HESI MED SURG EXIT EXAM (V1 VERSION 1)
BRAND NEW Q&AS + GUARANTEED A+ 2024
While assessing a client with diabetes mellitus, the nurse observes an absence of hair growth on the client's legs. What additional assessment provides further data to support this finding? - ANSWER>> Observe the appearance of the skin of the client's legs A client is on a mechanical ventilator. Which client response indicates that the neuromuscular blocker tubocurarine chloride (Tubarine) is effective? - ANSWER>> The client's extremities are paralyzed.An elderly female client comes to the clinic for a regular check-up. The client tells the nurse that she has increased her daily doses of acetaminophen (Tylenol) for the past month to control joint pain. Based on this client's comment, what previous lab values should the nurse compare with today's lab report? - ANSWER>> Look for an increase in today's LDH compared to the previous one to assess for possible liver damage.Which signs or symptoms are characteristic of an adult client diagnosed with Cushing's syndrome? - ANSWER>> Central-type obesity, with thin extremities.A charge nurse agrees to cover another nurse's assignment during a lunch break.Based on the status report provided by the nurse who is leaving for lunch, which client should be checked 1 / 3
first by the charge nurse? - ANSWER>> The client with a pneumothorax secondary to a gunshot wound with a current pulse oximeter reading of 90%.An outcome for treatment of peripheral vascular disease is, "The client will have decreased venous congestion." What client behavior would indicate to the nurse that this outcome has been met? - ANSWER>> Avoids prolonged sitting or standing The healthcare provider performs a paracentesis on a client with ascites and 3 liters of fluid are removed. Which assessment parameter is most critical for the nurse to monitor following the procedure? - ANSWER>> vital signs The nurse is administering sevelamer (RenaGel) during lunch to a client with end stage renal disease (ESRD). The client asks the nurse to bring the medication later. The nurse should describe which action of RenaGel as an explanation for taking it with meals? - ANSWER>> Binds with phosphorus in foods and prevents absorption The nurse formulates a nursing diagnosis of, "High risk for ineffective airway clearance" for a client with myasthenia gravis. What is the most likely etiology for this nursing diagnosis? - ANSWER>> Diminished cough effort 2 / 3
Following a CVA, the nurse assess that a client developed dysphagia, hypoactive bowel sounds and firm, distended abdomen. Which prescription for the client should the nurse question? - ANSWER>> Continuous tube feeding at 65 ml/hr via gastrostomy.A client's telemetry monitor indicates the sudden onset of ventricular fibrillation. Which assessment finding should the nurse anticipate? - ANSWER>> No palpable pulse In assessing a 70-year-old female client with Alzheimer's disease, the nurse notes that she has deep inflamed cracks at the corners of her mouth. What intervention should the nurse include in this client's plan of care? - ANSWER>> Ensure that the client gets adequate B vitamins in foods or supplements A young adult female client is seen in the emergency department for a minor injury following a motor vehicle collision. She states she is very angry at the person who hit her car.What is the best nursing response? - ANSWER>> "You are upset that this incident has brought you here." An 85-year-old male resident of an extended care facility reaches for the hand of the unlicensed assistive personnel (UAP) and tries to kiss her hand several times during his morning care. The UAP reports the incident to the charge nurse. What is the best assessment of the situation? - ANSWER>> The client may be suffering from touch deprivation and needs to know
- / 3