MED SURGE HESI EXAM 2 WITH NGN (LATEST UPDATED 2024)

MED SURGE HESI EXAM 2 WITH NGN (LATEST UPDATED 2024)

1. The nurse is providing teaching to a client with Type 2 diabetes mellitus and peripheral
neuropathy. Which information should the nurse provide?
a. Family members can help with regular foot exams
b. Heating pads are useful if on the low setting
c. Aching feet may be soaked in lukewarm water for one hour or more
d. Shoes should be worn outside the house, but it is fine to be barefoot inside - a. Family
members can help with regular foot exams
2. A client in the operating room received succinylcholine. The client is experiencing muscle
rigidity and has an extremely high temperature. What action should the nurse implement?
a. Hold a prescription for dantrolene until fever is reduced
b. Prepare ice packs for placement in the clients axillary area
c. Call the PACU nurse to prepare for prolonged ventilator support
d. Determine if prescribed antibiotics were administered preoperatively - b. Prepare ice
packs for placement in the clients axillary area
3. The nurse is developing a plan of care for a client who reports blurred vision and who is
newly diagnosed with cardiovascular disease. Which outcome should the nurse include in the
plan of care for this client?
a. The nurse will encourage the client to walk thirty minutes every day
b. The clients family will state signs and symptoms about the disease
c. The clients daily blood pressure will be less than 140/80 this month
d. The client blood pressure readings will be less than 160/90 - c. The clients daily blood
pressure will be less than 140/80 this month
4. The family suspects that acquired immune deficiency syndrome (AIDS) dementia is
occuring in their son who is human immunodeficiency virus (HIV) positive. Which symptoms
confirm their suspicions?
a. He has begun to sleep 18 out of 24 hours
b. A change has recently occurred in his handwriting
c. He refuses to see any of his friends or to return their phone calls
d. He exhibits angry outburst when the subject of dying is approached -b. A change has
recently occurred in his handwriting
5. A hospitalized client with peripheral arterial disease (PAD) is instructed regarding leg and
foot care. Which statement by the client indicates to the nurse that learning has occurred?
a. "Whenever I am sitting in a chair I will keep my legs up to reduce swelling"
b. "I can use a mirror to check the bottoms of my feet for any signs of breakdown"
c. "I will try to keep moving if leg pain occurs to help promote good circulation"
d. "I will use my swimming pool early in the day while the water is still very cool" - b. "I can
use a mirror to check the bottoms of my feet for any signs of breakdown"
6. While completing a health assessment for a client with migraine headaches, the nurse
assesses bilateral weakness in the client's hand grips. The client reports joint pain and
trouble twisting a door knob due to weakness. Which action should the nurse take in
response to these findings?
a. Explain that relief of the migraine pain will reduce related symptoms
b. Gather additional assessment data about the pain and weakness
c. Implement fall precautions to reduce the client's risk for injury
d. Consult with the occupational therapist for a functional assessment -d. Consult with the
occupational therapist for a functional assessment
7. A client with Cushing's syndrome is recovering from an elective laparoscopic procedure.
Which assessment finding warrant's immediate intervention by the nurse?
a. Purple marks on skin of the abdomen
b. Irregular apical pulse
c. Quarter size blood spot on dressing
d. Pitting ankle edema - b. Irregular apical pulse
8. A client with lung cancer who wears a subcutaneous morphine sulfate patch for pain is
short of breath and is difficult to arouse. When performing a head to toe assessment, the
nurse discovers four analgesic patches on the clients body. Which intervention should the
nurse implement first?
a. Remove all of the morphine patches
b. Administer a narcotic antagonist
c. Apply oxygen per face mask
d. Measure the client's blood pressure - b. Administer a narcotic antagonist