HESI MED SURG VERSION 1 EXIT 1 EXAM Q & A (latest version).

HESI MED SURG Version 1. 1. a client with stage IV bone cancer is admitted to the hospital for a 1 to 10 scale. Which intervention should the nurse implement Answer: administer opioid and non-opioid medication simultaneously 2. During spring break, a young adult presents at the urgent care clinic and report headache. Which intervention is most important for the nurse to implement? Answer: initiate isolation precautions 3. After a colon resection for colon cancer, a male client is moaning while being transported to unit (PACU). Which intervention should the nurse implement first? Answer: determine clients pulse, blood pressure, and respirations 4. Which nursing problem has the highest priority when planning care for a client with osteomalacia? Answer: risk for injury 5. A client who took a camping vacation two weeks ago in a country with a tropical climate comes symptoms and diarrhea for the past week. Which finding is most important for the nurse report? Answer: jaundice sclera 6. a client admitted to a surgical unit is being evaluated for an intestinal obstruction . the healthcare prescribed nasogatric tube(NGT) to be inserted and placed to intermittent low wall suction. Which intervention –to facilitate proper tube placement? Answer: elevate head of bed 60 to 90 degrees 7. when explaining dietary quidelines to a client with acute glomerulonepheritis (AGN) , which instruction should the nurse include in the dietary teaching ? Answer: restrict sodium intake 8. a client with chronic kidney disease is started on hemodialysis, during the first treatment the client’s blood pressure 150/90 mm hg to 80/30 mm hg. Which action should the nurse take first? Answer: lower the head of the chair and elevate feet 9. a client with urolithiasis is preparing for discharge after lithotripsy. Which intervention should the nurse spostoperative discharge instruction? Answer: monitor urinary stream for decrease in output 10. a client with sickle cell anemia develops a fever during the last hour of administration of a unit of packed red blood notifying the healthcare provider, what information should the nurse provide first using the SBAR (situation, background, assessment, and recommendation ) communication process? Answer: preface the report by stating the clients name and admitting diagnosis. 11. Intermittent claudication with leg pain …. Answer: Encourage progressive exercise. 12.Three months after Dx of T2DM pt and nocompliance to Tx regimen….. Answer: Check A1c. 13. Client with SIADH complains of dry mouth and thirsty…. Answer: Give hard candy. 14. Client with emphysema with CT drain change from green to clear liquid. Answer: Tx is effective, document, continue to monitor pt. 15. Pt with multiple transplant reaction to report to HCP (healthcare prosional) Answer: Lower back pain and hypotension. 16. Fracture of left femur + fixation complain of pain. Answer: Assess peripheral pulse. 17. Nursing care goal for preop client. Answer: A physical and emotional preparedness. 18. Iron deficiency anemia client selected food requiring further teaching. Answer: Orange. Help in iron absorption but not reach in iron. 19. CVA client with expressive aphasia frustrated. Answer: Use communication board.