Download HESI EXIT V3 160QUESTION AND ANSWERS LATEST UPDATE 2025/2026 GRADED A+ BEST NURSING EXAM and more Exams Nursing in PDF only on Docsity!
V1-Clinical Complex Med Surg (Updated download A+
Guaiac Occult Test. What lab is most important? Platelet count Patient had BDP 3 months ago with dehydration. What would warrant the nurse immediate intervention? Positive Gastro Occult .A patient with Parkinson's "Freezes". Pretends there is a crack on the floor and carefully lifts leg and steps over. Confirm that this is the correct and effective technique Patient had Atrial Fibrillation and then AED was used. One minute later, patient sudden goes in to ventricular tachycardia. What should the nurse do? Administer adenosine over 1-2 seconds IV Heart failure acute exacerbation. How to reduce cardiac workload? Bedside commode External fixation device- what should the nurse do first? Assess for peripheral pulse at the foot COPD patient is experience shortness of breath. pursed lip breathing Client with CVA (stroke). Has only eaten half of their food. Family is concern about nutrition. What should the nurse tell the family?
HESI MED SURG 55 QUESTIONS ANSWERS 2023/24 RN
V1-Clinical Complex Med Surg (Updated download A+
Demonstrate the use of visual scanning 9.A male client with asthma has bronchoconstriction and mucous production due to exercising. What should the nurse do? Determine if the client is using an inhaler before exercising. 10.A client with liver abscess and drainage of abscess. Which lab value? WBC count 11.Suprapubic prostatectomy. Three-way catheter. Which assessment? Urine leaking meatus 12.A client with ulcerative colitis. UAP report what finding? Stool with fatty streaks
- Flank pain and acute pyelonephritis. Priority nursing action. Administer IV antibiotics
- Long- standing pulmonary infection. Assess for hypoxia. Select all that apply Breathing patterns Check mentation Color of skin
HESI MED SURG 55 QUESTIONS ANSWERS 2023/24 RN
V1-Clinical Complex Med Surg (Updated download A+
Space heater 18.C.K.D lab to report Potassium
Client with gullain barre is not blinking. Administer lubricant Taking prednisone PO 5mg. What symptom? rapid weight gain Succinylcholine. High Temperature Ice pack axillary The nurse drops a sterile package of supplies on the floor in the operating room (OR) suite. The ... impervious wrapper. Which action should the nurse implement? Open contents to sterile field package intact 23.Client with acute glomerulonephritis. restrict sodium Client ask about biopsy results from cancer cells well differentiated. What response? ask hcp to gather more information Right cataract and lens implant. Which intervention should the nurse do first? Provide an eye shield to be worn while sleeping The UAP reports to the nurse that a client who was admitted with abdominal pain has just had a large black tarry stool. What intervention should the
HESI MED SURG 55 QUESTIONS ANSWERS 2023/24 RN
V1-Clinical Complex Med Surg (Updated download A+
nurse implement first? Test the stool for occult blood Which action is most important for the nurse to implement to reduce the risk for deep vein thrombosis in a postoperative client?
HESI MED SURG 55 QUESTIONS ANSWERS 2023/24 RN
V1-Clinical Complex Med Surg (Updated download A+
should the nurse implement? Check capillary glucose level The chest x-ray for a client who is admitted for pneumonia shows pleural effusion with decreased air flow in the entire left upper lobe. What breath sounds that verify the x-ray findings should the nurse document after auscultation of the left upper lobe? Diminished breath sounds What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? Light housekeeping is permitted, but avoid heavy lifting When a nurse is caring for a client with acute hypothyroidism, which serum laboratory value requires immediate intervention? Serum sodium 122 mEq/L
HESI MED SURG 55 QUESTIONS ANSWERS 2023/24 RN
V1-Clinical Complex Med Surg (Updated download A+
A potential donor of corneal tissue for the eye bank has just died. The nurse enters the room prescribed antibiotic eye drops. What action should the nurse take next? Secure eye shields over the closed after instilling the eyedrops. 3 months following her diagnosis of type II diabetes...had a difficult time keeping her blood sugar is centered. The nurse reviews that..blood glucose levels. Which interventions in most important for the nurse to implement? Review the client's glycosylated hemoglobin (A1c) level. What to do to avoid risk of retina damage Retinal tear 2- year old boy is having health assessment. Which further assessment by nurse? He refuses to feed but I make him eat meals A nurse is caring for a patient and is unable to palpate a pedal pulse. What should the nurse do next? Obtain a doppler What's priority for a patient who is allergic to bananas? Replace latex A client with a history of COPD has established a walking program. How do we know what walking is effective? Cardiovascular improvement Order 100 units in 250ml to infuse at
HESI MED SURG 55 QUESTIONS ANSWERS 2023/24 RN
V1-Clinical Complex Med Surg (Updated download A+
A client just returned after having a TURP and has clot. What should the nurse do? slowly irrigate What to teach a client with GERD? Wear loose clothing MRSA interventions contact precaution, culture & sensitivity, monitor WBCs Which food is most important for the nurse to encourage a male patient with osteomalacia to include in his daily diet? fortified milk and cereal
HESI MED SURG 55 QUESTIONS ANSWERS 2023/24 RN
V1-Clinical Complex Med Surg (Updated download A+
An older adult woman is seen in the clinic 3 months following diagnosis of type 2 diabetes mellitus (DM). She tells the nurse that she has had a difficult time keeping her blood sugar in control. The nurse reviews the client's current finger stick and daily log of blood glucose levels. Which interventions is most important for the nurse to implement? Review the client's glycosylated hemoglobin (A1c) level. The nurse is taking a client's blood pressure and observes carpal spasm after the sphygmomanometer cuff is inflated. What action should the nurse implement next? Assess the client's recent serum calcium level A male client is recovering from an episode of urinary tract calculi. During discharge teaching, the client asks about the dietary restriction he should follow. In discussing fluid intake, the nurse should include which type of fluid limitation? Tea and hot chocolate "During preoperative teaching for a male client scheduled for repair of an inguinal hernia, the client tells the nurse that he has had several surgeries and understands the need to perform coughing and deep breathing exercises after surgery. How should the nurse respond? Ask for demonstration of these exercises A pt suffered an electrical injury with the entrance site on the left hand and the exit site on the left foot is admitted to the burn unit. Which intervention is most important for the nurse to include in the patient's plan of care?
HESI MED SURG 55 QUESTIONS ANSWERS 2023/24 RN
V1-Clinical Complex Med Surg (Updated download A+
96% and BP 116/70. The nurse obtains a 12-lead ECG. Which assessment finding is most critical? ST elevation in three leads A male client with an external fixation device for a fractured left femur is complaining of left foot pain. Which intervention should the nurse implement first? Administer PRN pain medication Two days following abdominal surgery a client begins to complain of cramping abdominal pain, and the nurse's inspection of the abdomen indicates slight distention. Which action should the nurse implement first? Auscultate abdomen quadrants A fair- skinned female client who is an avid runner is diagnosed with malignant melanoma, which is located on the lateral surface of the lower leg. After wide margin resection, the nurse provides discharge teaching. It is most important for the nurse to emphasize the need to observe for changes in which characteristic? Appearance of any moles Order of 8200 units. Each 1 mL of solution contains 10,000 units of alfa. How many mL? Simply, divide 8200/10,000 = 0.8 mL
HESI MED SURG 55 QUESTIONS ANSWERS 2023/24 RN
