HESI MED SURG RN V1 QUESTIONS AND ANSWERS GRADED A/LATEST 2023 MARCH {100 QUESTIONS AND ANSWERS}
1. A nurse is assessing a client has left-sided
... [Show More] heart failure. Which of the following findingssI hould the nurse expect?
a. Bradycardia
b. Flushed skin c.
d. Jugular vein distention
2. A nurse is assessing a client who is experiencing renal colic from a calculus in left renal pelvis. Identify the area where the nurse should expect the client to have referred pain. (Find“hot spots” in the artwork) - CORRECT
3. A nurse is caring for a client who is receiving peritoneal dialysis and notes a decrease in the dialysate flow rate. Which of the following actions should the nurse take? (Select all the apply.)
a.
b. Strip the catheter tubing c.
d. Raise the client to high fowlers position - pg.370: encourage client to lie
Supine withhead slightly elevated during CCPD and APD treatment.
4. A nurse is providing discharge teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in theteaching?
a.
b. Change your pet’s litter box daily.
c. Change the water in your drinking glass every 4 hrs.
d. Wash your toothbrush in the dishwasher once each month.
5. A nurse is planning to insert an indwelling catheter for a female client. Which of the followingactions should the nurse plan to take?
a. Collect urine specimen from the drainage bag 1 hr after insertion
b. Raise the head of the bed to 45 degrees prior to insertionIcI . SecureIIthe IIcatheter IItoIIthe IIclient's IIinner IIthigh
d. Attach the bag to the rail of the bed
6. A nurse is providing teaching for a client who has age-related macular degeneration. Whichof the following information should the nurse include in the teaching?
a. A possible cause of this problem is long-term lack of dietary protein.
b. You probably have a Detachment of your retina. c.
d. The doctor can perform surgery to correct the start paying the folds in your retina.
7. A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the nurse to report? – Expected Findings: fatigue, Wt loss, abdo.pain, abdo.distention, pruritus.
a.
b. Distended abdomen
c. Alkaline phosphatase 125 units/L
d. Clay colored stools
8. A nurse is preparing to discontinue long-term total parenteral nutrition (TPN) therapy for a client for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of which of the following adverse effects?
a. Hyperglycemia – if unavailable, do not attempt to catch up by increasing the infusion rate because client can develop Hyperglycemia.
b. Diarrhea
c. Constipation d.
9. A nurse is preparing to administer a unit of packed RBCs to a client. Which of the followingactions should the nurse plan to take? - CORRECT
a. Administer the unit of packed RBC’s over 1 hr.
b. Obtain the client’s first set of vital signs 1 hr after initiating the transfusion.
c. Initiate venous access with a 21-gauge needle. d.
10. A nurse is caring for a female who has toxic shock syndrome. Which of the following findingsshould the nurse expect?
a. Elevated platelet countb. I I Generalized
■ Whole body rash
c. Decreased total bilirubin
d. Hypertension
■ Hypotension
11. A nurse is providing discharge teaching to an older adult client who had an exacerbation of COPD. The client is to start fluticasone by metered-dose inhaler. Which of the following instructions should the nurse include?
a. Use fluticasone as needed for shortness of breath.
b. Limit fluid intake to 1 L per day.
c. Obtain a yearly influenza immunization.IdI . Assist IIuse IIof IIpursed-lip
12. A nurse is providing discharge teaching to an older adult client following a left total hiparthroplasty. Which of the following instructions should the nurse include in the teaching?
a. “You can cross your legs at the ankles when sitting down.”
b. “Clean the incision daily with hydrogen peroxide.”
d. “You should use an incentive spirometer every 8 hrs.”
13. Missing
14. A nurse is caring for a client who is postoperative following a femur fracture. Which of thefollowing findings should the nurse report to the provider immediately? a.
b. The client has a temperature of 38.1 C (100.5F)
c. The client’s incision is red and warm
d. The client reports incision pain
15. A nurse is planning care for a client who Clostridium difficile gastroenteritis. Which of thefollowing is an appropriate nursing action?
a.
b. Obtain a stool specimen with gloves
c. Clean surfaces with chlorhexidine-bleach
d. Wash hands with alcohol-based hand rub.
16. A nurse is setting up a sterile field before performing a dressing change on client who is postoperative. Which of the following actions should the nurse plan to take to maintain the sterile field? (Select all the apply.)
a.
c. Apply sterile gloves before opening the pack
d. Open the first flap of the sterile package toward the nurse's bodye. Place IIa IIsurgical IIpack IIwith IIa IIsterile IIdrape IIon IIthe IIwork
17. A nurse is caring for a cl [Show Less]