HESI PN ADULT MED SURG Exit Exam:
Introduction to Medical-Surgical Nursing 8th
Edition Test Bank by Adrianne Dill Linton and
Mary Ann Matteson
PN should reteach the client to rotate the injection site to a
site other than the same one used for the previous dose.
Counting radial pulse - ANSWER//The index and middle
finger should be aligned with the thumb for radial pulse
assessment. Infant birth weight with gestational diabetes -
ANSWER//The birth weight of an infant delivered by a
woman with gestational diabetes is 10.1 pounds (4,581
grams). Heel stick glucose level - ANSWER//The heel
stick glucose level is 40 mg/dL (2.2 mmol/L) 30 minutes
after birth. Total intake calculation - ANSWER//Total intake
= 1480 mL, calculated from 8 oz broth, 4 oz apple juice, 4
oz gelatin, 1 banana, and 1 liter of IV fluid. Medication
administration in unlabeled syringe - ANSWER//The PN
should explain their discomfort with administering
medication from an unlabeled syringe. UAP assignment of
care - ANSWER//The scope of practice of UAP includes
personal care such as bowel and bladder care including
intake and output measurements. Intervention for pruritis -
ANSWER//Keep fingernails trimmed short to minimize
excoriation from scratching the pruritic area. Presbycusis -
ANSWER//Age-related hearing loss, especially high
frequencies. Cefazolin - ANSWER//An antibiotic
prescribed for infections, dosed 500 mg IM. Reconstitution
- ANSWER//Mixing a powdered medication with a solvent
for use. Buck's traction - ANSWER//A type of skeletal
traction used for limb immobilization. Myocardial damage -
ANSWER//Heart tissue injury indicated by elevated
troponin levels. Cardiac dysrhythmias -
ANSWER//Abnormal heart rhythms that can occur post-
myocardial infarction. Hematuria - ANSWER//Presence of
blood in urine, often requiring investigation. Prednisone -
ANSWER//A corticosteroid used for inflammation and
,immune response. Status epilepticus - ANSWER//A
prolonged seizure requiring immediate medical
intervention. Filgrastim - ANSWER//A medication that
stimulates white blood cell production. Neutropenia -
ANSWER//Low white blood cell count, increasing infection
risk. NSAIDs - ANSWER//Nonsteroidal anti-inflammatory
drugs, risk for GI bleeding. Polyethylene glycol -
ANSWER//A laxative used to cleanse the bowel before
procedures. Troponin I - ANSWER//Cardiac biomarker
indicating myocardial injury. CK-MB - ANSWER//Creatine
kinase-MB, a marker for heart muscle damage.
Gastrointestinal bleeding - ANSWER//Potential side effect
of NSAIDs requiring monitoring. Urinalysis -
ANSWER//Test to analyze urine for abnormalities or
infections. Analgesic - ANSWER//Medication used to
relieve pain. Dosing schedule - ANSWER//Timing and
amount of medication to be administered. Evacuation
procedures - ANSWER//Steps to safely remove residents
during emergencies. IV Heparin -
ANSWER//Anticoagulant used to prevent blood clots.
Comfort care - ANSWER//Supportive care focused on
relieving distress. Documentation - ANSWER//Recording
patient care actions and observations. Monitoring -
ANSWER//Regularly checking vital signs or symptoms.
Bone pain - ANSWER//Common side effect of filgrastim
treatment. Blood glucose monitoring -
ANSWER//Checking blood sugar levels, especially with
corticosteroids. Medication administration -
ANSWER//Process of giving prescribed drugs to patients.
Traction maintenance - ANSWER//Ensuring proper
application of weights and ropes. Client assessment -
ANSWER//Evaluating a patient's condition and needs.
SBAR technique - ANSWER//A communication framework
used by healthcare providers to convey client information,
consisting of Situation, Background, Assessment, and
Recommendation. Nystatin suspension administration -
ANSWER//The method of applying nystatin to the gums of
,an infant with a candida infection, typically using a gloved
finger to rub the suspension over the infected area.
Capillary blood sample for glucose measurement -
ANSWER//The procedure of obtaining a blood sample
from a finger, which includes interventions like grasping
the subcutaneous tissue and pulling upward. Effective
coughing position - ANSWER//The optimal position for a
client to facilitate effective coughing after surgery, which is
sitting on the side of the bed with feet flat on the floor.
Confusion in elderly clients - ANSWER//A common
occurrence during relocation, where the practical nurse
should remind the client of the day of the week if they
forget. Stomatitis focused assessment - ANSWER//An
evaluation of a client's ability to swallow, particularly in
cases of inflammation of the oral mucosa caused by
chemotherapy. Endoscopic procedure care -
ANSWER//The priority action for a client post-endoscopic
procedure is to assess the gag reflex due to local
anesthetic applied to the throat. Ondansetron
effectiveness evaluation - ANSWER//Monitoring the client
for nausea and vomiting following chemotherapy
treatment to assess the effectiveness of ondansetron.
Skin assessment in dark-skinned clients - ANSWER//The
recommended sites for observing skin conditions in clients
with dark skin tones include the sclera and mucous
membranes. Evisceration - ANSWER//A surgical
complication characterized by the complete separation of
a wound with protrusion of the viscera, typically occurring
7-10 days postoperatively. Low serum sodium level -
ANSWER//A serum sodium level of 125 mEq/L, which
may indicate water intoxication, necessitating evaluation
of the client's daily water and ice consumption. Fall
prevention protocol - ANSWER//A safety measure on the
medical unit that requires the practical nurse to supervise
unlicensed assistive personnel after identifying omissions
in protocol. Scope of practice for practical nurse -
ANSWER//Activities that a practical nurse is authorized to
, perform, such as demonstrating deep breathing and
coughing techniques to a postoperative client. Impaired
mobility nursing diagnosis - ANSWER//A diagnosis
indicating a client's fear of falling, which can be addressed
by placing a gait belt on the client prior to ambulation.
Walker - ANSWER//Assistive device for mobility support.
Self-affirmation statements - ANSWER//Positive phrases
to reduce anxiety and fear. Ambulate - ANSWER//To walk
or move about, often with assistance. Hoarseness -
ANSWER//Change in voice quality, potential cancer sign.
Laryngeal cancer - ANSWER//Cancer affecting the voice
box, often linked to smoking. Risk factors -
ANSWER//Conditions increasing likelihood of disease
development. Informed consent - ANSWER//Patient
agreement to proceed with a medical procedure.
Dizziness - ANSWER//Feeling lightheaded, often related
to blood pressure changes. Standing blood pressure -
ANSWER//Blood pressure measured while patient is
standing. Professional behavior - ANSWER//Conduct that
maintains communication and respect.
Hydrocodone/acetaminophen - ANSWER//Pain
medication combination for managing moderate pain.
Ecchymosis - ANSWER//Bruising indicating bleeding
under the skin. Distraction techniques -
ANSWER//Methods to divert attention from pain during
procedures. Costochondritis - ANSWER//Inflammation of
cartilage connecting ribs to sternum. Tramadol -
ANSWER//Pain medication that requires monitoring for
side effects. Sputum specimen - ANSWER//Mucus sample
from the respiratory tract for testing. Biohazard bag -
ANSWER//Container for safely transporting hazardous
materials. Oxygen saturation - ANSWER//Measurement of
oxygen levels in the blood. Apical heart rate -
ANSWER//Heart rate measured at the apex of the heart.
Pulse deficit - ANSWER//Difference between apical and
radial pulse rates. Shallow breathing -
ANSWER//Reduced depth of breath, can indicate
Introduction to Medical-Surgical Nursing 8th
Edition Test Bank by Adrianne Dill Linton and
Mary Ann Matteson
PN should reteach the client to rotate the injection site to a
site other than the same one used for the previous dose.
Counting radial pulse - ANSWER//The index and middle
finger should be aligned with the thumb for radial pulse
assessment. Infant birth weight with gestational diabetes -
ANSWER//The birth weight of an infant delivered by a
woman with gestational diabetes is 10.1 pounds (4,581
grams). Heel stick glucose level - ANSWER//The heel
stick glucose level is 40 mg/dL (2.2 mmol/L) 30 minutes
after birth. Total intake calculation - ANSWER//Total intake
= 1480 mL, calculated from 8 oz broth, 4 oz apple juice, 4
oz gelatin, 1 banana, and 1 liter of IV fluid. Medication
administration in unlabeled syringe - ANSWER//The PN
should explain their discomfort with administering
medication from an unlabeled syringe. UAP assignment of
care - ANSWER//The scope of practice of UAP includes
personal care such as bowel and bladder care including
intake and output measurements. Intervention for pruritis -
ANSWER//Keep fingernails trimmed short to minimize
excoriation from scratching the pruritic area. Presbycusis -
ANSWER//Age-related hearing loss, especially high
frequencies. Cefazolin - ANSWER//An antibiotic
prescribed for infections, dosed 500 mg IM. Reconstitution
- ANSWER//Mixing a powdered medication with a solvent
for use. Buck's traction - ANSWER//A type of skeletal
traction used for limb immobilization. Myocardial damage -
ANSWER//Heart tissue injury indicated by elevated
troponin levels. Cardiac dysrhythmias -
ANSWER//Abnormal heart rhythms that can occur post-
myocardial infarction. Hematuria - ANSWER//Presence of
blood in urine, often requiring investigation. Prednisone -
ANSWER//A corticosteroid used for inflammation and
,immune response. Status epilepticus - ANSWER//A
prolonged seizure requiring immediate medical
intervention. Filgrastim - ANSWER//A medication that
stimulates white blood cell production. Neutropenia -
ANSWER//Low white blood cell count, increasing infection
risk. NSAIDs - ANSWER//Nonsteroidal anti-inflammatory
drugs, risk for GI bleeding. Polyethylene glycol -
ANSWER//A laxative used to cleanse the bowel before
procedures. Troponin I - ANSWER//Cardiac biomarker
indicating myocardial injury. CK-MB - ANSWER//Creatine
kinase-MB, a marker for heart muscle damage.
Gastrointestinal bleeding - ANSWER//Potential side effect
of NSAIDs requiring monitoring. Urinalysis -
ANSWER//Test to analyze urine for abnormalities or
infections. Analgesic - ANSWER//Medication used to
relieve pain. Dosing schedule - ANSWER//Timing and
amount of medication to be administered. Evacuation
procedures - ANSWER//Steps to safely remove residents
during emergencies. IV Heparin -
ANSWER//Anticoagulant used to prevent blood clots.
Comfort care - ANSWER//Supportive care focused on
relieving distress. Documentation - ANSWER//Recording
patient care actions and observations. Monitoring -
ANSWER//Regularly checking vital signs or symptoms.
Bone pain - ANSWER//Common side effect of filgrastim
treatment. Blood glucose monitoring -
ANSWER//Checking blood sugar levels, especially with
corticosteroids. Medication administration -
ANSWER//Process of giving prescribed drugs to patients.
Traction maintenance - ANSWER//Ensuring proper
application of weights and ropes. Client assessment -
ANSWER//Evaluating a patient's condition and needs.
SBAR technique - ANSWER//A communication framework
used by healthcare providers to convey client information,
consisting of Situation, Background, Assessment, and
Recommendation. Nystatin suspension administration -
ANSWER//The method of applying nystatin to the gums of
,an infant with a candida infection, typically using a gloved
finger to rub the suspension over the infected area.
Capillary blood sample for glucose measurement -
ANSWER//The procedure of obtaining a blood sample
from a finger, which includes interventions like grasping
the subcutaneous tissue and pulling upward. Effective
coughing position - ANSWER//The optimal position for a
client to facilitate effective coughing after surgery, which is
sitting on the side of the bed with feet flat on the floor.
Confusion in elderly clients - ANSWER//A common
occurrence during relocation, where the practical nurse
should remind the client of the day of the week if they
forget. Stomatitis focused assessment - ANSWER//An
evaluation of a client's ability to swallow, particularly in
cases of inflammation of the oral mucosa caused by
chemotherapy. Endoscopic procedure care -
ANSWER//The priority action for a client post-endoscopic
procedure is to assess the gag reflex due to local
anesthetic applied to the throat. Ondansetron
effectiveness evaluation - ANSWER//Monitoring the client
for nausea and vomiting following chemotherapy
treatment to assess the effectiveness of ondansetron.
Skin assessment in dark-skinned clients - ANSWER//The
recommended sites for observing skin conditions in clients
with dark skin tones include the sclera and mucous
membranes. Evisceration - ANSWER//A surgical
complication characterized by the complete separation of
a wound with protrusion of the viscera, typically occurring
7-10 days postoperatively. Low serum sodium level -
ANSWER//A serum sodium level of 125 mEq/L, which
may indicate water intoxication, necessitating evaluation
of the client's daily water and ice consumption. Fall
prevention protocol - ANSWER//A safety measure on the
medical unit that requires the practical nurse to supervise
unlicensed assistive personnel after identifying omissions
in protocol. Scope of practice for practical nurse -
ANSWER//Activities that a practical nurse is authorized to
, perform, such as demonstrating deep breathing and
coughing techniques to a postoperative client. Impaired
mobility nursing diagnosis - ANSWER//A diagnosis
indicating a client's fear of falling, which can be addressed
by placing a gait belt on the client prior to ambulation.
Walker - ANSWER//Assistive device for mobility support.
Self-affirmation statements - ANSWER//Positive phrases
to reduce anxiety and fear. Ambulate - ANSWER//To walk
or move about, often with assistance. Hoarseness -
ANSWER//Change in voice quality, potential cancer sign.
Laryngeal cancer - ANSWER//Cancer affecting the voice
box, often linked to smoking. Risk factors -
ANSWER//Conditions increasing likelihood of disease
development. Informed consent - ANSWER//Patient
agreement to proceed with a medical procedure.
Dizziness - ANSWER//Feeling lightheaded, often related
to blood pressure changes. Standing blood pressure -
ANSWER//Blood pressure measured while patient is
standing. Professional behavior - ANSWER//Conduct that
maintains communication and respect.
Hydrocodone/acetaminophen - ANSWER//Pain
medication combination for managing moderate pain.
Ecchymosis - ANSWER//Bruising indicating bleeding
under the skin. Distraction techniques -
ANSWER//Methods to divert attention from pain during
procedures. Costochondritis - ANSWER//Inflammation of
cartilage connecting ribs to sternum. Tramadol -
ANSWER//Pain medication that requires monitoring for
side effects. Sputum specimen - ANSWER//Mucus sample
from the respiratory tract for testing. Biohazard bag -
ANSWER//Container for safely transporting hazardous
materials. Oxygen saturation - ANSWER//Measurement of
oxygen levels in the blood. Apical heart rate -
ANSWER//Heart rate measured at the apex of the heart.
Pulse deficit - ANSWER//Difference between apical and
radial pulse rates. Shallow breathing -
ANSWER//Reduced depth of breath, can indicate
