MED SURG HESI V1 EXAM NEWEST ACTUAL EXAM
MED SURG HESI V1 EXAM NEWEST ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
An older client who is agitated, dyspneic, orthopneic, and using accessory muscles
to breathe is admitted for further treatment. Initial assessment includes a heart
rate of 126 bpm and irregular, respirations 36 breaths per min, blood pressure
168/100 mmHg, wheezes and crackles in all lung fields. An hour after the
administration of furosemide 60mg iv, which assessment should the nurse obtain
to determine the clients response to the treatment? (Select all that apply)
A. Skin elasticity
B. Pain scale
C. Lung sounds
D. Urinary output
E. Oxygen Saturation
C, D, E
The nurse is caring for an older client with impaired skin integrity to shearing
forces and pressure that is manifested as a draining stage 3 sacral ulcer. Which
intervention is most important for the nurse to implement?
A. Teach the family how to perform wound care
B. Encourage a diet high in protein
C. Ensure that IV fluids are administered as prescribed
D. Daily range of motion exercises
B
A young adult female visits the clinic for primary dysmenorrhea and tells the nurse
that she started taking a calcium supplement to reduce her menstrual cramps but
quit taking it because it caused constipation. The client wants to know what she
can do to relieve her menstrual cramps. Which action should the nurse implement
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, MED SURG HESI V1 EXAM NEWEST ACTUAL EXAM
first to address the clients concern?
A. Encourage client to increase her dietary intake of fiber
B. Question the client about her use of birth control pills
C. Ask her how much calcium she had been taking daily
D. Determine if she takes any over-the-counter analgesics
D
While planning care for a patient with carpal tunnel syndrome, the nurse
identifies a collaborative problem of pain. What is the etiology of this problem?
A. Compression of the nerve
B. Diminished blood flow
C. Ischemic tissue changes
D. Irritation of nerve endings
A
A client with a medical diagnosis of ruptured cerebral aneurysm exhibits these
symptoms: no eye opening, no sound vocalized, and flexion to pain (decorticate
posturing). When calculating the Glasgow Coma Scale score, which value should
the nurse document for this client?
A. 13
B. 9
C. 3
D. 5
D
A client with acute myelogenic leukemia (AML) is admitted for chemotherapy (CT)
using cytarabine and the antitumor antibiotic daunorubicin. Which measures are
most important for the nurse to implement during the induction stage of
chemotherapy?
2|Page
, MED SURG HESI V1 EXAM NEWEST ACTUAL EXAM
A. Assessment for graft versus host disease
B. Precautions to prevent infection and bleeding
C. Administration of whole blood products
D. Scheduling of outpatient maintenance therapy
B
To reduce the risk for pulmonary complication for a client with Amyotrophic
Lateral Sclerosis (ALS), what interventions should the nurse implement? (Select all
that apply)
a. Initiate passive range of motion exercises
b. Establish a regular bladder routine
c. Teach the client breathing exercises
d. Perform chest physiotherapy
e. Encourage use of incentive spirometer
A, D, E
A client with polycystic kidney disease is admitted because of an abrupt onset of
massive polyuria. The client is pale, tachycardic, and febrile. Which laboratory
finding require immediate intervention by the nurse?
A. Soidium 184 mEq/l
B.. Glucose 110 md/dl
C. Calcium 9 mg/dl
D. HCO3 25 mEq/l
A
A client tells the nurse, "I just received good news about my tumor. I have a
neoplasm, but it is benign." How should the nurse respond?
A. Inform the healthcare provider that the client does not understand the test
results
B. Ask the client if the diagnostic tests indicated any secondary metastasis
3|Page
MED SURG HESI V1 EXAM NEWEST ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
An older client who is agitated, dyspneic, orthopneic, and using accessory muscles
to breathe is admitted for further treatment. Initial assessment includes a heart
rate of 126 bpm and irregular, respirations 36 breaths per min, blood pressure
168/100 mmHg, wheezes and crackles in all lung fields. An hour after the
administration of furosemide 60mg iv, which assessment should the nurse obtain
to determine the clients response to the treatment? (Select all that apply)
A. Skin elasticity
B. Pain scale
C. Lung sounds
D. Urinary output
E. Oxygen Saturation
C, D, E
The nurse is caring for an older client with impaired skin integrity to shearing
forces and pressure that is manifested as a draining stage 3 sacral ulcer. Which
intervention is most important for the nurse to implement?
A. Teach the family how to perform wound care
B. Encourage a diet high in protein
C. Ensure that IV fluids are administered as prescribed
D. Daily range of motion exercises
B
A young adult female visits the clinic for primary dysmenorrhea and tells the nurse
that she started taking a calcium supplement to reduce her menstrual cramps but
quit taking it because it caused constipation. The client wants to know what she
can do to relieve her menstrual cramps. Which action should the nurse implement
1|Page
, MED SURG HESI V1 EXAM NEWEST ACTUAL EXAM
first to address the clients concern?
A. Encourage client to increase her dietary intake of fiber
B. Question the client about her use of birth control pills
C. Ask her how much calcium she had been taking daily
D. Determine if she takes any over-the-counter analgesics
D
While planning care for a patient with carpal tunnel syndrome, the nurse
identifies a collaborative problem of pain. What is the etiology of this problem?
A. Compression of the nerve
B. Diminished blood flow
C. Ischemic tissue changes
D. Irritation of nerve endings
A
A client with a medical diagnosis of ruptured cerebral aneurysm exhibits these
symptoms: no eye opening, no sound vocalized, and flexion to pain (decorticate
posturing). When calculating the Glasgow Coma Scale score, which value should
the nurse document for this client?
A. 13
B. 9
C. 3
D. 5
D
A client with acute myelogenic leukemia (AML) is admitted for chemotherapy (CT)
using cytarabine and the antitumor antibiotic daunorubicin. Which measures are
most important for the nurse to implement during the induction stage of
chemotherapy?
2|Page
, MED SURG HESI V1 EXAM NEWEST ACTUAL EXAM
A. Assessment for graft versus host disease
B. Precautions to prevent infection and bleeding
C. Administration of whole blood products
D. Scheduling of outpatient maintenance therapy
B
To reduce the risk for pulmonary complication for a client with Amyotrophic
Lateral Sclerosis (ALS), what interventions should the nurse implement? (Select all
that apply)
a. Initiate passive range of motion exercises
b. Establish a regular bladder routine
c. Teach the client breathing exercises
d. Perform chest physiotherapy
e. Encourage use of incentive spirometer
A, D, E
A client with polycystic kidney disease is admitted because of an abrupt onset of
massive polyuria. The client is pale, tachycardic, and febrile. Which laboratory
finding require immediate intervention by the nurse?
A. Soidium 184 mEq/l
B.. Glucose 110 md/dl
C. Calcium 9 mg/dl
D. HCO3 25 mEq/l
A
A client tells the nurse, "I just received good news about my tumor. I have a
neoplasm, but it is benign." How should the nurse respond?
A. Inform the healthcare provider that the client does not understand the test
results
B. Ask the client if the diagnostic tests indicated any secondary metastasis
3|Page
