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