HESI RN MED SURG VERSION (A AND B)
EXAM LATEST 2024 WITH 180 UPDATED
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALES (ALREADY
GRADED A+)
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the
nurse performs a neurological assessment every four hours. Which
assessment finding warrants immediate intervention by the nurse? -
Weakened cough effort
A male client who had colon surgery 3 days ago is anxious and
requesting assistance to reposition. While the nurse is turning him, the
wound dehiscences and eviscerates. The nurse moistens an available
sterile dressing and places it over the wound. What intervention should
the nurse implement next? - Prepare the client to return to the operating
room
2 | P a g e
A client with carcinoma of the lung is complaining of weakness and has
a serum sodium level of 117 mEq/L. Which nursing problem should the
nurse include in this client's plan of care? - Fluid volume excess
A female client enters the clinic and insists on being seen. She is weak,
nervous, and reports a racing heart beat and recent weight loss of 15
pounds. After ruling out substance withdrawal, the healthcare provider
suspects hyperthyroidism and admits her for further testing. Which
action should the nurse implement? - Space the client's care to provide
periods of rest
A client with a productive cough has obtained a sputum specimen for
culture as instructed. What is the best initial nursing action? - Observe
the color, consistency, and amount of sputum
A client is brought to the ED by ambulance in cardiac arrest with
cardiopulmonary resuscitation (CPR) in progress. The client is intubated
and is receiving 100% oxygen per self-inflating (ambu) bag. The nurse
3 | P a g e
determines that the client is cyanotic, cold, and diaphoretic. Which
assessment is most important for the nurse to obtain? - Breath sounds
over bilateral lung fields.
After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myelinolysis. Which
intervention should the nurse implement first? - Reorient client to his
room
A male client with heart failure (HF) calls the clinic and reports that he
cannot put his shoes on because they are too tight. Which additional
information should the nurse obtain? - Has his weight changed in the last
several days?
A client with a history of asthma and bronchitis arrives at the clinic with
shortness of breath, productive cough with 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
4 | P a g e
the client about self-care? - Increase the daily intake of oral fluids to
liquefy secretions
What information should the nurse include in the teaching plan of a
client diagnosed with gastroesophageal reflux disease (GERD)? -
Minimize symptoms by wearing loose, comfortable clothing
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Specifications
- Level:University
- School:Chamberlain
- Course:Nursing
Document
- Section:Examinations
- Made on:07-13-2024
- Type:.pdf
- Pages:49
- Language:English
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