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HESI med surg evolve EXAM WITH COMPLETE 500
QUESTIONS AND CORRECT VERIFIED ANSWERS
WITH RATIONALES LATEST UPDATE JUST RELEASED
Question: The nurse is caring for a client with a fractured right elbow. Which assessment
finding has the highest priority and requires immediate intervention?
A. Ecchymosis over the right elbow area
B. Deep unrelenting pain in the right arm
C. An edematous right elbow
D. The presence of crepitus in the right elbow - ANSWER✔✔Correct Answer: B
Rationale:Compartment syndrome is a condition involving increased pressure and constriction
of the nerves and vessels within an anatomic compartment, causing pain uncontrolled by
opioids and neurovascular compromise. Option A is an expected finding. Option C related to
compartment syndrome cannot be seen, and any visible edema is an expected finding related to
the injury. Option D is an expected finding.
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Question: The nurse notes that a client who is scheduled for surgery the next morning has an
elevated blood urea nitrogen (BUN) level. Which condition is most likely to have contributed to
this finding?
A. Myocardial infarction 2 months ago
B. Anorexia and vomiting for the past 2 days
C.Recently diagnosed type 2 diabetes mellitus
D. Skeletal traction for a right hip fracture - ANSWER✔✔Correct Answer: B
Rationale:The blood urea nitrogen (BUN) level indicates the effectiveness of the kidneys in
filtering waste from the blood. Dehydration, which could be caused by vomiting, would cause an
increased BUN level. Option A would affect serum enzyme levels, not the BUN level. Option C
would primarily affect the blood glucose level; renal failure that could increase the BUN level
would be unlikely in a client newly diagnosed with type 2 diabetes. Effects of option D might
affect the complete blood count (CBC) but would not directly increase the BUN level.
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Question: Which instruction is best for the nurse to provide to a client with emphysema and
chronic fatigue?
A."Pace your activities and schedule rest periods."
B."Increase the amount of oxygen you use at night."
C."Obtain medical evaluation for antibiotic therapy."
D."Reduce your intake of fluids containing caffeine." - ANSWER✔✔Correct Answer: A
Rationale:Manifestations of emphysema include an increase in AP diameter (referred to as a
barrel chest), nail bed clubbing, and fatigue. The nurse can provide instructions to promote
energy management, such as pacing activities and scheduling rest periods. Option B may result
in a decreased drive to breathe. The client is not exhibiting any symptoms of infection, so option
C is not necessary. Option D is less beneficial than option A.
Question: Which nursing action would be appropriate for a client who is newly diagnosed with
Cushing syndrome?
A.Monitor blood glucose levels daily.
B.Increase intake of fluids high in potassium.
C.Encourage adequate rest between activities.
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D.Offer the client a sodium-enriched menu. - ANSWER✔✔Correct Answer: A
Rationale: Cushing syndrome results from a hypersecretion of glucocorticoids in the adrenal
cortex. Clients with Cushing syndrome often develop diabetes mellitus. Monitoring of serum
glucose levels assesses for increased blood glucose levels so that treatment can begin early. A
common finding in Cushing syndrome is generalized edema. Although potassium is needed, it is
generally obtained from food intake, not by offering potassium-enhanced fluids. Fatigue is
usually not an overwhelming factor in Cushing syndrome, so an emphasis on the need for rest is
not indicated. A low-calorie, low-carbohydrate, low-sodium diet is not recommended.
Question: The nurse is caring for a client with a fractured right elbow. Which assessment
finding has the highest priority and requires immediate intervention?
A. Ecchymosis over the right elbow area
B. Deep unrelenting pain in the right arm
C. An edematous right elbow
D. The presence of crepitus in the right elbow - ANSWER✔✔Correct Answer: B
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HESI med surg evolve EXAM WITH COMPLETE 500
QUESTIONS AND CORRECT VERIFIED ANSWERS
WITH RATIONALES LATEST UPDATE JUST RELEASED
Question: The nurse is caring for a client with a fractured right elbow. Which assessment
finding has the highest priority and requires immediate intervention?
A. Ecchymosis over the right elbow area
B. Deep unrelenting pain in the right arm
C. An edematous right elbow
D. The presence of crepitus in the right elbow - ANSWER✔✔Correct Answer: B
Rationale:Compartment syndrome is a condition involving increased pressure and constriction
of the nerves and vessels within an anatomic compartment, causing pain uncontrolled by
opioids and neurovascular compromise. Option A is an expected finding. Option C related to
compartment syndrome cannot be seen, and any visible edema is an expected finding related to
the injury. Option D is an expected finding.
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,Page 2 of 212
Question: The nurse notes that a client who is scheduled for surgery the next morning has an
elevated blood urea nitrogen (BUN) level. Which condition is most likely to have contributed to
this finding?
A. Myocardial infarction 2 months ago
B. Anorexia and vomiting for the past 2 days
C.Recently diagnosed type 2 diabetes mellitus
D. Skeletal traction for a right hip fracture - ANSWER✔✔Correct Answer: B
Rationale:The blood urea nitrogen (BUN) level indicates the effectiveness of the kidneys in
filtering waste from the blood. Dehydration, which could be caused by vomiting, would cause an
increased BUN level. Option A would affect serum enzyme levels, not the BUN level. Option C
would primarily affect the blood glucose level; renal failure that could increase the BUN level
would be unlikely in a client newly diagnosed with type 2 diabetes. Effects of option D might
affect the complete blood count (CBC) but would not directly increase the BUN level.
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Question: Which instruction is best for the nurse to provide to a client with emphysema and
chronic fatigue?
A."Pace your activities and schedule rest periods."
B."Increase the amount of oxygen you use at night."
C."Obtain medical evaluation for antibiotic therapy."
D."Reduce your intake of fluids containing caffeine." - ANSWER✔✔Correct Answer: A
Rationale:Manifestations of emphysema include an increase in AP diameter (referred to as a
barrel chest), nail bed clubbing, and fatigue. The nurse can provide instructions to promote
energy management, such as pacing activities and scheduling rest periods. Option B may result
in a decreased drive to breathe. The client is not exhibiting any symptoms of infection, so option
C is not necessary. Option D is less beneficial than option A.
Question: Which nursing action would be appropriate for a client who is newly diagnosed with
Cushing syndrome?
A.Monitor blood glucose levels daily.
B.Increase intake of fluids high in potassium.
C.Encourage adequate rest between activities.
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D.Offer the client a sodium-enriched menu. - ANSWER✔✔Correct Answer: A
Rationale: Cushing syndrome results from a hypersecretion of glucocorticoids in the adrenal
cortex. Clients with Cushing syndrome often develop diabetes mellitus. Monitoring of serum
glucose levels assesses for increased blood glucose levels so that treatment can begin early. A
common finding in Cushing syndrome is generalized edema. Although potassium is needed, it is
generally obtained from food intake, not by offering potassium-enhanced fluids. Fatigue is
usually not an overwhelming factor in Cushing syndrome, so an emphasis on the need for rest is
not indicated. A low-calorie, low-carbohydrate, low-sodium diet is not recommended.
Question: The nurse is caring for a client with a fractured right elbow. Which assessment
finding has the highest priority and requires immediate intervention?
A. Ecchymosis over the right elbow area
B. Deep unrelenting pain in the right arm
C. An edematous right elbow
D. The presence of crepitus in the right elbow - ANSWER✔✔Correct Answer: B
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