MED SURG EXIT HESI QUESTION AND ANSWER | RATED 100% (50+ Q&A)

Medical –Surgical Exit HESI Questions & Answer 1. An adult client was diagnosed with acute pancreatic 9 days ago. The nurse interprets that the client is recovering from this episode if the serum lipase level decreases to which of the following values, which is just below the upper limit of normal? a) 20 unit/L b) 80 unit/L c) 135 unit/L d) 350 unit/L 1. A client is receiving a continuous intravenous infusion of heparin sodium to treat deep vein thrombosis. The client’s activated partial thromboplastin (aPTT) time is 65 seconds. Nurse Jessie anticipates that which action is needed? 1. Discontinuing the heparin infusion 2. Increasing the rate of the heparin infusion 3. Decreasing the rate of the heparin infusion 4. Leaving the rate of the heparin infusion as is 2. A female client with atrial fibrillation who is receiving maintenance therapy of warfarin sodium (Coumadin) has a prothrombin time of 35 seconds. Based on the prothrombin time, nurse Daniel anticipates which of the following orders? 3. An adult client has had laboratory work done as part of a routine physical examination. Nurse Amy interprets that the client may have a mild degree of renal insufficiency if which of the following serum creatine levels is noted? 4. Why is the burned client allowed NO “free” water? 5. STD that has remissions and exacerbation in both males and females ? 6. A male client arrives in the emergency room complaining of chest pain that began 4 hours ago. A troponin T blood specimen is obtained, and the results indicate a level of 0.6 ng/mL. Nurse Celeste interprets that this result indicates a? 7. Prevention of thromboembolism in immobilized patients with musculoskeletal problems? 8. A client has been admitted to the hospital for urinary tract infection and dehydration. Nurse Veronica determines that the client has received adequate volume replacement if the blood urea nitrogen level drops to: 9. Patient having trouble with peripheral vision-what best for nurse to do? 10. Medication dosing-heparin 25000 units at 7ml/hr doctor changed rate to 900 units what is the mls/hr Med was ordered 100mg in 4 divided doses in 24 hours available in 25mg, how many will you give every 6 hours? Nurse Venus is assigned to a 40-year-old client who has a diagnosis of chronic pancreatitis. The nurse reviews the laboratory result, anticipating a laboratory report that indicating a laboratory report that indicates a serum amylase level of? A client with a 3-day history of nausea and vomiting presents to the emergency department. The client is hypoventilating and has a respiratory rete of 6 breaths/min. The electrocardiogram (ECG) monitor displays tachycardia, with a heart rate of 120 beats/min. Arterial blood gases are drawn and nurse Gio reviews the results, expecting to note which of the following? a. A decreased pH and an increased CO2 b. An increased pH and a decreased CO2 c. A decreased pH and a decreased HCO3 d. An increased pH with an increased HCO3 11. Nurse attempting to teach male client newly diagnosed with diabetes to administer insulin. Nurse attempts to answer Qs but he gets angry and tells the entire process is too much to learn. Action ? 12. A nurse caring for a client with severe malnutrition reviews the laboratory results and notes a magnesium level of 1.0 mg/dL. Which electrocardiographic changes would the nurse expects to note based on the magnesium level? 13. A nurse is caring for client with acute renal failure who complains of SOB, weakness, headache, and swelling of lower legs and feet. Intervention? An 85-year-old male patient has been bedridden for two weeks. Which of the following complaints by the patient indicates to the nurse that he is developing a complication of immobility? 14. When caring for client who had craniotomy yesterday for removal of pituitary tumor, which finding indicates further info is needed? 15. What do you think is the most important nursing order in a client with major head trauma who is about to receive bolus enteral feeding? 16. Client with acute laryngitis reports feeling “SOB”. Nurse assesses RR and it has increased from 16 to 28. What intervention? 17. A client, age 22, is admitted with bacterial meningitis. Which hospital room would be the best choice for this client? 18. A male client has an impairment of cranial nerve II. Specific to this impairment, the nurse would plan to do which of the following to ensure client to ensure client safety? . 19. During a routine physical examination to assess a male client’s deep tendon reflexes, the nurse should make sure to: 20. Before seeing a newly assigned female client with respiratory alkalosis, the nurse quickly reviews the client’s medical history. Which condition is a predisposing factor for respiratory alkalosis? 21. Male client with type 1 DM takes a combination of short-acting and intermediate-acting insulin. Client complains of headache when awakening, blood glucose average for the past week has been 210ng/dl. Nurse recognizes client is experiencing a daily or rebound effect. Which dosing method 22. Nurse is assessing a client following a thoracotomy and left lung pneumonectomy. What assess finding anticipate? 23. Planning care for client with diagnosis of “impaired mobility” nurse instructs the UAP to assist client with ambulation. HCP has prescription for bed rest. Action ? 24. A female client with asthma is receiving a theophylline preparation to promote bronchodilation. Because of the risk of drug toxicity, the nurse must monitor the client’s serum theophylline level closely. The nurse knows that the therapeutic theophylline concentration falls within which range? 25. Nurse evaluating asthmatic client’s response to an inhaled corticosteroid med. What assess finding indicates the med has been effective in controlling asthma symptoms? 26. While changing the tapes on a tracheostomy tube, the male client coughs and the tube is dislodged. The initial nursing action is to: 27. Greatest benefit for the client with which problem related to DM to change from the use of insulin syringes to using an insulin pen for med administration? 28. A female client exhibits s purplish bruise to the skin after a fall. The nurse would document this finding most accurately using which of the following terms? 29. The nurse is assessing a male client admitted with second- and third-degree burns on the face, arms, and chest. Which finding indicates a potential problem? 30. Client diagnosed with frontal lobe Glioma, benign tumor. Teaching about tumor what information? 31. 35 yr old female client admitted to post anesthesia recovery unit following a partial thyroidectomy. What statement reflects accurate understanding of expected outcome for client? 32. Which of the following individuals is least likely to be at risk of developing psoriasis? 33. Following a full-thickness (third-degree) burn of his left arm, a female client is treated with artificial skin. The client understands postoperative care of artificial skin when he states that during the first 7 days after the procedure, he will restrict? 34. Nurse Ethel is planning to administer a sodium polystyrene sulfonate (Kayexalate) enema to a client with a potassium level of 5.9 mEq/L. Correct administration and the effects of this enema would include having the client? 35. A client reports experiencing vulvar pruritus. Which assessment factor may indicate that the client has an infection caused by Candida albicans? 36. When performing a scrotal examination, nurse Paul finds a nodule. What should the nurse do next? 37. After having transurethral resection of the prostate (TURP), a Mr. Locke returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client’s catheter is occluded? 38. What laboratory finding is the primary diagnostic indicator for pancreatic? 39. The nurse is assessing a male client 24 hours following a cholecystectomy. The nurse noted that the T tube has drained 750 mL of green-brown drainage since the surgery. Which nursing intervention is appropriate? 40. A 67-year-old male client has been complaining of sleeping more, increased urination, anorexia, weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on these assessment findings, nurse Richard would suspect which of the following disorders? 41. A client suffering from acute renal failure has an unexpected increase in urinary output to 150ml/hr. The nurse assesses that the client has entered the second phase of acute renal failure. Nursing actions throughout this phase include observation for signs and symptoms of? 42. Which nursing measure would avoid constriction on the affected arm immediately after mastectomy? 43. Which of the following interventions would be included in the care of plan in a client with cervical implant? 44. High uric acid levels may develop in clients who are receiving chemotherapy. This is caused by? 45. Which statement by the client indicates to the nurse that the patient understands precautions necessary during internal radiation therapy for cancer of the cervix? 46. A post-operative complication of mastectomy is lymphedema. This can be prevented by? 47. Which is an incorrect statement pertaining to the following procedures for cancer diagnostics? 48. A chemotherapeutic agent 5FU is ordered as an adjunct measure to surgery. Which of the ff. statements about chemotherapy is true? 49. Maria refuses to acknowledge that her breast was removed. She believes that her breast is intact under the dressing. The nurse should? 50. Maria Sison, 40 years old, single, was admitted to the hospital with a diagnosis of Breast Cancer. She was scheduled for radical mastectomy. Nursing care during the preoperative period should consist of? 51. A patient is hemorrhaging from multiple trauma sites. The nurse expects that compensatory mechanisms associated with hypovolemia would cause all of the following symptoms EXCEPT?