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MED SURG 2 HESI NEWEST 2025 ACTUAL EXAM TEST
BANK| COMPLETE 230 REAL EXAM QUE STIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS WITH RATIONALES) ALREADY GRADED
A+|| BRAND NEW!!
During spring break, a young adult presents to the urgent care clinic reports a stiff neck, a fever for the past 6 hours, and a headache. Which intervention is most important for the nurse to implement first?
- Initiate isolation precautions
- Administer an antipyretic
- Draw blood cultures
- Prepare for a lumbar puncture - Correct Answer - a. Initiate isolation
precautions
The nurse assesses a client with petechiae and ecchymosis scattered across the arms and legs. Which laboratory results should the nurse review?
- Red blood cell count
- Platelet count
- Hemoglobin levels
- White blood cell count - Correct Answer - b. Platelet count
An older adult client with a long history of chronic obstructive pulmonary disease (COPD) is admitted with progressive shortness of 1 / 4
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pg. 2 breath and a persistent cough. The client is anxious and is complaining of a dry mouth. Which intervention should the nurse implement?
- Assist client to an upright position
- Administer a prescribed sedative
- Apply a high-flow venturi mask
- Encourage client to drink water - Correct Answer - a. Assist client to
an upright position
The nurse is providing discharge instructions to a client who is receiving prednisone 5 mg PO daily for a rash due to contact with poison ivy.Which symptoms should the nurse tell the client to report to the HCP?
- Rapid weight gain
- Abdominal striae
- Moon faces
- Gastric irritation - Correct Answer - a. Rapid weight gain
A client with cholithiasis is admitted with jaundice due to obstruction of the common bile duct. Which finding is most important for the nurse to report to the HCP?
- Distended, hard, and rigid abdomen
- Clay-colored stool
- Radiating, sharp pain in right shoulder
- Bile-stained emesis - Correct Answer - a. Distended, hard, and rigid
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abdomen
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pg. 3 A client with chronic kidney disease is started on hemodialysis. During the first dialysis treatment, the client's blood pressure drops from 150/90 to 80/30. Which action should the nurse take first?
- Stop the dialysis treatment
- Adminster 5% albumin IV
- Monitor blood pressure Q45M
- Lower the head of the chair and elevate feet - Correct Answer - a.
Stop the dialysis treatment
The nurse is collecting information from a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain?
- Presence and activity of bowel sounds
- Color and consistency of feces
- Eating patterns and dietary intake
- Level and amount of physical activity - Correct Answer - c. Eating
patterns and dietary intake
A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency department with the diagnosis of autonomic dysreflexia secondary to full bladder. Which assessment finding should the nurse expect this client to exhibit?
- Complaints of chest pain and shortness of breath
- Hypotension and venous pooling in the extremities
- Profuse diaphoresis and severe, pounding headache 3 / 4
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- Pain and a burning sensation upon urination and hematuria - Correct
Answer - d. Pain and a burning sensation upon urination and hematuria
The nurse is obtaining a health history from a new client who has a history of kidney stones. Which statement by the client indicates an increased risk for renal calculi?
- Eats a vegetarian diet with cheese 2 to 3 times a day
- Experiences additional stress since adopting a child
- Jogs more frequently than usual daily routine
- Drinks several bottles of carbonate water daily - Correct Answer - a.
Eats a vegetarian diet with cheese 2 to 3 times a day
A client tells the clinic nurse about expericing burning on uriantion, and assssment reveals that the client had sexual intercourse four days ago with a person who was casually met. Which action should the nurse implement?
- Observe the perineal area for a chancroid-like lesion
- Obtain specimen of urethral drainage for culture
- Assess for perineal itching, erythema, and excoriation
- Identify all sexual paterns in the last four days - Correct Answer - b.
Obtain specimen of urethral drainage for culture
An adult client is admitted with flank pain and is diagnosed with acute pyelonephritis. What is the priority nursing action?
- Monitor hemoglobin and hematocrit
- Encourage turning and deep breathing
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