NURSING NR324 Med surg HESI exit exam latest 2022 test ban
g g g g g g g g g g
k with rationales complete Rated A+
g g g g g g
Thegmothergofgangadolescentgtellsgthegclinicgnurse,g"Mygsonghasgathlete'sgfoot,gIghav
egbeengapplyinggtriplegantibioticgointmentgforgtwogdays,gbutgthereghasgbeengnogimpro
vement."gWhatginstructiongshouldgthegnursegprovide?
(ANS-
gStopgusinggthegointmentgandgencouragegcompletegdryinggofgthegfeetgandg wearinggcl
eangsocks.
Ag26-year-
oldgfemalegclientgisgadmittedgtogtheghospitalgforgtreatmentgofgagsimpleggoiter,gandglev
othyroxinegsodiumg(Synthroid)gisgprescribed.gWhichgsymptomsgindicategtogthegnur
segthatgthegprescribedgdosagegisgtooghighgforgthisgclient?gThegclientgexperiences
Bradycardiagandgconstipationg
Lethargygandglackgofgappetite
Musclegcrampinggandgdry,gflushedgsking
Palpitationsgandgshortnessgofgbreath
(ANS-gPalpitationsgandgshortnessgofgbreath
Agclientgwithgaghistorygofgheartgfailuregpresentsgtogthegclinicgwithgnausea,gvomiting,g
yellowgvisiongandgpalpitations.gWhichgfindinggisgmostgimportantgforgthegnursegtogas
sessgtogthegclient?
(ANS-gObtaingaglistgofgmedicationsgtakengforgcardiacghistory
TheghealthcaregprovidergprescribesgangIVgsolutiongofgisoproterenolg(Isuprel)g1gmggi
ng250gmlgofgD5Wgatg300gmcg/hour.gThegnursegshouldgprogramgtheginfusiongpumpgto
gdeliverghowgmanygml/hour?g(Entergnumericgvaluegonly.)
(ANS-g75
Rationale:gConvertgmggtogmcggandgusegthegformulagD/HgxgQ.g300gmcg/hourg/g1,000g
mcggxg250gmlg=g3/1gxg25g=g75gml/hour
NURSING NR324 Med surg HESI exit exam latest 2022 test ban
g g g g g g g g g g
k with rationales complete Rated A+
g g g g g g
,NURSING NR324 Med surg HESI exit exam latest 2022 test ban
g g g g g g g g g g
k with rationales complete Rated A+
g g g g g g
Thegpathophysiologicalgmechanismsgthatgaregresponsiblegforgascitesgrelatedgtogliverg
failure?g(Selectgallgthatgapply)
(ANS-
gFluidgshiftsgfromgintravasculargtoginterstitialgareagduegtogdecreasedgserumgprotei
n
Increasedghydrostaticgpressuregingportalgcirculationgincreasesgfluidgshiftsgintogabdom
en
Increasedgcirculatinggaldosteroneglevelsgthatgincreasegsodiumgandgwatergretention
Thegnursegisgauscultatinggagclient'sgheartgsounds.gWhichgdescriptiongshouldgthe
nursegusegtogdocumentgthisgsound?g(Pleaseglistengtogthegaudiogfirstgtogselectgtheg
g
optiongthatgapplies)
(ANS-gMurmur
Rationale:gAgmurmurgisgauscultatedgasgagswishinggsoundgthatgisgassociatedgwithgtheg
bloodgturbulencegcreatedgbygthegheartgorgvalvulargdefect.
Theghealthcaregprovidergprescribesgceltazidimeg(Fortax)g35gmggeveryg8ghoursgIMgf
organginfant.gTheg500gmggvialgisglabeledgwithgtheginstructiongtogaddg5.3gmlgdiluentgto
gprovidegagconcentrationgofg100gmg/ml.gHowgmanygmlgshouldgthegnursegadminister
edgforgeachgdose?g(Entergnumericgvaluegonly.gIfgroundinggisgrequired,groundgtogtheg
nearestgtenth)
(ANS-g0.4
ationale:g35mg/100mggxg1g=g0.35g=g0.4gml
Thegnursegnotesgthatgagclientghasgbeengreceivingghydromorphoneg(Dilaudid)geverygsi
xghoursgforgfourgdays.gWhatgassessmentgisgmostgimportantgforgthegnursegtogcomplet
e?
Auscultategthegclient'sgbowelgsoundsgObser
vegforgedemagaroundgtheganklesgMeasuregt
hegclient'sgcapillarygglucoseglevel
Countgthegapicalgandgradialgpulsesgsimultaneouslyg
(ANS-gAuscultategthegclient'sgbowelgsounds
NURSING NR324 Med surg HESI exit exam latest 2022 test ban
g g g g g g g g g g
k with rationales complete Rated A+
g g g g g g
,NURSING NR324 Med surg HESI exit exam latest 2022 test ban
g g g g g g g g g g
k with rationales complete Rated A+
g g g g g g
Rationale:ghydromorphonegisgagpotentgopioidganalgesicgthatgslowsgperistalsisgandgfre
quentlygcausesgconstipation,gsogitgisgmostgimportantgtogAuscultategthegclient'sgbowe
lgsounds
Agfemalegclientgisgadmittedgwithgendgstagegpulmonarygdiseasegisgalert,goriented,gandg
complaininggofgshortnessgofgbreath.gThegclientgtellsgthegnursegthatgshegwantsg"nogher
oicgmeasures"gtakengifgshegstopsgbreathing,gandgshegasksgthegnursegtogdocumentgthis
ginghergmedicalgrecord.gWhatgactiongshouldgthegnursegimplement?
(ANS-gAskgthegclientgtogdiscussg"dognotgresuscitate"gwithgherghealthcaregprovider
Agclientgisgreceivinggagfullgstrengthgcontinuousgenteralgtubegfeedinggatg50gml/hourga
ndghasgdevelopedgdiarrhea.gThegclientghasgagnewgprescriptiongtogchangegthegfeeding
gtoghalfgstrength.gWhatginterventiongshouldgthegnursegimplement?
(ANS-
gAddgequalgamountsgofgwatergandgfeedinggtogagfeedinggbaggandginfusegatg 50ml/hour
Agfemalegclientgreportsgthatgherghairgisgbecominggcoarsegandgbreakinggoff,gthatgtheg
outergpartgofghergeyebrowsghavegdisappeared,gandgthatghergeyesgaregallgpuffy.gWhichg
follow-upgquestiongisgbestgforgthegnursegtogask?
(ANS-gHavegyougnoticedganygchangesgingyourgfingernails?
Rationale:gThegpatterngofgreportedgmanifestationsgisgsuggestivegofghypothyroidism
Followinggdischargegteaching,gagmalegclientgwithgduodenalgulcergtellsgthegnursegtheg
hegwillgdrinkgplentygofgdairygproducts,gsuchgasgmilk,gtoghelpgcoatgandgprotectghisgul
cer.gWhatgisgthegbestgfollow-upgactiongbygthegnurse?
(ANS-
gReviewgwithgthegclientgthegneedgtogavoidgfoodsgthatgaregrichgingmilkgandg
cream
Agmalegclientgwithghypertension,gwhogreceivedgnewgantihypertensivegprescriptionsg
atghisglastgvisitgreturnsgtogthegclinicgtwogweeksglatergtogevaluateghisgbloodgpressureg(
BP).gHisgBPgisg158/106gandghegadmitsgthatgheghasgnotgbeengtakinggthegprescribedgm
edicationgbecausegthegdrugsgmakeghimg"feelgbad".gIngexplaininggthegneedgforghyper
tensiongcontrol,gthegnursegshouldgstressgthatgangelevatedgBPgplacesgthegclientgatgrisk
gforgwhichgpathophysiologicalgcondition?
(ANS-gStrokegsecondarygtoghemorrhage
NURSING NR324 Med surg HESI exit exam latest 2022 test ban
g g g g g g g g g g
k with rationales complete Rated A+
g g g g g g
, NURSING NR324 Med surg HESI exit exam latest 2022 test ban
g g g g g g g g g g
k with rationales complete Rated A+
g g g g g g
Thegnursegobservesgunlicensedgassistivegpersonnelg(UAP)gpositioninggagnewlygadm
ittedgclientgwhoghasgagseizuregdisorder.gThegclientgisgsupinegandgthegUAPgisgplacing
gsoftgpillowsgalonggthegsidegrails.gWhatgactiongshouldgthegnursegimplement?g(ANS-
gInstructgthegUAPgtogobtaingsoftgblanketsgtogsecuregtogthegsidegrailsginsteadgofg
pillow
s.
Angadolescentgwithgmajorgdepressivegdisorderghasgbeengtakinggduloxetineg(Cy
mbalta)gforgthegpastg12gdays.gWhichgassessmentgfindinggrequiresgimmediategfoll
ow-up?
(ANS-gDescribesglifegwithoutgpurpose
Ag60-year-
oldgfemalegclientgwithgagpositivegfamilyghistorygofgovariangcancerghasgdevelopedgan
gabdominalgmassgandgisgbeinggevaluatedgforgpossiblegovariangcancer.g HergPapanicol
aug(Pap)gsmeargresultsgaregnegative.gWhatginformationgshouldgthegnursegincludeging
thegclient'sgteachinggplan?
(ANS-gFurthergevaluationginvolvinggsurgerygmaygbegneeded
Agclientgwhogrecentlygunderweargagtracheostomygisgbeinggpreparedgforgdischargegtog
home.gWhichginstructionsgisgmostgimportantgforgthegnursegtogincludegingthegdischar
gegplan?
(ANS-gTeachgtrachealgsuctioninggtechniques
Ingassessinggangadultgclientgwithgagpartialgrebreathergmask,gthegnursegnotesgthatgtheg
oxygengreservoirgbaggdoesgnotgdeflategcompletelygduringginspirationgandgthegclient'sg
respiratorygrategisg14gbreathsg/gminute.gWhatgactiongshouldgthegnursegimplement?g(
ANS-gDocumentgthegassessmentgdata
Rationale:greservoirgbaggshouldgnotgdeflategcompletelygduringginspirationgandgthegcl
ient'sgrespiratorygrategisgwithingnormalglimits.
Duringgshiftgreport,gthegcentralgelectrocardiogramg(EKG)gmonitoringgsystemgalarms
.gWhichgclientgalarmgshouldgthegnurseginvestigategfirs?
NURSING NR324 Med surg HESI exit exam latest 2022 test ban
g g g g g g g g g g
k with rationales complete Rated A+
g g g g g g
g g g g g g g g g g
k with rationales complete Rated A+
g g g g g g
Thegmothergofgangadolescentgtellsgthegclinicgnurse,g"Mygsonghasgathlete'sgfoot,gIghav
egbeengapplyinggtriplegantibioticgointmentgforgtwogdays,gbutgthereghasgbeengnogimpro
vement."gWhatginstructiongshouldgthegnursegprovide?
(ANS-
gStopgusinggthegointmentgandgencouragegcompletegdryinggofgthegfeetgandg wearinggcl
eangsocks.
Ag26-year-
oldgfemalegclientgisgadmittedgtogtheghospitalgforgtreatmentgofgagsimpleggoiter,gandglev
othyroxinegsodiumg(Synthroid)gisgprescribed.gWhichgsymptomsgindicategtogthegnur
segthatgthegprescribedgdosagegisgtooghighgforgthisgclient?gThegclientgexperiences
Bradycardiagandgconstipationg
Lethargygandglackgofgappetite
Musclegcrampinggandgdry,gflushedgsking
Palpitationsgandgshortnessgofgbreath
(ANS-gPalpitationsgandgshortnessgofgbreath
Agclientgwithgaghistorygofgheartgfailuregpresentsgtogthegclinicgwithgnausea,gvomiting,g
yellowgvisiongandgpalpitations.gWhichgfindinggisgmostgimportantgforgthegnursegtogas
sessgtogthegclient?
(ANS-gObtaingaglistgofgmedicationsgtakengforgcardiacghistory
TheghealthcaregprovidergprescribesgangIVgsolutiongofgisoproterenolg(Isuprel)g1gmggi
ng250gmlgofgD5Wgatg300gmcg/hour.gThegnursegshouldgprogramgtheginfusiongpumpgto
gdeliverghowgmanygml/hour?g(Entergnumericgvaluegonly.)
(ANS-g75
Rationale:gConvertgmggtogmcggandgusegthegformulagD/HgxgQ.g300gmcg/hourg/g1,000g
mcggxg250gmlg=g3/1gxg25g=g75gml/hour
NURSING NR324 Med surg HESI exit exam latest 2022 test ban
g g g g g g g g g g
k with rationales complete Rated A+
g g g g g g
,NURSING NR324 Med surg HESI exit exam latest 2022 test ban
g g g g g g g g g g
k with rationales complete Rated A+
g g g g g g
Thegpathophysiologicalgmechanismsgthatgaregresponsiblegforgascitesgrelatedgtogliverg
failure?g(Selectgallgthatgapply)
(ANS-
gFluidgshiftsgfromgintravasculargtoginterstitialgareagduegtogdecreasedgserumgprotei
n
Increasedghydrostaticgpressuregingportalgcirculationgincreasesgfluidgshiftsgintogabdom
en
Increasedgcirculatinggaldosteroneglevelsgthatgincreasegsodiumgandgwatergretention
Thegnursegisgauscultatinggagclient'sgheartgsounds.gWhichgdescriptiongshouldgthe
nursegusegtogdocumentgthisgsound?g(Pleaseglistengtogthegaudiogfirstgtogselectgtheg
g
optiongthatgapplies)
(ANS-gMurmur
Rationale:gAgmurmurgisgauscultatedgasgagswishinggsoundgthatgisgassociatedgwithgtheg
bloodgturbulencegcreatedgbygthegheartgorgvalvulargdefect.
Theghealthcaregprovidergprescribesgceltazidimeg(Fortax)g35gmggeveryg8ghoursgIMgf
organginfant.gTheg500gmggvialgisglabeledgwithgtheginstructiongtogaddg5.3gmlgdiluentgto
gprovidegagconcentrationgofg100gmg/ml.gHowgmanygmlgshouldgthegnursegadminister
edgforgeachgdose?g(Entergnumericgvaluegonly.gIfgroundinggisgrequired,groundgtogtheg
nearestgtenth)
(ANS-g0.4
ationale:g35mg/100mggxg1g=g0.35g=g0.4gml
Thegnursegnotesgthatgagclientghasgbeengreceivingghydromorphoneg(Dilaudid)geverygsi
xghoursgforgfourgdays.gWhatgassessmentgisgmostgimportantgforgthegnursegtogcomplet
e?
Auscultategthegclient'sgbowelgsoundsgObser
vegforgedemagaroundgtheganklesgMeasuregt
hegclient'sgcapillarygglucoseglevel
Countgthegapicalgandgradialgpulsesgsimultaneouslyg
(ANS-gAuscultategthegclient'sgbowelgsounds
NURSING NR324 Med surg HESI exit exam latest 2022 test ban
g g g g g g g g g g
k with rationales complete Rated A+
g g g g g g
,NURSING NR324 Med surg HESI exit exam latest 2022 test ban
g g g g g g g g g g
k with rationales complete Rated A+
g g g g g g
Rationale:ghydromorphonegisgagpotentgopioidganalgesicgthatgslowsgperistalsisgandgfre
quentlygcausesgconstipation,gsogitgisgmostgimportantgtogAuscultategthegclient'sgbowe
lgsounds
Agfemalegclientgisgadmittedgwithgendgstagegpulmonarygdiseasegisgalert,goriented,gandg
complaininggofgshortnessgofgbreath.gThegclientgtellsgthegnursegthatgshegwantsg"nogher
oicgmeasures"gtakengifgshegstopsgbreathing,gandgshegasksgthegnursegtogdocumentgthis
ginghergmedicalgrecord.gWhatgactiongshouldgthegnursegimplement?
(ANS-gAskgthegclientgtogdiscussg"dognotgresuscitate"gwithgherghealthcaregprovider
Agclientgisgreceivinggagfullgstrengthgcontinuousgenteralgtubegfeedinggatg50gml/hourga
ndghasgdevelopedgdiarrhea.gThegclientghasgagnewgprescriptiongtogchangegthegfeeding
gtoghalfgstrength.gWhatginterventiongshouldgthegnursegimplement?
(ANS-
gAddgequalgamountsgofgwatergandgfeedinggtogagfeedinggbaggandginfusegatg 50ml/hour
Agfemalegclientgreportsgthatgherghairgisgbecominggcoarsegandgbreakinggoff,gthatgtheg
outergpartgofghergeyebrowsghavegdisappeared,gandgthatghergeyesgaregallgpuffy.gWhichg
follow-upgquestiongisgbestgforgthegnursegtogask?
(ANS-gHavegyougnoticedganygchangesgingyourgfingernails?
Rationale:gThegpatterngofgreportedgmanifestationsgisgsuggestivegofghypothyroidism
Followinggdischargegteaching,gagmalegclientgwithgduodenalgulcergtellsgthegnursegtheg
hegwillgdrinkgplentygofgdairygproducts,gsuchgasgmilk,gtoghelpgcoatgandgprotectghisgul
cer.gWhatgisgthegbestgfollow-upgactiongbygthegnurse?
(ANS-
gReviewgwithgthegclientgthegneedgtogavoidgfoodsgthatgaregrichgingmilkgandg
cream
Agmalegclientgwithghypertension,gwhogreceivedgnewgantihypertensivegprescriptionsg
atghisglastgvisitgreturnsgtogthegclinicgtwogweeksglatergtogevaluateghisgbloodgpressureg(
BP).gHisgBPgisg158/106gandghegadmitsgthatgheghasgnotgbeengtakinggthegprescribedgm
edicationgbecausegthegdrugsgmakeghimg"feelgbad".gIngexplaininggthegneedgforghyper
tensiongcontrol,gthegnursegshouldgstressgthatgangelevatedgBPgplacesgthegclientgatgrisk
gforgwhichgpathophysiologicalgcondition?
(ANS-gStrokegsecondarygtoghemorrhage
NURSING NR324 Med surg HESI exit exam latest 2022 test ban
g g g g g g g g g g
k with rationales complete Rated A+
g g g g g g
, NURSING NR324 Med surg HESI exit exam latest 2022 test ban
g g g g g g g g g g
k with rationales complete Rated A+
g g g g g g
Thegnursegobservesgunlicensedgassistivegpersonnelg(UAP)gpositioninggagnewlygadm
ittedgclientgwhoghasgagseizuregdisorder.gThegclientgisgsupinegandgthegUAPgisgplacing
gsoftgpillowsgalonggthegsidegrails.gWhatgactiongshouldgthegnursegimplement?g(ANS-
gInstructgthegUAPgtogobtaingsoftgblanketsgtogsecuregtogthegsidegrailsginsteadgofg
pillow
s.
Angadolescentgwithgmajorgdepressivegdisorderghasgbeengtakinggduloxetineg(Cy
mbalta)gforgthegpastg12gdays.gWhichgassessmentgfindinggrequiresgimmediategfoll
ow-up?
(ANS-gDescribesglifegwithoutgpurpose
Ag60-year-
oldgfemalegclientgwithgagpositivegfamilyghistorygofgovariangcancerghasgdevelopedgan
gabdominalgmassgandgisgbeinggevaluatedgforgpossiblegovariangcancer.g HergPapanicol
aug(Pap)gsmeargresultsgaregnegative.gWhatginformationgshouldgthegnursegincludeging
thegclient'sgteachinggplan?
(ANS-gFurthergevaluationginvolvinggsurgerygmaygbegneeded
Agclientgwhogrecentlygunderweargagtracheostomygisgbeinggpreparedgforgdischargegtog
home.gWhichginstructionsgisgmostgimportantgforgthegnursegtogincludegingthegdischar
gegplan?
(ANS-gTeachgtrachealgsuctioninggtechniques
Ingassessinggangadultgclientgwithgagpartialgrebreathergmask,gthegnursegnotesgthatgtheg
oxygengreservoirgbaggdoesgnotgdeflategcompletelygduringginspirationgandgthegclient'sg
respiratorygrategisg14gbreathsg/gminute.gWhatgactiongshouldgthegnursegimplement?g(
ANS-gDocumentgthegassessmentgdata
Rationale:greservoirgbaggshouldgnotgdeflategcompletelygduringginspirationgandgthegcl
ient'sgrespiratorygrategisgwithingnormalglimits.
Duringgshiftgreport,gthegcentralgelectrocardiogramg(EKG)gmonitoringgsystemgalarms
.gWhichgclientgalarmgshouldgthegnurseginvestigategfirs?
NURSING NR324 Med surg HESI exit exam latest 2022 test ban
g g g g g g g g g g
k with rationales complete Rated A+
g g g g g g
