HESI 101- MED SURGE HESI RN 2 LATEST
VERSIONS 2024-2025 EACH VERSION WITH 55
QUESTIONS AND CORRECT ANSWERS|AGRADE
Terms in this set (139)
A client with a productive Observe the color, consistency, and amount of
cough has obtained a sputum
sputum specimen for
culture as instructed. What
is the best initial nursing
action?
A client is brought to the Breath sounds over bilateral lung fields.
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?
,After a hospitalization for Reorient client to his room
Syndrome of
Inappropriate Antidiuretic
Hormone (SIADH), a client
develops pontine
myselinolysis. Which
intervention should the
nurse implement first?
A male client with heart Has his weight changed in the last several days?
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?
An older adult woman Assist her to an upright position
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?
,A client with a history of Increase the daily intake of oral fluids to liquefy
asthma and bronchitis secretions
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?
A cardiac catherterization Three main arteries have major blockages, with only 1
of a client with heart to 5% of blood flow getting through to the heart
disease indicates the muscle.
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?
, A client who weighs 175 0.6 ml
pounds is receiving IV
bolus dose of heparin 80
units/kg. The heparin is
available in a 2 ml vial,
labeled 10,000 units/ml.
How many ml should the
nurse administer?
(Enter numeric value only.
If rounding is required,
round to the nearest
tenth.)
What information should Minimize symptoms by wearing loose, comfortable
the nurse include in the clothing
teaching plan of a client
diagnosed with
gastroesophageal reflux
disease (GERD)?
The nurse is caring for a left lateral
client with a lower left
lobe pulmonary abscess.
Which position should the
nurse instruct the client to
maintain?
A client with cholelithiasis Yellow sclera
has a gallstone lodged in
the common bile duct and
is unable to eat or drink
without becoming
nauseated and vomiting.
Which finding should the
nurse report to the
healthcare provider.
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