2021 HESI PN Medical surigical Proctored Exam Versions 13 With Answers (128 Solved Questions)

Name: 2021 HESI PN Medical surigical Proctored Exam Versions 13 With Answers (128 Solved Questions)
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Author: Madison Taylor

2021 HESI PN Medical surigical Proctored Exam Versions 13 With Answers is packed with expert insights from real past exams.

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VERSION 13
 Nurse is preparing to administer thrombolytic therapy to a client with ischemic stroke.
which is an appropriate nursing action? Elevate HOB between 25-30 degrees
 Nurse is teaching about the use of an incentive spirometer. Which of the following
instructions should the nurse include in the teaching? Holds breaths about 305
seconds before exhaling
 Nurse is assessing a client who is 12 hr post op following a colon resection. Which of the
following findings should the nurse report to the surgeon Absent Bowel Sounds
 Nurse is caring for a client who has diabetes insidipidus. Which of the following meds
should the nurse plan to administer? Desmopressin
 Nurse is admitting a client who has arthritic pain and reports taking ibuprofen several
times daily for 3 years. Which of the following tests should the nurse monitor? Stool for
occult blood
 A nurse in the ED is assessing a client. Which of the following actions should the nurse
take first? Initiate Airborne Percautions

 A nurse is contacting the provider of a client who has cancer and is experiencing
breakthrough pain. Which of the following prescriptions should the nurse anticipate?
Fentanyl
 Nurse is admitting a client who reports chest pain and has been places on a telemetry
monitor. Which of the following should the nurse analyze to determine whether the client
is experiencing a MI? ST segment
 Nurse is teaching a client who has ovarian cancer about skin care following radiation
treatment. Which of the following should the nurse include? Pat the skin on the
radiation site to dry it
 A nurse is caring for a client receiving blood transfusion. Nurse observes client has
bounding peripheral pulse, HTN, distended jugular veins. The nurse should anticipate
admin which of the following meds? Furosemide
 A nurse is assessing a client who is getting Magnesium Sulfate IV for tx of
hypomagnesemia. Which of the following indicates effectiveness? Apical Pulse 82
 Lumbar puncture positioning: Cannonball position while on one side or by having the
client stretch over an overbid table is sitting is preferred **Its a picture just choose the
one that corresponds with the position I described** answer is C
 A nurse is reviewing ABG results: pH 7.42, PaCO2: 30; HCO3: 21. Indication for which
of the following conditions? Uncompensated respiratory acidosis
 Nurse is preparing to administer daily meds to a client undergoing a procedure that
requires IV contrast dye. Which of the following meds should the nurse hold? Metformin
 Nurse is caring for a client who is experiencing seizures secondary to meningitis. What
should be included in the plan of care? SATA!! Have suction at bedside, Dim
overhead lights
 Nurse is caring for pt who has a pressure ulcer with necrotic tissue and requires wet-to-
damp dressing. Which of the following types of debridement should the nurse include in
the plan of care. Mechanical
 Nurse is caring for a female with toxic shock. Which finding should nurse expect?
Generalized Rash
 Nurse is preparing to administer a med for a client through a non-tunneled percutaneous
central catheter. Which of the following actions should the nurse take? Flush catheter
with 10mL of NS
 Nurse is caring for pt admitted with nausea, vomit, and possible bowel obstruction. NG
tube is placed and set to low intermittent suction. Which of the following findings should
the nurse report? Distended and firm
 Nurse is reviewing the MAR of a pt with DI. Which of the following finding should the
nurse expect? Urine specific gravity 1.001
 Nurse is caring for a pt who has hyperthyroidism and develops thyroid storm. Which of
the following instructions should the nurse give to the client regarding management of
thyroid storm? You will need a cooling blanket to lower your body temperature
 Nurse is reviewing the MAR of a client who has acute gout. The nurse should expect an
increase in which of the lab values? Uric Acid
 Nurse is preparing to administer peritoneal dialysis to a client. Which of the following
actions should the nurse take? Hang drainage bag below the client’s abdomen
 Nurse in the Ed is caring for pt who has deep partial-thickness burns over 30% of his
body, including upper chest and abdomen. Which of the following actions is the nurse’s
priority? insert 18 gauge IV catheter

 Nurse is presenting an in-service about parkinson’s disease. Which of the following
statements should nurse include int he teaching? PD results from a decreased
amount of dopamine in the client’s brain
 A nurse is caring for a client who has a serum sodium level of 150. Which action should
the nurse take? Administer hypotonic IV fluids to the client
 Nurse is caring for a client who takes lisinopril for HTN. Which of the following client
statements indicates an adverse effect of the medication? I have a nagging, dry
cough. Heightened sense of taste
 Nurse is proving discharge teaching to a client following a modified left radical
mastectomy with breast expander. Which of the following statements by the client
indicates an understanding of the teaching? I should expect less than 25mL of
secretions per day
 Nurse is caring for a pt who has DM and has been following a treatment plan for 3
months. Which lab values should nurse monitor to determine long-term glycemic
control? Glycolysated Hgb level
 Nurse is providing discharge teaching to a client to has chronic UTI. Client has a
prescription for cipro. What should nurse include in teaching? Drink 2 to 3 L of fluid per
day
 A nurse is providing teaching to pt who has a DVT. Which of the following is a risk factor
for a DVT? Oral Contraceptives
 Nurse is caring for pt with Cushings. Which of the following actions should the nurse
take first?(Got to Check the Exhibit Button)
 Nurse is assessing pt with nephrotic syndrome. Which of the following findings should
the nurse expect? Proteinuria
 Med math gtt/min: 20 drops per min
 Right-sided heart failure. Which assessment finding should nurse expect? Pitting
Edema
 Newly inserted chest tube. Nurse should clarify which of the following orders?
Administer Morphine IV Bolus
 Nurse is teaching a client who is taking an ACE inhibitor for heart failure. Which of the
following instructions should the nurse include for the management for heart failure?
Obtain daily weight
 Nurse is providing discharge teaching to a client who has permanent pacemaker. Which
of the following statements by the client indicates understanding of the teaching? I need
to check my pulse rate everyday for a full minute.
 Nurse in a clinic is providing preventive teaching to an older adult client during a well
visit. The nurse should instruct the client that which of the following immunizations are
recommended for healthy adults after age 60? SATA!! Influenza, Pneumococcal
polysaccharide, Herpes Zoster
 Nurse is assessing a pt who is 4hr post op following an arterial revascularization of the
left femoral artery. Which of the following findings should the nurse report to the provider
immediately? Pallor in the affected extremity
 Nurse is caring for an older adult client who has not been eating. Which of the following
findings indicates dehydration? Diminished peripheral pulses
 Nurse is preparing to discharge a client who has a halo device and is reviewing new
prescriptions from the provider. The nurse should clarify which of the following
prescriptions with the provider? Mayoperate a motor vehicle when no longer taking
analgesics

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2021 HESI PN Medical surigical Proctored Exam Versions 13 With Answers (128 Solved Questions)

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