HESI MED SURG #1 TEST Questions and
Answers (Latest Update 2024)
The nurse is providing care to a client after a percutaneous
transluminal coronary angioplasty (PTCA). What actions will
the nurse include in the client's plan of care? (Select all that
apply.) - Correct Answer ✅A.Frequent vital signs.
B.Determine if the client is allergic to aspirin.
D.Offer fluids of choice.
F.Monitor infusion of IV nitroglycerine.
In assessing a client diagnosed with primary aldosteronism,
the nurse expects the laboratory test results to indicate a
decreased serum level of which substance? - Correct
Answer ✅C.Potassium
Clients with primary aldosteronism exhibit a profound decline
in serum levels of potassium; hypokalemia; hypertension is
the most prominent and universal sign.
The nurse is providing care for a client diagnosed with
trigeminal neuralgia (tic douloureux). Which symptoms will
the nurse be looking for in the focused assessment related to
this condition? (Select all that apply.) - Correct Answer
✅A.Facial muscle spasms
,HESI MED SURG #1 TEST Questions and
Answers (Latest Update 2024)
B.Sudden facial pain
Trigeminal neuralgia is characterized by paroxysms of pain,
similar to an electric shock, in the area innervated by one or
more branches of the trigeminal nerve (cranial V).
A 74-year-old male client is admitted to the intensive care
unit (ICU) with a diagnosis of respiratory failure secondary to
pneumonia. Currently, the client is ventilator-dependent, with
settings of tidal volume (VT) of 750 mL and an intermittent
mandatory ventilation (IMV) rate of 10 breaths/min. Arterial
blood gas (ABG) results are as follows: pH, 7.48; PaCO2, 30
mm Hg; PaO2, 64 mm Hg; HCO3, 25 mEq/L; and FiO2, 0.80.
Which action should the nurse take first? - Correct Answer
✅D.Add 5 cm positive end-expiratory pressure (PEEP)
Adding PEEP helps improve oxygenation while reducing FiO2
to a less toxic level
The clinic nurse is providing post-operative teaching for a
client scheduled for a myringoplasty. Which client statements
indicate to the nurse that the teaching has been effective?
(Select all that apply.) - Correct Answer ✅B."I will avoid
forceful and deep coughing until my post-op checkup.
, HESI MED SURG #1 TEST Questions and
Answers (Latest Update 2024)
C."I must lay flat on my non-operative side for the first 12
hours after surgery."
D."My hearing may be less or muffled until the packing
comes out."
The client must keep the ear bandage clean and dry until the
packing is removed. Showering and hair washing is
discouraged.
During the shift report, the charge nurse informs a nurse of a
reassignment to another unit for the day. The nurse begins to
sigh deeply and tosses about her belongings when preparing
to leave. What is the best immediate action for the charge
nurse to take? - Correct Answer ✅A.
Continue with the shift report and talk to the nurse about the
incident at a later time.
Continuing with the shift report is the best immediate action
because it allows the nurse who was floated some cooling off
time. At a later time (after the nurse has cooled off) the
charge nurse should discuss the conduct of the nurse in
private.
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