HESI Med-Surg Exam Actual Complete Real Verified
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A client with a history of asthma and bronchitis arrives at
the clinic with shortness of breath, productive cough with
thickened tenacious mucous, and the inability to walk up a
flight of stairs without experiencing breathlessness. Which
action is most important for the nurse to instruct the client
about self-care? - Answer-Increase the daily intake of oral
fluids to liquefy secretions
A cardiac catherterization of a client with heart disease
indicates the following blockages: 95% proximal left
anterior descending (LAD), 99% proximal circumflex, and
?% proximal right coronary artery (RCA). The client later
asks the nurse "what does all this mean for me?" What
information should the nurse provide? - Answer-Three
main arteries have major blockages, with only 1 to5% of
blood flow getting through to the heart muscle.
What information should the nurse include in the teaching
plan of a client diagnosed with gastroesophageal reflux
disease (GERD)? - Answer-Minimize symptoms by
wearing loose, comfortable clothing
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The nurse is caring for a client with a lower left lobe
pulmonary abscess. Which position should the nurse
instruct the client to maintain? - Answer-left lateral
A client with cholelithiasis has a gallstone lodged in the
common bile duct and is unable to eat or drink without
becoming nauseated and vomiting. Which finding should
the nurse report to the healthcare provider. - Answer-
Yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis
(ALS), the nurse performs a neurological assessment
every four hours. Which assessment finding warrants
immediate intervention by the nurse? - Answer-Weakened
cough effort
The nurse is providing preoperative education for a Jewish
client scheduled to receive a xenograft graft to promote
burn healing. Which information should the nurse provide
this client? - Answer-The xenograft is taken from
nonhuman sources
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A male client who had colon surgery 3 days ago is anxious
and requesting assistance to reposition. While the nurse is
turning him, the wound dehiscences and eviscerates. The
nurse moistens an available sterile dressing and places it
over the wound. What intervention should the nurse
implement next? - Answer-Prepare the client to return to
the operating room
A client with a productive cough has obtained a sputum
specimen for culture as instructed. What is the best initial
nursing action? - Answer-Observe the color, consistency,
and amount of sputum
A client is brought to the ED by ambulance in cardiac
arrest with cardiopulmonary resuscitation (CPR) in
progress.The client is intubated and is receiving 100%
oxygen per self-inflating (ambu) bag. The nurse
determines that the client is cyanotic, cold, and
diaphoretic. Which assessment is most important for the
nurse to obtain? - Answer-Breath sounds over bilateral
lung field
After a hospitalization for Syndrome of Inappropriate
Antidiuretic Hormone (SIADH), a client develops pontine
myselinolysis. Which intervention should the nurse
implement first? - Answer-Reorient client to his room
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A male client with heart failure (HF) calls the clinic
andreports that he cannot put his shoes on because they
aretoo tight. Which additional information should the
nurseobtain? - Answer-Has his weight changed in the last
several days?
An older adult woman with a long history of chronic
obstructive pulmonary disease (COPD) is admitted with
progressive shortness of breath and a persistent cough.
She is anxious and is complaining of a dry mouth. Which
intervention should the nurse implement? - Answer-Assist
her to an upright
A client with carcinoma of the lung is complaining of
weakness and has a serum sodium level of 117 mEq/L.
Which nursing problem should the nurse include in this
client's plan of care? - Answer-Fluid volume excess
A female client enters the clinic and insists on being seen.
She is weak, nervous, and reports a racing heart beat and
recent weight loss of 15 pounds. After ruling out substance
withdrawal, the healthcare provider suspects
hyperthyroidism and admits her for further testing. Which
action should the nurse implement? - Answer-Space the
client's care to provide periods of rest