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MED SURG RN HESI EXIT EXAM 2024 VERSION 3 /HESI RN MED SURG EXIT EXAM VERSION 3 COMPLETE ALL 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+$13.49
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MED SURG RN HESI EXIT EXAM 2024 VERSION 3 /HESI RN MED SURG EXIT EXAM VERSION 3 COMPLETE ALL 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
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Course
MED SURG RN HESI EXIT
Institution
MED SURG RN HESI EXIT
MED SURG RN HESI EXIT EXAM 2024 VERSION 3 /HESI RN MED SURG EXIT EXAM VERSION 3 COMPLETE ALL 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
MED SURG RN HESI EXIT EXAM 2024 VERSION 3 /HESI RN MED
SURG EXIT EXAM VERSION 3 COMPLETE ALL 55 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
The nurse is completing an admission interview and assessment on a client with a history of
Parkinson's disease. Which question should provide information relevant to the client's plan of
care?
Have you ever experienced any paralysis of your arms or legs?
Have you ever sustained a severe head injury? Have you ever been 'frozen' in one spot, unable to
move?
Do you have headaches, especially ones with throbbing pain? - ...ANSWER...Have you ever
been 'frozen' in one spot, unable to move?
A 58-year-old client, who has no health problems, asks the nurse about the Pneumovax vaccine.
The nurse's response to the client should be based on which information?
The vaccine is given annually before the flu season to those over 50 years of age.
The immunization is administered once to older adults or persons with a history of chronic
illness.
The vaccine is for all ages and is given primarily to those persons traveling overseas to areas of
infection. The vaccine will prevent the occurrence of pneumococcal pneumonia for up to five
years. -
...ANSWER...B) The immunization is administered
RATIONALE: It is usually recommended that persons over 65 years of age and those with a
history of chronic illness receive the vaccine once in a lifetime (B). (Some resources recommend
obtaining the vaccine at 50 years of age.) The influenza vaccine is given once a year, not the
Pneumovax (A). Although the vaccine might be given to a person traveling overseas, that is not
,Created By: A Solution
the main rationale for administering the vaccine (C). It is usually given once in a lifetime (D),
but with immunosuppressed clients or clients with a history of pneumonia re-vaccination is
sometimes required.
Which reaction should the nurse identify in a client who is responding to stimulation of the
sympathetic nervous system?
Pupil constriction.
Increased heart rate.
Bronchial constriction.
Decreased blood pressure. - ...ANSWER...B)
Increased heart rate.
RATIONALE: Any stressor that is perceived as threatening to homeostasis acts to stimulate the
sympathetic nervous system and manifests as a flight- or-fight response, which includes an
increase in heart rate (B). (A, C, and D) are responses of the parasympathetic nervous system.
A client with a 16-year history of diabetes mellitus is having renal function tests because of
recent fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which
finding should the nurse conclude as an early symptom of renal insufficiency?
Dyspnea
Nocturia.
Confusion.
Stomatitis. - ...ANSWER...B) Nocturia
RATIONALE: As the glomerular filtration rate decreases in early renal insufficiency, metabolic
waste products, including urea, creatinine, and other substances, such phenols, hormones,
electrolytes, accumulate in the blood. In the early stage of renal insufficiency, polyuria results
from the inability of the kidneys to concentrate urine and contribute to nocturia (B). (A, C, and
D) are more common in the later stages of renal failure.
,Created By: A Solution
A client taking furosemide (Lasix), reports difficulty sleeping. What question is important for the
nurse to ask the client?
What dose of medication are you taking?
Are you eating foods rich in potassium?
Have you lost weight recently?
At what time do you take your medication? –
...ANSWER...D) At what time do you take your medication?
RATIONALE: The nurse needs to first determine at what time of day the client takes the Lasix
(D). Because of the diuretic effect of Lasix, clients should take the medication in the morning to
prevent nocturia. The actual dose of medication (A) is of less importance than the time taken. (B)
is not related to the insomnia. (C) is valuable information about the effect of the diuretic, but is
not likely to be related to insomnia.
The nurse is interviewing a male client with hypertension. Which additional medical diagnosis in
the client's history presents the greatest risk for developing a cerebral vascular accident (CVA)?
RATIONALE: A history of diabetes mellitus poses the greatest risk for developing a CVA (A).
(B, C, and D) may place the client at some risk due to immobility, but do not present a risk as
great as (A).
Which healthcare practice is most important for the nurse to teach a postmenopausal client?
Wear layers of clothes if experiencing hot flashes.
Use a water-soluble lubricant for vaginal dryness.
, Created By: A Solution
Consume adequate foods rich in calcium.
Participate in stimulating mental exercises. –
...ANSWER...C) Consume adequate foods rich in calcium
RATIONALE: Bone density loss associated with osteoporosis increases at a more rapid rate
when estrogen levels begin to fall, so the most important healthcare practice during menopause is
ensuring an adequate calcium (C) intake to help maintain bone density and prevent osteoporosis.
Although practices such as (A and B) may reduce some of the discomforts for a postmenopausal
female, calcium intake is more important than comfort measures. Although social and mental
exercises stimulate thought, there is no scientific evidence that mental exercises (D) prevent
dementia or common forgetfulness associated with reduced hormonal levels.
In assessing cancer risk, the nurse identifies which woman as being at greatest risk of developing
breast cancer?
A 35-year-old multipara who never breastfed.
A 50-year-old whose mother had unilateral breast cancer.
A 55-year-old whose mother-in-law had bilateral breast cancer.
A 20-year-old whose menarche occurred at age 9 –
...ANSWER...B) A 50-year-old whose mother had unilateral breast cancer.
RATIONALE: The most predictive risk factors for development of breast cancer are over 40
years of age and a positive family history (occurrence in the immediate family, i.e., mother or
sister). Other risk factors include nulliparity, no history of breastfeeding, early menarche and late
menopause. Although all of the women described have one of the risk factors for developing
breast cancer, (B) has the greater risk over (A, C, and D).
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