NURSING NR324 Med surg HESI exit exam latest 2022 test ban N N N N N N N N N N
k with rationales complete Rated A+
N N N N N N
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I ha
N N N N N N N N N N N N N N N
ve been applying triple antibiotic ointment for two days, but there has been noimp
N N N N N N N N N N N N N N
rovement." What instruction should the nurse provide?
N N N N N N
(ANS-
NStop using the ointment and encourage complete drying of the feet andwearing cl
N N N N N N N N N N N N N
ean socks. N
A 26-year-
N
old female client is admitted to the hospital for treatment of a simplegoiter, and le
N N N N N N N N N N N N N N N
vothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the nu
N N N N N N N N N N
rse that the prescribed dosage is too high for this client? The client experiences
N N N N N N N N N N N N N
Bradycardia and constipation N N N
Lethargy and lack of appetite N N N N
Muscle cramping and dry, flushed skin
N N N N N N
Palpitations and shortness of breath N N N N
(ANS- Palpitations and shortness of breath
N N N N N
A client with a history of heart failure presents to the clinic with nausea, vomiting,
N N N N N N N N N N N N N N N
yellow vision and palpitations. Which finding is most important for the nurse to a
N N N N N N N N N N N N N
ssess to the client?N N N
(ANS- Obtain a list of medications taken for cardiac history
N N N N N N N N N
The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg i
N N N N N N N N N N N N
n 250 ml of D5W at 300 mcg/hour. The nurse should program the infusion pumpt
N N N N N N N N N N N N N N N
o deliver how many ml/hour? (Enter numeric value only.)
N N N N N N N N
(ANS- 75 N
Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour / 1,000
N N N N N N N N N N N N N N N
mcg x 250 ml = 3/1 x 25 = 75 ml/hour
N N N N N N N N N N N
NURSING NR324 Med surg HESI exit exam latest 2022 test ban N N N N N N N N N N
k with rationales complete Rated A+
N N N N N N
,NURSING NR324 Med surg HESI exit exam latest 2022 test ban N N N N N N N N N N
k with rationales complete Rated A+
N N N N N N
The pathophysiological mechanisms that are responsible for ascites related to liver
N N N N N N N N N N N
failure? (Select all that apply)
N N N N
(ANS-
NFluid shifts from intravascular to interstitial area due to decreased serumprotei
N N N N N N N N N N N
n
Increased hydrostatic pressure in portal circulation increases fluid shifts intoabdo
N N N N N N N N N N
men
Increased circulating aldosterone levels that increase sodium and water retention
N N N N N N N N N
The nurse is auscultating a client's heart sounds. Which description should th
N N N N N N N N N N N
enurse use to document this sound? (Please listen to the audio first to select t
N N N N N N N N N N N N N N N
heoption that applies)
N N N
(ANS- Murmur N
Rationale: A murmur is auscultated as a swishing sound that is associated with th
N N N N N N N N N N N N N
eblood turbulence created by the heart or valvular defect.
N N N N N N N N N
The healthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours IM f
N N N N N N N N N N N N
or an infant. The 500 mg vial is labeled with the instruction to add 5.3 ml diluentt
N N N N N N N N N N N N N N N N N
o provide a concentration of 100 mg/ml. How many ml should the nurse administ
N N N N N N N N N N N N N
ered for each dose? (Enter numeric value only. If rounding is required, round to th
N N N N N N N N N N N N N N
e nearest tenth)
N N
(ANS- 0.4 N
ationale: 35mg/100mg x 1 = 0.35 = 0.4 ml
N N N N N N N N
The nurse notes that a client has been receiving hydromorphone (Dilaudid) everys
N N N N N N N N N N N N
ix hours for four days. What assessment is most important for the nurse to comple
N N N N N N N N N N N N N N
te?
Auscultate the client's bowel sounds Obser
N N N N N
ve for edema around the ankles Measure t
N N N N N N N
he client's capillary glucose level
N N N N
Count the apical and radial pulses simultaneously
N N N N N N N
(ANS- Auscultate the client's bowel sounds
N N N N N
NURSING NR324 Med surg HESI exit exam latest 2022 test ban N N N N N N N N N N
k with rationales complete Rated A+
N N N N N N
,NURSING NR324 Med surg HESI exit exam latest 2022 test ban N N N N N N N N N N
k with rationales complete Rated A+
N N N N N N
Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis andfr
N N N N N N N N N N N
equently causes constipation, so it is most important to Auscultate the client's bow
N N N N N N N N N N N N
el sounds
N
A female client is admitted with end stage pulmonary disease is alert, oriented, and
N N N N N N N N N N N N N N
complaining of shortness of breath. The client tells the nurse that she wants "no he
N N N N N N N N N N N N N N
roic measures" taken if she stops breathing, and she asks the nurse to document thi
N N N N N N N N N N N N N N
s in her medical record. What action should the nurse implement?
N N N N N N N N N N
(ANS- Ask the client to discuss "do not resuscitate" with her healthcare provider
N N N N N N N N N N N N
A client is receiving a full strength continuous enteral tube feeding at 50 ml/houra
N N N N N N N N N N N N N N
nd has developed diarrhea. The client has a new prescription to change the feedin
N N N N N N N N N N N N N
g to half strength. What intervention should the nurse implement?
N N N N N N N N N
(ANS-
Add equal amounts of water and feeding to a feeding bag and infuse at50ml/hour
N N N N N N N N N N N N N N N
A female client reports that her hair is becoming coarse and breaking off, that the
N N N N N N N N N N N N N N N
outer part of her eyebrows have disappeared, and that her eyes are all puffy. Which
N N N N N N N N N N N N N N
follow-up question is best for the nurse to ask?
N N N N N N N N N
(ANS- Have you noticed any changes in your fingernails?
N N N N N N N N
Rationale: The pattern of reported manifestations is suggestive of hypothyroidism
N N N N N N N N N
Following discharge teaching, a male client with duodenal ulcer tells the nurse the
N N N N N N N N N N N N N
he will drink plenty of dairy products, such as milk, to help coat and protect his ul
N N N N N N N N N N N N N N N N
cer. What is the best follow-up action by the nurse?
N N N N N N N N N
(ANS-
NReview with the client the need to avoid foods that are rich in milk andcream
N N N N N N N N N N N N N N N
A male client with hypertension, who received new antihypertensive prescriptions
N N N N N N N N N N
at his last visit returns to the clinic two weeks later to evaluate his blood pressure
N N N N N N N N N N N N N N N N
(BP). His BP is 158/106 and he admits that he has not been taking the prescribed
N N N N N N N N N N N N N N N N
medication because the drugs make him "feel bad". In explaining the need for hyp
N N N N N N N N N N N N N
ertension control, the nurse should stress that an elevated BP places the client at ri
N N N N N N N N N N N N N N
sk for which pathophysiological condition?
N N N N
(ANS- Stroke secondary to hemorrhage
N N N N
NURSING NR324 Med surg HESI exit exam latest 2022 test ban N N N N N N N N N N
k with rationales complete Rated A+
N N N N N N
, NURSING NR324 Med surg HESI exit exam latest 2022 test ban N N N N N N N N N N
k with rationales complete Rated A+
N N N N N N
The nurse observes unlicensed assistive personnel (UAP) positioning a newly ad
N N N N N N N N N N
mitted client who has a seizure disorder. The client is supine and the UAP is placi
N N N N N N N N N N N N N N N
ng soft pillows along the side rails. What action should the nurse implement? (AN
N N N N N N N N N N N N N
S-
NInstruct the UAP to obtain soft blankets to secure to the side rails instead ofpillow
N N N N N N N N N N N N N N N
s.
An adolescent with major depressive disorder has been taking duloxetine (Cy
N N N N N N N N N N
mbalta) for the past 12 days. Which assessment finding requires immediatefoll
N N N N N N N N N N N
ow-up?
(ANS- Describes life without purpose
N N N N
A 60-year-
N
old female client with a positive family history of ovarian cancer has developed a
N N N N N N N N N N N N N
n abdominal mass and is being evaluated for possible ovarian cancer.Her Papanico
N N N N N N N N N N N N
lau (Pap) smear results are negative. What information should the nurse include in
N N N N N N N N N N N N
Nthe client's teaching plan?
N N N
(ANS- Further evaluation involving surgery may be needed
N N N N N N N
A client who recently underwear a tracheostomy is being prepared for discharge to
N N N N N N N N N N N N N
home. Which instructions is most important for the nurse to include in the dischar
N N N N N N N N N N N N N
ge plan?N
(ANS- Teach tracheal suctioning techniques
N N N N
In assessing an adult client with a partial rebreather mask, the nurse notes that the
N N N N N N N N N N N N N N N
oxygen reservoir bag does not deflate completely during inspiration and the client'
N N N N N N N N N N N
srespiratory rate is 14 breaths / minute. What action should the nurse implement? (
N N N N N N N N N N N N N N
ANS- Document the assessment data
N N N N
Rationale: reservoir bag should not deflate completely during inspiration and thecl
N N N N N N N N N N N
ient's respiratory rate is within normal limits.
N N N N N N
During shift report, the central electrocardiogram (EKG) monitoring systemalarms
N N N N N N N N N
NURSING NR324 Med surg HESI exit exam latest 2022 test ban N N N N N N N N N N
k with rationales complete Rated A+
N N N N N N
k with rationales complete Rated A+
N N N N N N
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I ha
N N N N N N N N N N N N N N N
ve been applying triple antibiotic ointment for two days, but there has been noimp
N N N N N N N N N N N N N N
rovement." What instruction should the nurse provide?
N N N N N N
(ANS-
NStop using the ointment and encourage complete drying of the feet andwearing cl
N N N N N N N N N N N N N
ean socks. N
A 26-year-
N
old female client is admitted to the hospital for treatment of a simplegoiter, and le
N N N N N N N N N N N N N N N
vothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the nu
N N N N N N N N N N
rse that the prescribed dosage is too high for this client? The client experiences
N N N N N N N N N N N N N
Bradycardia and constipation N N N
Lethargy and lack of appetite N N N N
Muscle cramping and dry, flushed skin
N N N N N N
Palpitations and shortness of breath N N N N
(ANS- Palpitations and shortness of breath
N N N N N
A client with a history of heart failure presents to the clinic with nausea, vomiting,
N N N N N N N N N N N N N N N
yellow vision and palpitations. Which finding is most important for the nurse to a
N N N N N N N N N N N N N
ssess to the client?N N N
(ANS- Obtain a list of medications taken for cardiac history
N N N N N N N N N
The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg i
N N N N N N N N N N N N
n 250 ml of D5W at 300 mcg/hour. The nurse should program the infusion pumpt
N N N N N N N N N N N N N N N
o deliver how many ml/hour? (Enter numeric value only.)
N N N N N N N N
(ANS- 75 N
Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour / 1,000
N N N N N N N N N N N N N N N
mcg x 250 ml = 3/1 x 25 = 75 ml/hour
N N N N N N N N N N N
NURSING NR324 Med surg HESI exit exam latest 2022 test ban N N N N N N N N N N
k with rationales complete Rated A+
N N N N N N
,NURSING NR324 Med surg HESI exit exam latest 2022 test ban N N N N N N N N N N
k with rationales complete Rated A+
N N N N N N
The pathophysiological mechanisms that are responsible for ascites related to liver
N N N N N N N N N N N
failure? (Select all that apply)
N N N N
(ANS-
NFluid shifts from intravascular to interstitial area due to decreased serumprotei
N N N N N N N N N N N
n
Increased hydrostatic pressure in portal circulation increases fluid shifts intoabdo
N N N N N N N N N N
men
Increased circulating aldosterone levels that increase sodium and water retention
N N N N N N N N N
The nurse is auscultating a client's heart sounds. Which description should th
N N N N N N N N N N N
enurse use to document this sound? (Please listen to the audio first to select t
N N N N N N N N N N N N N N N
heoption that applies)
N N N
(ANS- Murmur N
Rationale: A murmur is auscultated as a swishing sound that is associated with th
N N N N N N N N N N N N N
eblood turbulence created by the heart or valvular defect.
N N N N N N N N N
The healthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours IM f
N N N N N N N N N N N N
or an infant. The 500 mg vial is labeled with the instruction to add 5.3 ml diluentt
N N N N N N N N N N N N N N N N N
o provide a concentration of 100 mg/ml. How many ml should the nurse administ
N N N N N N N N N N N N N
ered for each dose? (Enter numeric value only. If rounding is required, round to th
N N N N N N N N N N N N N N
e nearest tenth)
N N
(ANS- 0.4 N
ationale: 35mg/100mg x 1 = 0.35 = 0.4 ml
N N N N N N N N
The nurse notes that a client has been receiving hydromorphone (Dilaudid) everys
N N N N N N N N N N N N
ix hours for four days. What assessment is most important for the nurse to comple
N N N N N N N N N N N N N N
te?
Auscultate the client's bowel sounds Obser
N N N N N
ve for edema around the ankles Measure t
N N N N N N N
he client's capillary glucose level
N N N N
Count the apical and radial pulses simultaneously
N N N N N N N
(ANS- Auscultate the client's bowel sounds
N N N N N
NURSING NR324 Med surg HESI exit exam latest 2022 test ban N N N N N N N N N N
k with rationales complete Rated A+
N N N N N N
,NURSING NR324 Med surg HESI exit exam latest 2022 test ban N N N N N N N N N N
k with rationales complete Rated A+
N N N N N N
Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis andfr
N N N N N N N N N N N
equently causes constipation, so it is most important to Auscultate the client's bow
N N N N N N N N N N N N
el sounds
N
A female client is admitted with end stage pulmonary disease is alert, oriented, and
N N N N N N N N N N N N N N
complaining of shortness of breath. The client tells the nurse that she wants "no he
N N N N N N N N N N N N N N
roic measures" taken if she stops breathing, and she asks the nurse to document thi
N N N N N N N N N N N N N N
s in her medical record. What action should the nurse implement?
N N N N N N N N N N
(ANS- Ask the client to discuss "do not resuscitate" with her healthcare provider
N N N N N N N N N N N N
A client is receiving a full strength continuous enteral tube feeding at 50 ml/houra
N N N N N N N N N N N N N N
nd has developed diarrhea. The client has a new prescription to change the feedin
N N N N N N N N N N N N N
g to half strength. What intervention should the nurse implement?
N N N N N N N N N
(ANS-
Add equal amounts of water and feeding to a feeding bag and infuse at50ml/hour
N N N N N N N N N N N N N N N
A female client reports that her hair is becoming coarse and breaking off, that the
N N N N N N N N N N N N N N N
outer part of her eyebrows have disappeared, and that her eyes are all puffy. Which
N N N N N N N N N N N N N N
follow-up question is best for the nurse to ask?
N N N N N N N N N
(ANS- Have you noticed any changes in your fingernails?
N N N N N N N N
Rationale: The pattern of reported manifestations is suggestive of hypothyroidism
N N N N N N N N N
Following discharge teaching, a male client with duodenal ulcer tells the nurse the
N N N N N N N N N N N N N
he will drink plenty of dairy products, such as milk, to help coat and protect his ul
N N N N N N N N N N N N N N N N
cer. What is the best follow-up action by the nurse?
N N N N N N N N N
(ANS-
NReview with the client the need to avoid foods that are rich in milk andcream
N N N N N N N N N N N N N N N
A male client with hypertension, who received new antihypertensive prescriptions
N N N N N N N N N N
at his last visit returns to the clinic two weeks later to evaluate his blood pressure
N N N N N N N N N N N N N N N N
(BP). His BP is 158/106 and he admits that he has not been taking the prescribed
N N N N N N N N N N N N N N N N
medication because the drugs make him "feel bad". In explaining the need for hyp
N N N N N N N N N N N N N
ertension control, the nurse should stress that an elevated BP places the client at ri
N N N N N N N N N N N N N N
sk for which pathophysiological condition?
N N N N
(ANS- Stroke secondary to hemorrhage
N N N N
NURSING NR324 Med surg HESI exit exam latest 2022 test ban N N N N N N N N N N
k with rationales complete Rated A+
N N N N N N
, NURSING NR324 Med surg HESI exit exam latest 2022 test ban N N N N N N N N N N
k with rationales complete Rated A+
N N N N N N
The nurse observes unlicensed assistive personnel (UAP) positioning a newly ad
N N N N N N N N N N
mitted client who has a seizure disorder. The client is supine and the UAP is placi
N N N N N N N N N N N N N N N
ng soft pillows along the side rails. What action should the nurse implement? (AN
N N N N N N N N N N N N N
S-
NInstruct the UAP to obtain soft blankets to secure to the side rails instead ofpillow
N N N N N N N N N N N N N N N
s.
An adolescent with major depressive disorder has been taking duloxetine (Cy
N N N N N N N N N N
mbalta) for the past 12 days. Which assessment finding requires immediatefoll
N N N N N N N N N N N
ow-up?
(ANS- Describes life without purpose
N N N N
A 60-year-
N
old female client with a positive family history of ovarian cancer has developed a
N N N N N N N N N N N N N
n abdominal mass and is being evaluated for possible ovarian cancer.Her Papanico
N N N N N N N N N N N N
lau (Pap) smear results are negative. What information should the nurse include in
N N N N N N N N N N N N
Nthe client's teaching plan?
N N N
(ANS- Further evaluation involving surgery may be needed
N N N N N N N
A client who recently underwear a tracheostomy is being prepared for discharge to
N N N N N N N N N N N N N
home. Which instructions is most important for the nurse to include in the dischar
N N N N N N N N N N N N N
ge plan?N
(ANS- Teach tracheal suctioning techniques
N N N N
In assessing an adult client with a partial rebreather mask, the nurse notes that the
N N N N N N N N N N N N N N N
oxygen reservoir bag does not deflate completely during inspiration and the client'
N N N N N N N N N N N
srespiratory rate is 14 breaths / minute. What action should the nurse implement? (
N N N N N N N N N N N N N N
ANS- Document the assessment data
N N N N
Rationale: reservoir bag should not deflate completely during inspiration and thecl
N N N N N N N N N N N
ient's respiratory rate is within normal limits.
N N N N N N
During shift report, the central electrocardiogram (EKG) monitoring systemalarms
N N N N N N N N N
NURSING NR324 Med surg HESI exit exam latest 2022 test ban N N N N N N N N N N
k with rationales complete Rated A+
N N N N N N
