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Complete and Latest Guide
For
HESI RN MED SURG PROCTORED EXAM
2023
,HESI RN MED SURG
PROCTORED EXAM
Version 1
,Question 1 (1 point) Chi
The nurse uses topical gentamicin sulfate (Garamycin) on a client’s burn injury. Which
laboratory value will the nurse monitor? HESI med-surg Pg. 504
A) Creatinine
B) Red blood cells
C) Sodium
D) Magnesium level
Question 2 (1 point) Lily p. 1860 under infection prevention section---i didnt find
something that specifically stated the answer in D but this is how I am interpreting the
information.
The family of a client who has been burned asks at what point the client will no longer be
at greater risk for infection. What is the nurse’s best response?
A) “As soon as he finishes his antibiotic prescription.”
B) “As soon as his albumin level returns to normal.”
C) “When fluid remobilization has started.”
D) “When the burn wounds are closed.” check p. 1853 table 62-3. I think this is it
Question 3 (1 point) Chi
The client with facial burns asks the nurse if he will ever look the same. Which response
is best for the nurse to provide? Pg. 1867- 1868
A) “With reconstructive surgery, you can look the same.”
B) “We can remove the scars with the use of a pressure dressing.” C)
“You will not look exactly the same.”
D) “You shouldn’t start worrying about your appearance right now.”
Question 4 (1 point) KATHY p. 1868-9, also p. 1853 table 62-3
The client with a full-thickness burn is being discharged to home after a month in the
hospital. His wounds are minimally opened and he will be receiving home care. Which
nursing diagnosis has the highest priority?
, A) Impaired Adjustment p. 1853 table 62-3
B) Acute Pain ? maybe not this as it isn’t acute at this point?
C) Deficient Diversional Activity (not sure this is a nursing DX)
D) Imbalanced Nutrition: Less than Body Requirements - acute phase, not this.
Question 5 (1 point) KATHY
Ten hours after the client with 50% burns is admitted, her blood glucose level is 140
mg/dL. What is the nurse’s best action?
A) Documents the finding - leaning towards this p1849,HESI p482 indicates this
is normal MEDSuRG
B) Obtains a family history for diabetes
C) Repeats the glucose measurement - i think this is immediate repeat...
D) Stops IV fluids containing dextrose
Question 6 (1 point) Chi
How will the nurse position a client with a burn wound to the posterior neck to
prevent contractures?
A) Have the client turn the head from side to side. Not really sure about this one, but it's
the only
oneKeep
B) that moves theinhead,
the client and position
a supine contractures happen
without when
the use you don't move the part of the
of pillows.
body
C) Keep the client in a semi-Fowler’s position with her or his arms elevated.
D) Place a towel roll under the client’s neck or shoulder.
Question 7 (1 point) LILY
A client who is admitted after a thermal burn injury has the following vital signs: blood
pressure, 70/40; heart rate, 140 beats/min; respiratory rate, 25/min. He is pale in color
and it is difficult to find pedal pulses. Which action will the nurse take first?
A) Begin intravenous fluids