/HESI RN MED SURG EXIT EXAM VERSION 3
COMPLETE ALL 55 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |
ALREADY GRADED A+
The nurse is completing an admission
interview and assessment on a client with a
history of Parkinson's disease. Which
question should provide information relevant
to the client's plan of care?
Have you ever experienced any paralysis of
your arms or legs?
Have you ever sustained a severe head
injury? Have you ever been 'frozen' in one
spot, unable to move?
Do you have headaches, especially ones with
throbbing pain? - ...ANSWER...Have you ever
been 'frozen' in one spot, unable to move?
,RATIONALE: Clients with Parkinson's
disease
frequently experience difficulty in initiating,
maintaining, and performing motor activities. They may
even experience being rooted to the spot and unable
to move (C). Parkinson's disease does not cause (A).
Parkinson's disease is not usually associated with (B),
nor does it typically cause (D)
A 58-year-old client, who has no health
problems, asks the nurse about the Pneumovax
vaccine. The nurse's response to the client
should be based on which information?
The vaccine is given annually before the flu
season to those over 50 years of age.
The immunization is administered once to older
adults or persons with a history of chronic
illness.
The vaccine is for all ages and is given
primarily to those persons traveling overseas
to areas of infection. The vaccine will prevent
the occurrence of pneumococcal pneumonia
for up to five years. -
...ANSWER...B) The immunization is
,administered
, once to older adults or persons with a history of
chronic illness.
RATIONALE: It is usually recommended that
persons over 65 years of age and those with a
history of chronic illness receive the vaccine
once in a lifetime
(B). (Some resources recommend obtaining the
vaccine at 50 years of age.) The influenza
vaccine is given once a year, not the
Pneumovax (A). Although the vaccine might be
given to a person traveling overseas, that is not
the main rationale for administering the
vaccine (C). It is usually given once in a lifetime
(D), but with immunosuppressed clients or
clients with a history of pneumonia re-
vaccination is sometimes required.
Which reaction should the nurse identify in a client who
is responding to stimulation of the sympathetic nervous
system?
Pupil constriction.
Increased heart rate.