LATEST QUESTIONS WITH COMPLETE ANSWERS (GRADE A)
Level 4 Med SURG HESI Final
1. Pulmonary artery wedge pressure (SWAN GANZ)
• Assess/monitor for dysrhythmias
2. Pt w/ dysrhythmias (pg 99)
• Calcium of 7.2 (low)
3. LOW Cardiac output
• MI
4. Renal Failure (pg 79)
• 45% BUN
5. S/S of shock (pg 30)
• Hypotension, thready pulse
6. How to check for Carbon monoxide poisoning
• Cherry red mouth or tongue
7. Paracentesis
• Empty bladder completely before procedure
8. Pt has angina (pg 87)
• Pain radiates to Left arm
9. Pt has increased abdominal girth Pos-op surgery
• Call MD
10. ARDS (pg 27)
• Patient using abdominal muscles to breath
11. Mechanical ventilator- asymmetry
• Check for placement
12. Tylenol Over Dose (Bun & Creat. High)
• acetylcysteine Mucomyst (an antagonist)
13. Lupus (pg 131-132)
• Use a Heavy Sunblock
14. Pancreatitis: Which enzyme increases in 1st 24 hours
• Amylase
15. Pancreatitis (pg 118)
• NPO to Rest and prevent production of enzymes
16. HIV (pg 53)
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, • The # of T-CELLS decrease and die
17. How to turn a pt w/ enteral feeding and
IV
• Nurse must HOLD enteral feeding than restart the feeding after
18. Pt w/ Hysterectomy (sx to remove uterus)
• Check for Hypo-tension (low BP) and check for increased bleeding
19. Carpal Spasm w/ BP check (pg 121)
• Check CALCIUM levels
20. For Dysrhythmias
• Administer Epinephrine
21. Know PARKLAND FORMULA
• By 8 pm will have 3500
22. Lupus
• Exacerbations of Fever
23. Thyroid (pg 121)
• T3 secretion / production
24. More than 30% of burns
• Give fluid resuscitation
25. Ineffective airway clearance
• Thin secretions to remove easily
26. Autonomic dysreflexia (pg 148)
• Diaphoretic and headaches
27. Pulmonary contusion due to crushing of chest from an accident
• Most common penetrating wound
28. Levothyroxine (Synthroid) (pg 122)
• report palpitations and SOB
29. Esophageal varices & portal HTN
• Give them stool softeners to prevent straining
30. Pheochromocytoma
• Monitor BP
31. Acute Renal Failure Diet (pg 81)
• LOW Protein & HIGH CARBS; low Na & K
32. Cholecystitis (pg 119)
• Diet; Weight Program
33. Burns: Debridement / hydrotherapy (pg 180 Hesi Hint)
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