MED SURGE HESI REAL EXAM 1 & 2 (2 VERSIONS) 2024-2025 WITH ALL 200 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES/ MEDICAL SURGICAL HESI EXAM TEST BANK
1. A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
ventricular response. Based on this finding, the nurse anticipates assisting the
physician with which treatment?
A.Administer lidocaine, 75 mg intravenous push.
B.Perform synchronized cardioversion.
C.Defibrillate the client as soon as possible.
D.Administer atropine, 0.4 mg intravenous push. - ANSWER-B.Perform
synchronized cardioversion.
Rationale:
With uncontrolled atrial fibrillation, the treatment of choice is synchronized
cardioversion to convert the cardiac rhythm back to normal sinus rhythm. Option A
is a medication used for ventricular dysrhythmias. Option C is not for a client with
atrial fibrillation; it is reserved for clients with life-threatening dysrhythmias, such
as ventricular fibrillation and unstable ventricular tachycardia. Option D is the drug
of choice in symptomatic sinus bradycardia, not atrial fibrillation.
2. A practical nurse (PN) tells the charge nurse in a long-term facility that she does
not want to be assigned to one particular resident. She reports that the male client
keeps insisting that she is his daughter and begs her to stay in his room. What is the
best managerial decision?
A. Notify the family that the resident will have to be discharged if his behavior
does not improve.
B.Notify administration of the PN's insubordination and need for counseling about
her statements.
C.Ask the PN what she has done to encourage the resident to believe that she is his
daughter.
D.Reassign the PN until the resident can be assessed more completely for reality
orientation. - ANSWER-D. Reassign the PN until the resident can be assessed
more completely for reality orientation.
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