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RN Exit v2 test ****A+ HESI MED SURG REAL EXIT EXAM WITH NGN UPDATED LATEST SOLUTIONS

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The nurse assumes care of a postoperative adult client with type 2 diabetes mellitus and learns that the client has a current blood glucose level of 720 mg/dL. When assessing the client, what is the priority? A. Assess for signs of fluid volume deficit B. Observe wound drainage characteristics C. Measure the level of acute pain D. Determine when the client last ate A. Assess for signs of fluid volume deficit A male client tells the nurse that he is concerned that he may have a stomach ulcer, because he is experiencing heartburn and dull gnawing pain that is relieved when he eats. Which is the best response by the nurse? A. Encourage the client to obtain a complete physical exam, since these symptoms are consistent with an ulcer B. Assure the client that his symptoms may only reflect reflux, since ulcer pain is not relieved with food C. Instruct the client that these mild symptoms can generally be controlled with changes in his diet D. Advise the client that he needs to seek immediate medical evaluation and treatment of these symptoms A. Encourage the client to obtain a complete physical exam, since these symptoms are consistent with an ulcer

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A nurse is teaching a newly licensed nurse about crushing medications. The
nurse should explain that which of the following medications can be crushed?


Extended-release oxycodone
Sublingual nitroglycerine
Enteric-coated aspirin
Sucralfate tablets
Sucralfate tablets


The nurse should explain that certain medications, such as those that are scored, can
be safely crushed and mixed with food or water for a client who has difficulty
swallowing. The nurse should check with the pharmacist before crushing a medication
to make certain it can safely be crushed.
A nurse is caring for a client who reports severe back pain at 1400. The client's
prescriptions include oxycodone extended-release 20 mg PO every 12 hr (last
dose received at 0600) and oxycodone immediate-release 5 mg PO every 4 hr
PRN (last dose received at 2300 the day before). Which of the following actions
should the nurse take?


Contact the provider to request an order for a different pain medication.
Administer oxycodone immediate-release 5 mg PO at 1600.
Administer oxycodone immediate-release 5 mg PO now.
Contact the provider to request an increase in the oxycodone extended-release
dose.
Administer oxycodone immediate-release 5 mg PO now.

, It has been 15 hr since the previous dose of oxycodone immediate-release, and the
medication is prescribed every 4 hr as needed, so the nurse should prepare to
administer a dose now to treat the client's pain.
A nurse is reviewing a client's prescriptions. The nurse should contact the
provider to clarify which of the following prescriptions?


Phenytoin 100 mg PO every 8 hr
Morphine 2.5 mg IV bolus PRN for incisional pain
Regular insulin 7 units subcutaneous 30 min before breakfast and dinner
Lisinopril 20 mg PO every 12 hr. Hold for systolic BP less than 110 mm Hg
Morphine 2.5 mg IV bolus PRN for incisional pain


This prescription requires clarification because it is missing the frequency of medication
administration.
A nurse is preparing to administer an oral medication. Which of the following
actions should the nurse take? (Select all that apply.)


Provide client education about the medication.
Check the expiration date of the medication.
Verify the dosage of the medication.
Call the client by name to confirm their identity.
Ask the client if they have any allergies.
Provide client education about the medication.
Check the expiration date of the medication.
Verify the dosage of the medication.
Ask the client if they have any allergies.


The nurse should provide education for the client regarding the name and purpose of
each medication when administering them to the client.
The nurse should review the package information prior to administering the medication,
including the expiration date.

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