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HESI - Medical Surgical Nursing test EXAM ||VERIFIED
EXAM!!!|| MOST RECENT EXAM ACTUAL COMPLETE
REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ |
GUARANTEED SUCCESS!! NEWEST EXAM!!!
The nurse is completing an admission interview for a client
with Parkinson disease. Which question will provide
additional information about manifestations that the client
is likely to experience?
A.
"Have you ever experienced any paralysis of your arms or
legs?"
B.
"Do you have frequent blackout spells?"
C.
"Have you ever been frozen in one spot, unable to move?"
D.
"Do you have headaches, especially ones with throbbing
pain?" - Answer-C
Rationale:Clients with Parkinson disease frequently
experience difficulty in initiating, maintaining, and
performing motor activities. They may even experience
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being rooted to the spot and unable to move. Parkinson
disease does not typically cause option A, B, or D.
Client census is often used to determine staffing needs.
Which method of obtaining census determination for a
particular unit provides the best formula for determining
long-range staffing patterns?
A.
Midnight census
B.
Oncoming shift census
C.
Average daily census
D.
Hourly census - Answer-C
Rationale:An average daily census is determined by trend
data and takes into account seasonal and daily
fluctuations, so it is the best method for determining
staffing needs. Options A and B provide data at a certain
point in time, and that data could change quickly. It is
unrealistic to expect to obtain an hourly census, and such
data would only provide information about a certain point
in time.
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A male client has just undergone a laryngectomy and has
a cuffed tracheostomy tube in place. When initiating bolus
tube feedings postoperatively, when should the nurse
inflate the cuff?
A.
Immediately after feeding
B.
Just prior to tube feeding
C.
Continuous inflation is required
D.
Inflation is not required - Answer-B
Rationale:The cuff should be inflated before the feeding to
block the trachea and prevent food from entering if oral
feedings are started while a cuffed tracheostomy tube is in
place. It should remain inflated throughout the feeding to
prevent aspiration of food into the respiratory system.
Options A and D place the client at risk for aspiration.
Option C places the client at risk for tracheal wall necrosis.
The nurse is assessing a client with acute pancreatitis.
Which finding requires the most immediate intervention by
the nurse?
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A.
The client's amylase level is three times higher than the
normal level.
B.
The client has a carpal spasm when taking a blood
pressure.
C.
On a 1 to 10 scale, the client tells the nurse that her
epigastric pain is at 7.
D.
The client states that she will continue to drink alcohol
after going home. - Answer-B
The nurse is assessing a client with acute pancreatitis.
Which finding requires the most immediate intervention by
the nurse?
Rationale:A positive Trousseau sign indicates
hypocalcemia and always requires further assessment
and intervention, regardless of the cause (40% to 75% of
those with acute pancreatitis experience hypocalcemia,
which can have serious, systemic effects). A key
diagnostic finding of pancreatitis is serum amylase and
lipase levels that are two to five times higher than the
normal value. Severe boring pain is an expected symptom
for this diagnosis, but dealing with the hypocalcemia is a
HESI - Medical Surgical Nursing test EXAM ||VERIFIED
EXAM!!!|| MOST RECENT EXAM ACTUAL COMPLETE
REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ |
GUARANTEED SUCCESS!! NEWEST EXAM!!!
The nurse is completing an admission interview for a client
with Parkinson disease. Which question will provide
additional information about manifestations that the client
is likely to experience?
A.
"Have you ever experienced any paralysis of your arms or
legs?"
B.
"Do you have frequent blackout spells?"
C.
"Have you ever been frozen in one spot, unable to move?"
D.
"Do you have headaches, especially ones with throbbing
pain?" - Answer-C
Rationale:Clients with Parkinson disease frequently
experience difficulty in initiating, maintaining, and
performing motor activities. They may even experience
,2|Page
being rooted to the spot and unable to move. Parkinson
disease does not typically cause option A, B, or D.
Client census is often used to determine staffing needs.
Which method of obtaining census determination for a
particular unit provides the best formula for determining
long-range staffing patterns?
A.
Midnight census
B.
Oncoming shift census
C.
Average daily census
D.
Hourly census - Answer-C
Rationale:An average daily census is determined by trend
data and takes into account seasonal and daily
fluctuations, so it is the best method for determining
staffing needs. Options A and B provide data at a certain
point in time, and that data could change quickly. It is
unrealistic to expect to obtain an hourly census, and such
data would only provide information about a certain point
in time.
,3|Page
A male client has just undergone a laryngectomy and has
a cuffed tracheostomy tube in place. When initiating bolus
tube feedings postoperatively, when should the nurse
inflate the cuff?
A.
Immediately after feeding
B.
Just prior to tube feeding
C.
Continuous inflation is required
D.
Inflation is not required - Answer-B
Rationale:The cuff should be inflated before the feeding to
block the trachea and prevent food from entering if oral
feedings are started while a cuffed tracheostomy tube is in
place. It should remain inflated throughout the feeding to
prevent aspiration of food into the respiratory system.
Options A and D place the client at risk for aspiration.
Option C places the client at risk for tracheal wall necrosis.
The nurse is assessing a client with acute pancreatitis.
Which finding requires the most immediate intervention by
the nurse?
, 4|Page
A.
The client's amylase level is three times higher than the
normal level.
B.
The client has a carpal spasm when taking a blood
pressure.
C.
On a 1 to 10 scale, the client tells the nurse that her
epigastric pain is at 7.
D.
The client states that she will continue to drink alcohol
after going home. - Answer-B
The nurse is assessing a client with acute pancreatitis.
Which finding requires the most immediate intervention by
the nurse?
Rationale:A positive Trousseau sign indicates
hypocalcemia and always requires further assessment
and intervention, regardless of the cause (40% to 75% of
those with acute pancreatitis experience hypocalcemia,
which can have serious, systemic effects). A key
diagnostic finding of pancreatitis is serum amylase and
lipase levels that are two to five times higher than the
normal value. Severe boring pain is an expected symptom
for this diagnosis, but dealing with the hypocalcemia is a
