10/6/23,m11:44mA Med msurgmhesi mexitmexammlatestm2022mtestmbankmwithmrationalesmcomplete
M mamg…
med mhesi
MED SURG HESI EXIT EXAM/Latest
m m m m
2022/Test Bank m
Followingmdischargemteaching, mammalemclientmwith mduodenalmulcer mtells mthemnu
rsemthemhemwillmdrink mplenty mof mdairy mproducts, msuch mas mmilk,mto mhelp mcoatm
and mprotectmhis mulcer. mWhatmis mthembestmfollow-up maction mby mthemnurse?
(ANS-
mReviewmwith mthemclientmthemneed mto mavoid mfoods mthatmaremrich min mmilk mand mc
ream
Ammalemclientmwith mhypertension, mwho mreceived mnewmantihypertensive mprescri
ptions matmhis mlastmvisitmreturns mto mthemclinicmtwo mweeks mlater mto mevaluatemhis
mblood mpressure m(BP). mHis mBPmis m158/106mand mhemadmits mthatmhemhas mnotmb
een mtakingmthemprescribed mmedication mbecausemthemdrugs mmakemhim m"feelmba
d".mIn mexplainingmthemneed mfor mhypertension mcontrol, mthemnursemshould mstress
mthatman melevated mBPmplaces mthemclientmatmrisk mfor mwhich mpathophysiological
mcondition?
(ANS- mStrokemsecondary mto mhemorrhage
Themnursemobserves man munlicensedmassistivempersonnelm(UAP) mpositioningmam
newly madmitted mclientmwho mhas mamseizuremdisorder. mThemclientmis msupinemand
mthemUAPmis mplacingmsoftmpillows malongmthemsidemrails. mWhatmaction mshould mt
hemnursemimplement?m(ANS-
mInstructmthemUAPmto mobtain msoftmblankets mto msecuremto mthemsidemrails minstead m
of mpillows.
An madolescentmwith mmajor mdepressivemdisordermhas mbeenmtakingmduloxetin
em(Cymbalta) mfor mthempastm12 mdays.mWhich massessmentmfindingmrequiresmim
mediatemfollow-up?
(ANS- mDescribes mlifemwithoutmpurpose
Am60-year-
old mfemalemclientmwith mampositivemfamily mhistory mofmovarianmcancer mhasmdeve
loped man mabdominalmmass mand mis mbeingmevaluated mfor mpossiblemovarianmcancer
.mHer mPapanicolau m(Pap) msmear mresults maremnegative. mWhatminformationmshou
ld mthemnursemincludemin mthemclient's mteachingmplan?
(ANS- m Further m evaluation m involvingmsurgery m may m bem needed
Amclientmwho mrecently munderwear mamtracheostomy mis mbeingmprepared mfor mdisch
argemto mhome.mWhich minstructions mis mmostmimportantmfor mthemnursemto minclud
emin mthemdischargemplan?
about:blank 1/233
,10/6/23,m11:44mA Med msurgmhesi mexitmexammlatestm2022mtestmbankmwithmrationalesmcomplete
M mg… m suctioningm techniques
(ANS- m Teachmmatracheal
In massessingman madultmclientmwith mampartialmrebreather mmask,mthemnursemnotes mthatmthe
about:blank 2/233
,10/6/23,m11:44mA Med msurgmhesi mexitmexammlatestm2022mtestmbankmwithmrationalesmcomplete
M mamg…
Amclientmwho mrecently munderwear mamtracheostomy mis mbeingmprepared mfor mdisch
argemto mhome.mWhich minstructions mis mmostmimportantmfor mthemnursemto minclud
emin mthemdischargemplan?
(ANS- m Teach m trachealm suctioningm techniques
In massessingman madultmclientmwith mampartialmrebreather mmask,mthemnursemnotesm
thatmthemoxygen mreservoir mbagmdoes mnotmdeflatemcompletely mduringminspiration m
and mthemclient's mrespiratory mratemis m14 mbreathsm/mminute.mWhatmaction mshould m
themnursemimplement?m(ANS- mDocumentmthemassessmentmdata
Rationale:mreservoir mbagmshould mnotmdeflatemcompletely mduringminspiration mand
mthemclient's mrespiratory mratemis mwithin mnormalmlimits.
Duringmshiftmreport, mthemcentralmelectrocardiogram m(EKG) mmonitoringmsy
stem malarms.mWhich mclientmalarm mshould mthemnurseminvestigatemfirs?
(ANS- mRespiratory mapneamof m30 mseconds
Duringmamhomemvisit,mthemnursemobserved man melderly mclientmwith mdiabetes mslip
mand mfall. mWhatmaction mshould mthemnurse mtakemfirst?
(ANS- mCheck mthemclientmfor mlacerations mor mfractures
Atm0600 mwhilemadmittingmamwoman mfor mamschedulemrepeatmcesarean msection m(
C-
mSection), mthemclientmtells mthemnursemthatmshemdrank mamcup mamcoffeematm0400 mb
ecausemshemwanted mto mavoid mgettingmamheadache. mWhich maction mshould mthemn
ursemtakemfirst?m(ANS-mInform mthemanesthesiamcaremprovider
After mplacingmamstethoscopemas mseen min mthempicture, mthemnursemauscultates mS1
mand mS2 mheartmsounds. mTo mdeterminemif man mS3 mheart msound 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 mt
hememployeemhealth mnursemfor mhealth minsurancemneeds?
(ANS- mMedicare
Amclientmwho mis mtakingman moralmdosemof mamtetracyclinemcomplains mof mgastroin
testinalmupset. mWhatmsnack mshould mthemnurseminstructmthemclientmto mtakemwith mt
hemtetracycline?m(ANS-mToasted mwheatmbread mand mjelly
about:blank 3/233
, 10/6/23,m11:44mA Med msurgmhesi mexitmexammlatestm2022mtestmbankmwithmrationalesmcomplete
M mamg…
Followingmamlumbar mpuncture, mamclientmvoices mseveralmcomplaints. mWhatmcomplaint
about:blank 4/233
M mamg…
med mhesi
MED SURG HESI EXIT EXAM/Latest
m m m m
2022/Test Bank m
Followingmdischargemteaching, mammalemclientmwith mduodenalmulcer mtells mthemnu
rsemthemhemwillmdrink mplenty mof mdairy mproducts, msuch mas mmilk,mto mhelp mcoatm
and mprotectmhis mulcer. mWhatmis mthembestmfollow-up maction mby mthemnurse?
(ANS-
mReviewmwith mthemclientmthemneed mto mavoid mfoods mthatmaremrich min mmilk mand mc
ream
Ammalemclientmwith mhypertension, mwho mreceived mnewmantihypertensive mprescri
ptions matmhis mlastmvisitmreturns mto mthemclinicmtwo mweeks mlater mto mevaluatemhis
mblood mpressure m(BP). mHis mBPmis m158/106mand mhemadmits mthatmhemhas mnotmb
een mtakingmthemprescribed mmedication mbecausemthemdrugs mmakemhim m"feelmba
d".mIn mexplainingmthemneed mfor mhypertension mcontrol, mthemnursemshould mstress
mthatman melevated mBPmplaces mthemclientmatmrisk mfor mwhich mpathophysiological
mcondition?
(ANS- mStrokemsecondary mto mhemorrhage
Themnursemobserves man munlicensedmassistivempersonnelm(UAP) mpositioningmam
newly madmitted mclientmwho mhas mamseizuremdisorder. mThemclientmis msupinemand
mthemUAPmis mplacingmsoftmpillows malongmthemsidemrails. mWhatmaction mshould mt
hemnursemimplement?m(ANS-
mInstructmthemUAPmto mobtain msoftmblankets mto msecuremto mthemsidemrails minstead m
of mpillows.
An madolescentmwith mmajor mdepressivemdisordermhas mbeenmtakingmduloxetin
em(Cymbalta) mfor mthempastm12 mdays.mWhich massessmentmfindingmrequiresmim
mediatemfollow-up?
(ANS- mDescribes mlifemwithoutmpurpose
Am60-year-
old mfemalemclientmwith mampositivemfamily mhistory mofmovarianmcancer mhasmdeve
loped man mabdominalmmass mand mis mbeingmevaluated mfor mpossiblemovarianmcancer
.mHer mPapanicolau m(Pap) msmear mresults maremnegative. mWhatminformationmshou
ld mthemnursemincludemin mthemclient's mteachingmplan?
(ANS- m Further m evaluation m involvingmsurgery m may m bem needed
Amclientmwho mrecently munderwear mamtracheostomy mis mbeingmprepared mfor mdisch
argemto mhome.mWhich minstructions mis mmostmimportantmfor mthemnursemto minclud
emin mthemdischargemplan?
about:blank 1/233
,10/6/23,m11:44mA Med msurgmhesi mexitmexammlatestm2022mtestmbankmwithmrationalesmcomplete
M mg… m suctioningm techniques
(ANS- m Teachmmatracheal
In massessingman madultmclientmwith mampartialmrebreather mmask,mthemnursemnotes mthatmthe
about:blank 2/233
,10/6/23,m11:44mA Med msurgmhesi mexitmexammlatestm2022mtestmbankmwithmrationalesmcomplete
M mamg…
Amclientmwho mrecently munderwear mamtracheostomy mis mbeingmprepared mfor mdisch
argemto mhome.mWhich minstructions mis mmostmimportantmfor mthemnursemto minclud
emin mthemdischargemplan?
(ANS- m Teach m trachealm suctioningm techniques
In massessingman madultmclientmwith mampartialmrebreather mmask,mthemnursemnotesm
thatmthemoxygen mreservoir mbagmdoes mnotmdeflatemcompletely mduringminspiration m
and mthemclient's mrespiratory mratemis m14 mbreathsm/mminute.mWhatmaction mshould m
themnursemimplement?m(ANS- mDocumentmthemassessmentmdata
Rationale:mreservoir mbagmshould mnotmdeflatemcompletely mduringminspiration mand
mthemclient's mrespiratory mratemis mwithin mnormalmlimits.
Duringmshiftmreport, mthemcentralmelectrocardiogram m(EKG) mmonitoringmsy
stem malarms.mWhich mclientmalarm mshould mthemnurseminvestigatemfirs?
(ANS- mRespiratory mapneamof m30 mseconds
Duringmamhomemvisit,mthemnursemobserved man melderly mclientmwith mdiabetes mslip
mand mfall. mWhatmaction mshould mthemnurse mtakemfirst?
(ANS- mCheck mthemclientmfor mlacerations mor mfractures
Atm0600 mwhilemadmittingmamwoman mfor mamschedulemrepeatmcesarean msection m(
C-
mSection), mthemclientmtells mthemnursemthatmshemdrank mamcup mamcoffeematm0400 mb
ecausemshemwanted mto mavoid mgettingmamheadache. mWhich maction mshould mthemn
ursemtakemfirst?m(ANS-mInform mthemanesthesiamcaremprovider
After mplacingmamstethoscopemas mseen min mthempicture, mthemnursemauscultates mS1
mand mS2 mheartmsounds. mTo mdeterminemif man mS3 mheart msound 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 mt
hememployeemhealth mnursemfor mhealth minsurancemneeds?
(ANS- mMedicare
Amclientmwho mis mtakingman moralmdosemof mamtetracyclinemcomplains mof mgastroin
testinalmupset. mWhatmsnack mshould mthemnurseminstructmthemclientmto mtakemwith mt
hemtetracycline?m(ANS-mToasted mwheatmbread mand mjelly
about:blank 3/233
, 10/6/23,m11:44mA Med msurgmhesi mexitmexammlatestm2022mtestmbankmwithmrationalesmcomplete
M mamg…
Followingmamlumbar mpuncture, mamclientmvoices mseveralmcomplaints. mWhatmcomplaint
about:blank 4/233
