hesi med surg exit exam v1 version 1 brand new q as guaranteed

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2022/2023 HESI Med Surg Exit Exam (V1 Version 1) Brand New (160Q&
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As) 100% Correctly Verified Answers Best Exam Solution Satisfaction G
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uaranteed Success Latest Update 2022/2023 With ASSURANCE OF GRA
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DE A+ i i




TEST 1 i




Multiple Choice i




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1. While assessing a client with diabetes mellitus, the nurse observes an absence of
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i hair growth on the client's legs. What additional assessment provides further data t
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o support this finding?
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a. Palpate for the presence of femoral pulses bilaterally.
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b. Assess for the presence of a positive Homan's sign.
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c. Observe the appearance of the skin on the client's legs.
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d. Watch the client's posture and balance during ambulation.
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2. The healthcare provider prescribes 15 mg/kg of Streptomycin for an infant weighing 4 po
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unds.
The drug is diluted in 25 ml of D5W to run over 8 hours. How much Streptomycin
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will theinfant receive?
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a. 9 mg. i



b. 18 mg. i



c. 27 mg. i



d. 36 mg. i


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3. In assessing a client with preeclampsia who is receiving magnesium sulfate, the n
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urse determines that her deep tendon reflexes are 1+; respiratory rate is 12 breaths/
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minute; urinary output is 90 ml in 4 hours; magnesium sulfate level is 9 mg/dl. Based o
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n these findings,what intervention should the nurse implement?
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a. Continue the magnesium sulfate infusion as prescribed. i i i i i i



b. Decrease the magnesium sulfate infusion by one-half. i i i i i i



c. Stop the magnesium sulfate infusion immediately.
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d. Administer calcium gluconate immediately. i i i


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4. A client is on a mechanical ventilator. Which client response indicates that the n
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euromuscularblocker tubocurarine chloride (Tubarine) is effective? i i i i i i



a. The client’s expremities are paralyzed.
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b. The peripheral nerve stimulator causes twitching.
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c. The client clinches fist upon command.
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d. The client’s Glagow Coma Scale score is 14.
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i 5. An elderly female client comes to the clinic for a regular check-
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up. The client tells the nurse that she has increased her daily doses of acetaminophe
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n (Tylenol) for the past month to control joint pain. Based on this client's comment,
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what previous lab values should the nursecompare with today's lab report?
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a. Look at last quarter's hemoglobin and hematocrit, expecting an incre
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ase today dueto dehydration.
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b. Look for an increase in today's LDH compared to the previous one t
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o assess forpossible liver damage.
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c. Expect to find an increase in today's APTT as compared to last qua
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rter's due tobleeding.
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d. Determine if there is a decrease in serum potassium due to renal compromise.
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, i 6. Aspirin is prescribed for a 9-year-
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old child with rheumatic fever to control the inflammatoryprocess, promote comf
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ort, and reduce fever. What intervention is most important for the nurse to imple
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ment?
a. Instruct the parents to hold the aspirin until the child has first had a
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tepid spongebath. i i



b. Administer the aspirin with at least two ounces of water or juice. i i i i i i i i i i i



c. Notify the healthcare provider if the child complains of ringing in the ears.
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d. Advise the parents to question the child about seeing yellow halos around objects.
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7. Which signs or symptoms are characteristic of an adult client diagnosed
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with Cushing'ssyndrome?
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a. Husky voice and complaints of hoarseness. i i i i i



b. Warm, soft, moist, salmon-colored skin. i i i i



c. Visible swelling of the neck, with no pain. i i i i i i i



d. Central-type obesity, with thin extremities. i i i i


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8. A charge nurse agrees to cover another nurse’s assignment during a lunch brea
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k. Based on thestatus report provided by the nurse who is leaving for lunch, which cli
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ent should be checked first by the charge nurse? The client
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a. admitted yesterday with diabetec ketoacidosis whose blood glucos i i i i i i i



e level isnow 195 mg/dl.
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b. with an ileal conduit created two days ago with a scant amount of bl
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ood inthe drainage pouch.
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c. post-
triple coronary bypass four days ago who has serosanguinous drain
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agein the chest tube.
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