NUR NGN HESI MED SURG REVIEW Exam
Questions and Answers with Rationales Graded A+
Latest update 2023/2024 GRADED A+
A client is being discharged following radioactive seed implantation for
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d prostate cancer. What is the mostimportant information that the nurse should
d d d d d d d d d d
d provide to this client’s family?
d d d d
A. Follow exposure precautions. d d
B. Encourage regular meals. d d
C. Collect all urine. d d
D. Avoid touching the client. d d d
Rationale:
Clients being treated for prostate cancer with radioactive seed implants should be
d d d d d d d d d d d
d instructed regarding the amount oftime and distance needed to prevent excessive
d d d d d d d d d d
d exposure that would pose a hazard to others. Option B is a good suggestion to
d d d d d d d d d d d d d d
d promote adequate nutrition but is not as important as option A. Option C is
d d d d d d d d d d d d d
d unnecessary. Contact with the client is permitted but should be brief to limit radiation
d d d d d d d d d d d d d
d exposure.
In assessing a client with an arteriovenous (AV) shunt who is scheduled for
d d d d d d d d d d d d
d dialysis today, the nurse notes theabsence of a thrill or bruit at the shunt site.
d d d d d d d d d d d d d d
d What action should the nurse take?
d d d d d
A. Advise the client that the shunt is intact and
d d d d d d d d
d ready for dialysis asscheduled.
d d d
B. Encourage the client to keep the shunt site d d d d d d d
d elevated above the level ofthe heart. d d d d d
NUR HESI MED SURG REVIEW Exam Questions and
d d d d d d dd
d Answers with Rationales A+ Latest update 2023/2024 A+
d d d d d dd d
,d GRADE
, NUR NGN HESI MED SURG REVIEW Exam d d d d d d d
Questions and Answers with Rationales Graded A+ d d d d d d d
Latest update 2023/2024 GRADED A+ d d d d d
C. Notify the health care provider of the findings immediately.
d d d d d d d d
D. Flush the site at least once with a heparinized saline solution.
d d d d d d d d d d
Rationale:
Absence of a thrill or bruit indicates that the shunt may be obstructed. The nurse
d d d d d d d d d d d d d d
d should notify the health care provider so that intervention can be initiated to restore
d d d d d d d d d d d d d
d function of the shunt. Option A is incorrect. Option B will notresolve the obstruction.
d d d d d d d d d d d d d
An AV shunt is internal and cannot be flushed without access using special needles.
d d d d d d d d d d d d d d
The nurse is concerned about infection for a client after an
d d d d d d d d d d
d esophagogastrostomy for esophageal cancer. Whichactions should the nurse d d d d d d d
d include in the client’s plan of care? (Select all that apply.)
d d d d d d d d d d
A. Frequent oral care every 2 hours while awake. d d d d d d d
B. Use incentive spirometer every 2 hours.
d d d d d
C. Empty contents from NG tube every 8 hours. d d d d d d d
D. Ambulate within 1 hour of return from the PACU. d d d d d d d d
E. Limit visitors until postoperative day 2.
d d d d d
Rationale:
One hour post op is too soon to ambulate for this client. Visitors help support the
d d d d d d d d d d d d d d d
d patient and are encouraged to visit.Oral care is necessary as the client will be NPO. To
d d d d d d d d d d d d d d d
d decrease the risk of infection post operatively, implement
d d d d d d d
NUR HESI MED SURG REVIEW Exam Questions and
d d d d d d dd
d Answers with Rationales A+ Latest update 2023/2024 A+ d d d d d dd d
GRADE d
, routine pulmonary exercises. The client will have an NG tube in place, likely to
d d d d d d d d d d d d d
d intermittent suction, to decompressthe stomach post surgery.
d d d d d d
The nurse notes that the client’s drainage has decreased from 50 to 5 mL/hr 12
d d d d d d d d d d d d d d
d hours after chest tube insertion forhemothorax. What is the best initial action for
d d d d d d d d d d d d
d the nurse to take?
d d d
A. Document this expected decrease in drainage. d d d d d
B. Clamp the chest tube while assessing for air leaks.
d d d d d d d d
C. Milk the tube to remove any excessive blood clot buildup.
d d d d d d d d d
D. Assess for kinks or dependent loops in the tubing.
d d d d d d d d
Rationale:
The least invasive nursing action should be performed first to determine why the
d d d d d d d d d d d d
d drainage has diminished. Option Ais completed after assessing for any problems
d d d d d d d d d d
d causing the decrease in drainage. Option B is no longer considered standard protocol
d d d d d d d d d d d d
because the increase in pressure may be harmful to the client. Option C is an
d d d d d d d d d d d d d d d
d appropriate nursing action after the tube has been assessed for kinks or dependent
d d d d d d d d d d d d
d loops.
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
d d d d d d d d d d d d d
ventricular response. Based onthis finding, the nurse anticipates assisting the
d d d d d d d d d d
d physician with which treatment? d d d
A. Administer lidocaine, 75 mg intravenous push. d d d d d
B. Perform synchronized cardioversion. d d
C. Defibrillate the client as soon as possible. d d d d d d
D. Administer atropine, 0.4 mg intravenous push. d d d d d
Rationale:
Questions and Answers with Rationales Graded A+
Latest update 2023/2024 GRADED A+
A client is being discharged following radioactive seed implantation for
d d d d d d d d d
d prostate cancer. What is the mostimportant information that the nurse should
d d d d d d d d d d
d provide to this client’s family?
d d d d
A. Follow exposure precautions. d d
B. Encourage regular meals. d d
C. Collect all urine. d d
D. Avoid touching the client. d d d
Rationale:
Clients being treated for prostate cancer with radioactive seed implants should be
d d d d d d d d d d d
d instructed regarding the amount oftime and distance needed to prevent excessive
d d d d d d d d d d
d exposure that would pose a hazard to others. Option B is a good suggestion to
d d d d d d d d d d d d d d
d promote adequate nutrition but is not as important as option A. Option C is
d d d d d d d d d d d d d
d unnecessary. Contact with the client is permitted but should be brief to limit radiation
d d d d d d d d d d d d d
d exposure.
In assessing a client with an arteriovenous (AV) shunt who is scheduled for
d d d d d d d d d d d d
d dialysis today, the nurse notes theabsence of a thrill or bruit at the shunt site.
d d d d d d d d d d d d d d
d What action should the nurse take?
d d d d d
A. Advise the client that the shunt is intact and
d d d d d d d d
d ready for dialysis asscheduled.
d d d
B. Encourage the client to keep the shunt site d d d d d d d
d elevated above the level ofthe heart. d d d d d
NUR HESI MED SURG REVIEW Exam Questions and
d d d d d d dd
d Answers with Rationales A+ Latest update 2023/2024 A+
d d d d d dd d
,d GRADE
, NUR NGN HESI MED SURG REVIEW Exam d d d d d d d
Questions and Answers with Rationales Graded A+ d d d d d d d
Latest update 2023/2024 GRADED A+ d d d d d
C. Notify the health care provider of the findings immediately.
d d d d d d d d
D. Flush the site at least once with a heparinized saline solution.
d d d d d d d d d d
Rationale:
Absence of a thrill or bruit indicates that the shunt may be obstructed. The nurse
d d d d d d d d d d d d d d
d should notify the health care provider so that intervention can be initiated to restore
d d d d d d d d d d d d d
d function of the shunt. Option A is incorrect. Option B will notresolve the obstruction.
d d d d d d d d d d d d d
An AV shunt is internal and cannot be flushed without access using special needles.
d d d d d d d d d d d d d d
The nurse is concerned about infection for a client after an
d d d d d d d d d d
d esophagogastrostomy for esophageal cancer. Whichactions should the nurse d d d d d d d
d include in the client’s plan of care? (Select all that apply.)
d d d d d d d d d d
A. Frequent oral care every 2 hours while awake. d d d d d d d
B. Use incentive spirometer every 2 hours.
d d d d d
C. Empty contents from NG tube every 8 hours. d d d d d d d
D. Ambulate within 1 hour of return from the PACU. d d d d d d d d
E. Limit visitors until postoperative day 2.
d d d d d
Rationale:
One hour post op is too soon to ambulate for this client. Visitors help support the
d d d d d d d d d d d d d d d
d patient and are encouraged to visit.Oral care is necessary as the client will be NPO. To
d d d d d d d d d d d d d d d
d decrease the risk of infection post operatively, implement
d d d d d d d
NUR HESI MED SURG REVIEW Exam Questions and
d d d d d d dd
d Answers with Rationales A+ Latest update 2023/2024 A+ d d d d d dd d
GRADE d
, routine pulmonary exercises. The client will have an NG tube in place, likely to
d d d d d d d d d d d d d
d intermittent suction, to decompressthe stomach post surgery.
d d d d d d
The nurse notes that the client’s drainage has decreased from 50 to 5 mL/hr 12
d d d d d d d d d d d d d d
d hours after chest tube insertion forhemothorax. What is the best initial action for
d d d d d d d d d d d d
d the nurse to take?
d d d
A. Document this expected decrease in drainage. d d d d d
B. Clamp the chest tube while assessing for air leaks.
d d d d d d d d
C. Milk the tube to remove any excessive blood clot buildup.
d d d d d d d d d
D. Assess for kinks or dependent loops in the tubing.
d d d d d d d d
Rationale:
The least invasive nursing action should be performed first to determine why the
d d d d d d d d d d d d
d drainage has diminished. Option Ais completed after assessing for any problems
d d d d d d d d d d
d causing the decrease in drainage. Option B is no longer considered standard protocol
d d d d d d d d d d d d
because the increase in pressure may be harmful to the client. Option C is an
d d d d d d d d d d d d d d d
d appropriate nursing action after the tube has been assessed for kinks or dependent
d d d d d d d d d d d d
d loops.
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
d d d d d d d d d d d d d
ventricular response. Based onthis finding, the nurse anticipates assisting the
d d d d d d d d d d
d physician with which treatment? d d d
A. Administer lidocaine, 75 mg intravenous push. d d d d d
B. Perform synchronized cardioversion. d d
C. Defibrillate the client as soon as possible. d d d d d d
D. Administer atropine, 0.4 mg intravenous push. d d d d d
Rationale:
