procedur
e_is_a_worthwhile_intervention_to_decrease_anxiety_but_is_not_of_highest_priority.
A_neurologist_prescribes_a_magnetic_resonance_imaging_(MRI)_of_the_head_STAT_
for_a_patient._Which_data_warrants_immediate_intervention_by_the_nurse_conce
rning_this_diagnostic_test?
, A) Elevated_blood_pressure.
B) Allergy_to_shell_fish.
C) Right_hip_replacement.
D) History_of_atrial_fibrillation.
C) Right_hip_replacement.
The_magnetic_field_generated_by_the_MRI_is_so_strong_that_metal-
containing_items_are_strongly_attracted_to_the_magnet._Because_the_hip_joint_is_
made_of_metal,_a_lead_shield_must_be_used_during_the_procedure._Elevated_blood
_pressure,_an
allergy_to_shell_fish,_and_a_history_of_atrial_fibrillation_would_not_affect_the_MRI.
A_client's_daughter_is_sitting_by_her_mother's_bedside_who_was_recently
transferred_to_the_Intermediate_Care_Unit._She_states_"I_don't_understand_what_
a_brain_attack_is._The_healthcare_provider_told_me_my_mother_is_in_serious
condition_and_they_are_going_to_run_several_tests._I_just_don't_know_what_is_goin
g_on._What_happened_to_my_mother?"_What_is_the_best_response_by_the_nurse
?
A) "I_am_sorry,_but_according_to_the_Health_Insurance_Portability_and_Accountin
g_Act_(HIPAA),_I_cannot_give_you_any_information."
B) "Your_mother_has_had_a_stroke,_and_the_blood_supply_to_the_brain_has_be
en_blocked."
C) "How_do_you_feel_about_what_the_healthcare_provider_said?"
D) "I_will_call_the_healthcare_provider_so_he/she_can_talk_to_you_about_yo
ur_mother's_serious_condition."
B)_"Your_mother_has_had_a_stroke,_and_the_blood_supply_to_the_brain_has_been_block
ed."
Rationale:_The_nurse_can_discuss_what_a_diagnosis_means._Nancy_is_unable_to_make
_ _ _
SURG ACTUAL EXAM WITH 400+ REA
_ _ _ _ _
L EXAM QUESTIONS AND CORRECT A
_ _ _ _ _
NSWERS WITH WELL- _ _
_ ELABORATED RATIONALES _
EVOLVE HESI MEDICAL SURGICAL LA
_ _ _ _
TEST EXAM (BRAND NEW!!)
_ _ _
WHAT TO FIND IN THIS EXAM
_ _ _ _ _
ǪUESTIONS AND ANSWERS IN NCLEX- STYLE
_ _ _ _ _
BUTTERFLY ǪUESTION WITH ANSWERS
_ _ _
VERIFIED ANSWERS BY EXPERTS
_ _ _
NEWEST UPDATED VERSION GRADE A+
_ _ _ _
ǪUESTIONS WITH MULTI CHOICES
_ _ _
ALL ǪUESTIONS WITH VERIFIED RATIONALES
_ _ _ _
,MULTICHOICES
An_ER_nurse_is_completing_an_assessment_on_a_patient_that_is_alert_but_struggle
s_to_answer_questions._When_she_attempts_to_talk,_she_slurs_her_speech_and
appears_very_frightened._What_additional_clinical_manifestation_does_the_nurse_ex
pect_to_find_if_nacy's_sysmptoms_have_been_caused_by_a_brain_attack_(stroke)?
A._A_carotid_bruit
B._A_hypotensive_blood_pressure
C._hyperreflexia_deep_tendon_relaxes.
D._Decreased_bowel_sounds
A) A_carotid_bruit.
Rationale:_the_carotid_artery_(artery_to_the_brain)_is_narrowed_in_clients_with_a_br
ain_attack._A_bruit_is_an_abnormal_sound_heard_on_auscultation_resulting_from_int
erference_with_normal_blood_flow._Usually_the_blood_pressure_is_hypertensive._Ini
tially_flaccid_paralysis_occurs,_resulting_in_hyporeflexia_deep_tendon_reflexes.
Bowel_sounds_are_not_indicative_of_a_brain_attack.
Which_clinical_manifestation_further_supports_an_assessment_of_a_left-
sided_brain_attack?
A) Visual_field_deficit_on_the_left_side.
B) Spatial-perceptual_ deficits.
C) Paresthesia_of_the_left_side.
D) Global_aphasia.
,D)_Global_aphasia.
Rationale:_Global_aphasia_refers_to_difficulty_speaking,_listening,_and
understanding,_as_well_as_difficulty_reading_and_writing._Symptoms_vary_from
person_to_person._Aphasia_may_occur_secondary_to_any_brain_injury_involving_the
_left _hemisphere._Visual_field_deficits,_spatial-
perceptual_deficits,_and_paresthsia_of_the_left _ side_usually_occur_with_right-
sided_brain_attack.
When_preparing_a_patient_for_a_noncontrast_computed_tomography_(CT)_scan_S
TAT,_what_nursing_intervention_should_the_nurse_implement?
A) Determine_if_the_client_has_any_allergies_to_iodine
B) Explain_that_the_client_will_not_be_able_to_move_her_head_throughout_the_
CT_scan.
C) Premedicate_the_client_to_decrease_pain_prior_to_having_the_procedure.
D) Provide_an_explanation_of_relaxation_exercises_prior_to_the_procedure.
B) Explain_that_the_client_will_not_be_able_to_move_her_head_throughout_the_
CT_scan.
Rationale:_Because_head_motion_will_distort_the_images,_Nancy_will_have_to_remai
n_still_throughout_the_procedure._Allergies_to_iodine_is_important_if_contrast_dye_i
s_being_used_for_the_CT_scan._Premedicating_the_client_to_decrease_pain_prior_to_
the_procedure_is_unnecessary_because_CT_scanning_is_a_noninvasive_and_painless
procedure._Providing_an_explanation_of_relaxation_exercises_prior_to_the_procedur
e_is_a_worthwhile_intervention_to_decrease_anxiety_but_is_not_of_highest_priority.
A_neurologist_prescribes_a_magnetic_resonance_imaging_(MRI)_of_the_head_STAT_
for_a_patient._Which_data_warrants_immediate_intervention_by_the_nurse_conce
rning_this_diagnostic_test?
, A) Elevated_blood_pressure.
B) Allergy_to_shell_fish.
C) Right_hip_replacement.
D) History_of_atrial_fibrillation.
C) Right_hip_replacement.
The_magnetic_field_generated_by_the_MRI_is_so_strong_that_metal-
containing_items_are_strongly_attracted_to_the_magnet._Because_the_hip_joint_is_
made_of_metal,_a_lead_shield_must_be_used_during_the_procedure._Elevated_blood
_pressure,_an
allergy_to_shell_fish,_and_a_history_of_atrial_fibrillation_would_not_affect_the_MRI.
A_client's_daughter_is_sitting_by_her_mother's_bedside_who_was_recently
transferred_to_the_Intermediate_Care_Unit._She_states_"I_don't_understand_what_
a_brain_attack_is._The_healthcare_provider_told_me_my_mother_is_in_serious
condition_and_they_are_going_to_run_several_tests._I_just_don't_know_what_is_goin
g_on._What_happened_to_my_mother?"_What_is_the_best_response_by_the_nurse
?
A) "I_am_sorry,_but_according_to_the_Health_Insurance_Portability_and_Accountin
g_Act_(HIPAA),_I_cannot_give_you_any_information."
B) "Your_mother_has_had_a_stroke,_and_the_blood_supply_to_the_brain_has_be
en_blocked."
C) "How_do_you_feel_about_what_the_healthcare_provider_said?"
D) "I_will_call_the_healthcare_provider_so_he/she_can_talk_to_you_about_yo
ur_mother's_serious_condition."
B)_"Your_mother_has_had_a_stroke,_and_the_blood_supply_to_the_brain_has_been_block
ed."
Rationale:_The_nurse_can_discuss_what_a_diagnosis_means._Nancy_is_unable_to_make
