HESI EXIT EXAMS- MEDICAL SURGICAL EXAM 2 FINAL
EXAM QUESTIONS AND ANSWERS (in bold)
A nurse is caring for a client with diabetes insipidus (DI). Which
... [Show More] data warrants the most
immediate intervention by the nurse?
a. Serum sodium of 185 mEq/L (185 mmol/L)
b. Dry skin with inelastic turgor
c. Apical rate of 100 beats per minute
d. Polyuria and excessive thirst
2. The nurse is obtaining the admission history for a client with suspected peptic ulcer disease
(PUD). Which subjective data reported by the client supports the medical diagnosis?
a. Frequent use of chewable and liquid antacids for indigestion
b. SSevereabdominal cramps and diarrhea after eating spicy foods
c. Upper mid-abdominal pain described as gnawing and burning
d. Marked loss of weight and appetite over the last 3-4 months
3. Then nurse assesses a client who is newly diagnosed with hyperthyroidism and observes that
the client’s eyeballs are protuberant, causing a wide-eyes appearance and eye discomfort.
Based on this finding, which action should the nurse include in this client’s plan of care?
a. Assess for signs of increased intracranial pressure
b. Prepare to administer intravenous levothyroxine
c. Review the client’s serum electrolyte values
d. Obtain a prescription for artificial tear drops
4. To reduce the risk for pulmonary complications for a client with Amyotrophic Lateral Sclerosis
(ALS), which interventions should the nurse implement? (Select all that apply)
a. Perform chest physiotherapy
b. Teach the client breathing exercises
c. Initiate passive range of motion exercises
d. Establish a regular bladder routine
e. Encourage use of incentive spirometer
5. A client is hospitalized with heart failure (HF). Which intervention should the nurse implement to
improve ventilation and reduce venous return?
a. Perform passive range of motion exercises
b. Place the client in high fowler position
c. Administer oxygen per nasal cannula
d. Increase the client’s activity level
6. A client who was involved in a motor vehicle collision is admitted with a fractured left femur
which is immobilized using a fracture traction splint in preparation for an open reduction
internal fixation (ORIF). The nurse determines that the client’s distal pulses are diminished in
the left foot. Which interventions should the nurse implement? (Select all that apply)
A. Verify pedal pulses using a doppler pulse device
B. Evaluate the application of the a splint to the left leg
C. Offer ice chips and oral clear liquids
D. Monitor left leg for pain, pallor, parathesia, paralysis, pressure
E. Administer oral antispasmodics and narcotic analgesics
7. The healthcare provider prescribes diagnostic test for a client whose chest X-ray indicates
pneumonia. Which diagnostic test should the nurse review for implementation in the most
therapeutic treatment of the pneumonia?
a. Sputum culture and sensitivity
b. Blood cultures
c. Arterial blood gases (ABG) [Show Less]