NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
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AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
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During a home visit, the nurse observed an elderly client with diabetes slip andfa
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ll. 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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q Section), the client tells the nurse that she drank a cup a coffee at 0400 because shew
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anted 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 S2he
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art sounds. To determine if an S3 heart sound is present, what action should thenurs
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e take first?
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(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.
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What 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).
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His BP is 158/106 and he admits that he has not been taking the prescribed medicatio
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n because the drugs make him "feel bad". In explaining the need for hypertension co
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ntrol, the nurse should stress that an elevated BP places the client at risk for which pa
q q q q q q q q q q q q q q q q
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 q
,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 q
thophysiological condition? q
(ANS- Stroke secondary to hemorrhage
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The nurse observes an unlicensed assistive personnel (UAP) positioning a newly ad
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mitted client who has a seizure disorder. The client is supine and the UAP is placing
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soft 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 a
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bdominal mass and is being evaluated for possible ovarian cancer.Her Papanicolau (
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Pap) smear results are negative. What information should the nurse include in the cli
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ent'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
q q q q
est Bank q
,NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
q q q q q q q q
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
q q q q
est Bank q
A client who recently underwear a tracheostomy is being prepared for discharge toh
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ome. Which instructions is most important for the nurse to include in the discharge p
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lan?
(ANS- Teach tracheal suctioning techniques
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In assessing an adult client with a partial rebreather mask, the nurse notes that the oxy
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gen reservoir bag does not deflate completely during inspiration and the client'srespir
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atory 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 theclie
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nt'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-
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old woman is retiring and will no longer have a health insurance through her place of
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employment. Which agency should the client be referred to bythe employee health n
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urse for health insurance needs?
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(ANS- Medicare q
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
q q q q q q q q
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
q q q q
est Bank q
, NURS 11 MED SURG HESI EXIT EXAM QUESTIONS q q q q q q q q
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
q q q q
est Bank q
A client who is taking an oral dose of a tetracycline complains of gastrointestinal ups
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et. 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
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throat hurts when I swallow"
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"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 selectfood
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s that are in keeping with the child's dietary restrictions. Which foods are contraindic
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ated for this child?q q q
(ANS- Foods sweetened with aspartameq q q q
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 adequ
q q q q q q q q q q q q q q q
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS q q q q q q q q
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
q q q q
est Bank q
q q q q q q q q
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
q q q q
est Bank q
During a home visit, the nurse observed an elderly client with diabetes slip andfa
q q q q q q q q q q q q q q
ll. What action should the nurse take first?
q q q q q q q
(ANS- Check the client for lacerations or fractures
q q q q q q q
At 0600 while admitting a woman for a schedule repeat cesarean section (C-
q q q q q q q q q q q q
q Section), the client tells the nurse that she drank a cup a coffee at 0400 because shew
q q q q q q q q q q q q q q q q q
anted to avoid getting a headache. Which action should the nurse take first? (ANS-
q q q q q q q q q q q q q
Inform the anesthesia care provider
q q q q q
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2he
q q q q q q q q q q q q q q q
art sounds. To determine if an S3 heart sound is present, what action should thenurs
q q q q q q q q q q q q q q q
e take first?
q q
(ANS- Listen with the bell at the same location
q q q q q q q q
Following discharge teaching, a male client with duodenal ulcer tells the nurse thehe
q q q q q q q q q q q q q q
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer.
q q q q q q q q q q q q q q q q
What is the best follow-up action by the nurse?
q q q q q q q q
(ANS- Review with the client the need to avoid foods that are rich in milk andcream
q q q q q q q q q q q q q q q q
A male client with hypertension, who received new antihypertensive prescriptionsat
q q q q q q q q q q q
his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP).
q q q q q q q q q q q q q q q q
His BP is 158/106 and he admits that he has not been taking the prescribed medicatio
q q q q q q q q q q q q q q q
n because the drugs make him "feel bad". In explaining the need for hypertension co
q q q q q q q q q q q q q q
ntrol, the nurse should stress that an elevated BP places the client at risk for which pa
q q q q q q q q q q q q q q q q
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
q q q q q q q q
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
q q q q
est Bank q
,NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
q q q q q q q q
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
q q q q
est Bank q
thophysiological condition? q
(ANS- Stroke secondary to hemorrhage
q q q q
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly ad
q q q q q q q q q q q
mitted client who has a seizure disorder. The client is supine and the UAP is placing
q q q q q q q q q q q q q q q q
soft pillows along the side rails. What action should the nurse implement? (ANS-
q q q q q q q q q q q q
Instruct the UAP to obtain soft blankets to secure to the side rails instead ofpillows.
q q q q q q q q q q q q q q q q
An adolescent with major depressive disorder has been taking duloxetine (Cymb
q q q q q q q q q q
alta) for the past 12 days. Which assessment finding requires immediatefollow-
q q q q q q q q q q q
up?
(ANS- Describes life without purpose
q q q q
A 60-year-
q
old female client with a positive family history of ovarian cancer has developed an a
q q q q q q q q q q q q q q
bdominal mass and is being evaluated for possible ovarian cancer.Her Papanicolau (
q q q q q q q q q q q q
Pap) smear results are negative. What information should the nurse include in the cli
q q q q q q q q q q q q q
ent's teaching plan?
q q
(ANS- Further evaluation involving surgery may be needed
q q q q q q q
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
q q q q q q q q
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
q q q q
est Bank q
,NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
q q q q q q q q
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
q q q q
est Bank q
A client who recently underwear a tracheostomy is being prepared for discharge toh
q q q q q q q q q q q q q
ome. Which instructions is most important for the nurse to include in the discharge p
q q q q q q q q q q q q q q
lan?
(ANS- Teach tracheal suctioning techniques
q q q q
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxy
q q q q q q q q q q q q q q q
gen reservoir bag does not deflate completely during inspiration and the client'srespir
q q q q q q q q q q q q
atory rate is 14 breaths / minute. What action should the nurse implement? (ANS-
q q q q q q q q q q q q q
Document the assessment data
q q q q
Rationale: reservoir bag should not deflate completely during inspiration and theclie
q q q q q q q q q q q
nt's respiratory rate is within normal limits.
q q q q q q
During shift report, the central electrocardiogram (EKG) monitoring systemalarms.
q q q q q q q q q q
Which client alarm should the nurse investigate firs?
q q q q q q q
(ANS- Respiratory apnea of 30 seconds
q q q q q
A 66-year-
q
old woman is retiring and will no longer have a health insurance through her place of
q q q q q q q q q q q q q q q q
employment. Which agency should the client be referred to bythe employee health n
q q q q q q q q q q q q q
urse for health insurance needs?
q q q q
(ANS- Medicare q
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
q q q q q q q q
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
q q q q
est Bank q
, NURS 11 MED SURG HESI EXIT EXAM QUESTIONS q q q q q q q q
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
q q q q
est Bank q
A client who is taking an oral dose of a tetracycline complains of gastrointestinal ups
q q q q q q q q q q q q q q
et. What snack should the nurse instruct the client to take with the tetracycline?(ANS
q q q q q q q q q q q q q q
- Toasted wheat bread and jelly
q q q q q
Following a lumbar puncture, a client voices several complaints. What complaintin
q q q q q q q q q q q
dicated to the nurse that the client is experiencing a complication?
q q q q q q q q q q
(ANS- "I have a headache that gets worse when I sit up"
q q q q q q q q q q q
"I am having pain in my lower back when I move my legs""My
q q q q q q q q q q q q q
throat hurts when I swallow"
q q q q q
"I feel sick to my stomach and am going to throw up"
q q q q q q q q q q q
An elderly client seems confused and reports the onset of nausea, dysuria, andurgency
q q q q q q q q q q q q q q
with incontinence. Which action should the nurse implement?
q q q q q q q
(ANS- Obtain a clean catch mid-stream specimen
q q q q q q
The nurse is assisting the mother of a child with phenylketonuria (PKU) to selectfood
q q q q q q q q q q q q q q
s that are in keeping with the child's dietary restrictions. Which foods are contraindic
q q q q q q q q q q q q q
ated for this child?q q q
(ANS- Foods sweetened with aspartameq q q q
Before preparing a client for the first surgical case of the day, a part-
q q q q q q q q q q q q q
time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequ
q q q q q q q q q q q q q q q
NURS 11 MED SURG HESI EXIT EXAM QUESTIONS q q q q q q q q
AND ANSWERS CORRECT/VERIFIED /Latest 2022/T
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est Bank q
