HESI –MEDICAL SURGICAL NURSING COMPREHENSIVE TEST
BANK 11TH EDITION IGNATAVICIUS ACTUAL EXAM 2025 WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
\\VERIFIED ANSWERS \\GUARANTEED PASS || GRADED A+
Which action demonstrates C
that the nurse understands the
purpose of the Rapid Response The Rapid Response Team (RRT) saves lives and decreases the
Team? risk for harm by
providing care to clients before a respiratory or cardiac arrest
A) Documenting all changes occurs. Although the RRT does not replace the Code Team,
observed in the client and which responds to client arrests, it intervenes rapidly for those
who are beginning to decline clinically. It would be appropriate
maintaining a postoperative
for the RRT to intervene when the client has experienced a 52-
flow sheet point drop in blood
B) Monitoring the client pressure. Monitoring the client's postoperative status,
for changes in maintaining a postoperative flow sheet, and notifying the
physician of a change in the client's status after a
postoperative status medication change would not be considered activities of the
such as wound infection Rapid Response Team.
C) Notifying the physician
of the client's change in
blood pressure from 140
to 88 mm Hg systolic
D) Notifying the physician
of the client's increase in
restlessness after
medication
change
During orientation to an D
emergency
department, the nurse Physical agility is not a risk factor for impaired
educator would be thermoregulation. The nurse educator would use this
concerned if the new nurse information to plan additional teaching to include
listed which of the following medical conditions and gait disturbance as risk factors
as a risk factor for impaired
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,4/19/25, 8:12 AM HESI - Medical Surgical Nursing test-Exam TEST BANK FOR MEDICAL SURGICAL NURSING 11TH EDITION IGNATAVICIUS Fla…
The nurse is assessing a C
patient's functional ability.
Which activities most closely Functional ability refers to the individual's ability to
match the definition of perform the normal daily activities required to meet
functional ability? basic needs; fulfill usual roles in the family, workplace,
and community; and maintain health and well-being.
A) Healthy individual, The other options are good;
college educated, travels however, each option has advanced or independent
frequently, can balance activities in the context of the option.
a checkbook
B) Healthy individual, works
out, reads well, cooks and
cleans house
C) Healthy individual,
volunteers at church, works
part time, takes care of
family and house
D) Healthy individual, works
outside the
home, uses a cane, well
groomed
thermoregulation? for hypothermia, because their bodies have a
A) Temperature extremes
reduced ability to generate heat. Impaired cognition is a
B) Occupational exposure
risk factor. Recreational or occupational exposure is a
C) Impaired cognition
risk factor. Temperature extremes are risk factors for
D) Physical agility
impaired thermoregulation.
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,4/19/25, 8:12 AM HESI - Medical Surgical Nursing test-Exam TEST BANK FOR MEDICAL SURGICAL NURSING 11TH EDITION IGNATAVICIUS Fla…
A client has been taught to C
restrict dietary sodium. Which
food selection by the client Clients on restricted sodium diets generally should
indicates to the nurse that avoid processed, smoked, and pickled foods and those
teaching has been with sauces and other condiments. Foods lowest in
effective? sodium include fish, poultry, and fresh produce. The
chinese food likely would have soy sauce, the tomato
a. a grilled cheese sandwich soup is processed, and the crackers are a snack food - a
with tomato soup category of foods often high in sodium.
b. Chinese take-out, including
steamed rice
c. a chicken leg, one slice
of bread with butter, and
steamed carrots
d. slices of ham and cheese on
whole grain
crackers
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, 4/19/25, 8:12 AM HESI - Medical Surgical Nursing test-Exam TEST BANK FOR MEDICAL SURGICAL NURSING 11TH EDITION IGNATAVICIUS Fla…
When a client is assessed, A
which behavior best
indicates that he or she is The characteristics most common to chronic pain are
experiencing changes psychosocial withdrawal, anger and hostility, depression,
associated with acute and hopelessness. The inability to concentrate is
pain? associated much more with acute pain, before any
physiologic or behavioral adaptation has
a. inability
to concentrate occurred.
b. expressed hopelessness
c. psychosocial withdrawal
d. anger and hostility
A nurse is caring for several C
clients at risk for
overhydration. The nurse Blood replacement therapy involves intravenous fluid
administration, which
assesses the older client
inherently increases the risk for overhydration. The fact
with which finding first?
that the fluid consists of packed red blood cells greatly
increases the risk, because this fluid increases the
A) Has had diabetes mellitus for
12 years colloidal oncotic pressure of the blood, causing fluid to
B) Had abdominal move from interstitial and intracellular spaces into the
surgery and has a plasma volume. An older adult may not have sufficient
nasogastric tube cardiac or renal reserve to manage this extra fluid.
C) Just received 3 units of
packed red blood cells
D) Uses sodium-
containing antacids
frequently
The client with a stroke was C
admitted to a medical-
surgical unit. Which tasks The nurse needs to know the five rights of delegation:
does the nurse delegate to right task, right circumstances, right person, right
the unlicensed assistive communication, and right supervision. Unlicensed
personnel? assistive
personnel can help with feeding, but only the nurse can care
A) Assess level of plan, assess the level of consciousness, and evaluate the
consciousness. oxygenation of the client.
B) Evaluate the pulse oximetry
reading.
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