HESI RN MEDICAL SURGICAL EXAM PACK STUDY QUESTIONS WITH ANSWERS GUARANTEED PASS | RATED A+

HESI RN MEDICAL SURGICAL EXAM PACK STUDY QUESTIONS WITH ANSWERS GUARANTEED PASS | RATED A+
1. An ER nurse is completing an assessment on a patient that is alert but struggles to answer
questions. When she attempts to talk, she slurs her speech and appears very frightened. What
additional clinical manifestation does the nurse expect to find if nacy's sysmptoms have been
caused by a brain attack (stroke)?
A. A carotid bruit
B. A hypotensive blood pressure
C. hyperreflexic deep tendon relexes.
D. Decreased bowel sounds - Answer>>> A) A carotid bruit.
Rationale: the carotid artery (artery to the brain) is narrowed in clients with a brain attack. A
bruit is an abnormal sound heard on auscultation resulting from interference with normal blood
flow. Usually the blood pressure is hypertensive. Initially flaccid paralysis occurs, resulting in
hyporefkexic deep tendon reflexes. Bowel sounds are not indicative of a brain attack.
2. Which clinical manifestation further supports an assessment of a left-sided brain attack?
A) Visual field deficit on the left side.
B) Spatial-perceptual deficits.
C) Paresthesia of the left side.
D) Global aphasia.
D) Global aphasia. - Answer>>> D) Global aphasia.
Rationale: Global aphasia refers to difficulty speaking, listening, and understanding, as well as
difficulty reading and writing. Symptoms vary from person to person. Aphasia may occur
secondary to any brain injury involving the left hemisphere. Visual field deficits, spatialperceptual deficits, and paresthsia of the left side usually occur with right-sided brain attack.
3. When preparing a patient for a noncontrast computed tomography (CT) scan STAT, what
nursing intervention should the nurse implement?
A) Determine if the client has any allergies to iodine
B) Explain that the client will not be able to move her head throughout the CT scan.
C) Premedicate the client to decrease pain prior to having the procedure.
D) Provide an explanation of relaxation exercises prior to the procedure. - Answer>>> B)
Explain that the client will not be able to move her head throughout the CT scan.
Rationale: Because head motion will distort the images, Nancy will have to remain still
throughout the procedure. Allergies to iodine is important if contrast dye is being used for the CT
scan. Premedicating the client to decrease pain prior to the procedure is unnecessary because CT
scanning is a noninvasive and painless procedure. Providing an explanation of relaxation
exercises prior to the procedure is a worthwhile intervention to decrease anxiety but is not of
highest priority.
4. A neurologist prescribes a magnetic resonance imaging (MRI) of the head STAT for a patient.
Which data warrants immediate intervention by the nurse concerning this diagnostic test?
A) Elevated blood pressure.
B) Allergy to shell fish.
C) Right hip replacement.
D) History of atrial fibrillation. - Answer>>> C) Right hip replacement.
The magnetic field generated by the MRI is so strong that metal-containing items are strongly
attracted to the magnet. Because the hip joint is made of metal, a lead shield must be used during
the procedure. Elevated blood pressure, an allergy to shell fish, and a history of atrial fibrillation
would not affect the MRI.
5. A client's daughter is sitting by her mother's bedside who was recently transferred to the
Intermediate Care Unit. She states "I don't understand what a brain attack is. The healthcare
provider told me my mother is in serious condition and they are going to run several tests. I just
don't know what is going on. What happened to my mother?" What is the best response by the
nurse?
A) "I am sorry, but according to the Health Insurance Portability and Accounting Act (HIPAA), I
cannot give you any information."
B) "Your mother has had a stroke, and the blood supply to the brain has been blocked."
C) "How do you feel about what the healthcare provider said?"
D) "I will call the healthcare provider so he/she can talk to you about your mother's serious
condition." - Answer>>> B) "Your mother has had a stroke, and the blood supply to the brain
has been blocked."
Rationale: The nurse can discuss what a diagnosis means. Nancy is unable to make decisions, so
the next of kin, her daughter, Gail, needs sufficient information to make informed decisions. The
nurse has the knowledge, and the responsibility, to explain Nancy's condition to Gail. The nurse
should give facts first, and then address her feelings after the information is provided

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