EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM
WITH 450 test bank EXAM verified QUESTIONS
AND CORRECT ANSWERS WITH WELLELABORATED RATIONALES/ EVOLVE
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HESI
MEDICAL SURGICAL LATEST EXAM 2024-2025
(latest) ACE YOUR TEST GRADED A+ -PDF
A client who has chronic constipation often strains to pass constipated stool which increases
intestinal pressure that weakens the intestinal walls and causes out-pouching sacs, called diverticula
which commonly occur in the sigmoid.
Which information about mammograms is most important to provide a post-menopausal female
client?
Breast self-examinations are not needed if annual mammograms are obtained.
Radiation exposure is minimized by shielding the abdomen with a lead-lined apron.
Yearly mammograms should be done regardless of previous normal x-rays.
Women at high risk should have annual routine and ultrasound mammograms. - ANS :Yearly
mammograms should be done regardless of previous normal x-rays.EVOLVE ELSEVIER HESI MED SURG
TEST BANK 2
There are different recommendations from different agnecies. For a client with no risk factors, the
earliest breast screening recommendation is a yearly mammogram at the age 40 and till the age of
54. After that every two years.
Twenty four hours after a client returns from surgical gastric bypass, the registered nurse (RN)
observes large amounts of blood in the nasogastric tube (NGT) cannister. Which assessment finding
should the RN report as early signs of hypovolemic shock?
Faint pedal pulses.
Decrease in blood pressure.
Lethargy. Correct
Slow breathing. - ANS :Decrease in blood pressure.
One of the early signs of hypovolemic shock is changes in the client's level of consciousness due to
the decrease perfusion to the brain which can manifests as lethargy or confusion.
The nurse is caring for a client with a continuous feeding through a percutaneous endoscopic
gastrostomy (PEG) tube. Which intervention should the nurse include in the plan of care?
Flush the tube with 50 ml of water q 8 hours.
Check for tube placement and residual volume q4 hours.
Obtain a daily x- ray to verify tube placement.
Position on left side with head of bed elevated 45 degrees. - ANS :Check for tube placement and
residual volume q4 hours.
Percutaneous endoscopic gastrostomy (PEG) tube placement and residual volume should be
checked every four hours for clients on continuous feeding. If the gastric residual is more than
200mL for an adult client; stop the feeding and re-check the gastric residual one hour later. If the
residual still remains more than 200mL; continue to keep the feeding on hold and contact the
client's health care provider.
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