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MED SURG HESI V1-V3 EXAM NEWEST 2025 TEST
BANK| 3 LATEST VERSIONS WITH COMPLETE 450
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS WITH
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MED SURG HESI V1
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI) Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum laboratory value warrants the most immediate intervention by the nurse?
- blood ph of 7.30
- glucose of 350 mg /dl
- white blood cell count of 15000mm
- potassium of 2.5 meq/l - Correct Answer - d. potassium of 2.5 meq/l
In caring for a client with diabetes insipidus who is receiving an antidiuretic hormone intranasal which serum lab test is most important for the nurse to monitor?
- osmolality
- calcium
- platelets
- glucose - Correct Answer - a. osmolality
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pg. 2 After administering dihydroergotamine (Migranal) 1 mg subcutaneously to a client with a severe migraine headache the nurse should explain that relief can be expected within what time frame?
- 2 hours
- 5 minutes
- 1 hour
- 15 minutes - Correct Answer - d. 15 minutes
A client with hypertension who has been taking labetalol for two weeks, reports a five pound (2.2 kg) weight gain. Which follow up assessment is most important for the nurse to obtain?
- capillary refill
- body temperature
- muscle strength
- breath sounds - Correct Answer - d. breath sounds
A client with a chronic kidney disease is treated on hemodialysis. During the 1 treatment clients blood pressure drops from 150/90 to 80/30 Which action should the nurse take first?
- monitor bp q45 minutes
- lower the head of the chair and elevate feet
- stop dialysis treatment
- administer 5% albumin IV - Correct Answer - c. stop dialysis
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pg. 3 A male client with muscular dystrophy fell in his home and is admitted with a right hip fracture. His right foot is cool, with palpable pedal pulses. lung are coarse with diminished bibasilar breath sounds. Vital signs are T: 101 degrees, HR: 128, RR: 28, B/P: 122/82. Which interventions is most important for the nurse to implement first?
- Obtain oxygen saturation level.
- Encourage incentivize spirometry
- Assess lower extremity circulation
- Administer oral PRN antipyretic - Correct Answer - Administer oral
PRN antipyretic
The nurse is completing the preoperative assessment of a client who is scheduled for a laparoscopic cholecystectomy under general anesthesia.which finding warrants notification of the HCP prior to proceeding with the scheduled procedure?
- light yellow coloring of the clients skin and eyes.
- The clients blood pressure reading 184/88mm
- The client vomits 20 mL of clear yellowish fluid
- the IV insertion site is red, swollen, and leaking IV fluid - Correct
Answer - The clients blood pressure reading 184/88
A client who has a history of hyperthyroidism was initially admitted with lethargy and confusion. Which additional finding warrants the most immediate action by the nurse?
- Facial puffiness and periorbital edema
- Hematocrit of 30% 3 / 4
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- cold and dry skin
- Further decline in LOC - Correct Answer - Further decline in LOC
Following surgical repair of the bladder, a female client is being discharged from the hospital to home with an indwelling urinary catheter. Which instruction is most important for the nurse to provide to this client?
- Avoid coiling the tubing and keep if free of kinks
- Cleanse the perineal area with soap and water twice daily
- Keep the drainage bag lower than the level of the bladder
- Drink 1,000 ml of fluids daily to irrigate catheter - Correct Answer -
Keep the drainage back lower than the level of the bladder
Which assessment finding indicates to the nurse that the muscarinic agent bethanechol (Urecholine) is effective for a client diagnosed with urinary retention?
- urinary output equal to intake
- no terminal urinary dribbling
- denies stress incontinence
- absence of xerostomia - Correct Answer - a. urinary output equal to
intake
Following involvement in a motor vehicle collision, a middle aged adult client is admitted to the hospital with multiple facial fractures. The client's blood alcohol level is high on admission. Which PRN
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