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HESI - MEDICAL SURGICAL NURSING TEST QUESTIONS WITH COMPLETE ANSWERS.
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HESI - MEDICAL SURGICAL NURSING TEST QUESTIONS WITH COMPLETE ANSWERS.
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HESI - MEDICAL SURGICAL NURSINGTEST QUESTIONS WITH COMPLETE
ANSWERS
When vvdescribing vvpatient vveducation vvapproaches, vvthe vvnurse vveducator vvwould
vvexplain vvthat vvinformal vvteaching vvis vvan vvapproach vvthat
a. vvfollows vvformalized vvplans
b. vvhas vvstandardized vvcontent
c. vvoften vvoccurs vvone-to-one
d. vvaddresses vvgroup vvneeds vv- vvAnswer vvC. vvInformal vvteaching vvis vvindividualized
vvone vvon vvone vvteaching vvwhich vvrepresents vvthe vvmajority vvof vvpatient vveducation
vvdone vvby vvnurses vvthat vvoccurs vvwhen vvan vvintervention vvis vvexplained vvor vva
vvquestion vvis vvanswered. vvGroup vvneeds vvare vvoften vvthe vvfocus vvof vvformal vvpatient
vveducation vvcourses vvor vvclasses. vvInformal vvteaching vvdoes vvnot vvnecessarily
vvfollow vva vvspecific vvformalized vvplan. vvIt vvmay vvbe vvplanned vvwith vvspecific
vvcontent, vvbut vvit vvis vvindividualized vvresponses vvto vvpatient vvneeds. vvFormal
vvteaching vvinvolves vvthe vvuse vvof vva vvcurriculum/course vvplan vvwith vvstandardized
vvcontent.
A vvpatient vvexpresses vva vvstrong vvinterest vvin vvreturning vvto vvtheir vvwork, vvfamily,
vvand vvhobbies vvafter vvhaving vva vvstroke. vvWhich vvtheory vvtype vvwould vvthe vvnurse
vvuse vvto vvdevelop vva vvplan vvof vvcare vvfor vvthe vvbest vvresults vvof vvthis vvpatient's
vvmotivation vvstyle?
a. vvfield
b. vvbiological
c. vvcognitive
d. vvsociologic vv- vvAnswer vvC. vvCognitive vvtheorists vvbelieve vvthat vvattention,
vvrelevance, vvconfidence, vvand vvsatisfaction vv(ARCS) vvare vvthe vvconditions vvthat,
vvwhen vvintegrated, vvmotivate vvsomeone vvto vvlearn. vvField vvtheorists vvplace
vvsignificance vvon vvhow vvachievement, vvpower, vvthe vvneed vvfor vvaffiliation, vvand
vvavoidance vvmotives vvinfluence vvindividual vvbehavior. vvSociologic vvtheories vvare vvnot
vvinvolved vvin vvmotivation.
The vvnurse vvis vvassessing vva vvgroup vvof vvclients. vvWhich vvclients vvare vvat vvgreater
vvrisk vvfor vvhypothermia vvor vvfrostbite? vv(select vvall vvthat vvapply)
a. vvan vvolder vvwoman vvwith vvhypertension
,b. vva vvyoung vvman vvwith vva vvbody vvmass vvindex vvof vv42
c. vva vvyoung vvmany vvwho vvhas vvjust vvconsumed vvsix vvmartinis
d. vvan vvolder vvman vvwho vvsmokes vva vvpack vvof vvcigarettes vva vvday
e. vva vvyoung vvwoman vvwho vvis vvanorexic
f. vva vvyoung vvwoman vvwho vvis vvdiabetic vv- vvAnswer vvC, vvD, vvE, vvF
clients vvwith vvpoor vvnutrition, vvfatigue, vvand vvmultiple vvchronic vvillnesses vvare vvat
vvgreater vvrisk vvfor vvhypothermia. vvClients vvwho vvsmoke, vvconsume vvalcohol, vvor
vvhave vvimpaired vvperipheral vvcirculation vvhave vva vvhigher vvincidence vvof vvfrostbite.
Which vvstatement vvmade vvby vva vvnurse vvrepresents vvthe vvneed vvfor vvfurther
vveducation vvregarding vvpain vvmanagement vvin vvolder vvadult vvclients?
a. vvolder vvadults vvtend vvto vvreport vvpain vvless vvoften vvthan vvyounger vvadults
b. vvolder vvclients vvusually vvhave vvmore vvexperience vvwith vvpain vvthan vvyounger
vvclients
c. vvolder vvadults vvare vvat vvgreatest vvrisk vvfor vvunder vvtreated vvpain
d. vvolder vvclients vvhave vva vvdifferent vvpain vvmechanism vvand vvdo vvnot vvfeel vvit vvas
vvmuch vv- vvAnswer vvD
There vvis vvno vvevidence vvto vvsupport vvthe vvidea vvthat vvolder vvadult vvclients vvperceive
vvpain vvany vvdifferently vvthan vvyounger vvclients. vvThe vvother vvstatements vvare
vvaccurate vvregarding vvolder vvclients vvand vvpain.
The vvnurse vvis vvworking vvat vva vvfirst vvaid vvbooth vvfor vva vvspring vvtraining vvgame vvon
vva vvhot vvday. vvA vvspectator vvcomes vvin, vvreporting vvthat vvhe vvis vvnot vvfeeling vvwell.
vvVital vvsigns vvare vvtemp vv104.1 vvF, vvpulse vv132 vvBPM, vvrespirs vv26 vvbreaths/min,
vvand vvblood vvpressure vv106/66 vvmm vvHg. vvHe vvtrips vvover vvhis vvfeet vvas vvthe
vvnurse vvleads vvhim vvto vva vvcot. vvWhat vvis vvthe vvpriory vvaction vvof vvthe vvnurse?
a. vvadmin vvtylenol vv650 vvmg vvorally
b. vvencourage vvrest, vvand vvreassess vvin vv15 vvminutes
c. vvsponge vvthe vvvictim vvwith vvcool vvwater vvand vvremove vvhis vvshirt
d. vvencourage vvdrinking vvof vvcool vvwater vvor vvsports vvdrink vv- vvAnswer vvC
The vvspectator vvshows vvsigns vvof vvheat vvstroke, vvwhich vvis vva vvmedical vvemergency.
vvThe vvspectator vvshould vvbe vvtransported vvto vvthe vvED vvASAP. vvThe vvnurs vvshould
vvtake vvactions vvto vvlower vvhis vvbody vvtemp vvin vvteh vvmeantime vvby vvremoving vvhis
vvshirt vvand vvsponging vvhis vvbody vvwith vvcool vvwater. vvLowering vvbody vvtemp vvby
vvdrinking vvcool vvfluids vvor vvtaking vvacetaminophen vvis vvnot vvas vveffective vvin vvan
vvemergency vvsituation. vvThe vvclient vvneeds vvto vvbe vvcooled vvquickly vvand vvis vva
vvpriority vvfor vvtreatment
The vvclient vvis vvreceiving vvan vvIV vvof vv60 vvmEq vvof vvpotassium vvchloride vvina vv1000
vvmL vvsolution vvof vvdextrose vv5% vvin vv0.45% vvsaline. vvThe vvclient vvstates vvthat vvthe
,vvarea vvaround vvthe vvIV vvsite vvburns. vvWhat vvintervention vvdoes vvthe vvnurse vvperform
vvfirst?
a. vvassess vvfor vva vvblood vvreturn
b. vvnotify vvthe vvphysician
c. vvdocument vvthe vvfinding
d. vvstop vvthe vvIV vvinfusion vv- vvAnswer vvD
Potassium vvis vva vvsevere vvtissue vvirritant. vvThe vvsafest vvaction vvis vvto vvdiscontinue
vvthe vvsolution vvthat vvcontains vvthe vvpotassium vvand vvdiscontinue vvthe vvIV
vvaltogether, vvin vvwhich vvcase vvthe vvclient vvwould vvneed vvanother vvsite vvstarted.
vvAssessing vvfor vva vvblood vvreturn vvmay vvor vvmay vvnot vvbe vvsuccessful. vvThe
vvsolution vvcould vvbe vvdiluted vv(less vvpotassium) vvand vvthe vvrate vvcould vvbe vvslowed
vvonce vvit vvis vvdetermined vvthat vvthe vvneedle vvis vvin vvthe vvvein.
A vvnurse vvis vvcaring vvfor vvan vvolder vvadult vvclient vvwho vvlives vvalone. vvWhich
vveconomic vvsituation vvpresents vvthe vvmost vvserious vvproblem vvfor vvthis vvclient?
a. vvcosts vvof vvcreating vva vvliving vvwill
b. vvstock vvmarket vvfluctuations
c. vvincreased vvprovider vvbenefits
d. vvsocial vvsecurity vvas vvthe vvbasis vvof vvincome vv- vvAnswer vvD
Older vvadults vvon vvfixed vvincomes vvare vvunable vvto vvadjust vvtheir vvincome vvto vvmeet
vvrising vvcosts vvassociated vvwith vvmeeting vvbasic vvneeds
Controlling vvpain vvis vvimportant vvto vvpromoting vvwellness. vvUnrelieved vvpain vvhas
vvbeen vvassociated vvwith vv
a. vvprolonged vvstress vvresponse vvand vva vvcascade vvof vvharmful vveffects vvsystem
vvwide.
b. vvdecreased vvtumor vvgrowth vvand vvlongevity
c. vvlarge vvtidal vvvolumes vvand vvdecreased vvlung vvcapacity
d. vvdecreased vvcarbohydrate, vvprotein, vvand vvfat vvdestruction vv- vvAnswer vvA
Pain vvtriggers vva vvnumber vvof vvphysiologic vvstress vvresponses vvin vvthe vvhuman
vvbody. vvUnrelieved vvpain vvcan vvprolong vvthe vvstress vvresponse vvand vvproduce vva
vvcascade vvof vvharmful vveffects vvin vvall vvbody vvsystems. vvThe vvstress vvresponse
vvcauses vvthe vvendocrine vvsystem vvto vvrelease vvexcessive vvamounts vvof vvhormones,
vvsuch vvas vvcortisol, vvcatecholamines, vvand vvglucagon. vvInsulin vvand vvtestosterone
vvlevels vvdecrease. vvIncreased vvendocrine vvactivity vvin vvturn vvinitiates vva vvnumber vvof
vvmetabolic vvprocesses, vvin vvparticular, vvaccelerated vvcarbohydrate, vvprotein, vvand
vvfat vvdestruction, vvwhcih vvcan vvresult vvin vvweight vvloss, vvtachycardia, vvincreased
vvrespiratory vvrate, vvshock, vvand vveven vvdeath. vvThe vvimmune vvsystem vvis vvalso
vvaffected vvby vvpain vvas vvdemonstrated vvby vvresearch vvshowing vva vvlink vvbetween
vvunrelieved vvpain vvand vva vvhigher vvincidence vvof vvnosocomial vvinfections vvand
, vvincreased vvtumor vvgrowth. vvLarge vvtidal vvvolumes vvare vvnot vvassociated vvwith vvpain
vvwhile vvdecreased vvlung vvcapacity vvis vvassociated vvwith vvunrelieved vvpain.
vvDecreased vvtumor vvgrowth vvand vvlongevity vvare vvnot vvassociated vvwith vvunrelieved
vvpain. vvDecreased vvcarbs, vvprotein, vvand vvfat vvare vvnot vvassociated vvwith vvpain vvor
vvstress vvresponse.
Which vvintervention vvin vva vvclient vvwith vvdehydration vvinduced vvconfusion vvis vvmost
vvlikely vvto vvrelieve vvthe vvconfusion?
a. vvincreasing vvthe vvIV vvflow vvrate vvto vv250 vvmL/hr
b. vvapplying vvoxygen vvby vvmask vvor vvnasal vvcannula
c. vvplacing vvthe vvclient vvin vva vvhigh vvFowler's vvposition
d. vvMeasuring vvintake vvand vvoutput vvevery vvfour vvhours vv- vvAnswer vvA
Dehydration vvmost vvfrequently vvleads vvto vvpoor vvcerebra vvperfusion vvand vvcerebral
vvhypoxia, vvcausing vvconfusion. vvApplying vvoxygen vvcan vvreduce vvconfusion, vveven
vvif vvperfusion vvis vvstill vvless vvthan vvoptimum. vvIncreasing vvthe vvIV vvflow vvrate vvwould
vvincrease vvperfusion. vvHowever, vvdepending vvon vvthe vvdegree vvof vvdehydration,
vvrehydrating vvthe vvperson vvtoo vvrapidly vvwith vvIV vvfluids vvcan vvlead vvto vvcerebral
vvedema.
Which vvclient vvis vvat vvgreatest vvrisk vvfor vvdehydration?
a. vvyounger vvadult vvclient vvon vvbedrest
b. vvolder vvadult vvclient vvreceiving vvhypotonic vvIV vvfluid
c. vvolder vvadult vvclient vvwith vvcognitive vvimpairment
d. vvyounger vvadult vvclient vvreceiving vvhypertonic vvIV vvfluid vv- vvAnswer vvC
Older vvadults, vvbecause vvthey vvhave vvless vvtotal vvbody vvwater vvthan vvyounger
vvadults, vvare vvat vvgreater vvrisk vvfor vvdevelopment vvof vvdehydration. vvAnyone vvwho
vvis vvcognitively vvimpaired vvand vvcannot vvobtain vvfluids vvindependently vvor vvcannot
vvmake vvhis vvor vvher vvneed vvfor vvfluids vvknown vvis vvat vvhigh vvrisk vvfor vvdehydration
A vvnurse vvis vvcaring vvfor vvseveral vvclients. vvWhich vvclient vvdoes vvthe vvnurse vvassess
vvmost vvcarefully vvfor vvhyperkalemia?
a. vvclient vvwith vvtype vv2 vvdiabetes vvtaking vvan vvoral vvanti-diabetic vvagent
b. vvclient vvwith vvheart vvfailure vvusing vva vvsalt vvsubstitute
c. vvclient vvtaking vva vvthiazide vvdiuretic vvfor vvhypertension
d. vvclient vvtaking vvnon-steroidal vvanti-inflammatory vvdrugs vvdaily vv- vvAnswer vvB
Many vvsalt vvsubstitutes vvare vvcomposed vvof vvpotassium vvchloride. vvHeavy vvuse vvcna
vvcontribute vvto vvthe vvdevelopment vvof vvhyperkalemia. vvThe vvclient vvshould vvbe
vvtaught vvto vvread vvlabels vvand vvto vvchoose vva vvsalt vvsubstitute vvthat vvdoes vvnot
vvcontain vvpotassium. vvNSAIDs vvpromote vvthe vvretention vvof vvsodium vvbut vvnot
vvpotassium.
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