MEDSURG RN HESI EXIT VERSION 5
LATEST EXAM 2024 WITH UPDATED 55
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALES (ALREADY
GRADED A+)
A
... [Show More] client with Cushing's syndrome is recovering from an elective
laparoscopic procedure. Which assessment finding warrants
immediate intervention by the nurse?
A. Irregular apical pulse
B. Pitting ankle edema
C. Quarter size blood spot on dressing
D. Purple marks on skin of the abdomen - ANSWER-A
A client with eczema is applying 10% urea cream onto the
affected skin areas. Which finding reflects the expected
therapeutic response?
A. Reduced pain in eczematous areas
:
B. Decreased weeping of ulcerations in affected areas
C. Healing with a return to normal skin appearance
D. Hydration of affected dry skin areas - ANSWER-C
A client with hyperparathyroidism reports a sudden onset of
severe flank pain. Which intervention should the nurse include in
the client's plan of care?
A. Begin straining all urine
B. Implement seizure precautions
C. Administer a PRN dose of a laxative
D. Initiate cardiac telemetry - ANSWER-A
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A client with renal calculus is complaining of severe right flank
pain, nausea, and vomiting. Which nursing problem has the
highest priority?
A. Risk for aspiration related to vomiting
B. Nutritional deficit related to nausea
C. Impaired renal function related to pain
D. Acute pain related to real calculus - ANSWER-D
A client's laboratory findings indicate elevations in thyroxine and
triiodothyronine hormones. The nurse suspects that the client may
have hyperthyroidism. Which assessment finding is most often
associated with hyperthyroidism?
A. Increased pulse rate
B. Diarrhea stools
C. Atrophied thyroid gland
D. Periorbital edema - ANSWER-A
A client has an absolute neutrophil count (ANC) of 500/mm^3
after completing chemotherapy. Which intervention is most
important for the nurse to implement?
A. Implement bleeding precautions
B. Place the client in protective isolation
C. Assess vital signs every 4 hours
D. Review need for pneumococcal vaccine - ANSWER-B
A client is admitted with a deep and productive cough,
hemoptysis, and a low-grade fever. The client's Mantoux skin test
has a 15mm induration. Which intervention should the nurse
implement first?
A. Administer the initial dose of rifampin and isoniazid
B. Collect a sputum specimen for acid-fast bacillus
C. Provide a mask for the client to wear in public areas
D. Initiate airborne particulate isolation precautions - ANSWER-D
A client is being treated for acute kidney injury. On examination,
the client has a weight gain of 4.4 lbs (2kg) in 24 hours and
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exhibits changes in mental status. Which intervention should the
nurse implement?
A. Monitor daily sodium intake
B. Assess for dependent pitting edema
C. Record usual eating patterns
D. Obtain serum creatine levels daily - ANSWER-D
A client is diagnosed with diverticulosis following a colonoscopy.
The client denies any symptoms, and asks the nurse what to
expect. Which is the best response by the nurse?
A. Episodes of burning pain are commonly experienced
B. Appetite loss, with resultant feelings of weakness, are common
problems
C. Symptoms may not occur unless sacs become inflamed
D. As the sacs enlarge pain may be experienced in the lower
abdomen - ANSWER-C
A client is receiving chemotherapy for treatment of metastatic
carcinoma. When monitoring the client for systemic side effects,
which assessment finding warrants intervention by the nurse?
A. Leukopenia
B. Polycythemia
C. Ascites
D. Nystagmus - ANSWER-A
A client who fractured the right femur from a fall at home is placed
in a skeletal traction while awaiting surgery. When the client tells
the nurse the need to urinate, which intervention should the nurse
implement?
A. Insert an indwelling catheter preoperatively
B.Release the traction so the client can use a bedpan
C. Log roll the client and place adult disposable briefs beneath the
client
D. Maintain traction while the client uses a female urinal -
ANSWER-D
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A client who had colon surgery 3 days ago is anxious and
requesting assistance to reposition. While the nurse is turning the
client, the wound dehiscences and eviscerates. The nurse
moistens an available sterile dressing and places it over the
wound. Which intervention should the nurse implement next?
A. Prepare the client to return to the operating room
B. Obtain a sample of the drainage to send to the lab
C. Auscultate the abdomen for bowel sound activity
D. Bring additional sterile dressing supplies to the room -
ANSWER-A [Show Less]