8/15/23, m5:11 mP Med msurgmhesimexitmexammlatestm2022mtestmbankmwithmrationalesmcompletemamg
M uide.pdf
med mhesi
MED SURG HESI EXIT EXAM/Latest
m m m m
2022/Test Bank m
Followingmdischargemteaching, mammalemclientmwith mduodenalmulcer mtells mthemnur
semthemhemwillmdrink mplenty mof mdairy mproducts, msuchmas mmilk,mto mhelp mcoatman
d mprotectmhis mulcer.mWhatmis mthembestmfollow-up maction mby mthemnurse?
(ANS-
mReviewmwith mthemclientmthemneed mto mavoid mfoodsmthatmaremrichmin mmilk mand mc
ream
Ammalemclientmwith mhypertension, mwho mreceived mnewmantihypertensive mprescript
ions matmhis mlastmvisitmreturnsmto mthemclinicmtwo mweeks mlater mto mevaluatemhis mbl
ood mpressurem(BP).mHis mBPmis m158/106 mandmhemadmits mthatmhemhasmnotmbeenm
takingmthemprescribed mmedication mbecausemthemdrugs mmakemhim m"feelmbad".mI
n mexplainingmthemneed mfor mhypertension mcontrol,mthemnursemshould mstress mthatm
an melevated mBPmplaces mthemclientmatmrisk mfor mwhich mpathophysiologicalmcondit
ion?
(ANS- mStrokemsecondary mto mhemorrhage
Themnursemobserves man munlicensedmassistivempersonnelm(UAP) mpositioningmamn
ewly madmitted mclientmwho mhas mamseizuremdisorder.mThemclientmis msupinemand mt
hemUAPmis mplacingmsoftmpillows malongmthemsidemrails.mWhatmaction mshould mthe
mnurse mimplement? m(ANS-
mInstructmthemUAPmto mobtain msoftmblanketsmto msecuremtomthemsidemrails minstead m
of mpillows.
An madolescentmwith mmajor mdepressivemdisordermhas mbeen mtakingmduloxetin
em(Cymbalta) mfor mthempastm12 mdays.mWhich massessmentmfindingmrequires mim
mediatemfollow-up?
(ANS- mDescribes mlifemwithoutmpurpose
Am60-year-
old mfemalemclientmwith mampositivemfamily mhistory mof movarian mcancer mhasmdevel
oped man mabdominalmmass mand mis mbeingmevaluated mfor mpossiblemovarian mcancer.
mHer mPapanicolau m(Pap) msmear mresults maremnegative. mWhatminformationmshould
mthemnurse minclude min mthemclient's mteachingmplan?
(ANS- mFurther mevaluation minvolvingmsurgery mmay mbemneeded
about:blank 1/224
,8/15/23, m5:11 mP Med msurgmhesimexitmexammlatestm2022mtestmbankmwithmrationalesmcompletemamg
M uide.pdf
Amclientmwho mrecently munderwear mamtracheostomy mis mbeingmprepared mfor mdisch
argemto mhome.mWhich minstructions mis mmostmimportantmfor mthemnursemto minclud
emin mthemdischargemplan?
(ANS- mTeach mtrachealmsuctioningmtechniques
In massessingman madultmclientmwith mampartialmrebreather mmask,mthemnursemnotesmt
hatmthemoxygen mreservoir mbagmdoes mnotmdeflatemcompletely mduringminspiration ma
nd mthemclient's mrespiratory mratemis m14 mbreaths m/mminute.mWhatmaction mshouldmth
emnursemimplement?m(ANS- mDocumentmthemassessmentmdata
Rationale:mreservoir mbagmshould mnotmdeflatemcompletely mduringminspiration mand
mthemclient's mrespiratory mratemis mwithin mnormalmlimits.
Duringmshiftmreport, mthemcentralmelectrocardiogram m(EKG) mmonitoringmsyste
m malarms.mWhich mclientmalarm mshould mthemnurseminvestigatemfirs?
(ANS- mRespiratory mapneamof m30 mseconds
Duringmamhomemvisit,mthemnursemobserved manmelderlymclientmwith mdiabetes ms
lip mand mfall.mWhatmaction mshould mthemnursemtakemfirst?
(ANS- mCheck mthemclientmfor mlacerations mor mfractures
Atm0600 mwhilemadmittingmamwoman mfor mamschedulemrepeatmcesarean msection m(
C-
mSection), mthemclientmtells mthemnursemthatmshemdrankmamcupmamcoffeematm0400 mbe
causemshemwanted mto mavoid mgettingmamheadache. mWhich maction mshould mthemnur
semtakemfirst?m(ANS- mInform mthemanesthesiamcaremprovider
After mplacingmamstethoscopemas mseen min mthempicture, mthemnursemauscultates mS1
mand mS2 mheartmsounds. mTo mdeterminemif man mS3 mheartmsound mis mpresent, mwhatm
action mshould mthemnursemtakemfirst?
(ANS- mListen mwith mthembellmatmthemsamemlocation
Am66-year-
old mwoman mis mretiringmand mwillmno mlonger mhavemamhealth minsurancemthrough mh
er mplacemof memployment.mWhich magency mshould mthemclientmbemreferred mto mby mth
ememployeemhealth mnursemfor mhealth minsurancemneeds?
(ANS- mMedicare
about:blank 2/224
,8/15/23, m5:11 mP Med msurgmhesimexitmexammlatestm2022mtestmbankmwithmrationalesmcompletemamg
M uide.pdf
Amclientmwho mis mtakingman moralmdosemof mamtetracyclinemcomplains mof mgastroin
testinalmupset. mWhatmsnack mshould mthemnurseminstructmthemclientmto mtakemwith mt
hemtetracycline?m(ANS- mToasted mwheatmbread mand mjelly
Followingmamlumbar mpuncture, mamclientmvoices mseveralmcomplaints. mWhatmcompl
aintmindicated mto mthemnursemthatmthemclientmis mexperiencingmamcomplication?
(ANS- m"I mhavemamheadachemthatmgets mworsemwhen mI msitmup"
"I mam mhavingmpain min mmy mlower mbackmwhen mImmovemmymle
gs" m"My mthroatmhurts mwhen mI mswallow"
"I mfeelmsick mto mmy mstomach mand mam mgoingmto mthrowmup"
An melderly mclientmseems mconfusedmand mreportsmthemonsetmof mnausea, mdysuria, ma
nd murgency mwith mincontinence. mWhich maction mshould mthemnursemimplement?
(ANS- mObtain mamclean mcatch mmid-stream mspecimen
Themnursemis massistingmthemmother mofmamchild mwith mphenylketonuriam(PKU) mto m
selectmfoods mthatmaremin mkeepingmwith mthemchild's mdietary mrestrictions. mWhich m
foods maremcontraindicated mfor mthis mchild?
(ANS- mFoods msweetened mwith maspartame
Beforempreparingmamclientmfor mthemfirstmsurgicalmcasemof mthemday,mampart-
timemscrub mnursemasksmthemcirculatingmnursemif mam3 mminutemsurgicalmhand mscr
ub mis madequatempreparation mformthis mclient. mWhich mresponsemshouldmthemcircul
atingmnursemprovide?m(ANS-
mDirectmthemnurse mto mcontinue mthemsurgicalmhand mscrub mfor mam5 mminute mduratio
n
Which mbreakfastmselection mindicates mthatmthemclientmunderstands mthemnurse's mins
tructions maboutmthemdietary mmanagementmof mosteoporosis?
(ANS- mBagelmwith mjelly mand mskim mmilk
Themchargemnursemof mamcriticalmcaremunitmis minformed matmthembeginningmof mthem
shiftmthatmless mthan mthemoptimalmnumber mof mregistered mnurses mwillmbemworking
mthatmshift. mIn mplanningmassignments, mwhich mclientmshould mreceive mthemmostmc
aremhours mby mamregistered mnursem(RN)?
about:blank 3/224
, 8/15/23, m5:11 mP Med msurgmhesimexitmexammlatestm2022mtestmbankmwithmrationalesmcompletemamg
M uide.pdf
(ANS- mAn m82-year-old mclientmwith mAlzheimer's mdiseasemnewly-
fractures mfemur mwho mhas mamFoley mcatheter mand msoftmwristmrestrains mapplied
Ammother mbrings mher m6-year-
old mchild, mwho mhas mjustmstepped monmamrustymnail,mto mthempediatrician'smoffice.m
Upon minspection, mthemnursemnotes mthatmthemnailmwentmthrough mthemshoemand mpi
erced mthembottom mof mthemchild'smfoot. mWhich mactionmshould mthemnursemimpleme
ntmfirst?
-Cleansemthemfootmwith msoap mand mwater mand mapply man mantibioticmointment
-Providemteachingmaboutmthemneed mfor mamtetanus mbooster mwithin mthemnextm72hours.
-havemthemmother mcheck mthemchild's mtemperaturemq4h mfor mthemnextm24 mhours
-
transfer mthemchild mto mthememergency mdepartmentmto mreceivemamgammamglobulin
minjection
(ANS- mCleansemthemfootmwith msoap mand mwater mand mapply man mantibioticmointment
Themmother mof man madolescentmtells mthemclinicmnurse, m"My mson mhasmathlete's mfo
ot,mI mhavembeen mapplyingmtriplemantibioticmointmentmfor mtwo mdays, mbutmtheremh
as mbeen mno mimprovement." mWhatminstruction mshould mthemnursemprovide?
(ANS-
mStop musingmthemointmentmandmencourage mcompletemdryingmof mthemfeetmand mwe
aringmclean msocks.
Am26-year-
old mfemalemclientmis madmitted mto mthemhospitalmfor mtreatmentmof mamsimplemgoiter,
mand mlevothyroxine msodium m(Synthroid) mis mprescribed. mWhich msymptomsmindic
atemto mthemnursemthatmthemprescribed mdosagemis mtoo mhigh mfor mthis mclient?mThem
clientmexperiences
Bradycardiamandmconstipation mLetha
rgy mand mlack mof mappetite
Musclemcrampingmand mdry,mflushed mskin mP
alpitations mand mshortness mof mbreath
(ANS- mPalpitations mand mshortness mof mbreath
Amclientmwith mamhistory mof mheartmfailurempresentsmto mthemclinicmwith mnausea, mv
omiting,myellowmvision mand mpalpitations. mWhich mfindingmis mmostmimportantmfo
r mthemnursemto massess mto mthemclient?
about:blank 4/224
M uide.pdf
med mhesi
MED SURG HESI EXIT EXAM/Latest
m m m m
2022/Test Bank m
Followingmdischargemteaching, mammalemclientmwith mduodenalmulcer mtells mthemnur
semthemhemwillmdrink mplenty mof mdairy mproducts, msuchmas mmilk,mto mhelp mcoatman
d mprotectmhis mulcer.mWhatmis mthembestmfollow-up maction mby mthemnurse?
(ANS-
mReviewmwith mthemclientmthemneed mto mavoid mfoodsmthatmaremrichmin mmilk mand mc
ream
Ammalemclientmwith mhypertension, mwho mreceived mnewmantihypertensive mprescript
ions matmhis mlastmvisitmreturnsmto mthemclinicmtwo mweeks mlater mto mevaluatemhis mbl
ood mpressurem(BP).mHis mBPmis m158/106 mandmhemadmits mthatmhemhasmnotmbeenm
takingmthemprescribed mmedication mbecausemthemdrugs mmakemhim m"feelmbad".mI
n mexplainingmthemneed mfor mhypertension mcontrol,mthemnursemshould mstress mthatm
an melevated mBPmplaces mthemclientmatmrisk mfor mwhich mpathophysiologicalmcondit
ion?
(ANS- mStrokemsecondary mto mhemorrhage
Themnursemobserves man munlicensedmassistivempersonnelm(UAP) mpositioningmamn
ewly madmitted mclientmwho mhas mamseizuremdisorder.mThemclientmis msupinemand mt
hemUAPmis mplacingmsoftmpillows malongmthemsidemrails.mWhatmaction mshould mthe
mnurse mimplement? m(ANS-
mInstructmthemUAPmto mobtain msoftmblanketsmto msecuremtomthemsidemrails minstead m
of mpillows.
An madolescentmwith mmajor mdepressivemdisordermhas mbeen mtakingmduloxetin
em(Cymbalta) mfor mthempastm12 mdays.mWhich massessmentmfindingmrequires mim
mediatemfollow-up?
(ANS- mDescribes mlifemwithoutmpurpose
Am60-year-
old mfemalemclientmwith mampositivemfamily mhistory mof movarian mcancer mhasmdevel
oped man mabdominalmmass mand mis mbeingmevaluated mfor mpossiblemovarian mcancer.
mHer mPapanicolau m(Pap) msmear mresults maremnegative. mWhatminformationmshould
mthemnurse minclude min mthemclient's mteachingmplan?
(ANS- mFurther mevaluation minvolvingmsurgery mmay mbemneeded
about:blank 1/224
,8/15/23, m5:11 mP Med msurgmhesimexitmexammlatestm2022mtestmbankmwithmrationalesmcompletemamg
M uide.pdf
Amclientmwho mrecently munderwear mamtracheostomy mis mbeingmprepared mfor mdisch
argemto mhome.mWhich minstructions mis mmostmimportantmfor mthemnursemto minclud
emin mthemdischargemplan?
(ANS- mTeach mtrachealmsuctioningmtechniques
In massessingman madultmclientmwith mampartialmrebreather mmask,mthemnursemnotesmt
hatmthemoxygen mreservoir mbagmdoes mnotmdeflatemcompletely mduringminspiration ma
nd mthemclient's mrespiratory mratemis m14 mbreaths m/mminute.mWhatmaction mshouldmth
emnursemimplement?m(ANS- mDocumentmthemassessmentmdata
Rationale:mreservoir mbagmshould mnotmdeflatemcompletely mduringminspiration mand
mthemclient's mrespiratory mratemis mwithin mnormalmlimits.
Duringmshiftmreport, mthemcentralmelectrocardiogram m(EKG) mmonitoringmsyste
m malarms.mWhich mclientmalarm mshould mthemnurseminvestigatemfirs?
(ANS- mRespiratory mapneamof m30 mseconds
Duringmamhomemvisit,mthemnursemobserved manmelderlymclientmwith mdiabetes ms
lip mand mfall.mWhatmaction mshould mthemnursemtakemfirst?
(ANS- mCheck mthemclientmfor mlacerations mor mfractures
Atm0600 mwhilemadmittingmamwoman mfor mamschedulemrepeatmcesarean msection m(
C-
mSection), mthemclientmtells mthemnursemthatmshemdrankmamcupmamcoffeematm0400 mbe
causemshemwanted mto mavoid mgettingmamheadache. mWhich maction mshould mthemnur
semtakemfirst?m(ANS- mInform mthemanesthesiamcaremprovider
After mplacingmamstethoscopemas mseen min mthempicture, mthemnursemauscultates mS1
mand mS2 mheartmsounds. mTo mdeterminemif man mS3 mheartmsound mis mpresent, mwhatm
action mshould mthemnursemtakemfirst?
(ANS- mListen mwith mthembellmatmthemsamemlocation
Am66-year-
old mwoman mis mretiringmand mwillmno mlonger mhavemamhealth minsurancemthrough mh
er mplacemof memployment.mWhich magency mshould mthemclientmbemreferred mto mby mth
ememployeemhealth mnursemfor mhealth minsurancemneeds?
(ANS- mMedicare
about:blank 2/224
,8/15/23, m5:11 mP Med msurgmhesimexitmexammlatestm2022mtestmbankmwithmrationalesmcompletemamg
M uide.pdf
Amclientmwho mis mtakingman moralmdosemof mamtetracyclinemcomplains mof mgastroin
testinalmupset. mWhatmsnack mshould mthemnurseminstructmthemclientmto mtakemwith mt
hemtetracycline?m(ANS- mToasted mwheatmbread mand mjelly
Followingmamlumbar mpuncture, mamclientmvoices mseveralmcomplaints. mWhatmcompl
aintmindicated mto mthemnursemthatmthemclientmis mexperiencingmamcomplication?
(ANS- m"I mhavemamheadachemthatmgets mworsemwhen mI msitmup"
"I mam mhavingmpain min mmy mlower mbackmwhen mImmovemmymle
gs" m"My mthroatmhurts mwhen mI mswallow"
"I mfeelmsick mto mmy mstomach mand mam mgoingmto mthrowmup"
An melderly mclientmseems mconfusedmand mreportsmthemonsetmof mnausea, mdysuria, ma
nd murgency mwith mincontinence. mWhich maction mshould mthemnursemimplement?
(ANS- mObtain mamclean mcatch mmid-stream mspecimen
Themnursemis massistingmthemmother mofmamchild mwith mphenylketonuriam(PKU) mto m
selectmfoods mthatmaremin mkeepingmwith mthemchild's mdietary mrestrictions. mWhich m
foods maremcontraindicated mfor mthis mchild?
(ANS- mFoods msweetened mwith maspartame
Beforempreparingmamclientmfor mthemfirstmsurgicalmcasemof mthemday,mampart-
timemscrub mnursemasksmthemcirculatingmnursemif mam3 mminutemsurgicalmhand mscr
ub mis madequatempreparation mformthis mclient. mWhich mresponsemshouldmthemcircul
atingmnursemprovide?m(ANS-
mDirectmthemnurse mto mcontinue mthemsurgicalmhand mscrub mfor mam5 mminute mduratio
n
Which mbreakfastmselection mindicates mthatmthemclientmunderstands mthemnurse's mins
tructions maboutmthemdietary mmanagementmof mosteoporosis?
(ANS- mBagelmwith mjelly mand mskim mmilk
Themchargemnursemof mamcriticalmcaremunitmis minformed matmthembeginningmof mthem
shiftmthatmless mthan mthemoptimalmnumber mof mregistered mnurses mwillmbemworking
mthatmshift. mIn mplanningmassignments, mwhich mclientmshould mreceive mthemmostmc
aremhours mby mamregistered mnursem(RN)?
about:blank 3/224
, 8/15/23, m5:11 mP Med msurgmhesimexitmexammlatestm2022mtestmbankmwithmrationalesmcompletemamg
M uide.pdf
(ANS- mAn m82-year-old mclientmwith mAlzheimer's mdiseasemnewly-
fractures mfemur mwho mhas mamFoley mcatheter mand msoftmwristmrestrains mapplied
Ammother mbrings mher m6-year-
old mchild, mwho mhas mjustmstepped monmamrustymnail,mto mthempediatrician'smoffice.m
Upon minspection, mthemnursemnotes mthatmthemnailmwentmthrough mthemshoemand mpi
erced mthembottom mof mthemchild'smfoot. mWhich mactionmshould mthemnursemimpleme
ntmfirst?
-Cleansemthemfootmwith msoap mand mwater mand mapply man mantibioticmointment
-Providemteachingmaboutmthemneed mfor mamtetanus mbooster mwithin mthemnextm72hours.
-havemthemmother mcheck mthemchild's mtemperaturemq4h mfor mthemnextm24 mhours
-
transfer mthemchild mto mthememergency mdepartmentmto mreceivemamgammamglobulin
minjection
(ANS- mCleansemthemfootmwith msoap mand mwater mand mapply man mantibioticmointment
Themmother mof man madolescentmtells mthemclinicmnurse, m"My mson mhasmathlete's mfo
ot,mI mhavembeen mapplyingmtriplemantibioticmointmentmfor mtwo mdays, mbutmtheremh
as mbeen mno mimprovement." mWhatminstruction mshould mthemnursemprovide?
(ANS-
mStop musingmthemointmentmandmencourage mcompletemdryingmof mthemfeetmand mwe
aringmclean msocks.
Am26-year-
old mfemalemclientmis madmitted mto mthemhospitalmfor mtreatmentmof mamsimplemgoiter,
mand mlevothyroxine msodium m(Synthroid) mis mprescribed. mWhich msymptomsmindic
atemto mthemnursemthatmthemprescribed mdosagemis mtoo mhigh mfor mthis mclient?mThem
clientmexperiences
Bradycardiamandmconstipation mLetha
rgy mand mlack mof mappetite
Musclemcrampingmand mdry,mflushed mskin mP
alpitations mand mshortness mof mbreath
(ANS- mPalpitations mand mshortness mof mbreath
Amclientmwith mamhistory mof mheartmfailurempresentsmto mthemclinicmwith mnausea, mv
omiting,myellowmvision mand mpalpitations. mWhich mfindingmis mmostmimportantmfo
r mthemnursemto massess mto mthemclient?
about:blank 4/224
