HESI Med Surg Exam | Questions and Verified Answers| 100% Correct| 2023/ 2024 Newly Update
QUESTION
A female practical nurse (PN) who is a valued
... [Show More] employee tells the charge nurse in a long-term facility that she does not want to be assigned to one particular resident. She reports that the male client keeps insisting that she is his daughter and begs her to stay in his room. What is the best managerial decision?
Answer:
Reassign the PN until the resident can be assessed more completely for reality orientation.
QUESTION
A client is placed on a mechanical ventilator following a cerebral hemorrhage, and vecuronium bromide (Norcuron) 0.04 mg/kg every 12 hours IV is prescribed. What is the priority nursing diagnosis for this client?
Answer:
Impaired communication related to paralysis of skeletal muscles
QUESTION
A central venous catheter has been inserted via a jugular vein and a radiograph has confirmed placement of the catheter. A prescription has been received for a stat medication, but IV fluids have not yet been started. What action should the nurse take prior to administering the prescribed medication?
Answer:
Administer a bolus of normal saline solution
QUESTION
Which assessment finding would confirm the specific location of an enteral feeding tube?
Answer:
Examination of portable radiograph taken after the tube was inserted
QUESTION
The nurse is planning the care for a client who is admitted with the syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
Answer:
B.
Quiet environment
C.
Deep tendon reflex assessments
D.
Neurologic checks
E.
Daily weights
QUESTION
A male client has just undergone a laryngectomy and has a cuffed tracheostomy tube in place. When initiating bolus tube feedings postoperatively, when should the nurse inflate the cuff?
Answer:
just prior to tube feeding
QUESTION
A client with non-insulin-dependent diabetes mellitus (NIDDM) takes metformin (Glucophage) daily. The client is scheduled for major surgery requiring general anesthesia the next day. The nurse anticipates the use of which approach to best manage the client's diabetes while the client is NPO during the perioperative period?
Answer:
Regular insulin subcutaneously per sliding scale
QUESTION
A client diagnosed with chronic kidney disease (CKD) 2 years ago is regularly treated at a community hemodialysis facility. In assessing the client before his scheduled dialysis treatment, which electrolyte imbalance should the nurse anticipate?
Answer:
hypocalcemia
QUESTION
What is the correct procedure for performing an ophthalmoscopic examination on a client's right eye?
Answer:
From a distance of 8 to 12 inches and slightly to the side, shine the light into the client's pupil.
QUESTION
The nurse is observing an unlicensed assistive personnel (UAP) who is performing morning care for a bedfast client with Huntington disease. Which care measure is most important for the nurse to supervise?
Answer:
Oral care
QUESTION
What nursing action is necessary for the client with a flail chest? [Show Less]