EVOLVE ELSEVIER HESI MED
_ _ _
SURG ACTUAL EXAM WITH 400+ REA
_ _ _ _
L EXAM QUESTIONS AND CORRECT A
_ _ _ _
NSWERS WITH WELL- _ _
ELABORATED RATIONALES _
EVOLVE HESI MEDICAL SURGICAL LA
_ _ _
TEST EXAM (BRAND NEW!!)
_ _ _
ǪUESTIONS AND ANSWERS IN NCLEX- STYLE
BUTTERFLY ǪUESTION WITH ANSWERS
VERIFIED ANSWERS BY EXPERTS
NEWEST UPDATED VERSION GRADE A+
ǪUESTIONS WITH MULTI CHOICES
ALL ǪUESTIONS WITH VERIFIED RATIONALES
,MULTICHOICES
An ER nurse is completing an assessment on a patient that is alert but struggle
s to answer questions. When she attempts to talk, she slurs her speech and
appears very frightened. What additional clinical manifestation does the nurse ex
pect to find if nacy's sysmptoms have been caused by a brain attack (stroke)?
A. A carotid bruit
B. A hypotensive blood pressure
C. hyperreflexia deep tendon relaxes.
D. Decreased bowel sounds
A) A_carotid_bruit.
Rationale:_the_carotid_artery_(artery_to_the_brain)_is_narrowed_in_clients_with_a br
ain_attack._A_bruit_is_an_abnormal_sound_heard_on_auscultation_resulting_from int
erference_with_normal_blood_flow._Usually_the_blood_pressure_is_hypertensive._ Ini
tially_flaccid_paralysis_occurs,_resulting_in_hyporeflexia_deep_tendon_reflexes.
Bowel_sounds_are_not_indicative_of_a_brain_attack.
Which clinical manifestation further supports an assessment of a left-
sided brain attack?
A) Visual field deficit on the left side.
B) Spatial-perceptual deficits.
C) Paresthesia of the left side.
D) Global aphasia.
,D) Global aphasia.
Rationale:_Global_aphasia_refers_to_difficulty_speaking,_listening,_and
understanding,_as_well_as_difficulty_reading_and_writing._Symptoms_vary_from
person_to_person._Aphasia_may_occur_secondary_to_any_brain_injury_involving_the
_left_hemisphere._Visual_field_deficits,_spatial-
perceptual_deficits,_and_paresthsia_of_the_left_side_usually_occur_with_right-
sided_brain_attack.
When preparing a patient for a noncontrast computed tomography (CT) scan S
TAT, what nursing intervention should the nurse implement?
A) Determine if the client has any allergies to iodine
B) Explain that the client will not be able to move her head throughout the
CT scan.
C) Premedicate the client to decrease pain prior to having the procedure.
D) Provide an explanation of relaxation exercises prior to the procedure.
B) Explain that the client will not be able to move her head throughout the
CT scan.
i
A neurologist prescribes a magnetic resonance imaging (MRI) of the head STAT
for a patient. Which data warrants immediate intervention by the nurse conce
rning this diagnostic test?
, A) Elevated blood pressure.
B) Allergy to shell fish.
C) Right hip replacement.
D) History of atrial fibrillation.
C) Right hip replacement.
The_magnetic_field_generated_by_the_MRI_is_so_strong_that_metal-
containing_items_are_strongly_attracted_to_the_magnet._Because_the_hip_joint_is_
made_of_metal,_a_lead_shield_must_be_used_during_the_procedure._Elevated_blood
_pressure,_an
allergy_to_shell_fish,_and_a_history_of_atrial_fibrillation_would_not_affect_the_MRI.
A client's daughter is sitting by her mother's bedside who was recently
transferred to the Intermediate Care Unit. She states "I don't understand what
a brain attack is. The healthcare provider told me my mother is in serious
condition and they are going to run several tests. I just don't know what is goin
g on. What happened to my mother?" What is the best response by the nurse
?
A) "I am sorry, but according to the Health Insurance Portability and Accountin
g Act (HIPAA), I cannot give you any information."
B) "Your mother has had a stroke, and the blood supply to the brain has be
en blocked."
C) "How do you feel about what the healthcare provider said?"
D) "I will call the healthcare provider so he/she can talk to you about yo
ur mother's serious condition."
B) "Your mother has had a stroke, and the blood supply to the brain has been block
ed."
Rationale:_The_nurse_can_discuss_what_a_diagnosis_means._Nancy_is_unable_to_make
_ _ _
SURG ACTUAL EXAM WITH 400+ REA
_ _ _ _
L EXAM QUESTIONS AND CORRECT A
_ _ _ _
NSWERS WITH WELL- _ _
ELABORATED RATIONALES _
EVOLVE HESI MEDICAL SURGICAL LA
_ _ _
TEST EXAM (BRAND NEW!!)
_ _ _
ǪUESTIONS AND ANSWERS IN NCLEX- STYLE
BUTTERFLY ǪUESTION WITH ANSWERS
VERIFIED ANSWERS BY EXPERTS
NEWEST UPDATED VERSION GRADE A+
ǪUESTIONS WITH MULTI CHOICES
ALL ǪUESTIONS WITH VERIFIED RATIONALES
,MULTICHOICES
An ER nurse is completing an assessment on a patient that is alert but struggle
s to answer questions. When she attempts to talk, she slurs her speech and
appears very frightened. What additional clinical manifestation does the nurse ex
pect to find if nacy's sysmptoms have been caused by a brain attack (stroke)?
A. A carotid bruit
B. A hypotensive blood pressure
C. hyperreflexia deep tendon relaxes.
D. Decreased bowel sounds
A) A_carotid_bruit.
Rationale:_the_carotid_artery_(artery_to_the_brain)_is_narrowed_in_clients_with_a br
ain_attack._A_bruit_is_an_abnormal_sound_heard_on_auscultation_resulting_from int
erference_with_normal_blood_flow._Usually_the_blood_pressure_is_hypertensive._ Ini
tially_flaccid_paralysis_occurs,_resulting_in_hyporeflexia_deep_tendon_reflexes.
Bowel_sounds_are_not_indicative_of_a_brain_attack.
Which clinical manifestation further supports an assessment of a left-
sided brain attack?
A) Visual field deficit on the left side.
B) Spatial-perceptual deficits.
C) Paresthesia of the left side.
D) Global aphasia.
,D) Global aphasia.
Rationale:_Global_aphasia_refers_to_difficulty_speaking,_listening,_and
understanding,_as_well_as_difficulty_reading_and_writing._Symptoms_vary_from
person_to_person._Aphasia_may_occur_secondary_to_any_brain_injury_involving_the
_left_hemisphere._Visual_field_deficits,_spatial-
perceptual_deficits,_and_paresthsia_of_the_left_side_usually_occur_with_right-
sided_brain_attack.
When preparing a patient for a noncontrast computed tomography (CT) scan S
TAT, what nursing intervention should the nurse implement?
A) Determine if the client has any allergies to iodine
B) Explain that the client will not be able to move her head throughout the
CT scan.
C) Premedicate the client to decrease pain prior to having the procedure.
D) Provide an explanation of relaxation exercises prior to the procedure.
B) Explain that the client will not be able to move her head throughout the
CT scan.
i
A neurologist prescribes a magnetic resonance imaging (MRI) of the head STAT
for a patient. Which data warrants immediate intervention by the nurse conce
rning this diagnostic test?
, A) Elevated blood pressure.
B) Allergy to shell fish.
C) Right hip replacement.
D) History of atrial fibrillation.
C) Right hip replacement.
The_magnetic_field_generated_by_the_MRI_is_so_strong_that_metal-
containing_items_are_strongly_attracted_to_the_magnet._Because_the_hip_joint_is_
made_of_metal,_a_lead_shield_must_be_used_during_the_procedure._Elevated_blood
_pressure,_an
allergy_to_shell_fish,_and_a_history_of_atrial_fibrillation_would_not_affect_the_MRI.
A client's daughter is sitting by her mother's bedside who was recently
transferred to the Intermediate Care Unit. She states "I don't understand what
a brain attack is. The healthcare provider told me my mother is in serious
condition and they are going to run several tests. I just don't know what is goin
g on. What happened to my mother?" What is the best response by the nurse
?
A) "I am sorry, but according to the Health Insurance Portability and Accountin
g Act (HIPAA), I cannot give you any information."
B) "Your mother has had a stroke, and the blood supply to the brain has be
en blocked."
C) "How do you feel about what the healthcare provider said?"
D) "I will call the healthcare provider so he/she can talk to you about yo
ur mother's serious condition."
B) "Your mother has had a stroke, and the blood supply to the brain has been block
ed."
Rationale:_The_nurse_can_discuss_what_a_diagnosis_means._Nancy_is_unable_to_make
