{"id":115988,"date":"2023-08-25T06:02:37","date_gmt":"2023-08-25T06:02:37","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=115988"},"modified":"2023-08-25T06:02:39","modified_gmt":"2023-08-25T06:02:39","slug":"hesi-med-surg-1-exam-2023-questions-and-answers-verified-answers-hesi-med-surg-1-exam-2023-questions-and-answers-verified-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/25\/hesi-med-surg-1-exam-2023-questions-and-answers-verified-answers-hesi-med-surg-1-exam-2023-questions-and-answers-verified-answers\/","title":{"rendered":"HESI Med Surg 1 Exam 2023 Questions and Answers (Verified Answers) HESI Med Surg 1 Exam 2023 Questions and Answers (Verified Answers)"},"content":{"rendered":"\n<p>1 \/ 34<br>HESI Med Surg 1 Exam Questions and Answers 2023<br>(Verified Answers)<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The nurse observes ventricular fibrillation on telemetry and, on entering<br>the client&#8217;s bathroom, finds the client unconscious on the floor. Which<br>interven- tion should the nurse implement first?<br>A.<br>Administer an antidysrhythmic<br>medication. B.<br>Start cardiopulmonary resuscitation.<br>C.<br>Defibrillate the client at 200<br>J. D.<br>Assess the client&#8217;s pulse oximetry.<br>ANS : B. Start cardiopulmonary<br>resuscitation.<br>Rationale:<br>Ventricular fibrillation is a life-threatening dysrhythmia, and CPR shouldbe started immediately (B). (A and C) are appropriate, but CPR is thepriority action. The client is dying, and (D) does not address theseriousness of this situation.<\/li>\n<\/ol>\n\n\n\n<p>2 \/ 34<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>The nurse assesses a client who has been prescribed furosemide<br>(Lasix) for cardiac disease. Which electrocardiographic change would be a<br>concern for a client taking a diuretic?<br>A.<br>Tall, spiked T waves<br>B.<br>A prolonged QT<br>interval C.<br>A widening QRS complex<br>D.<br>Presence of a U wave<br>ANS : D . Presence of a<br>U wave<br>Rationale:<br>A U wave (D) is a positive deflection following the T wave and is often<br>present with hypokalemia (low potassium level). (A, B, and C) are all<br>signs of hyperkalemia.<\/li>\n\n\n\n<li>A 43-year-old homeless, malnourished female client with a history of<br>alco- holism is transferred to the ICU. She is placed on telemetry, and the<br>rhythm strip shown is obtained. The nurse palpates a heart rate of 160<br>beats\/min, and the client&#8217;s blood pressure is 90\/54 mm Hg. Based on these<br>findings, which IV medication should the nurse administer?<\/li>\n<\/ol>\n\n\n\n<p>3 \/ 34<br>A.<\/p>\n\n\n\n<p>4 \/ 34<br>Amiodarone<br>(Cordarone) B.<br>Magnesium sulfate<br>C.<br>Lidocaine (Xylocaine)<br>D.<br>Procainamide (Pronestyl)<br>ANS : B. Magnesium<br>sulfate<br>Rationale:<br>Because the client has chronic alcoholism, she is likely to have<br>hypomagnesemia.<br>(B)is the recommended drug for torsades de pointes, which is a form of<br>polymorphic ventricular tachycardia (VT) usually associated with a<br>prolonged QT interval that occurs with hypomagnesemia. (A and D)<br>increase the QT interval, which can cause the torsades to worsen. (C) is the antiarrhythmic of choice in most cases of drug-induced<br>monomorphic VT, not torsades.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"4\">\n<li>When developing a discharge teaching plan for a client after the<br>insertion of a permanent pacemaker, the nurse writes a goal of &#8220;The client<br>will verbalize symptoms of pacemaker failure.&#8221; Which behavior indicates<br>that the goal has been met?<br>A.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>1 \/ 34HESI Med Surg 1 Exam Questions and Answers 2023(Verified Answers) 2 \/ 34 3 \/ 34A. 4 \/ 34Amiodarone(Cordarone) B.Magnesium sulfateC.Lidocaine (Xylocaine)D.Procainamide (Pronestyl)ANS : B. MagnesiumsulfateRationale:Because the client has chronic alcoholism, she is likely to havehypomagnesemia.(B)is the recommended drug for torsades de pointes, which is a form ofpolymorphic ventricular tachycardia (VT) usually associated [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-115988","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115988","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=115988"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115988\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=115988"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=115988"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=115988"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}