HESI PN MED SURGE PROCTORED EXAM
- (14 DIFFERENT VERSIONS)-
,HESI PN MED SURGE PROCTORED EXAM
- (14 DIFFERENT VERSIONS)-
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HESI PN MED SURGE PROCTORED EXAM
2021
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HESI PN MED SURGE PROCTORED EXAM
VERSION 1
,A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following
actions should the nurse take?
1) Provide a diet high in protein.
2) Provide ibuprofen for retroperitoneal discomfort.
3) Monitor intake and output hourly
4) Encourage the client to consume at least 2 L of fluid daily.
A nurse is reinforcing teaching about an esophagogastroduodenoscopy with a client who has upper
gastric pain. Which of the following statements should the nurse include in the teaching?
1) "A flexible tube is introduced through the nose during the procedure."
2) "During the procedure you are in a sitting position."
3) "You will remain NPO for 8 hours before the procedure."
4) "You will be awake while the procedure is performed."
A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a
generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when
documenting this finding in the medical record?
1) Aura phase
2) Presence of automHESIsms
3) Postictal phase
4) Presence of absence seizures
A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic
cholecystectomy. Which of the following statements should the nurse make?
1) "The pain results from lying in one position too long during surgery."
2) "The pain occurs as a residual pain from cholecystitis."
3) "The pain will dissipate if you ambulate frequently."
4) "The pain is caused from the nitrous dioxide injected into the abdomen."
A nurse is checking the suction control chamber of a client's chest tube and notes that there is no
bubbling in the suction control chamber. Which of the following actions should the nurse take?
1) Notify the provider.
Answer RHESIonale:
The nurse should check for kinks and take other measures before notifying the provider.
2) Verify that the suction regulator is on.
3) Continue to monitor the client because this is an expected finding.
4) Milk the chest tube to dislodge any clots in the tubing that may be occluding it.
A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of the
following actions should the nurse take? (Select all that apply.)
1) Encourage fluid intake.
2) Monitor the puncture site for hematoma.
3) Insert a urinary catheter.
4) Elevate the client’s head of bed.
5) Apply a cervical collar to the client.
A nurse is assisting with the care of a client who is postoperHESIve following surgical repair of a
fractured mandible. The client’s jaw is wired shut to repair and stabilize the fracture. The nurse should
recognize which of the following is the priority action?
1) Relieve the client's pain.
2) Check the client’s pressure points for redness.
, 3) Provide oral hygiene.
4) Prevent aspirHESIon.
A nurse is collecting data from a client who has scleroderma. Which of the following findings should the
nurse expect?
1) A dry raised rash
2) Excessive salivHESIon
3) Periorbital edema
4) Hardened skin
A nurse is caring for an older adult client who has dysphagia and left-sided weakness following a
stroke. Which of the following actions should the nurse take?
1) Instruct the client to tilt her head back when she swallows.
2) Place food on the left side of the client's mouth.
3) Add thickener to fluids.
4) Serve food at room temperature.
A nurse is caring for a client who has partial-thickness and full-thickness burns of his head, neck, and
chest. The nurse should recognize which of the following is the priority risk to the client?
1) Airway obstruction
2) Infection
3) Fluid imbalance
4) Contractures
A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to
start taking neostigmine. Which of the following instructions should the nurse include in the teaching?
1) Take the medicHESIon 45 minutes before eHESIng.
2) Expect diaphoresis as a side effect of the neostigmine.
3) If a medicHESIon dose is missed, wait until the next scheduled dose to take the
medicHESIon.
4) Treat nasal rhinitis with an over-the-counter antihistamine.
A nurse is caring for a client who is 12 hours postoperHESIve following a transurethral resection of the
prostate (TURP) and has a 3-way urinary catheter with continuous irrigHESIon. The nurse notes there
has not been any urinary output in the last hour. Which of the following actions should the nurse
perform first?
1) Notify the provider.
2) Administer a prescribed analgesic.
3) Offer oral fluids.
4) Determine the patency of the tubing.
A nurse is caring for a client scheduled for a bone marrow biopsy. The client expresses fear about the
procedure and asks the nurse if the biopsy will hurt. Which of the following responses should the nurse
make?
1) "You must be very worried about what the biopsy will show."
2) "You'll be asleep for the whole biopsy procedure and won't be aware of what’s
happening."
3) "Your provider scheduled this, so she will want to know you still have questions about
the procedure."
4) "The biopsy can be uncomfortable, but we will try to keep you as comfortable as
possible."
A nurse is assisting with planning care for a client who is recovering from a left-hemispheric stroke.
Which of the following interventions should the nurse include in the plan?
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