HESI Med Surg 1 EXAM NEWEST ACTUAL EXAM
HESI MED SURG 1 EXAM NEWEST ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
A client diagnosed with angina pectoris complains of chest pain while ambulating
in the hallway. Which action should the nurse implement first?
A.
Support the client to a sitting position.
B.
Ask the client to walk slowly back to the room.
C.
Administer a sublingual nitroglycerin tablet.
D.
Provide oxygen via nasal cannula. - Correct Answer-A.
Support the client to a sitting position.
Rationale:
The nurse should safely assist the client to a resting position (A) and then
perform (C and D). The client must cease all activity immediately, which will
decrease the oxygen requirement of the myocardial muscle. After these
interventions are implemented, the client can be escorted back to the room via
wheelchair or stretcher (B).
After attending a class on reducing cancer risk factors, a client selects bran flakes
with 2% milk and orange slices from a breakfast menu. In evaluating the client's
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, HESI Med Surg 1 EXAM NEWEST ACTUAL EXAM
learning, the nurse affirms that the client has made good choices and makes what
additional recommendation?
A.
Switch to skim milk.
B.
Switch to orange juice.
C.
Add a source of protein.
D.
Add herbal tea. - Correct Answer-A.
Switch to skim milk.
Rationale:
Dietary recommendations to reduce cancer risk include reduced consumption of
fats, with increased consumption of fruits, vegetables, and fiber. (A) promotes
reduced fat consumption. Orange slices provide more fiber than orange juice (B,
C, and D) are not standard recommendations for reducing cancer risk.
A nurse is assisting an 82-year-old client with ambulation and is concerned that
the client may fall. Which area contains the older person's center of gravity?
A.
Head and neck
B.
Upper torso
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, HESI Med Surg 1 EXAM NEWEST ACTUAL EXAM
C.
Bilateral arms
D.
Feet and legs - Correct Answer-B.
Upper torso
Rationale:
Stooped posture results in the upper torso (B) becoming the center of gravity for
older persons. The center of gravity for adults is the hips. However, as a person
grows older, a stooped posture is common because of changes caused by
osteoporosis and normal bone degeneration. Furthermore, the knees, hips, and
elbows flex. The head and neck (A) and feet and legs (D) are not the center of
gravity in the older adult. Although the arms (C) comprise a part of the upper
torso, they do not reflect the best and most complete answer.
The nurse receives the client's next scheduled bag of TPN labeled with the
additive NPH insulin. Which action should the nurse implement?
A.
Hang the solution at the current rate.
B.
Refrigerate the solution until needed.
C.
Prepare the solution with new tubing.
D.
Return the solution to the pharmacy. - Correct Answer-D.
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, HESI Med Surg 1 EXAM NEWEST ACTUAL EXAM
Return the solution to the pharmacy.
Rationale:
Only regular insulin is administered by the IV route, so the TPN solution
containing NPH insulin should be returned to the pharmacy (D). (A, B, and C) are
not indicated because the solution should not be administered.
A male client has just undergone a laryngectomy and has a cuffed tracheostomy
tube in place. When initiating bolus tube feedings postoperatively, when should
the nurse inflate the cuff?
A.
Immediately after feeding
B.
Just prior to tube feeding
C.
Continuous inflation is required
D.
Inflation is not required - Correct Answer-B.
Just prior to tube feeding
The cuff should be inflated before the feeding to block the trachea and prevent
food from entering (B) if oral feedings are started while a cuffed tracheostomy
tube is in place. It should remain inflated throughout the feeding to prevent
aspiration of food into the respiratory system. (A and D) place the client at risk
for aspiration. (C) places the client at risk for tracheal wall necrosis.
4|Page
HESI MED SURG 1 EXAM NEWEST ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
A client diagnosed with angina pectoris complains of chest pain while ambulating
in the hallway. Which action should the nurse implement first?
A.
Support the client to a sitting position.
B.
Ask the client to walk slowly back to the room.
C.
Administer a sublingual nitroglycerin tablet.
D.
Provide oxygen via nasal cannula. - Correct Answer-A.
Support the client to a sitting position.
Rationale:
The nurse should safely assist the client to a resting position (A) and then
perform (C and D). The client must cease all activity immediately, which will
decrease the oxygen requirement of the myocardial muscle. After these
interventions are implemented, the client can be escorted back to the room via
wheelchair or stretcher (B).
After attending a class on reducing cancer risk factors, a client selects bran flakes
with 2% milk and orange slices from a breakfast menu. In evaluating the client's
1|Page
, HESI Med Surg 1 EXAM NEWEST ACTUAL EXAM
learning, the nurse affirms that the client has made good choices and makes what
additional recommendation?
A.
Switch to skim milk.
B.
Switch to orange juice.
C.
Add a source of protein.
D.
Add herbal tea. - Correct Answer-A.
Switch to skim milk.
Rationale:
Dietary recommendations to reduce cancer risk include reduced consumption of
fats, with increased consumption of fruits, vegetables, and fiber. (A) promotes
reduced fat consumption. Orange slices provide more fiber than orange juice (B,
C, and D) are not standard recommendations for reducing cancer risk.
A nurse is assisting an 82-year-old client with ambulation and is concerned that
the client may fall. Which area contains the older person's center of gravity?
A.
Head and neck
B.
Upper torso
2|Page
, HESI Med Surg 1 EXAM NEWEST ACTUAL EXAM
C.
Bilateral arms
D.
Feet and legs - Correct Answer-B.
Upper torso
Rationale:
Stooped posture results in the upper torso (B) becoming the center of gravity for
older persons. The center of gravity for adults is the hips. However, as a person
grows older, a stooped posture is common because of changes caused by
osteoporosis and normal bone degeneration. Furthermore, the knees, hips, and
elbows flex. The head and neck (A) and feet and legs (D) are not the center of
gravity in the older adult. Although the arms (C) comprise a part of the upper
torso, they do not reflect the best and most complete answer.
The nurse receives the client's next scheduled bag of TPN labeled with the
additive NPH insulin. Which action should the nurse implement?
A.
Hang the solution at the current rate.
B.
Refrigerate the solution until needed.
C.
Prepare the solution with new tubing.
D.
Return the solution to the pharmacy. - Correct Answer-D.
3|Page
, HESI Med Surg 1 EXAM NEWEST ACTUAL EXAM
Return the solution to the pharmacy.
Rationale:
Only regular insulin is administered by the IV route, so the TPN solution
containing NPH insulin should be returned to the pharmacy (D). (A, B, and C) are
not indicated because the solution should not be administered.
A male client has just undergone a laryngectomy and has a cuffed tracheostomy
tube in place. When initiating bolus tube feedings postoperatively, when should
the nurse inflate the cuff?
A.
Immediately after feeding
B.
Just prior to tube feeding
C.
Continuous inflation is required
D.
Inflation is not required - Correct Answer-B.
Just prior to tube feeding
The cuff should be inflated before the feeding to block the trachea and prevent
food from entering (B) if oral feedings are started while a cuffed tracheostomy
tube is in place. It should remain inflated throughout the feeding to prevent
aspiration of food into the respiratory system. (A and D) place the client at risk
for aspiration. (C) places the client at risk for tracheal wall necrosis.
4|Page
