HESI 101- MED SURGE HESI RN 2 LATEST
VERSIONS 2024-2025 WITH QUESTIONS AND
CORRECT ANSWERS|A GRADE
Which statement made by a client with chronic pancreatitis indicates
that further education is needed?
I will cut back on smoking cigarettes daily. Correct
I will avoid drinking caffeinated beverages.
I will rest frequently and avoid vigorous exercise. Incorrect
I will eat a bland, low-fat, high-protein diet.
To prevent exacerbations of chronic pancreatitis, clients should be instructed to
avoid nicotine entirely. Additional teaching includes avoiding caffeinated beverages,
resting frequently as needed, and eating a bland diet low fat and high in protein.
How should the nurse position the electrodes for modified chest lead one
(MCL I) telemetry monitoring?
Negative polarity left shoulder, positive polarity right chest nipple line,
ground left chest nipple line. Correct
In MCL I monitoring, the positive electrode is placed on the client's mid-chest to the
right of the sternum, and the negative electrode is placed on the upper left part of
the chest. The ground may be placed anywhere, but is usually placed on the lower
left portion of the chest.
In preparing to administer intravenous albumin to a client following
surgery, which are the priority nursing interventions? (Select all that
apply.)
Set the infusion pump to infuse the albumin within four hours. Correct
Compare the client's blood type with the label on the albumin.
Assign a UAP to monitor blood pressure q15 minutes.
Administer through a large gauge catheter. Correct
Monitor hemoglobin and hematocrit levels. Correct
Assess for increased bleeding after administration. Correct
Albumin should be infused within four hours because it does not contain any
preservatives. Any fluid remaining after four hours should be discarded. A large
gauge catheter allows for fast infusion rate, which may be necessary. Hemodilution
may decrease hemoglobin (HgB) and hematocrit (HCT) levels, so the HgB and HCT
VERSIONS 2024-2025 WITH QUESTIONS AND
CORRECT ANSWERS|A GRADE
Which statement made by a client with chronic pancreatitis indicates
that further education is needed?
I will cut back on smoking cigarettes daily. Correct
I will avoid drinking caffeinated beverages.
I will rest frequently and avoid vigorous exercise. Incorrect
I will eat a bland, low-fat, high-protein diet.
To prevent exacerbations of chronic pancreatitis, clients should be instructed to
avoid nicotine entirely. Additional teaching includes avoiding caffeinated beverages,
resting frequently as needed, and eating a bland diet low fat and high in protein.
How should the nurse position the electrodes for modified chest lead one
(MCL I) telemetry monitoring?
Negative polarity left shoulder, positive polarity right chest nipple line,
ground left chest nipple line. Correct
In MCL I monitoring, the positive electrode is placed on the client's mid-chest to the
right of the sternum, and the negative electrode is placed on the upper left part of
the chest. The ground may be placed anywhere, but is usually placed on the lower
left portion of the chest.
In preparing to administer intravenous albumin to a client following
surgery, which are the priority nursing interventions? (Select all that
apply.)
Set the infusion pump to infuse the albumin within four hours. Correct
Compare the client's blood type with the label on the albumin.
Assign a UAP to monitor blood pressure q15 minutes.
Administer through a large gauge catheter. Correct
Monitor hemoglobin and hematocrit levels. Correct
Assess for increased bleeding after administration. Correct
Albumin should be infused within four hours because it does not contain any
preservatives. Any fluid remaining after four hours should be discarded. A large
gauge catheter allows for fast infusion rate, which may be necessary. Hemodilution
may decrease hemoglobin (HgB) and hematocrit (HCT) levels, so the HgB and HCT
