COMPREHENSIVE HESI RN MED SURG PROCTORED EXAM WITH NGN PRACTICE QUESTIONS AND ANSWERS
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Course
COMPREHENSIVE HESI RN MED SURG
Institution
COMPREHENSIVE HESI RN MED SURG
COMPREHENSIVE HESI RN MED SURG
PROCTORED EXAM WITH NGN PRACTICE
QUESTIONS AND ANSWERS
A male client with Herpes zoster (shingles) on his thorax tells
the nurse that he is having difficulty sleeping. What is the
probable etiology of this problem? - ANS=Pain
When planning care for a client...
COMPREHENSIVE HESI RN MED SURG
PROCTORED EXAM WITH NGN PRACTICE
QUESTIONS AND ANSWERS 2024-2025
A male client with Herpes zoster (shingles) on his thorax tells
the nurse that he is having difficulty sleeping. What is the
probable etiology of this problem? - ANS=Pain
When planning care for a client newly diagnosed with open
angle glaucoma, the nurse identifies a priority nursing diagnosis
of, "visual sensory/perceptual alterations." This diagnosis is
based on which etiology? - ANS=Decreased peripheral vision
A client who is newly diagnosed with emphysema is being
prepared for discharge. Which instruction is best for the nurse
to provide the client to assist them with dyspnea self-
management? - ANS=Practice inhaling through the nose and
exhaling slowly through pursed lips
A client with cancer is receiving chemotherapy with a known
vesicant. The client's IV has been in place for 72 hours. The
nurse determines that a new IV site cannot be obtained, and
leaves the present IV in place. What is the greatest clinical risk
related to this situation? - ANS=Impaired skin integrity
A postoperative client reports incisional pain. The client has
two prescriptions for PRN analgesia that accompanied the
,client from the postanasthesia unit. Before selecting which
medication to administer, which action should the nurse
implement? - ANS=Compare the client's pain scale rating with
the prescribed dosing
A client with a productive cough has obtained a sputum
specimen for culture as instructed. What is the best initial
nursing action? - ANS=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 determines that the client is
cyanotic, cold, and diaphoretic. Which assessment is most
important for the nurse to obtain? - ANS=Breath sounds over
bilateral lung fields.
After a hospitalization for Syndrome of Inappropriate
Antidiuretic Hormone (SIADH), a client develops pontine
myselinolysis. Which intervention should the nurse implement
first? - ANS=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? -
ANS=Has his weight changed in the last several days?
An older adult woman with a long history of chronic obstructive
pulmonary disease (COPD) is admitted with progressive
shortness of breath and a persistent cough. She is anxious and
is complaining of a dry mouth. Which intervention should the
nurse implement? - ANS=Assist her to an upright position
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 the client
about self-care? - ANS=Increase the daily intake of oral fluids to
liquefy secretions
A cardiac catherterization of a client with heart disease
indicates the following blockages: 95% proximal left anterior
descending (LAD), 99% proximal circumflex, and ? % proximal
right coronary artery (RCA). The client later asks the nurse
"what does all this mean for me?" What information should the
nurse provide? - ANS=Three main arteries have major
blockages, with only 1 to 5% of blood flow getting through to
the heart muscle.
A client who weighs 175 pounds is receiving IV bolus dose of
heparin 80 units/kg. The heparin is available in a 2 ml vial,
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