(Complete 275 Q&A) Med-Surg II HESI Test Bank 2.pdf

NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
g g g g g g g


AND ANSWERS CORRECT/VERIFIED /Latest 2022/
g g g g g


Test Bank g

Duringgaghomegvisit,gthegnursegobservedgangelderlygclientgwithgdiabetesgslipgandg
fall.gWhatgactiongshouldgthegnursegtakegfirst?
(ANS-gCheckgthegclientgforglacerationsgorgfractures


Atg0600gwhilegadmittinggagwomangforgagschedulegrepeatgcesareangsectiong(C-
Section),gthegclientgtellsgthegnursegthatgshegdrankgagcupgagcoffeegatg0400gbecausegsh
g


egwantedgtogavoidggettinggagheadache.gWhichgactiongshouldgthegnursegtakegfirst?g(A
NS-gInformgtheganesthesiagcaregprovider


Aftergplacinggagstethoscopegasgseengingthegpicture,gthegnursegauscultatesgS1gandgS2g
heartgsounds.gTogdeterminegifgangS3gheartgsoundgisgpresent,gwhatgactiongshouldgtheg
nursegtakegfirst?
(ANS-gListengwithgthegbellgatgthegsameglocation

Followinggdischargegteaching,gagmalegclientgwithgduodenalgulcergtellsgthegnursegtheg
hegwillgdrinkgplentygofgdairygproducts,gsuchgasgmilk,gtoghelpgcoatgandgprotectghisgul
cer.gWhatgisgthegbestgfollow-upgactiongbygthegnurse?
(ANS-
Reviewgwithgthegclientgthegneedgtogavoidgfoodsgthatgaregrichgingmilkgandgcream
g




Agmalegclientgwithghypertension,gwhogreceivedgnewgantihypertensivegprescriptionsg
atghisglastgvisitgreturnsgtogthegclinicgtwogweeksglatergtogevaluateghisgbloodgpressureg(
BP).gHisgBPgisg158/106gandghegadmitsgthatgheghasgnotgbeengtakinggthegprescribedgm
edicationgbecausegthegdrugsgmakeghimg"feelgbad".gIngexplaininggthegneedgforghyper

NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
g g g g g g g


AND ANSWERS CORRECT/VERIFIED /Latest 2022/
g g g g g


Test Bank g

,NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
g g g g g g g


AND ANSWERS CORRECT/VERIFIED /Latest 2022/
g g g g g


Test Bank g

tensiongcontrol,gthegnursegshouldgstressgthatgangelevatedgBPgplacesgthegclientgatgrisk
forgwhichgpathophysiologicalgcondition?
g


(ANS-gStrokegsecondarygtoghemorrhage


Thegnursegobservesgangunlicensedgassistivegpersonnelg(UAP)gpositioninggagnewlyga
dmittedgclientgwhoghasgagseizuregdisorder.gThegclientgisgsupinegandgthegUAPgisgplac
inggsoftgpillowsgalonggthegsidegrails.gWhatgactiongshouldgthegnursegimplement?g(A
NS-
InstructgthegUAPgtogobtaingsoftgblanketsgtogsecuregtogthegsidegrailsginsteadgofgpillow
g


s.


Angadolescentgwithgmajorgdepressivegdisorderghasgbeengtakinggduloxetineg(Cy
mbalta)gforgthegpastg12gdays.gWhichgassessmentgfindinggrequiresgimmediategfoll
ow-up?
(ANS-gDescribesglifegwithoutgpurpose


Ag60-year-
oldgfemalegclientgwithgagpositivegfamilyghistorygofgovariangcancerghasgdevelopedgan
abdominalgmassgandgisgbeinggevaluatedgforgpossiblegovariangcancer.gHergPapanicol
g


aug(Pap)gsmeargresultsgaregnegative.gWhatginformationgshouldgthegnursegincludeging
thegclient'sgteachinggplan?
(ANS-gFurthergevaluationginvolvinggsurgerygmaygbegneeded



NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
g g g g g g g


AND ANSWERS CORRECT/VERIFIED /Latest 2022/
g g g g g


Test Bank g

,NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
g g g g g g g


AND ANSWERS CORRECT/VERIFIED /Latest 2022/
g g g g g


Test Bank g

Agclientgwhogrecentlygunderweargagtracheostomygisgbeinggpreparedgforgdischargegtog
home.gWhichginstructionsgisgmostgimportantgforgthegnursegtogincludegingthegdischar
gegplan?
(ANS-gTeachgtrachealgsuctioninggtechniques


Ingassessinggangadultgclientgwithgagpartialgrebreathergmask,gthegnursegnotesgthatgtheg
oxygengreservoirgbaggdoesgnotgdeflategcompletelygduringginspirationgandgthegclient'sg
respiratorygrategisg14gbreathsg/gminute.gWhatgactiongshouldgthegnursegimplement?g(
ANS-gDocumentgthegassessmentgdata


Rationale:greservoirgbaggshouldgnotgdeflategcompletelygduringginspirationgandgthegcli
ent'sgrespiratorygrategisgwithingnormalglimits.


Duringgshiftgreport,gthegcentralgelectrocardiogramg(EKG)gmonitoringgsystemgalarms
.gWhichgclientgalarmgshouldgthegnurseginvestigategfirs?
(ANS-gRespiratorygapneagofg30gseconds




Ag66-year-
oldgwomangisgretiringgandgwillgnoglongerghavegaghealthginsurancegthroughghergplaceg
ofgemployment.gWhichgagencygshouldgthegclientgbegreferredgtogbygthegemployeegheal
thgnursegforghealthginsurancegneeds?
(ANS-gMedicare

NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
g g g g g g g


AND ANSWERS CORRECT/VERIFIED /Latest 2022/
g g g g g


Test Bank g

, NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
g g g g g g g


AND ANSWERS CORRECT/VERIFIED /Latest 2022/
g g g g g


Test Bank g




Agclientgwhogisgtakinggangoralgdosegofgagtetracyclinegcomplainsgofggastrointestinalg
upset.gWhatgsnackgshouldgthegnurseginstructgthegclientgtogtakegwithgthegtetracycline?g
(ANS-gToastedgwheatgbreadgandgjelly


Followinggaglumbargpuncture,gagclientgvoicesgseveralgcomplaints.gWhatgcomplaintg
indicatedgtogthegnursegthatgthegclientgisgexperiencinggagcomplication?
(ANS-g"IghavegagheadachegthatggetsgworsegwhengIgsitgup"
"IgamghavinggpaingingmyglowergbackgwhengIgmovegmyglegs"g"
MygthroatghurtsgwhengIgswallow"
"Igfeelgsickgtogmygstomachgandgamggoinggtogthrowgup"


Angelderlygclientgseemsgconfusedgandgreportsgthegonsetgofgnausea,gdysuria,gandgurgen
cygwithgincontinence.gWhichgactiongshouldgthegnursegimplement?
(ANS-gObtaingagcleangcatchgmid-streamgspecimen


Thegnursegisgassistinggthegmothergofgagchildgwithgphenylketonuriag(PKU)gtogselectgfo
odsgthatgaregingkeepinggwithgthegchild'sgdietarygrestrictions.gWhichgfoodsgaregcontrai
ndicatedgforgthisgchild?
(ANS-gFoodsgsweetenedgwithgaspartame


Beforegpreparinggagclientgforgthegfirstgsurgicalgcasegofgthegday,gagpart-
timegscrubgnursegasksgthegcirculatinggnursegifgag3gminutegsurgicalghandgscrubgisgade

NURS 11 MED SURG HESI EXIT EXAM QUESTIONS
g g g g g g g


AND ANSWERS CORRECT/VERIFIED /Latest 2022/
g g g g g


Test Bank g