HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021

HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 1. A client's infusion of normal saline infiltrated earlier today, and approximately 500 mL of saline infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding "stronger pain medications." What initial action is most important for the practical nurse (PN) to take? ANS: Measure the pulse volume and capillary refill distal to the infiltration. 2. The practical nurse is caring for a client with a serum potassium level of 3 mEq/L. Which findings should the nurse report to the charge nurse? (Select all that apply.) ANS: Abnormal heart rhythms Muscle cramps 3. A practical nurse (PN) prepares to administer 5 units of Regular insulin and 15 units of NPH insulin to a diabetic client. In which order should the actions be implemented when preparing the injection? (Arrange from first on top to last on bottom). ANS: 1. Perform hand hygiene according to facility policy. 2. Inspect insulin vials for type and expiration dates. 3. Inject 15 units of air into NPH insulin vial. 4.Inject 5 units of air into Regular insulin vial. 5.Withdraw 5 units of Regular insulin from vial. 6.Withdraw 15 units of NPH insulin from vial. 4. Which action by the nurse is consistent with culturally competent care? ANS: Understanding one's own world views in addition to the client's 5. The practical nurse receives a shift report that the client is experiencing fluid volume deficit. Which findings that are consistent with fluid volume deficit should the nurse document? (Select all that apply.) ANS: Tachycardia Cool skin Decreased urine output Increased thirst 6. After a permanent pacemaker is inserted, a client's discharge teaching plan includes the client goal of "The client will verbalize symptoms of pacemaker failure." Which symptoms are most important for the practical nurse (PN) to reinforce with the client? ANS: Feelings of dizziness 7. The health care provider prescribes codeine USP 60 mg every 4 hours for a client who is 3 days postoperative. The pharmacy has available codeine USP 30 mg/tablet. How many tablets should the practical nurse administer? Fill in the blank. (Type numbers only as your answer.) ANS: 2 tabs 8. The practical nurse is caring for a client who is 3 days postoperative. Which intervention should the nurse implement to decrease the possibility of the client developing hypercalcemia? (Select all that apply.) ANS: Remind the client to ambulate around the room at least three times daily. Increase fluid intake.