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MED SURG HESI EXIT 2024 REAL EXAM AND PRACTICE QUESTIONS (55 REAL EXAM QUESTIONS AND 160 PRACTICE) QUESTIONS AND CORRECT DETAILED ANSWERS $20.99
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MED SURG HESI EXIT 2024 REAL EXAM AND
PRACTICE QUESTIONS (55 REAL EXAM
QUESTIONS AND 160 PRACTICE) QUESTIONS
AND CORRECT DETAILED ANSWERS
Terms in this set (160)
1. While assessing a client ANS: C
with diabetes mellitus, the Signs of chronic arterial insufficiency include decreased
nurse observes an absence hair growth in the legs and feet,
of hair growth absent or decreased pedal pulses, infection in the foot,
on the client's legs. What poor wound healing, thickened nails,
additional assessment and a shiny appearance of the skin (C). Femoral pulses
provides further data to (A) should still be palpable in the
support this diabetic with chronic arterial insufficiency. A positive
finding? Homan's sign is an indicator of deep
a. Palpate for the presence vein thrombosis (B). (D) would probably not be affected
of femoral pulses bilaterally. significantly by chronic arterial
b. Assess for the presence insufficiency.
of a positive Homan's sign.
c. Observe the appearance
of the skin on the client's
legs.
d. Watch the client's posture
and balance during
ambulation
,2. The healthcare provider ANS: C
prescribes 15 mg/kg of 4 lbs / 2.2 = 1.8 kg. 1.8 x 15 = 27 mg (C).
Streptomycin for an infant NOTE, the fact that the drug is diluted in 25 ml of D5W, is
weighing 4 pounds. not relevant to the calculation
The drug is diluted in 25 ml requested
of D5W to run over 8 hours.
How much Streptomycin
will the
infant receive?
a. 9 mg.
b. 18 mg.
c. 27 mg.
d. 36 mg
,In assessing a client with ANS: C
preeclampsia who is The client is exhibiting symptoms of magnesium sulfate
receiving magnesium toxicity--decreased reflexes (normal is
sulfate, the nurse +2), a low normal respiratory rate (normal is 12 to 20
determines that her deep breaths/min), a less than average
tendon reflexes are 1+; urinary output (30 ml/hour is average), and a low
respiratory rate is 12 magnesium sulfate level (normal is 4 to
breaths/minute; 8mg/dl). Based on these findings, the nurse should stop
urinary output is 90 ml in 4 the infusion (C). (A) is
hours; magnesium sulfate contraindicated. (B) would not fully alleviate the
level is 9 mg/dl. Based on magnesium sulfate toxicity symptoms. (D)
these (the antagonist for magnesium sulfate) would be
findings, what intervention indicated if the respiratory rate were less
should the nurse than 12 breaths/minute.
implement?
a. Continue the magnesium
sulfate infusion as
prescribed.
b. Decrease the magnesium
sulfate infusion by one-half.
c. Stop the magnesium
sulfate infusion immediately.
d. Administer calcium
gluconate immediately.
, A client is on a mechanical ANS: A
ventilator. Which client This medication causes paralysis (A) following
response indicates that the intravenous injection. Peak effects persist for
neuromuscular 35 to 60 minutes. (B and C) would not be possible if the
blocker tubocurarine medication is effective. The Glasgow
chloride (Tubarine) is coma scale is used to evaluate the neurological status of
effective? the client and does not evaluate the
a. The client's expremities effectiveness (D) of this medication.
are paralyzed.
b. The peripheral nerve
stimulator causes twitching.
c. The client clinches fist
upon command.
d. The client's Glagow Coma
Scale score is 14
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