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2023 HESI Med Surg III Final Exam

• Diagnostic testing has revealed that a patient's hepatocellular

carcinoma (HCC) is limited to one lobe. The nurse should anticipate that this patient's plan of care will focus on what intervention?

a) Lobectomy

b) Liver transplantation

c) Cryosurgery

d) Laser hyperthermia✔✔ a) Lobectomy

• The nurse and physician are viewing a brain scan, which indicates

bleed- ing at the point of impact to the skull and edema on the opposite side. The client is sleeping but can be aroused. The client has no memory of accident. The nurse provides all details to the next shift and is most accurate to report which type of injury?

a) Coup injury

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b) Contusion

c) Contrecoup injury

d) Head injury✔✔ c) Contrecoup injury

• A client has undergone enucleation. What complication of

enucleation should be addressed by the nurse?

a) Hemorrhage

b) Pneumonia

c) Hypotension

d) Nausea and vomiting✔✔ a) Hemorrhage

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• When caring for a client who is post intracranial surgery what is the

most important parameter to monitor?

a) Signs of infection

b) Intake and output

c) Nutritional status

d) Body temperature✔✔ d) Body temperature

• A client is diagnosed with keratitis. What advice should the nurse give

this client?

a) Use dark glasses.

b) Frequently wash the face and hair.

c) Use warm soaks frequently.

d) Massage the surrounding area.✔✔ a) Use dark glasses.

• A client is diagnosed with blepharitis. What symptoms should a

nurse monitor in this client?

a) Patchy flakes clinging to the eyelashes

b) Redness

c) A red pustule in the internal tissue of the eyelid

d) A halo around the pupil✔✔ a) Patchy flakes clinging to the eyelashes

• While cleaning gutters, a client reports getting debris in the eyes. On

inspection, no obvious foreign object is noted. Which of the following diag- nostic evaluation techniques would be most beneficial for this client?

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a) Administer fluorescein dye.

b) Obtain an x-ray for orbital fractures.

c) Assess intraocular movements.

d) Assess with tonometer.✔✔ a) Administer fluorescein dye.

• The nurse is caring for a client who is scheduled for surgery to relieve

pressure on a compressed nerve. The compression does not involve the spinal cord. What kind of spinal nerve root compression does the nurse know this is?

a) Extramedullary

b) Intramedullary

c) Spinal

d) Peripheral✔✔ a) Extramedullary

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