HESI MED SURG FINAL EXIT EXAM 2 2023 WITH BOLDED ANSWERS
A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the
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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)
d. Computerized tomography (CT) of chest
8. A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath,
productive cough, and thickened, tenacious mucous, and the inability to walk up a flight of stairs
without experiencing breathlessness. Which action is most important for the nurse to instruct the
client about self-care? [Show Less]