RN Exit v2 test ****A+ HESI MED SURG REAL
EXIT EXAM WITH NGN UPDATED LATEST
SOLUTIONS
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Med Surg HESI Practice Questions NCLEX RN Fundamentals NLN question - NCL
123 terms 113 terms 71 terms
Bestsammysam Preview bancymuthoni885 Preview Mohamd6056657
The nurse assumes care of a A. Assess for signs of fluid volume deficit
postoperative adult client with
type 2 diabetes mellitus and
learns that the client has a
current blood glucose level of
720 mg/dL. When assessing the
client, what is the priority?
A. Assess for signs of fluid
volume deficit
B. Observe wound drainage
characteristics
C. Measure the level of acute
pain
D. Determine when the client
last ate
,A male client tells the nurse that A. Encourage the client to obtain a complete physical exam,
he is concerned that he may since these symptoms are consistent with an ulcer
have a stomach ulcer, because
he is experiencing heartburn
and dull gnawing pain that is
relieved when he eats. Which is
the best response by the nurse?
A. Encourage the client to
obtain a complete physical
exam, since these symptoms are
consistent with an ulcer
B. Assure the client that his
symptoms may only reflect
reflux, since ulcer pain is not
relieved with food
C. Instruct the client that these
mild symptoms can generally be
controlled with changes in his
diet
D. Advise the client that he
needs to seek immediate
medical evaluation and
treatment of these symptoms
A male client with stomach D. Increase the infusion rate of Lactated Ringer's solution
cancer returns to the unit
following a total gastrectomy.
He has a nasogastric tube to
suction and is receiving Lactated
Ringer's solution at 75 mL/hr IV.
One hour after admission to the
unit, the nurse notes 300mL of
blood in the suction canister, the
client's heart rate is 155
beats/minute, and his blood
pressure is 78/48 mmHg. In
addition to reporting the
findings to the surgeon, which
action should the nurse
implement first?
A. Measure and document the
client's urinary output
B. Request the client's reserved
unit of packed red blood cells
C. Prepare for placement of a
central venous catheter
D. Increase the infusion rate of
Lactated Ringer's solution
,A heparin infusion is prescribed -1st: calculate the weight = 220/2.2= 100kg
for a client who weighs 220 -Then calculate total dose in units = 18units x 100kg = 1800 units/hr
pounds. After administering a - 25000 units - in 250
bolus dose of 80 units/kg, the 1800 units ---in X ml
nurse calculates the infusion rate x = 1800 x 250/25000 =18 mL/hr
for the heparin solution as 18
units/kg/hour. The available
solution is Heparin Sodium
25,000 Units in 5% Dextrose
Injection 250 mL. The nurse
should program the infusion
pump to deliver how many
mL/hour?
An adult male who fell 20 feet A. Add sterile water to the suction control chamber
from the roof of his home has
multiple injuries, including a right
pneumothorax. Chest tubes
were inserted in the emergency
department prior to his transfer
to the intensive care unit (ICU).
The nurse notes that the suction
control chamber is bubbling at
the -10cm H2O mark, which
fluctuation in the water seal, and
over the past hour 75 mL of
bright red blood is measured in
the collection chamber. Which
intervention should the nurse
implement?
A. Add sterile water to the
suction control chamber
B. Give blood from the
collection chamber as
autotransfusion
C. Manipulate blood in tubing to
drain into chamber
D. Increase wall suction to
eliminate fluctuation in water
seal
, An adult male was diagnosed B. Explain that the client will start to lose consciousness and the
with stage IV lung cancer three body systems will slow down
weeks ago. His wife approaches
the nurse and asks how she will
know that her husband's death is
imminent because their two
adult children want to be there
when he dies. Which is the best
response by the nurse?
A. Gather information regarding
how long it will take for the
children to arrive
B. Explain that the client will
start to lose consciousness and
the body systems will slow
down
C. Reassure the spouse that the
healthcare provider will notify
when to call the children
D. Offer to discuss the client's
health status with each of the
adult children
See an expert-written answer!
The charge nurse of a critical D. An 82-year-old client with Alzheimer's disease and a newly-
care unit is informed at the fractured femur who has a Foley catheter and soft wrist restraints
beginning of the shift that less applied
than the optimal number of
registered nurses will be
working that shift. In planning
assignments, which client should
receive the most care hours by a
registered nurse (RN)?
A. A 48-year-old marathon
runner with a central venous
catheter who is experiencing
nausea and vomiting due to
electrolyte disturbance
following a race
B. A 34-year-old admitted today
after an emergency
appendectomy who has a
peripheral intravenous catheter
and a Foley catheter
C. A 63-year-old chain smoker
admitted with chronic bronchitis
who is receiving oxygen via
nasal cannula and has a saline-
locked peripheral intravenous
catheter
D. An 82-year-old client with
Alzheimer's disease and a
newly-fractured femur who has
a Foley catheter and soft wrist
restraints applied
EXIT EXAM WITH NGN UPDATED LATEST
SOLUTIONS
Save
Students also studied
Flashcard sets Study guides
Med Surg HESI Practice Questions NCLEX RN Fundamentals NLN question - NCL
123 terms 113 terms 71 terms
Bestsammysam Preview bancymuthoni885 Preview Mohamd6056657
The nurse assumes care of a A. Assess for signs of fluid volume deficit
postoperative adult client with
type 2 diabetes mellitus and
learns that the client has a
current blood glucose level of
720 mg/dL. When assessing the
client, what is the priority?
A. Assess for signs of fluid
volume deficit
B. Observe wound drainage
characteristics
C. Measure the level of acute
pain
D. Determine when the client
last ate
,A male client tells the nurse that A. Encourage the client to obtain a complete physical exam,
he is concerned that he may since these symptoms are consistent with an ulcer
have a stomach ulcer, because
he is experiencing heartburn
and dull gnawing pain that is
relieved when he eats. Which is
the best response by the nurse?
A. Encourage the client to
obtain a complete physical
exam, since these symptoms are
consistent with an ulcer
B. Assure the client that his
symptoms may only reflect
reflux, since ulcer pain is not
relieved with food
C. Instruct the client that these
mild symptoms can generally be
controlled with changes in his
diet
D. Advise the client that he
needs to seek immediate
medical evaluation and
treatment of these symptoms
A male client with stomach D. Increase the infusion rate of Lactated Ringer's solution
cancer returns to the unit
following a total gastrectomy.
He has a nasogastric tube to
suction and is receiving Lactated
Ringer's solution at 75 mL/hr IV.
One hour after admission to the
unit, the nurse notes 300mL of
blood in the suction canister, the
client's heart rate is 155
beats/minute, and his blood
pressure is 78/48 mmHg. In
addition to reporting the
findings to the surgeon, which
action should the nurse
implement first?
A. Measure and document the
client's urinary output
B. Request the client's reserved
unit of packed red blood cells
C. Prepare for placement of a
central venous catheter
D. Increase the infusion rate of
Lactated Ringer's solution
,A heparin infusion is prescribed -1st: calculate the weight = 220/2.2= 100kg
for a client who weighs 220 -Then calculate total dose in units = 18units x 100kg = 1800 units/hr
pounds. After administering a - 25000 units - in 250
bolus dose of 80 units/kg, the 1800 units ---in X ml
nurse calculates the infusion rate x = 1800 x 250/25000 =18 mL/hr
for the heparin solution as 18
units/kg/hour. The available
solution is Heparin Sodium
25,000 Units in 5% Dextrose
Injection 250 mL. The nurse
should program the infusion
pump to deliver how many
mL/hour?
An adult male who fell 20 feet A. Add sterile water to the suction control chamber
from the roof of his home has
multiple injuries, including a right
pneumothorax. Chest tubes
were inserted in the emergency
department prior to his transfer
to the intensive care unit (ICU).
The nurse notes that the suction
control chamber is bubbling at
the -10cm H2O mark, which
fluctuation in the water seal, and
over the past hour 75 mL of
bright red blood is measured in
the collection chamber. Which
intervention should the nurse
implement?
A. Add sterile water to the
suction control chamber
B. Give blood from the
collection chamber as
autotransfusion
C. Manipulate blood in tubing to
drain into chamber
D. Increase wall suction to
eliminate fluctuation in water
seal
, An adult male was diagnosed B. Explain that the client will start to lose consciousness and the
with stage IV lung cancer three body systems will slow down
weeks ago. His wife approaches
the nurse and asks how she will
know that her husband's death is
imminent because their two
adult children want to be there
when he dies. Which is the best
response by the nurse?
A. Gather information regarding
how long it will take for the
children to arrive
B. Explain that the client will
start to lose consciousness and
the body systems will slow
down
C. Reassure the spouse that the
healthcare provider will notify
when to call the children
D. Offer to discuss the client's
health status with each of the
adult children
See an expert-written answer!
The charge nurse of a critical D. An 82-year-old client with Alzheimer's disease and a newly-
care unit is informed at the fractured femur who has a Foley catheter and soft wrist restraints
beginning of the shift that less applied
than the optimal number of
registered nurses will be
working that shift. In planning
assignments, which client should
receive the most care hours by a
registered nurse (RN)?
A. A 48-year-old marathon
runner with a central venous
catheter who is experiencing
nausea and vomiting due to
electrolyte disturbance
following a race
B. A 34-year-old admitted today
after an emergency
appendectomy who has a
peripheral intravenous catheter
and a Foley catheter
C. A 63-year-old chain smoker
admitted with chronic bronchitis
who is receiving oxygen via
nasal cannula and has a saline-
locked peripheral intravenous
catheter
D. An 82-year-old client with
Alzheimer's disease and a
newly-fractured femur who has
a Foley catheter and soft wrist
restraints applied
