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2023 HESI Medical Surgical Nursing Final Exam With Answers (45 Solved Questions) - Document preview page 1

2023 HESI Medical Surgical Nursing Final Exam With Answers (45 Solved Questions) - Page 1

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2023 HESI Medical Surgical Nursing Final Exam With Answers (45 Solved Questions)

2023 HESI Medical Surgical Nursing Final Exam With Answers helps you develop speed and accuracy with past exam practice.

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2023 HESI Medical Surgical Nursing Final Exam With Answers (45 Solved Questions) - Page 1 preview imageMED SURG FINALHESI 2023 LATESTEXAM QUESTIONSANDANSWERA client with a productive cough has obtained a sputum specimen for culture asinstructed. What is the best initial nursing action?A. Administer the first dose of antibiotic therapyB. Observe the color, consistency, and amount of sputumC. Encourage the client to consume plenty of warm liquidsD. Send the specimen to the lab for analysis - B. Observe the color, consistency, andamount of sputumA client is brought to the ED by ambulance in cardiac arrest with cardiopulmonaryresuscitation (CPR) in progress. The client is intubated and is receiving 100% oxygenper self-inflating (ambu) bag. The nurse determines that the client is cyanotic, cold, anddiaphoretic. Which assessment is most important for the nurse to obtain?A. Breath sounds over bilateral lung fields.B. Carotid pulsation during compressionsC. Deep tendon reflexesD. Core body temperature - A. Breath sounds over bilateral lung fields.After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), aclient develops pontine myselinolysis. Which intervention should the nurse implementfirst?A. Reorient client to his roomB. Place a patch on one eyeC. Evaluate client's ability to swallowD. Perform range of motion exercises - A. Reorient client to his roomA male client with heart failure (HF) calls the clinic and reports that he cannot put hisshoes on because they are too tight. Which additional information should the nurseobtain?A. What time did he take his last medications?B. Has his weight changed in the last several days?C. Is he still able to tighten his belt buckle?D. How many hours did he sleep last night? - B. Has his weight changed in the lastseveral days?An older adult woman with a long history of chronic obstructive pulmonary disease(COPD) is admitted with progressive shortness of breath and a persistent cough. She is
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2023 HESI Medical Surgical Nursing Final Exam With Answers (45 Solved Questions) - Page 2 preview image
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2023 HESI Medical Surgical Nursing Final Exam With Answers (45 Solved Questions) - Page 3 preview imageanxious and is complaining of a dry mouth. Which intervention should the nurseimplement?A. Administer a prescribed sedativeB. Encourage client to drink waterC. Apply a high-flow venturi maskD. Assist her to an upright position - D. Assist her to an upright positionA client with a history of asthma and bronchitis arrives at the clinicwith shortness ofbreath, productive cough with thickened tenacious mucous, and the inability to walk upa flight of stairs without experiencing breathlessness. Which action is mostimportant forthe nurse to instruct the client about self-care?A. Increase the daily intake of oral fluids to liquefy secretionsB. Avoid crowded enclosed areas to reduce pathogen exposureC. Call the clinic if undesirable side effects of mediations occurD. Teach anxiety reduction methods for feelings of suffocation- A. Increase the dailyintake of oral fluids to liquefy secretionsA cardiac catherterization of a client with heart disease indicates thefollowingblockages: 95% proximal left anterior descending (LAD), 99% proximal circumflex, and? % proximal right coronary artery (RCA). The client later asks the nurse "what does allthis mean for me?" What information should the nurse provide?A. Blood supply to the heart is diminished by artherosclerotic lesions, which necessitatelifestyle changes.B. Blood vessels supplying the pumping chamber have blockages indicating a pastheart attack.C. Three main arteries have major blockages, with only 1 to 5% of blood flow gettingthrough to the heart muscle.D. The heart is not receiving enough blood, so there is a risk of heartfailure and fluidretention. - C. Three main arteries have major blockages, with only 1 to 5% of bloodflow getting through to the heart muscle.A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg. Theheparin is available in a 2 ml vial, labeled 10,000 units/ml.How many ml should thenurse administer? (Enter numeric value only. If rounding is required, round to thenearest tenth.) - 0.6 mlWhat information should the nurse include in the teaching plan of a client diagnosedwith gastroesophageal reflux disease (GERD)?A. Sleep without pillows at night to maintain neck alignment.B. Adjust food intake to three full meals per day and no snacks.C. Minimize symptoms by wearing loose, comfortable clothing
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2023 HESI Medical Surgical Nursing Final Exam With Answers (45 Solved Questions) - Page 4 preview imageD. Avoid participation in any aerobic exercise programs- C. Minimize symptoms bywearing loose, comfortable clothingThe nurse is caring for a client with a lower left lobe pulmonary abscess. Which positionshould the nurse instruct the client to maintain?A. left lateralB. Supine, knees flexedC. Dorsal recumbentD. Knee-chest - A. left lateralA client with cholelithiasis has a gallstone lodged in the common bile duct and is unableto eat or drink without becoming nauseated and vomiting. Which finding should thenurse report to the healthcare provider.A. BelchingB. Amber urineC. Yellow scleraD. Flatulence - C. Yellow scleraWhile caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performsaneurological assessment every four hours. Which assessment finding warrantsimmediate intervention by the nurse?A. Inappropriate laughterB. Increasing anxietyC. Weakened cough effortD. Asymmetrical weakness - C. Weakened cough effortThe nurse is providing preoperative education for a Jewish client scheduled to receive axenograft graft to promote burn healing. Which information should the nurse provide thisclient?A. Grafting increases the risk for bacterial infectionsB. The xenograft is taken from nonhuman sourcesC. Grafts are later removed by a debriding procedureD. As the burn heals, the graft permanently attaches - B. The xenograft is taken fromnonhuman sourcesA male client who had colon surgery 3 days ago is anxious and requesting assistance toreposition. While the nurse is turning him, the wound dehiscences and eviscerates. Thenurse moistens an available sterile dressing and places it over the wound.Whatintervention should the nurse implement next?A. Bring additional sterile dressing supplies to the roomB. Prepare the client to return to the operating room
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