10/6/23,c11:44cAM Medcsurgchesicexitcexamclatestc2022ctestcbankcwithcrationalesccompletecacg…
medchesi
MED SURG HESI EXIT EXAM/Latest
c c c c
2022/Test Bank c
Followingcdischargecteaching,cacmalecclientcwithcduodenalculcerctellscthecnursecth
echecwillcdrinkcplentycofcdairycproducts,csuchcascmilk,ctochelpccoatcandcprotectch
isculcer.cWhatciscthecbestcfollow-upcactioncbycthecnurse?
(ANS-
cReviewcwith cthecclientcthecneed cto cavoid cfoods cthatcarecrich cin cmilk cand c cream
Acmalecclientcwithchypertension,cwhocreceivedcnewcantihypertensivecprescription
scatchisclastcvisitcreturnsctocthecclinicctwocweeksclaterctocevaluatechiscbloodcpressu
rec(BP).cHiscBPcisc158/106candchecadmitscthatchechascnotcbeenctakingcthecprescri
bedcmedicationcbecausecthecdrugscmakechimc"feelcbad".cIncexplainingcthecneedcf
orchypertensionccontrol,cthecnursecshouldcstresscthatcancelevatedcBPcplacesctheccli
entcatcriskcforcwhichcpathophysiologicalccondition?
(ANS-cStrokecsecondaryctochemorrhage
Thecnursecobservescancunlicensedcassistivecpersonnelc(UAP)cpositioningcacnewly
cadmitted cclientcwho chascacseizurecdisorder.cThe cclientciscsupine cand cthecUAP cisc
placingcsoftcpillowscalongcthecsidecrails.cWhatcactioncshouldcthecnursecimplement
?c(ANS-
cInstructcthecUAP cto cobtain csoftcblanketscto csecure cto cthecside crailscinstead cofcpillo
ws.
Ancadolescentcwithcmajorcdepressivecdisorderchascbeenctakingcduloxetinec(C
ymbalta)cforcthecpastc12cdays.cWhichcassessmentcfindingcrequirescimmediatecf
ollow-up?
(ANS-cDescribesclifecwithoutcpurpose
Ac60-year-
oldcfemalecclientcwithcacpositivecfamilychistorycofcovarianccancerchascdevelopedc
ancabdominalcmasscandciscbeingcevaluatedcforcpossiblecovarianccancer.cHercPapan
icolauc(Pap)csmearcresultscarecnegative.cWhatcinformationcshouldcthecnursecincl
udecincthecclient'scteachingcplan?
(ANS-c Furtherc evaluationc involvingc surgeryc mayc bec needed
Acclientcwhocrecentlycunderwearcactracheostomyciscbeingcpreparedcforcdischargect
ochome.cWhichcinstructionsciscmostcimportantcforcthecnursectocincludecincthecdisc
hargecplan?
(ANS-c Teachc trachealc suctioningc techniques
about:blank 1/229
,10/6/23,c11:44cAM Medcsurgchesicexitcexamclatestc2022ctestcbankcwithcrationalesccompletecacg…
Incassessingcancadultcclientcwithcacpartialcrebreathercmask,cthecnursecnotescthatcthe
about:blank 2/229
,10/6/23,c11:44cAM Medcsurgchesicexitcexamclatestc2022ctestcbankcwithcrationalesccompletecacg…
Acclientcwhocrecentlycunderwearcactracheostomyciscbeingcpreparedcforcdischargect
ochome.cWhichcinstructionsciscmostcimportantcforcthecnursectocincludecincthecdisc
hargecplan?
(ANS-c Teachc trachealc suctioningc techniques
Incassessingcancadultcclientcwithcacpartialcrebreathercmask,cthecnursecnotescthatcth
ecoxygencreservoircbagcdoescnotcdeflateccompletelycduringcinspirationcandcthecclien
t'screspiratorycratecisc14cbreathsc/cminute.cWhatcactioncshouldcthecnursecimplemen
t?c(ANS-cDocumentcthecassessmentcdata
Rationale:creservoircbagcshouldcnotcdeflateccompletelycduringcinspirationcandcthecc
lient'screspiratorycrateciscwithincnormalclimits.
Duringcshiftcreport,ctheccentralcelectrocardiogramc(EKG)cmonitoringcsyste
mcalarms.cWhichcclientcalarmcshouldcthecnursecinvestigatecfirs?
(ANS-cRespiratorycapneacofc30cseconds
Duringcachomecvisit,cthecnursecobservedcancelderlycclientcwithcdiabetescslipcandcfa
ll.cWhatcactioncshouldcthecnursectakecfirst?
(ANS-cCheckcthecclientcforclacerationscorcfractures
Atc0600cwhilecadmittingcacwomancforcacschedulecrepeatccesareancsectionc(C-
cSection),cthecclientctellscthecnursecthatcshecdrank caccup caccoffee catc0400 cbecause cs
hecwantedctocavoidcgettingcacheadache.cWhichcactioncshouldcthecnursectakecfirst?c
(ANS-cInformcthecanesthesiaccarecprovider
Aftercplacingcacstethoscopecascseencincthecpicture,cthecnursecauscultatescS1candcS
2cheartcsounds.cTocdeterminecifcancS3cheartcsoundciscpresent,cwhatcactioncshouldct
hecnursectakecfirst?
(ANS-cListencwithcthecbellcatcthecsameclocation
Ac66-year-
oldcwomanciscretiringcandcwillcnoclongerchavecachealthcinsurancecthroughchercplac
ecofcemployment.cWhichcagencycshouldcthecclientcbecreferredctocbycthecemployeec
healthcnursecforchealthcinsurancecneeds?
(ANS-cMedicare
Acclientcwhocisctakingcancoralcdosecofcactetracyclineccomplainscofcgastrointestina
lcupset.cWhatcsnackcshouldcthecnursecinstructcthecclientctoctakecwithcthectetracyclin
e?c(ANS-cToastedcwheatcbreadcandcjelly
Followingcaclumbarcpuncture,cacclientcvoicescseveralccomplaints.cWhatccomplaint
about:blank 3/229
, 10/6/23,c11:44cAM Medcsurgchesicexitcexamclatestc2022ctestcbankcwithcrationalesccompletecacg…
Acclientcwhocisctakingcancoralcdosecofcactetracyclineccomplainscofcgastrointestina
lcupset.cWhatcsnackcshouldcthecnursecinstructcthecclientctoctakecwithcthectetracyclin
e?c(ANS-cToastedcwheatcbreadcandcjelly
Followingcaclumbarcpuncture,cacclientcvoicescseveralccomplaints.cWhatccomplaintci
ndicatedctocthecnursecthatcthecclientciscexperiencingcaccomplication?
(ANS-c"IchavecacheadachecthatcgetscworsecwhencIcsitcup"
"IcamchavingcpaincincmyclowercbackcwhencIcmovecmyclegs"c"
MycthroatchurtscwhencIcswallow"
"Icfeelcsickctocmycstomachcandcamcgoingctocthrowcup"
Ancelderlycclientcseemscconfusedcandcreportsctheconsetcofcnausea,cdysuria,candcurg
encycwithcincontinence.cWhichcactioncshouldcthecnursecimplement?
(ANS-cObtaincaccleanccatchcmid-streamcspecimen
Thecnurseciscassistingcthecmothercofcacchildcwithcphenylketonuriac(PKU)ctocselectcf
oodscthatcarecinckeepingcwithcthecchild'scdietarycrestrictions.cWhichcfoodscarecco
ntraindicatedcforcthiscchild?
(ANS-c Foodsc sweetenedc withc aspartame
Beforecpreparingcacclientcforcthecfirstcsurgicalccasecofcthecday,cacpart-
timecscrubcnursecasksctheccirculatingcnursecifcac3cminutecsurgicalchandcscrubcisca
dequatecpreparationcforcthiscclient.cWhichcresponsecshouldctheccirculatingcnursec
provide?c(ANS-
cDirectcthecnurse cto ccontinue cthecsurgicalchand cscrub cforcac5 cminute cduration
Whichcbreakfastcselectioncindicatescthatcthecclientcunderstandscthecnurse'scinstruct
ionscaboutcthecdietarycmanagementcofcosteoporosis?
(ANS-cBagelcwithcjellycandcskimcmilk
Thecchargecnursecofcaccriticalccarecunitciscinformedcatcthecbeginningcofcthecshiftctha
tclesscthancthecoptimalcnumbercofcregisteredcnursescwillcbecworkingcthatcshift.cInc
planningcassignments,cwhichcclientcshouldcreceivecthecmostccarechourscbycacregis
teredcnursec(RN)?
(ANS-cAnc82-year-oldcclientcwithcAlzheimer'scdiseasecnewly-
fracturescfemurcwhochascacFoleyccathetercandcsoftcwristcrestrainscapplied
Acmothercbringscherc6-year-
oldcchild,cwhochascjustcsteppedconcacrustycnail,ctocthecpediatrician'scoffice.cUponci
nspection,cthecnursecnotescthatcthecnailcwentcthroughcthecshoecandcpiercedcthecbott
about:blank 4/229
medchesi
MED SURG HESI EXIT EXAM/Latest
c c c c
2022/Test Bank c
Followingcdischargecteaching,cacmalecclientcwithcduodenalculcerctellscthecnursecth
echecwillcdrinkcplentycofcdairycproducts,csuchcascmilk,ctochelpccoatcandcprotectch
isculcer.cWhatciscthecbestcfollow-upcactioncbycthecnurse?
(ANS-
cReviewcwith cthecclientcthecneed cto cavoid cfoods cthatcarecrich cin cmilk cand c cream
Acmalecclientcwithchypertension,cwhocreceivedcnewcantihypertensivecprescription
scatchisclastcvisitcreturnsctocthecclinicctwocweeksclaterctocevaluatechiscbloodcpressu
rec(BP).cHiscBPcisc158/106candchecadmitscthatchechascnotcbeenctakingcthecprescri
bedcmedicationcbecausecthecdrugscmakechimc"feelcbad".cIncexplainingcthecneedcf
orchypertensionccontrol,cthecnursecshouldcstresscthatcancelevatedcBPcplacesctheccli
entcatcriskcforcwhichcpathophysiologicalccondition?
(ANS-cStrokecsecondaryctochemorrhage
Thecnursecobservescancunlicensedcassistivecpersonnelc(UAP)cpositioningcacnewly
cadmitted cclientcwho chascacseizurecdisorder.cThe cclientciscsupine cand cthecUAP cisc
placingcsoftcpillowscalongcthecsidecrails.cWhatcactioncshouldcthecnursecimplement
?c(ANS-
cInstructcthecUAP cto cobtain csoftcblanketscto csecure cto cthecside crailscinstead cofcpillo
ws.
Ancadolescentcwithcmajorcdepressivecdisorderchascbeenctakingcduloxetinec(C
ymbalta)cforcthecpastc12cdays.cWhichcassessmentcfindingcrequirescimmediatecf
ollow-up?
(ANS-cDescribesclifecwithoutcpurpose
Ac60-year-
oldcfemalecclientcwithcacpositivecfamilychistorycofcovarianccancerchascdevelopedc
ancabdominalcmasscandciscbeingcevaluatedcforcpossiblecovarianccancer.cHercPapan
icolauc(Pap)csmearcresultscarecnegative.cWhatcinformationcshouldcthecnursecincl
udecincthecclient'scteachingcplan?
(ANS-c Furtherc evaluationc involvingc surgeryc mayc bec needed
Acclientcwhocrecentlycunderwearcactracheostomyciscbeingcpreparedcforcdischargect
ochome.cWhichcinstructionsciscmostcimportantcforcthecnursectocincludecincthecdisc
hargecplan?
(ANS-c Teachc trachealc suctioningc techniques
about:blank 1/229
,10/6/23,c11:44cAM Medcsurgchesicexitcexamclatestc2022ctestcbankcwithcrationalesccompletecacg…
Incassessingcancadultcclientcwithcacpartialcrebreathercmask,cthecnursecnotescthatcthe
about:blank 2/229
,10/6/23,c11:44cAM Medcsurgchesicexitcexamclatestc2022ctestcbankcwithcrationalesccompletecacg…
Acclientcwhocrecentlycunderwearcactracheostomyciscbeingcpreparedcforcdischargect
ochome.cWhichcinstructionsciscmostcimportantcforcthecnursectocincludecincthecdisc
hargecplan?
(ANS-c Teachc trachealc suctioningc techniques
Incassessingcancadultcclientcwithcacpartialcrebreathercmask,cthecnursecnotescthatcth
ecoxygencreservoircbagcdoescnotcdeflateccompletelycduringcinspirationcandcthecclien
t'screspiratorycratecisc14cbreathsc/cminute.cWhatcactioncshouldcthecnursecimplemen
t?c(ANS-cDocumentcthecassessmentcdata
Rationale:creservoircbagcshouldcnotcdeflateccompletelycduringcinspirationcandcthecc
lient'screspiratorycrateciscwithincnormalclimits.
Duringcshiftcreport,ctheccentralcelectrocardiogramc(EKG)cmonitoringcsyste
mcalarms.cWhichcclientcalarmcshouldcthecnursecinvestigatecfirs?
(ANS-cRespiratorycapneacofc30cseconds
Duringcachomecvisit,cthecnursecobservedcancelderlycclientcwithcdiabetescslipcandcfa
ll.cWhatcactioncshouldcthecnursectakecfirst?
(ANS-cCheckcthecclientcforclacerationscorcfractures
Atc0600cwhilecadmittingcacwomancforcacschedulecrepeatccesareancsectionc(C-
cSection),cthecclientctellscthecnursecthatcshecdrank caccup caccoffee catc0400 cbecause cs
hecwantedctocavoidcgettingcacheadache.cWhichcactioncshouldcthecnursectakecfirst?c
(ANS-cInformcthecanesthesiaccarecprovider
Aftercplacingcacstethoscopecascseencincthecpicture,cthecnursecauscultatescS1candcS
2cheartcsounds.cTocdeterminecifcancS3cheartcsoundciscpresent,cwhatcactioncshouldct
hecnursectakecfirst?
(ANS-cListencwithcthecbellcatcthecsameclocation
Ac66-year-
oldcwomanciscretiringcandcwillcnoclongerchavecachealthcinsurancecthroughchercplac
ecofcemployment.cWhichcagencycshouldcthecclientcbecreferredctocbycthecemployeec
healthcnursecforchealthcinsurancecneeds?
(ANS-cMedicare
Acclientcwhocisctakingcancoralcdosecofcactetracyclineccomplainscofcgastrointestina
lcupset.cWhatcsnackcshouldcthecnursecinstructcthecclientctoctakecwithcthectetracyclin
e?c(ANS-cToastedcwheatcbreadcandcjelly
Followingcaclumbarcpuncture,cacclientcvoicescseveralccomplaints.cWhatccomplaint
about:blank 3/229
, 10/6/23,c11:44cAM Medcsurgchesicexitcexamclatestc2022ctestcbankcwithcrationalesccompletecacg…
Acclientcwhocisctakingcancoralcdosecofcactetracyclineccomplainscofcgastrointestina
lcupset.cWhatcsnackcshouldcthecnursecinstructcthecclientctoctakecwithcthectetracyclin
e?c(ANS-cToastedcwheatcbreadcandcjelly
Followingcaclumbarcpuncture,cacclientcvoicescseveralccomplaints.cWhatccomplaintci
ndicatedctocthecnursecthatcthecclientciscexperiencingcaccomplication?
(ANS-c"IchavecacheadachecthatcgetscworsecwhencIcsitcup"
"IcamchavingcpaincincmyclowercbackcwhencIcmovecmyclegs"c"
MycthroatchurtscwhencIcswallow"
"Icfeelcsickctocmycstomachcandcamcgoingctocthrowcup"
Ancelderlycclientcseemscconfusedcandcreportsctheconsetcofcnausea,cdysuria,candcurg
encycwithcincontinence.cWhichcactioncshouldcthecnursecimplement?
(ANS-cObtaincaccleanccatchcmid-streamcspecimen
Thecnurseciscassistingcthecmothercofcacchildcwithcphenylketonuriac(PKU)ctocselectcf
oodscthatcarecinckeepingcwithcthecchild'scdietarycrestrictions.cWhichcfoodscarecco
ntraindicatedcforcthiscchild?
(ANS-c Foodsc sweetenedc withc aspartame
Beforecpreparingcacclientcforcthecfirstcsurgicalccasecofcthecday,cacpart-
timecscrubcnursecasksctheccirculatingcnursecifcac3cminutecsurgicalchandcscrubcisca
dequatecpreparationcforcthiscclient.cWhichcresponsecshouldctheccirculatingcnursec
provide?c(ANS-
cDirectcthecnurse cto ccontinue cthecsurgicalchand cscrub cforcac5 cminute cduration
Whichcbreakfastcselectioncindicatescthatcthecclientcunderstandscthecnurse'scinstruct
ionscaboutcthecdietarycmanagementcofcosteoporosis?
(ANS-cBagelcwithcjellycandcskimcmilk
Thecchargecnursecofcaccriticalccarecunitciscinformedcatcthecbeginningcofcthecshiftctha
tclesscthancthecoptimalcnumbercofcregisteredcnursescwillcbecworkingcthatcshift.cInc
planningcassignments,cwhichcclientcshouldcreceivecthecmostccarechourscbycacregis
teredcnursec(RN)?
(ANS-cAnc82-year-oldcclientcwithcAlzheimer'scdiseasecnewly-
fracturescfemurcwhochascacFoleyccathetercandcsoftcwristcrestrainscapplied
Acmothercbringscherc6-year-
oldcchild,cwhochascjustcsteppedconcacrustycnail,ctocthecpediatrician'scoffice.cUponci
nspection,cthecnursecnotescthatcthecnailcwentcthroughcthecshoecandcpiercedcthecbott
about:blank 4/229
