(Test Bank) Med Surg Hesi Exit Exam-Test Bank-Latest Version 2022/2023-Comprehensive

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Test Bank for Med Surg Hesi Exit Exam-Test Bank-Latest Version 2022/2023-Comprehensive, The downloadable file consists of 410 pages, and the total size of the file is 8.23 MB. Purchase now only for highly discounted price.

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Med Surg hesi exit exam-test bank-latest version 2022/2023-comprehensive • Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse? • Review with the client the need to avoid foods that are rich in milk and cream • A 66-year-old woman is retiring and will no longer have a health insurance through her place of employment. Which agency should the client be referred to by the employee health nurse for health insurance needs? • Medicare • A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset. What snack should the nurse instruct the client to take with the tetracycline? • Toasted wheat bread and jelly • Following a lumbar puncture, a client voices several complaints. What complaint indicated to the nurse that the client is experiencing a complication? • “I have a headache that gets worse when I sit up” • “I am having pain in my lower back when I move my legs” • “My throat hurts when I swallow” • “I feel sick to my stomach and am going to throw up” • An elderly client seems confused and reports the onset of nausea, dysuria, and urgency with incontinence. Which action should the nurse implement? • Obtain a clean catch mid-stream specimen • • A male client with hypertension, who received new antihypertensive prescriptions at his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits that he has not been taking the prescribed medication because the drugs make him “feel bad”. In explaining the need for hypertension control, the nurse should stress that an elevated BP places the client at risk for which pathophysiological condition? • The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What action should the nurse implement? • The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What action should the nurse implement? • The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What action should the nurse implement? • The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What action should the nurse implement? • Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows. • An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days. Which assessment finding requires immediate follow-up? • Describes life without purpose • A 60-year-old female client with a positive family history of ovarian cancer has developed an abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results are negative. What information should the nurse include in the client’s teaching plan? • Further evaluation involving surgery may be needed • A client who recently underwear a tracheostomy is being prepared for discharge to home. Which instructions is most important for the nurse to include in the discharge plan? • Teach tracheal suctioning techniques • In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen reservoir bag does not deflate completely during inspiration and the client’s respiratory rate is 14 breaths / minute. What action should the nurse implement? • Document the assessment data • Rational: reservoir bag should not deflate completely during inspiration and the client’s respiratory rate is within normal limits. • During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client alarm should the nurse investigate firs? • Respiratory apnea of 30 seconds • During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action should the nurse take first? • Check the client for lacerations or fractures • At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first? • Inform the anesthesia care provider • After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart sounds. To determine if an S3 heart sound is present, what action should the nurse take first? • Listen with the bell at the same location • The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods that are in keeping with the child’s dietary restrictions. Which foods are contraindicated for this child? • Foods sweetened with aspartame • Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequate preparation for this client. Which response should the circulating nurse provide? • Direct the nurse to continue the surgical hand scrub for a 5 minute duration • Which breakfast selection indicates that the client understands the nurse’s instructions about the dietary management of osteoporosis? • Bagel with jelly and skim milk • The charge nurse of a critical care unit is informed at the beginning of the shift that less than the optimal number of registered nurses will be working that shift. In planning assignments, which client should receive the most care hours by a registered nurse (RN)? • An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a Foley catheter and soft wrist restrains applied Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ • A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the pediatrician’s office. Upon inspection, the nurse notes that the nail went through the shoe and pierced the bottom of the child’s foot. Which action should the nurse implement first? • Cleanse the foot with soap and water and apply an antibiotic ointment • Provide teaching about the need for a tetanus booster within the next 72 hours. • have the mother check the child's temperature q4h for the next 24 hours • transfer the child to the emergency department to receive a gamma globulin injection • The mother of an adolescent tells the clinic nurse, “My son has athlete’s foot, I have been applying triple antibiotic ointment for two days, but there has been no improvement.” What instruction should the nurse provide? • Stop using the ointment and encourage complete drying of the feet and wearing clean socks. • A female client reports that her hair is becoming coarse and breaking off, that the outer part of her eyebrows have disappeared, and that her eyes are all puffy. Which follow-up question is best for the nurse to ask? • Have you noticed any changes in your fingernails? Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ • Rationale: The pattern of reported manifestations is suggestive of hypothyroidism • After a third hospitalization 6 months ago, a client is admitted to the hospital with ascites and malnutrition. The client is drowsy but responding to verbal stimuli and reports recently spitting up blood. What assessment finding warrants immediate intervention by the nurse? • Capillary refill of 8 seconds • bruises on arms and legs • round and tight abdomen • pitting edema in lower legs • After the nurse witnesses a preoperative client sign the surgical consent form, the nurse signs the form as a witness. What are the legal implications of the nurse’s signature on the client’s surgical consent form? (Select all that apply) Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ • The client voluntarily grants permission for the procedure to be done • The client is competent to sign the consent without impairment of judgment • The client understands the risks and benefits associated with the procedure • Following surgery, a male client with antisocial personality disorder frequently requests that a specific nurse be assigned to his care and is belligerent when another nurse is assigned. What action should the charge nurse implement? • Advise the client that assignments are not based on clients requests • A client with cervical cancer is hospitalized for insertion of a sealed internal cervical radiation implant. While providing care, the nurse finds the radiation implant in the bed. What action should the nurse take? • Place the implant in a lead container using long-handled forceps • The client with which type of wound is most likely to need immediate intervention by the nurse? • Laceration • Abrasion • Contusion Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ • Ulceration • Rationale: A laceration is a wound that is produced by the tearing of soft body tissue. This type of wound is often irregular and jagged. A laceration wound is often contaminated with bacteria and debris from whatever object caused the cut. • The nurse is planning care for a client admitted with a diagnosis of pheochromocytoma. Which intervention has the highest priority for inclusion in this client’s plan of care? • Monitor blood pressure frequently • Rationale: A pheochromocytoma is a rare, catecholamine-secreting tumor that may precipitate life-threatening hypertension. The tumor is malignant in 10% of cases but may be cured completely by surgical removal. Although pheochromocytoma has classically been associated with 3 syndromes—von Hippel-Lindau (VHL) syndrome, multiple endocrine neoplasia type 2 (MEN 2), and neurofibromatosis type 1 (NF1)—there are now 10 genes that have been identified as sites of mutations leading to pheochromocytoma. • When caring for a client who has acute respiratory distress syndrome (ARDS), the nurse elevates the head of the bed 30 degrees. What is the reason for this intervention? • To reduce abdominal pressure on the diaphragm • to promote retraction of the intercostal accessory muscle of respiration • to promote bronchodilation and effective airway clearance • to decrease pressure on the medullary center which stimulates breathing • Rationale: a semi-sitting position is the best position for matching Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ ventilation and perfusion and for decreasing abdominal pressure on the diaphragm, so that the client can maximize breathing. • When assessing a mildly obese 35-year-old female client, the nurse is unable to locate the gallbladder when palpating below the liver margin at the lateral border of the rectus abdominal muscle. What is the most likely explanation for failure to locate the gallbladder by palpation? • The client is too obese • Palpating in the wrong abdominal quadrant Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ • Deeper palpation technique is needed • The gallbladder is normal • Rationale: a normal healthy gallbladder is not palpable • A woman with an anxiety disorder calls her obstetrician’s office and tells the nurse of increased anxiety since the normal vaginal delivery of her son three weeks ago. Since she is breastfeeding, she stopped taking her antianxiety medications, but thinks she may need to start taking them again because of her increased anxiety. What response is best for the nurse to provide this woman? • describe the transmission of drugs to the infant through breast milk • encourage her to use stress relieving alternatives, such as deep breathing exercises • Inform her that some antianxiety medications are safe to take while breastfeeding • Explain that anxiety is a normal response for the mother of a 3-week-old. • Rationale: there are several antianxiety medications that are not contraindicated for breastfeeding mothers. • An older male client with a history of type 1 diabetes has not felt well the past few days and arrives at the clinic with abdominal cramping and vomiting. He is lethargic, moderately, confused, and cannot remember Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ when he took his last dose of insulin or ate last. What action should the nurse implement first? • Start an intravenous (IV) infusion of normal saline • obtain a serum potassium level • administer the client's usual dose of insulin • assess pupillary response to light • Rationale: the nurse should first start an intravenous infusion of normal saline to replace the fluids and electrolytes because the client has been vomiting, and it is unclear when he last ate or took insulin. The symptoms of confusion, lethargy, vomiting, and abdominal cramping are all suggestive of hyperglycemia, which also contributes to diuresis and fluid electrolyte imbalance. • A client who received multiple antihypertensive medications experiences syncope due to a drop in blood pressure to 70/40. What is the rationale for the nurse’s decision to hold the client’s scheduled antihypertensive medication? • increased urinary clearance of the multiple medications has produced diuresis and lowered the blood pressure • the antagonistic interaction among the various blood pressure medications has reduced their effectiveness • The additive effect of multiple medications has caused the blood pressure to drop too low • the synergistic effect of the multiple medications has resulted in drug toxicity and resulting hypotension • Which client is at the greatest risk for developing delirium? Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ Med surg HESI EXIT EXAM Updated (2022/23) Test Bank complete questions with 100% correct answers OVER 700+ QUESTIONS/ANSWERS GRADED A+ • An adult client who cannot sleep due to constant pain. • an older client who attempted 1 month ago • a young adult who takes antipsychotic medications twice a day • a middle-aged woman who uses a tank for supplemental oxygen • Which intervention should the nurse include in a long-term plan of care for a client with