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HESI Med Surg1Exam
(7 Sets of Exam’s)
HESI Med Surg1Exam
Set 1
- The nurse is providing care to a client after a percutaneous transluminal coronary angioplasty (PTCA).What actions will the nurse include in the
client’s plan of care? (Select all that apply.) ANS A.Frequent vital signs.
B.Determine if the client is allergic to aspirin.
D.Offer fluids of choice.
F.Monitor infusion of IV nitroglycerine. - In assessing a client diagnosed with primary aldosteronism, the nurse
expects the laboratory test results to indicate a decreased serum level of
which substance? ANS C.Potassium
Clients with primary aldosteronism exhibit a profound decline in serum levels of
potassium; hypokalemia; hypertension is the most prominent and universal sign.
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- The nurse is providing care for a client diagnosed with trigeminal neuralgia(tic douloureux).Which symptoms will the nurse be looking for in the focusedassessment related to this condition? (Select all that apply.) ANS A.Facial
musclespasms
B.Sudden facial pain
Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric
shock, in the area innervated by one or more branches of the trigeminal nerve
(cranial V). - A 74-year-old male client is admitted to the intensive care unit (ICU) with adiagnosis of respiratory failure secondary to pneumonia. Currently, the clientis ventilator-dependent, with settings of tidal volume (VT) of 750 mL and an
intermittent mandatory ventilation (IMV) rate of 10 breaths/min. Arterial bloodgas (ABG) results are as follows pH, 7.48; PaCO2, 30 mm Hg; PaO2, 64 mm
Hg; HCO3, 25 mEq/L; and FiO2, 0.80. Which action should the nurse take
first? ANS D.Add 5 cm positive end-expiratory pressure (PEEP)
Adding PEEP helps improve oxygenation while reducing FiO2 to a less toxic level - The clinic nurse is providing post-operative teaching for a client scheduledfor a myringoplasty. Which client statements indicate to the nurse that the
teaching has been effective? (Select all that apply.) ANS B.”I will avoid forcefulanddeep coughing until my post-op checkup.
C.”I must lay flat on my non-operative side for the first 12 hours after surgery.”
D.”My hearing may be less or muffled until the packing comes out.”
The client must keep the ear bandage clean and dry until the packing is removed.
Showering and hair washing is discouraged.
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- During the shift report, the charge nurse informs a nurse of a reassignmentto another unit for the day. The nurse begins to sigh deeply and tosses abouther belongings when preparing to leave.What is the best immediate action forthe charge nurse to take? ANS A.
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Continue with the shift report and talk to the nurse about the incident at a later timeContinuing with the shift report is the best immediate action because it allows the
nurse who was floated some cooling off time. At a later time (after the nurse has
cooled off) the charge nurse should discuss the conduct of the nurse in private.
- The nurse is completing an admission interview for a client with Parkinsondisease. Which question will provide additional information about manifestations that the client is likely to experience? ANS C.”Have you ever been frozenin onespot, unable to move?”
Clients with Parkinson disease frequently experience difficulty in initiating, maintaining, and performing motor activities. They may even experience being rooted to thespot and unable to move. - The nurse teaches a client with type 2 diabetes nutritional strategies to decrease obesity.Which food items chosen by the client indicate understandingof the teaching? (Select all that apply.) ANS B.Salmon
C.Broccoli
E.Banana
Options B, C, and E provide fresh fruits, lean meats and fish, vegetables, whole
grains, and low-fat dairy products. All are recommended by the American DiabetesAssociation (ADA) and are a part of the My Plate guidelines recommended by the
U.S. Department of Agriculture (USDA).