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HESI MED SURG V1 2017-2020 EXIT EXAM MOSTLY TESTED QUESTIONS WITH CORRECT ANSWERS SOLUTION Version 1. 1. a client with stage IV bone cancer is admitted to the hospital for a 1 to 10 scale. Which intervention should the nurse implement 2. During spring break, a young adult presents at the urgent care clinic and report headache. Which intervention is most important for the nurse to implement? 3. After a colon resection for colon cancer, a male client is moaning while being transported to unit (PACU). Which intervention should the nurse implement first? 4. Which nursing problem has the highest priority when planning care for a client with osteomalacia? 5. A client who took a camping vacation two weeks ago in a country with a tropical climate comes symptoms and diarrhea for the past week. Which finding is most important for the nurse report? 6. a client admitted to a surgical unit is being evaluated for an intestinal obstruction . the healthcare prescribed nasogatric tube(NGT) to be inserted and placed to intermittent low wall suction. Which intervention –to facilitate proper tube placement? 7. when explaining dietary quidelines to a client with acute glomerulonepheritis (AGN) , which instruction should the nurse include in the dietary teaching ? 8. a client with chronic kidney disease is started on hemodialysis, during the first treatment the client’s blood pressure 150/90 mm hg to 80/30 mm hg. Which action should the nurse take first? 9. a client with urolithiasis is preparing for discharge after lithotripsy. Which intervention should the nurse spostoperative discharge instruction? 10. a client with sickle cell anemia develops a fever during the last hour of administration of a unit of packed red blood notifying the healthcare provider, what information should the nurse provide first using the SBAR (situation, background, assessment, and recommendation ) communication process? 11. Intermittent claudiation with leg pain… 12. Three months after Dx of T2DM pt and nocompliance to Tx regimen….. 13. Client with SIADH complains of dry mouth and thirsty…. 14. Client with emphysema with CT drain change from green to clear liquid. 15. Pt with multiple transplant reaction to report to HCP (healthcare prosional) 16. Fracture of left femur + fixation complain of pain. 17. Nursing care goal for preop client. 18. Iron deficiency anemia client selected food requiring further teaching. 19. CVA client with expressive aphasia frustrated. 20. 2hrs Post op laparoscopy client demanding for food. 21. Nurse assisting PD client ambulate in hallway. 22. Xenograft for a Jewish clent with burn. 23. Laryngectomy and tracheostomy expectorate copious purulent secretion. 24. Client with emphysema and HF has edema, coughing and SOB. BNP is elevated. 25. Client with Blood glucose of 50mg/dl, before action. 26: Med order = 0.1875 mg; Available= 0.3mg per 1.2 ml 27. Heparin infusion order= 900 Unit per hr; Available= 25,000 Unit per 250 ml 28. Nurse calling HCP for client complaining of pain, SBAR report pattern. 29. Nursing care with higher priority when giving care. . 30. Bone cancer client with constipation complain of pain of 8 on 1-10 scale. 31. Pt with potassium level of 6.0, med to give. 32. In teaching a client newly diagnosed with multiple sclerosis (MS), which approach should the nurse emphasize as most likely to prevent an exacerbation of symptoms? 33. While assessing a client in a supine position, the nurse observes jugular vein distention. The client’s vital signs are: heart rate 110 beats/minute, respirations 28 breaths/minute, and blood pressure 160/88. What should the nurse take? 34. A client is recovering from a transurethral prostectomy. Which activity should be limited until after the first postoperative visit with his healthcare provider/; 35. a client who has a history of hypothyroidism was initially admitted with lethargy and confusion. Which additional finding warrants the most immediate action by the nurse? 36. after a computer tomography (CT) scan with intravenous medium, a client returns to the room complaining of shortness of breath and itching. Which intervention should the nurse implement? 37. a client with newly diagnosed crohn’s disease asks the nurse about dietary restrictions. How should the nurse respond? 38. A female college student comes to the school’s health clinic complaining of urinary frequency and burning with right lower back pain. Which intervention should the nurse implement first? 39. when preparing a teaching plan for a client newly diagnosed with diabetes mellitus, the nurse should describe which situation as requiring the most immediate action by the client or family? 40. Client is about to go to physical therapy but before that is having a wound debridement(whirlpool therapy)? What should the nurse do? Give analgesic. 41. Patient taking ferrous sulfate 42. Patient complaining of pain in the back/sacrum area 43. Patient complaining of leg pain 44. Emesis basin of coffee-ground vomit 45. Dosage calculation/Heparin Drip: 46. Dosage calculation: 47. Patient complaining of abdominal pain 48. Pt with eczema how will you know the medication is working 49. COPD patient with ABGs and elevated CO2 51) After a colon resection for colon cancer, a male client is moaning while being transported to unit (PACU). Which intervention should the nurse implement first? 52) SIADH : Give hard candy for thrist 53) Emotional prepareness before surgery

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