NURS 11 MED SURG HESI EXIT EXAM QUESTIONS s s s s s s s s
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
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During a home visit, the nurse observed an elderly client with diabetes slip andfall
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. What action should the nurse take first?
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(ANS- Check the client for lacerations or fractures
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At 0600 while admitting a woman for a schedule repeat cesarean section (C-
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Section), the client tells the nurse that she drank a cup a coffee at 0400 because shewan
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ted to avoid getting a headache. Which action should the nurse take first? (ANS-
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Inform the anesthesia care provider
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After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2hea
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rt sounds. To determine if an S3 heart sound is present, what action should thenurse ta
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ke first? s
(ANS- Listen with the bell at the same location
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Following discharge teaching, a male client with duodenal ulcer tells the nurse thehe
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will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. Wh
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at is the best follow-up action by the nurse?
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(ANS- Review with the client the need to avoid foods that are rich in milk andcream
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A male client with hypertension, who received new antihypertensive prescriptionsat
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his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). H
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is BP is 158/106 and he admits that he has not been taking the prescribed medication b
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ecause the drugs make him "feel bad". In explaining the need for hypertension control
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, the nurse should stress that an elevated BP places the client at risk for which pathoph
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NURS 11 MED SURG HESI EXIT EXAM QUESTIONS s s s s s s s s
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
s s s s
est Bank s
,NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
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AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
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est Bank s
ysiological condition? s
(ANS- Stroke secondary to hemorrhage
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The nurse observes an unlicensed assistive personnel (UAP) positioning a newly adm
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itted client who has a seizure disorder. The client is supine and the UAP is placing soft
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pillows along the side rails. What action should the nurse implement? (ANS-
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Instruct the UAP to obtain soft blankets to secure to the side rails instead ofpillows.
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An adolescent with major depressive disorder has been taking duloxetine (Cymb
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alta) for the past 12 days. Which assessment finding requires immediatefollow-
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up?
(ANS- Describes life without purpose
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A 60-year-
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old female client with a positive family history of ovarian cancer has developed an ab
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dominal mass and is being evaluated for possible ovarian cancer.Her Papanicolau (Pa
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p) smear results are negative. What information should the nurse include in the client'
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s teaching plan?
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(ANS- Further evaluation involving surgery may be needed
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NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
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AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
s s s s
est Bank s
,NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
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AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
s s s s
est Bank s
A client who recently underwear a tracheostomy is being prepared for discharge toho
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me. Which instructions is most important for the nurse to include in the discharge plan
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?
(ANS- Teach tracheal suctioning techniques
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In assessing an adult client with a partial rebreather mask, the nurse notes that the oxyg
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en reservoir bag does not deflate completely during inspiration and the client'srespirat
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ory rate is 14 breaths / minute. What action should the nurse implement? (ANS-
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Document the assessment data
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Rationale: reservoir bag should not deflate completely during inspiration and theclient
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's respiratory rate is within normal limits.
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During shift report, the central electrocardiogram (EKG) monitoring systemalarms.
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Which client alarm should the nurse investigate firs?
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(ANS- Respiratory apnea of 30 seconds
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A 66-year-
s
old woman is retiring and will no longer have a health insurance through her place of e
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mployment. Which agency should the client be referred to bythe employee health nurs
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e for health insurance needs?
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(ANS- Medicare s
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
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AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
s s s s
est Bank s
, NURS 11 MED SURG HESI EXIT EXAM QUESTIONS s s s s s s s s
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
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A client who is taking an oral dose of a tetracycline complains of gastrointestinal upse
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t. What snack should the nurse instruct the client to take with the tetracycline?(ANS-
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Toasted wheat bread and jelly
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Following a lumbar puncture, a client voices several complaints. What complaintin
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dicated to the nurse that the client is experiencing a complication?
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(ANS- "I have a headache that gets worse when I sit up"
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"I am having pain in my lower back when I move my legs""My t
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hroat hurts when I swallow" s s s s
"I feel sick to my stomach and am going to throw up"
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An elderly client seems confused and reports the onset of nausea, dysuria, andurgency
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with incontinence. Which action should the nurse implement?
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(ANS- Obtain a clean catch mid-stream specimen
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The nurse is assisting the mother of a child with phenylketonuria (PKU) to selectfoods
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that are in keeping with the child's dietary restrictions. Which foods are contraindicate
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d for this child?
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(ANS- Foods sweetened with aspartames s s s
Before preparing a client for the first surgical case of the day, a part-
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time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequat
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NURS 11 MED SURG HESI EXIT EXAM QUESTIONS s s s s s s s s
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
s s s s
est Bank s
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
s s s s
est Bank s
During a home visit, the nurse observed an elderly client with diabetes slip andfall
s s s s s s s s s s s s s s
. What action should the nurse take first?
s s s s s s s
(ANS- Check the client for lacerations or fractures
s s s s s s s
At 0600 while admitting a woman for a schedule repeat cesarean section (C-
s s s s s s s s s s s s
Section), the client tells the nurse that she drank a cup a coffee at 0400 because shewan
s s s s s s s s s s s s s s s s s s
ted to avoid getting a headache. Which action should the nurse take first? (ANS-
s s s s s s s s s s s s s
Inform the anesthesia care provider
s s s s s
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2hea
s s s s s s s s s s s s s s s
rt sounds. To determine if an S3 heart sound is present, what action should thenurse ta
s s s s s s s s s s s s s s s s
ke first? s
(ANS- Listen with the bell at the same location
s s s s s s s s
Following discharge teaching, a male client with duodenal ulcer tells the nurse thehe
s s s s s s s s s s s s s s
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. Wh
s s s s s s s s s s s s s s s s
at is the best follow-up action by the nurse?
s s s s s s s s
(ANS- Review with the client the need to avoid foods that are rich in milk andcream
s s s s s s s s s s s s s s s s
A male client with hypertension, who received new antihypertensive prescriptionsat
s s s s s s s s s s s
his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). H
s s s s s s s s s s s s s s s s
is BP is 158/106 and he admits that he has not been taking the prescribed medication b
s s s s s s s s s s s s s s s s
ecause the drugs make him "feel bad". In explaining the need for hypertension control
s s s s s s s s s s s s s
, the nurse should stress that an elevated BP places the client at risk for which pathoph
s s s s s s s s s s s s s s s s
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS s s s s s s s s
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
s s s s
est Bank s
,NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
s s s s s s s s
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
s s s s
est Bank s
ysiological condition? s
(ANS- Stroke secondary to hemorrhage
s s s s
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly adm
s s s s s s s s s s s
itted client who has a seizure disorder. The client is supine and the UAP is placing soft
s s s s s s s s s s s s s s s s s
pillows along the side rails. What action should the nurse implement? (ANS-
s s s s s s s s s s s
Instruct the UAP to obtain soft blankets to secure to the side rails instead ofpillows.
s s s s s s s s s s s s s s s s
An adolescent with major depressive disorder has been taking duloxetine (Cymb
s s s s s s s s s s
alta) for the past 12 days. Which assessment finding requires immediatefollow-
s s s s s s s s s s s
up?
(ANS- Describes life without purpose
s s s s
A 60-year-
s
old female client with a positive family history of ovarian cancer has developed an ab
s s s s s s s s s s s s s s
dominal mass and is being evaluated for possible ovarian cancer.Her Papanicolau (Pa
s s s s s s s s s s s s
p) smear results are negative. What information should the nurse include in the client'
s s s s s s s s s s s s s
s teaching plan?
s s
(ANS- Further evaluation involving surgery may be needed
s s s s s s s
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
s s s s s s s s
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
s s s s
est Bank s
,NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
s s s s s s s s
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
s s s s
est Bank s
A client who recently underwear a tracheostomy is being prepared for discharge toho
s s s s s s s s s s s s s
me. Which instructions is most important for the nurse to include in the discharge plan
s s s s s s s s s s s s s s
?
(ANS- Teach tracheal suctioning techniques
s s s s
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxyg
s s s s s s s s s s s s s s s
en reservoir bag does not deflate completely during inspiration and the client'srespirat
s s s s s s s s s s s s
ory rate is 14 breaths / minute. What action should the nurse implement? (ANS-
s s s s s s s s s s s s s
Document the assessment data
s s s s
Rationale: reservoir bag should not deflate completely during inspiration and theclient
s s s s s s s s s s s
's respiratory rate is within normal limits.
s s s s s s
During shift report, the central electrocardiogram (EKG) monitoring systemalarms.
s s s s s s s s s s
Which client alarm should the nurse investigate firs?
s s s s s s s
(ANS- Respiratory apnea of 30 seconds
s s s s s
A 66-year-
s
old woman is retiring and will no longer have a health insurance through her place of e
s s s s s s s s s s s s s s s s
mployment. Which agency should the client be referred to bythe employee health nurs
s s s s s s s s s s s s s
e for health insurance needs?
s s s s
(ANS- Medicare s
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
s s s s s s s s
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
s s s s
est Bank s
, NURS 11 MED SURG HESI EXIT EXAM QUESTIONS s s s s s s s s
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
s s s s
est Bank s
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upse
s s s s s s s s s s s s s s
t. What snack should the nurse instruct the client to take with the tetracycline?(ANS-
s s s s s s s s s s s s s s
Toasted wheat bread and jelly
s s s s s
Following a lumbar puncture, a client voices several complaints. What complaintin
s s s s s s s s s s s
dicated to the nurse that the client is experiencing a complication?
s s s s s s s s s s
(ANS- "I have a headache that gets worse when I sit up"
s s s s s s s s s s s
"I am having pain in my lower back when I move my legs""My t
s s s s s s s s s s s s s s
hroat hurts when I swallow" s s s s
"I feel sick to my stomach and am going to throw up"
s s s s s s s s s s s
An elderly client seems confused and reports the onset of nausea, dysuria, andurgency
s s s s s s s s s s s s s s
with incontinence. Which action should the nurse implement?
s s s s s s s
(ANS- Obtain a clean catch mid-stream specimen
s s s s s s
The nurse is assisting the mother of a child with phenylketonuria (PKU) to selectfoods
s s s s s s s s s s s s s s s
that are in keeping with the child's dietary restrictions. Which foods are contraindicate
s s s s s s s s s s s s
d for this child?
s s s
(ANS- Foods sweetened with aspartames s s s
Before preparing a client for the first surgical case of the day, a part-
s s s s s s s s s s s s s
time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequat
s s s s s s s s s s s s s s s
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS s s s s s s s s
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
s s s s
est Bank s
