HESI:l NSG233/l NSGl 233l (Latestl 2025/l
2026l Update)l Medical-Surgicall Nursingl IIIl Review|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Herzing
Q:l Thel nursel plansl tol assessl urinel inl thel catherl bagl ofl al clientl whol isl recievingl bladderl irrrigationl ofl fluidl followingl al transuthethrall resectionl ofl thel prostatel (TURP).l Whichl observationl indicatesl al possiblel postoperativel complicationl andl shouldl bel reportedl tol thel healthcarel providerl immediately?
Answer:
D)l Thick,l amberl coloredl fluidl inl thel urinaryl drainagel bagl 24l hoursl postoperative.
Q:l Thel nursel performsl al postoperativel assessmentl ofl al clientl followingl anl abdominall gunshotl woundl repairl andl findsl thel dressingl saturatedl withl bloodl andl petechiael isl observedl onl thel extensorl surfacesl ofl thel extremities.l Thel client'sl currentl bloodl pressurel isl 80/40l mml Hgl andl thel heartl ratel isl 130l beats/minute.l Whichl laboratoryl resultl shouldl thel nursel expectl tol findl confirmingl thel presencel ofl disseminatedl intravascularl coagulopathyl (DIC)?
Answer:
D)l Positivel D-dimer.
Q:l Al clientl involvedl inl al motorl vehiclel collisionl isl admittedl tol thel traumal intensivel carel unit.l Whichl assessmentl findingl warrantsl immediatel interventionl byl thel nurse?
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D)l Diminishedl peripherall capillaryl refill.
Q:l Thel nursel isl developingl al planl ofl carel forl al clientl withl demential causedl byl AIDS.l Whichl nursingl probleml hasl thel highestl priority?
Answer:
B)l Riskl forl injury
Q:l Al clientl isl admittedl tol thel psychiatricl unitl forl alcoholl detoxification.l Onl thel secondl dayl ofl hospitalization,l thel clientl isl nauseated,l confused,l incontinent,l hasl visiblel handl tremors,l andl al bloodl pressurel ofl 160/102l mml Hg.l Whichl interventionl isl mostl importantl forl thel nursel tol implement?
Answer:
C)l Implementl seizurel precautionsl andl padl thel bedrails.
Q:l Al clientl withl al gram-negativel bacteriall infectionl developsl disseminatedl intravascularl coagulationl (DIC).l Whichl interventionl shouldl thel nursel prioritizel inl thel client'sl planl ofl care?
Answer:
B)l Maintainl vascularl volumel withl fluidl replacement.
Q:l Thel nursel isl caringl forl al clientl withl pericarditisl afterl undergoingl al bedsidel pericardiocentesis.l Whichl findingl warrantsl immediatel interventionl byl thel nurse?
Answer:
D.l Asymmetricall chestl risel andl falll withl respiration.
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Q:l Al clientl isl admittedl tol thel intensivel carel unitl withl aspirationl pneumonial followingl anl intentionall acetaminophenl overdose.l Thel clientl isl obtundedl andl mechanicallyl ventilatedl withl 50%l chronicl fractionl ofl inspiredl oxygenl (FiO).l Seruml laboratoryl findingsl includel bloodl ureal nitrogenl (BUN)l 95l mg/dIl (34.13l mmol/L),l creatininel 2.3l mg/d/l (203.3l mcmol/L),l andl alaninel aminotransferasel (ALT)l 113l units/L.l Vitall signsl arel temperaturel 89.6°l Fl (32°l C),l heartl ratel 54l beats/minute,l andl bloodl pressurel 60/40l mml Hg.l Whichl interventionl shouldl thel nursel implementl first?
Referencel ranges:Bloodl ureal nitrogenl (BUN)l 10l tol 20l mg/d|l (3.6l tol 7.1l mmol/L)Creatininel 0.6l tol 1.2l md/dl (53l tol 106l mmol/L)Alaninel amniotransferasel (ALT)l 4l tol 36l U/Ll (4l tol 36l U/L)
Answer:
B.l Rapidlyl infusel IVl ofl normall saline.
Q:l Afterl intubatingl al client,l correctl placementl ofl thel endotracheall tubel (ETT)l isl confirmedl withl al chestl x-ray.l Whichl interventionl shouldl thel nursel implementl tol ensurel thatl thel ETTl placementl isl maintained?
Answer:
B.l Firmlyl securel thel ETTl inl place.
Q:l Al client'sl mechanicall ventilatorl indicatesl progressivelyl higherl levelsl ofl pressurel withinl thel pastl 3l minutes.l Thel pulsel oximeterl showsl diminishingl oxygenationl saturationl froml 97%l tol 92%l despitel thel maintenancel ofl alll ventilatorl settingsl includingl al fractionl ofl inspiredl oxygenl (FiOz)l 50%,l intermittentl mandatoryl ventilationl (IMV)l 18,l andl positivel endl expiatoryl pressurel (PEEP)l 5l cm.Thel endotracheall tubel (ETT)l isl correctlyl placedl andl tapedl securely.l Whichl actionl shouldl thel nursel take?
Answer:
A.l Suctionl thel ETT.
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