HESI : MED SURG II FINAL ACTUAL EXAM WITH 183
REAL QUESTIONS AND VERIFIED CORRECT ANSWERS
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A nurse is planning dietary teaching for a client who has
diabetes mellitus. Which of the following actions should the nurse
plan to take first? ......ANSWER........Ask the client to identify the
types of foods she prefers.
A nurse is caring for a client who has type 1 diabetes mellitus
and a capillary blood glucose reading of 48 mg/dL. Which of
the following findings should the nurse expect?
......ANSWER........Diaphoresis
A nurse is caring for a client who is 72 hr postoperative
following an above-the-knee amputation. Which of the following
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actions should the nurse take? ......ANSWER........Assist the client to
a prone position every 4 hr.
A nurse is providing teaching to a client who has gout and
urolithiasis. The client asks how to prevent future uric acid stones.
Which of the following suggestions should the nurse make?
(Select all that apply.) ......ANSWER........Take allopurinol as
prescribed.
Exercise several times a week.
Limit intake of foods high in purine.
A nurse in an emergency department is assessing a client who
sustained a fall off of a roof. Which of the following findings
should the nurse identify as an indication of a basilar skull
fracture? ......ANSWER........Clear fluid coming from the nares
A nurse is teaching a client how to perform a breast self exam
(BSE). The nurse should identify which of the following findings as
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an indication of breast cancer? ......ANSWER........A nontender,
hard lump that is palpated in one breast
A nurse is providing discharge teaching about improving gas
exchange to a client who has emphysema. Which of the
following instructions should the nurse include in the teaching?
......ANSWER........Use pursed-lip breathing during periods of
dyspnea.
A nurse is caring for a client who has an upper gastrointestinal
bleed and a hematocrit of 24%. Prior to initiating a transfusion
of packed red blood cells (RBCs), which of the following actions
should the nurse take? (Select all that apply.)
......ANSWER........Assess and document the client's vital signs.
Verify with another nurse the blood type and Rh of the packed
RBCs.
Change IV tubing to a set that has a filter.
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A nurse is preparing to change the bed linens of a client who has
AIDS and is incontinent of stool. Which of the following personal
protective equipment (PPE) should the nurse don prior to
providing client care? (Select all that apply.)
......ANSWER........Gown
Gloves
A nurse is caring for a client who begins having a tonic-clonic
seizure while sitting in a chair at the bedside. Which of the
following actions should the nurse take first?
......ANSWER........Lower the client to the floor.
A nurse is caring for a client following a hip arthroplasty. The
nurse places an abduction pillow on the client for which of the
following purposes? ......ANSWER........Preventing dislocation of
the hip during position changes or movement
A nurse in the emergency department is caring for a client who
has fruity breath odor, dry mouth, and extreme thirst. Which of