HESI PN MED SURGE PROCTORED EXAM
VERSION 5
- A patient informs the nurse that they are taking an OTC garlic supplement. What possible
effect does garlic have on the body?
Answer: Effects blood clotting increases risk of bleeding
- A patient has a complete spinal cord injury at the third cervical vertebra. At what level
- After placement of a permanent pacemaker what which would you report as a
would you expect the patient to respond to light sensation?Answer: DIAGRAM OF BODY with boxes that you must select to indicate the level. Top box only. FACE
complication of placement?
Answer: Hiccups (Pg. 325)
- How to take off a condom
Answer: Take of of f while penis is still erect
- Ph of 7.30 paCO2 49 others WNL– what are they in?
Answer: Respiratory acidosis
- Left sided weakness while using a cane – what is indicative of needing further teaching?
Answer: Puts cane on weak side (cane should be on stronger side)
- What causes intrarenal failure?
- Signs of Peripheral vascular complication?
Answer: Trauma, contrast dye, infection, vasculitis, acute glomerulonephritis, NSAIDS, blood transfusion reaction Pg 675
Answer: Ulcer formations, Pulmonary embolism Pg. 404
- A patient returns to the clinic 72 hours after receiving a subcutaneous dose of purified
protein derivative (PPD) to test for tuberculosis exposure. The nurse inspects the injection site on the patient’s forearm and finds an induration measuring 12 mm. The nurse informs the client that Answer: “Your skin test was positive for TB exposure, we need to perform an acid-fast bacillus test and a chest X-ray Pg. 250 1 / 2
- What to do after a hemolytic reaction to a blood transfusion?
Answer: Stop the infusion, change the tubing and give NS
- How do you insert a PICC?
PICC- Flat on back (Review Pg. 303)
Subclavian IV catheter- Trendelenburg position (head below feet)
- You are removing a peripheral inserted central catheter, which of the following would you
do following removal? Answer: Measure the length of the external portion of the
catheter
13. Removing a peripheral IV catheter- Answer: make sure the tip is intact
- Patient has INR of 1.5 prior to surgery. What are you going to do?
Answer: Prep the patient for surgery
- Following the surgical placement of a new ileostomy, which of the following would you
teach them?
Answer: chew food well
Rationale: Patients with a new ostomy involving the small intestine (i.e. an ileostomy) are told post-op to avoid foods that increase flatus (green leafy vegetables, beer, carbonated beverages, dairy, and corn); avoid high-fiber foods for first 2 months; CHEW FOOD WELL; increase fluid intake; and evaluate evidence of blockage.
16.A patient is on isolation due to C difficile infection; which of the following represents correct infection protection protocol?
Answer: Collect fecal sample with gloves
17.A patient (has either a list of symptoms or a new prescription for anti- coagulant) during medical history they report they have been TAKING IBUPROFEN FOR 3 YEARS. What lab would you expect to be drawn?
Answer: Fecal Testing/Stool Guaiac/ Fecal Occult Blood Test (FOBT)
18.A patient has been on total parenteral nutrition for 10 full days, which of the following would be an indication that the nutrition therapy is effective?
Answer: Potassium 4.0 (Pg.524)
- Which of the following clients is MOST at risk for developing atelectasis?
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