2024 HESI MEDICAL SURGICAL EXIT EXAM |
2024/MED SURG HESI EXIT EXAM (VERSION 3)
QUESTIONS AND CORRECT ANSWERS
COMPLETE 160 QUESTIONS AND ANSWERS
Terms in this set (33)
A 67-year-old woman who
lives alone tripped on a
ruge in her home and
fractured her hip. Which
predisposing facotr p
,A 77-year-old female D. take digitalis?
client is admitted to the
hospital. She is confused, Elderly persons are particularly susceptible to digitalis
has no appetite, is intoxication which manifests itself in such symptoms as
nauseated and vomiting, anorexia, nausea, vomiting, diarrhea, headache, and
and is complaining of a fatigue. Although it is important to obtain a complete
headache. Her pulse rate medication history, the symptoms described are
is 43 beats per minute. classic for digitalis toxicity, and assessment of this
Which question is a problem should be made promptly. A is irrelevant.
priority for the nurse to
ask the client or her family
on admission? "Does the
client:
A. have her own teeth or
dentures?
B. take aspirin and if so,
how much?
C. take nitroglycerin?
D. take digitalis?
,After the fourth dose of C. 5 minutes before and 30 minutes after the next
gentamicin sulfate dose.
(Garamycin) IV, the nurse
plans to draw blood Peak drug serum levels are achieved 30 minutes after
samples to determine IV administration of aminioglycosides. The best time to
peak and trough levels. draw a trough is the closest time to the next
When are the best times administration. A, B, and D are not as good a time to
to draw these samples? draw the trough as C. B and D are not the best times
to draw the peak of an aminoglycoside that has been
A. 15 minutes before and administered IV.
15 minutes after the next
dose
B. One hour before and
one hour after the next
dose
C. 5 minutes before and
30 minutes after the next
dose
D. 30 minutes before and
30 minutes after the next
dose
, A client has taken steroids C. Temperature
for 12 years to help
manage chronic It is very important to check the client's temperature.
obstructive pulmonary Infection is the most common factor precipitating
disease (COPD). When respiratory distress. Clients with COPD who are on
making a home visit, which maintenance doses of corticosteroids are particularly
nursing function is of predisposed to infection. A and B are important data
greatest importance to for baseline and ongoing assessment, but they are nor
this client? Assess the as important as temperature measurement for this
client's client who is taking steroids. Assessment of skin color
and turgor is less important.
A) pulse rate, both
apically and radially.
B) blood pressure, both
standing and sitting.
C) temperature.
D) skin color and turgor.
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