NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v
with rationales complete Rated A+
v v v v v
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I have b
v v v v v v v v v v v v v v v v
een applying triple antibiotic ointment for two days, but there has been noimprovem
v v v v v v v v v v v v v
ent." What instruction should the nurse provide?
v v v v v v
(ANS-
Stop using the ointment and encourage complete drying of the feet andwearing clea
v v v v v v v v v v v v v v
n socks.
v
A 26-year-
v
old female client is admitted to the hospital for treatment of a simplegoiter, and levot
v v v v v v v v v v v v v v v
hyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the nurse th
v v v v v v v v v v v
at the prescribed dosage is too high for this client? The client experiences
v v v v v v v v v v v v
Bradycardia and constipation v v v
Lethargy and lack of appetite v v v v
Muscle cramping and dry, flushed skin v v v v v v
Palpitations and shortness of breath v v v v
(ANS- Palpitations and shortness of breath
v v v v v
A client with a history of heart failure presents to the clinic with nausea, vomiting,yel
v v v v v v v v v v v v v v v
low vision and palpitations. Which finding is most important for the nurse to assess t
v v v v v v v v v v v v v v
o the client?
v v
(ANS- Obtain a list of medications taken for cardiac history
v v v v v v v v v
The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in
v v v v v v v v v v v v v
250 ml of D5W at 300 mcg/hour. The nurse should program the infusion pumpto deli
v v v v v v v v v v v v v v v
ver how many ml/hour? (Enter numeric value only.)
v v v v v v v
(ANS- 75 v
Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour / 1,000m
v v v v v v v v v v v v v v v v
cg x 250 ml = 3/1 x 25 = 75 ml/hour
v v v v v v v v v v
NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v
with rationales complete Rated A+
v v v v v
,NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v
with rationales complete Rated A+
v v v v v
The pathophysiological mechanisms that are responsible for ascites related to liverfa
v v v v v v v v v v v
ilure? (Select all that apply)
v v v v
(ANS-
vFluid shifts from intravascular to interstitial area due to decreased serumprotein
v v v v v v v v v v v
Increased hydrostatic pressure in portal circulation increases fluid shifts intoabdome
v v v v v v v v v v
n
Increased circulating aldosterone levels that increase sodium and water retention
v v v v v v v v v
The nurse is auscultating a client's heart sounds. Which description should then
v v v v v v v v v v v v
urse use to document this sound? (Please listen to the audio first to select theopti
v v v v v v v v v v v v v v v
on that applies)
v v
(ANS- Murmur v
Rationale: A murmur is auscultated as a swishing sound that is associated with thebl
v v v v v v v v v v v v v v
ood turbulence created by the heart or valvular defect.
v v v v v v v v
The healthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours IM for
v v v v v v v v v v v v v
an infant. The 500 mg vial is labeled with the instruction to add 5.3 ml diluentto prov
v v v v v v v v v v v v v v v v v
ide a concentration of 100 mg/ml. How many ml should the nurse administered for e
v v v v v v v v v v v v v v
ach dose? (Enter numeric value only. If rounding is required, round to the nearest ten
v v v v v v v v v v v v v v
th)
(ANS- 0.4 v
ationale: 35mg/100mg x 1 = 0.35 = 0.4 mlv v v v v v v v
The nurse notes that a client has been receiving hydromorphone (Dilaudid) everysix
v v v v v v v v v v v v v
hours for four days. What assessment is most important for the nurse to complete?
v v v v v v v v v v v v v
Auscultate the client's bowel sounds Obser v v v v v
ve for edema around the ankles Measure the
v v v v v v v
client's capillary glucose level
v v v v
Count the apical and radial pulses simultaneously(
v v v v v v v
ANS- Auscultate the client's bowel sounds
v v v v v
Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis andfreq
v v v v v v v v v v v
NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v
with rationales complete Rated A+
v v v v v
,NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v
with rationales complete Rated A+
v v v v v
uently causes constipation, so it is most important to Auscultate the client's bowel so
v v v v v v v v v v v v v
unds
A female client is admitted with end stage pulmonary disease is alert, oriented, andco
v v v v v v v v v v v v v v
mplaining of shortness of breath. The client tells the nurse that she wants "no heroic
v v v v v v v v v v v v v v v
measures" taken if she stops breathing, and she asks the nurse to document this in her
v v v v v v v v v v v v v v v v
medical record. What action should the nurse implement?
v v v v v v v
(ANS- Ask the client to discuss "do not resuscitate" with her healthcare provider
v v v v v v v v v v v v
A client is receiving a full strength continuous enteral tube feeding at 50 ml/hourand
v v v v v v v v v v v v v v v
has developed diarrhea. The client has a new prescription to change the feeding to ha
v v v v v v v v v v v v v v
lf strength. What intervention should the nurse implement?
v v v v v v v
(ANS-
vAdd equal amounts of water and feeding to a feeding bag and infuse at50ml/hour
v v v v v v v v v v v v v v
A female client reports that her hair is becoming coarse and breaking off, that the out
v v v v v v v v v v v v v v v
er part of her eyebrows have disappeared, and that her eyes are all puffy. Whichfollo
v v v v v v v v v v v v v v v
w-up question is best for the nurse to ask?
v v v v v v v v
(ANS- Have you noticed any changes in your fingernails?
v v v v v v v v
Rationale: The pattern of reported manifestations is suggestive of hypothyroidism
v v v v v v v v v
Following discharge teaching, a male client with duodenal ulcer tells the nurse thehe
v v v v v v v v v v v v v v
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. W
v v v v v v v v v v v v v v v v
hat is the best follow-up action by the nurse?
v v v v v v v v
(ANS- Review with the client the need to avoid foods that are rich in milk andcream
v v v v v v v v v v v v v v v v
A male client with hypertension, who received new antihypertensive prescriptionsat
v v v v v v v v v v v
his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP).
v v v v v v v v v v v v v v v v
His BP is 158/106 and he admits that he has not been taking the prescribed medicatio
v v v v v v v v v v v v v v v
n because the drugs make him "feel bad". In explaining the need for hypertension co
v v v v v v v v v v v v v v
ntrol, the nurse should stress that an elevated BP places the client at risk for which pa
v v v v v v v v v v v v v v v v
thophysiological condition? v
(ANS- Stroke secondary to hemorrhage
v v v v
The nurse observes unlicensed assistive personnel (UAP) positioning a newly admit
v v v v v v v v v v
ted client who has a seizure disorder. The client is supine and the UAP is placing soft
v v v v v v v v v v v v v v v v
NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v
with rationales complete Rated A+
v v v v v
, NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v
with rationales complete Rated A+
v v v v v
pillows along the side rails. What action should the nurse implement? (ANS-
v v v v v v v v v v v v
Instruct the UAP to obtain soft blankets to secure to the side rails instead ofpillows.
v v v v v v v v v v v v v v v v
An adolescent with major depressive disorder has been taking duloxetine (Cymb
v v v v v v v v v v
alta) for the past 12 days. Which assessment finding requires immediatefollow-
v v v v v v v v v v v
up?
(ANS- Describes life without purpose
v v v v
A 60-year-
v
old female client with a positive family history of ovarian cancer has developed an a
v v v v v v v v v v v v v v
bdominal mass and is being evaluated for possible ovarian cancer.Her Papanicolau (
v v v v v v v v v v v v
Pap) smear results are negative. What information should the nurse include in the cli
v v v v v v v v v v v v v
ent's teaching plan?
v v
(ANS- Further evaluation involving surgery may be needed
v v v v v v v
A client who recently underwear a tracheostomy is being prepared for discharge toh
v v v v v v v v v v v v v
ome. Which instructions is most important for the nurse to include in the discharge p
v v v v v v v v v v v v v v
lan?
(ANS- Teach tracheal suctioning techniques
v v v v
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxy
v v v v v v v v v v v v v v v
gen reservoir bag does not deflate completely during inspiration and the client'srespir
v v v v v v v v v v v v
atory rate is 14 breaths / minute. What action should the nurse implement? (ANS-
v v v v v v v v v v v v v
Document the assessment data
v v v v
Rationale: reservoir bag should not deflate completely during inspiration and theclie
v v v v v v v v v v v
nt's respiratory rate is within normal limits.
v v v v v v
During shift report, the central electrocardiogram (EKG) monitoring systemalarms.
v v v v v v v v v v
Which client alarm should the nurse investigate firs?
v v v v v v v
(ANS- Respiratory apnea of 30 seconds
v v v v v
During a home visit, the nurse observed an elderly client with diabetes slip andfa
v v v v v v v v v v v v v v
ll. What action should the nurse take first?
v v v v v v v
NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v
with rationales complete Rated A+
v v v v v
with rationales complete Rated A+
v v v v v
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I have b
v v v v v v v v v v v v v v v v
een applying triple antibiotic ointment for two days, but there has been noimprovem
v v v v v v v v v v v v v
ent." What instruction should the nurse provide?
v v v v v v
(ANS-
Stop using the ointment and encourage complete drying of the feet andwearing clea
v v v v v v v v v v v v v v
n socks.
v
A 26-year-
v
old female client is admitted to the hospital for treatment of a simplegoiter, and levot
v v v v v v v v v v v v v v v
hyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the nurse th
v v v v v v v v v v v
at the prescribed dosage is too high for this client? The client experiences
v v v v v v v v v v v v
Bradycardia and constipation v v v
Lethargy and lack of appetite v v v v
Muscle cramping and dry, flushed skin v v v v v v
Palpitations and shortness of breath v v v v
(ANS- Palpitations and shortness of breath
v v v v v
A client with a history of heart failure presents to the clinic with nausea, vomiting,yel
v v v v v v v v v v v v v v v
low vision and palpitations. Which finding is most important for the nurse to assess t
v v v v v v v v v v v v v v
o the client?
v v
(ANS- Obtain a list of medications taken for cardiac history
v v v v v v v v v
The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in
v v v v v v v v v v v v v
250 ml of D5W at 300 mcg/hour. The nurse should program the infusion pumpto deli
v v v v v v v v v v v v v v v
ver how many ml/hour? (Enter numeric value only.)
v v v v v v v
(ANS- 75 v
Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour / 1,000m
v v v v v v v v v v v v v v v v
cg x 250 ml = 3/1 x 25 = 75 ml/hour
v v v v v v v v v v
NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v
with rationales complete Rated A+
v v v v v
,NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v
with rationales complete Rated A+
v v v v v
The pathophysiological mechanisms that are responsible for ascites related to liverfa
v v v v v v v v v v v
ilure? (Select all that apply)
v v v v
(ANS-
vFluid shifts from intravascular to interstitial area due to decreased serumprotein
v v v v v v v v v v v
Increased hydrostatic pressure in portal circulation increases fluid shifts intoabdome
v v v v v v v v v v
n
Increased circulating aldosterone levels that increase sodium and water retention
v v v v v v v v v
The nurse is auscultating a client's heart sounds. Which description should then
v v v v v v v v v v v v
urse use to document this sound? (Please listen to the audio first to select theopti
v v v v v v v v v v v v v v v
on that applies)
v v
(ANS- Murmur v
Rationale: A murmur is auscultated as a swishing sound that is associated with thebl
v v v v v v v v v v v v v v
ood turbulence created by the heart or valvular defect.
v v v v v v v v
The healthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours IM for
v v v v v v v v v v v v v
an infant. The 500 mg vial is labeled with the instruction to add 5.3 ml diluentto prov
v v v v v v v v v v v v v v v v v
ide a concentration of 100 mg/ml. How many ml should the nurse administered for e
v v v v v v v v v v v v v v
ach dose? (Enter numeric value only. If rounding is required, round to the nearest ten
v v v v v v v v v v v v v v
th)
(ANS- 0.4 v
ationale: 35mg/100mg x 1 = 0.35 = 0.4 mlv v v v v v v v
The nurse notes that a client has been receiving hydromorphone (Dilaudid) everysix
v v v v v v v v v v v v v
hours for four days. What assessment is most important for the nurse to complete?
v v v v v v v v v v v v v
Auscultate the client's bowel sounds Obser v v v v v
ve for edema around the ankles Measure the
v v v v v v v
client's capillary glucose level
v v v v
Count the apical and radial pulses simultaneously(
v v v v v v v
ANS- Auscultate the client's bowel sounds
v v v v v
Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis andfreq
v v v v v v v v v v v
NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v
with rationales complete Rated A+
v v v v v
,NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v
with rationales complete Rated A+
v v v v v
uently causes constipation, so it is most important to Auscultate the client's bowel so
v v v v v v v v v v v v v
unds
A female client is admitted with end stage pulmonary disease is alert, oriented, andco
v v v v v v v v v v v v v v
mplaining of shortness of breath. The client tells the nurse that she wants "no heroic
v v v v v v v v v v v v v v v
measures" taken if she stops breathing, and she asks the nurse to document this in her
v v v v v v v v v v v v v v v v
medical record. What action should the nurse implement?
v v v v v v v
(ANS- Ask the client to discuss "do not resuscitate" with her healthcare provider
v v v v v v v v v v v v
A client is receiving a full strength continuous enteral tube feeding at 50 ml/hourand
v v v v v v v v v v v v v v v
has developed diarrhea. The client has a new prescription to change the feeding to ha
v v v v v v v v v v v v v v
lf strength. What intervention should the nurse implement?
v v v v v v v
(ANS-
vAdd equal amounts of water and feeding to a feeding bag and infuse at50ml/hour
v v v v v v v v v v v v v v
A female client reports that her hair is becoming coarse and breaking off, that the out
v v v v v v v v v v v v v v v
er part of her eyebrows have disappeared, and that her eyes are all puffy. Whichfollo
v v v v v v v v v v v v v v v
w-up question is best for the nurse to ask?
v v v v v v v v
(ANS- Have you noticed any changes in your fingernails?
v v v v v v v v
Rationale: The pattern of reported manifestations is suggestive of hypothyroidism
v v v v v v v v v
Following discharge teaching, a male client with duodenal ulcer tells the nurse thehe
v v v v v v v v v v v v v v
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. W
v v v v v v v v v v v v v v v v
hat is the best follow-up action by the nurse?
v v v v v v v v
(ANS- Review with the client the need to avoid foods that are rich in milk andcream
v v v v v v v v v v v v v v v v
A male client with hypertension, who received new antihypertensive prescriptionsat
v v v v v v v v v v v
his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP).
v v v v v v v v v v v v v v v v
His BP is 158/106 and he admits that he has not been taking the prescribed medicatio
v v v v v v v v v v v v v v v
n because the drugs make him "feel bad". In explaining the need for hypertension co
v v v v v v v v v v v v v v
ntrol, the nurse should stress that an elevated BP places the client at risk for which pa
v v v v v v v v v v v v v v v v
thophysiological condition? v
(ANS- Stroke secondary to hemorrhage
v v v v
The nurse observes unlicensed assistive personnel (UAP) positioning a newly admit
v v v v v v v v v v
ted client who has a seizure disorder. The client is supine and the UAP is placing soft
v v v v v v v v v v v v v v v v
NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v
with rationales complete Rated A+
v v v v v
, NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v
with rationales complete Rated A+
v v v v v
pillows along the side rails. What action should the nurse implement? (ANS-
v v v v v v v v v v v v
Instruct the UAP to obtain soft blankets to secure to the side rails instead ofpillows.
v v v v v v v v v v v v v v v v
An adolescent with major depressive disorder has been taking duloxetine (Cymb
v v v v v v v v v v
alta) for the past 12 days. Which assessment finding requires immediatefollow-
v v v v v v v v v v v
up?
(ANS- Describes life without purpose
v v v v
A 60-year-
v
old female client with a positive family history of ovarian cancer has developed an a
v v v v v v v v v v v v v v
bdominal mass and is being evaluated for possible ovarian cancer.Her Papanicolau (
v v v v v v v v v v v v
Pap) smear results are negative. What information should the nurse include in the cli
v v v v v v v v v v v v v
ent's teaching plan?
v v
(ANS- Further evaluation involving surgery may be needed
v v v v v v v
A client who recently underwear a tracheostomy is being prepared for discharge toh
v v v v v v v v v v v v v
ome. Which instructions is most important for the nurse to include in the discharge p
v v v v v v v v v v v v v v
lan?
(ANS- Teach tracheal suctioning techniques
v v v v
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxy
v v v v v v v v v v v v v v v
gen reservoir bag does not deflate completely during inspiration and the client'srespir
v v v v v v v v v v v v
atory rate is 14 breaths / minute. What action should the nurse implement? (ANS-
v v v v v v v v v v v v v
Document the assessment data
v v v v
Rationale: reservoir bag should not deflate completely during inspiration and theclie
v v v v v v v v v v v
nt's respiratory rate is within normal limits.
v v v v v v
During shift report, the central electrocardiogram (EKG) monitoring systemalarms.
v v v v v v v v v v
Which client alarm should the nurse investigate firs?
v v v v v v v
(ANS- Respiratory apnea of 30 seconds
v v v v v
During a home visit, the nurse observed an elderly client with diabetes slip andfa
v v v v v v v v v v v v v v
ll. What action should the nurse take first?
v v v v v v v
NURSING NR324 Med surg HESI exit exam latest 2022 test bank v v v v v v v v v v
with rationales complete Rated A+
v v v v v
