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HESI Med Surg 1 Exam Questions and Answers 2023
(Verified Answers)
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.
2.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.
3.The nurse is providing care for a client diagnosed with trigeminal
neuralgia (tic douloureux). Which symptoms will the nurse be looking for in
the focused assessment related to this condition? (Select all that apply.)
ANS A.Facial muscle spasms
B.Sudden facial pain
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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).
4.A 74-year-old male client is admitted to the intensive care unit (ICU) with a
diagnosis of respiratory failure secondary to pneumonia. Currently, the
client is ventilator-dependent, with settings of tidal volume (VT) of 750 mL
and an intermittent mandatory ventilation (IMV) rate of 10 breaths/min.
Arterial blood gas (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
5.The clinic nurse is providing post-operative teaching for a client
scheduled for a myringoplasty. Which client statements indicate to the nursethat the teaching has been effective? (Select all that apply.) ANS B.”I will
avoid forceful and deep 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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6.During the shift report, the charge nurse informs a nurse of areassignment to another unit for the day. The nurse begins to sigh deeplyand tosses about her belongings when preparing to leave. What is the bestimmediate action for the charge nurse to take? ANS A.