HESI MED SURG Latest Version A Real Exam Questions And Verified Answers 2

Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does the nurse perform as a priority before administering the medication? a. Checking the client's blood pressure b. Checking the client's peripheral pulses c. Checking the most recent potassium level d. Checking the client's intake-and-output record for the last 24 hours Ans. A 2. A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provides instructions to the client about the test. Which statement by the client indicates a need for further instruction? a. “The test will take about 30 minutes." b. "I need to fast for 8 hours before the test." c. "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema on the morning of the test." d. "I need to take a laxative after the test is completed, because the liquid that I’ll have to drink for the test can be constipating." Ans. C 3. A nurse on the evening shift checks a physician's prescriptions and notes that the dose of a prescribed medication is higher than the normal dose. The nurse calls the physician's answering service and is told that the physician is off for the night and will be available in the morning. The nurse should: a. Call the nursing supervisor b. Ask the answering service to contact the on-call physician c. Withhold the medication until the physician can be reached in the morning d. Administer the medication but consult the physician when he becomes available Ans. B 4. An emergency department (ED) nurse is monitoring a client with suspected acute myocardial infarction (MI) who is awaiting transfer to the coronary intensive care unit. The nurse notes the sudden onset of premature ventricular contractions (PVCs) on the monitor, checks the client's carotid pulse, and determines that the PVCs are not resulting in perfusion. The appropriate action by the nurse is: a. Documenting the findings lOMoARcPSD|19500986 b. Asking the ED physician to check the client c. Continuing to monitor the client's cardiac status d. Informing the client that PVCs are expected after an MI Ans. B 5. NPO status is imposed 8 hours before the procedure on a client scheduled to undergo electroconvulsive therapy (ECT) at 1 p.m. On the morning of the procedure, the nurse checks the client's record and notes that the client routinely takes an oral antihypertensive medication each morning. The nurse should: a. Administer the antihypertensive with a small sip of water b. Withhold the antihypertensive and administer it at bedtime c. Administer the medication by way of the intravenous (IV) route d. Hold the antihypertensive and resume its administration on the day after the ECT Ans. A 6. A client who recently underwent coronary artery bypass graft surgery comes to the physician's office for a follow-up visit. On assessment, the client tells the nurse that he is feeling depressed. Which response by the nurse is therapeutic? a. "Tell me more about what you’re feeling." b. "That’s a normal response after this type of surgery." c. "It will take time, but, I promise you, you will get over this depression." d. "Every client who has this surgery feels the same way for about a month." Ans. A 7. A nurse has assisted a physician in inserting a central venous access device into a client with a diagnosis of severe malnutrition who will be receiving parenteral nutrition (PN). After insertion of the catheter, the nurse immediately plans to: a. Call the radiography department to obtain a chest x-ray b. Check the client's blood glucose level to serve as a baseline measurement c. Hang the prescribed bag of PN and start the infusion at the prescribed rate d. Infuse normal saline solution through the catheter at a rate of 100 mL/hr lOMoARcPSD|19500986 to maintain patency Ans. A 8. A client is taking prescribed ibuprofen (Motrin), 300 mg orally four times daily, to relieve joint pain resulting from rheumatoid arthritis. The client tells the nurse that the medication is causing nausea and indigestion. The nurse should tell the client to: a. Contact the physician b. Stop taking the medication c. Take the medication with food d. Take the medication twice a day instead of four times Ans. C 9. A client's oral intake of liquids includes 120 mL on the night shift, 800 mL on the day shift, and 650 mL on the evening shift. The client is receiving an intravenous (IV) antibiotic every 12 hours, diluted in 50 mL of normal saline solution. The nurse empties 700 mL of urine from the client's Foley catheter at the end of the day shift. Thereafter, 500 mL of urine is emptied at the end of the evening shift and 325 mL at the end of the night shift. Nasogastric tube drainage totals 155 mL for the 24- hour period, and the total drainage from the Jackson-Pratt device is 175 mL. What is the client's total intake during the 24-hour period? Type your answer in the space provided