Medical Surgical HESI 2023

Question 1 of 5

A client with chronic kidney disease is receiving epoetin alfa. Which laboratory value should the nurse monitor to determine the effectiveness of the treatment?

A. Blood urea nitrogen (BUN) B. Serum creatinine C. Hemoglobin and hematocrit D. Serum potassium

Question 2 of 5

The nurse reports that a client is at risk for a brain attack (stroke) based on which assessment finding?

A. Nuchal rigidity B. Carotid bruit C. Jugular vein distention D. Palpable cervical lymph node

Question 3 of 5

A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the post-anesthesia unit. Before selecting which medication to administer, which action should the nurse implement?

A. Document the client's report of pain in the electronic medical record. B. Determine which prescription will have the quickest onset of action. C. Compare the client's pain scale rating with the prescribed dosing. D. Ask the client to choose which medication is needed for the pain.

Question 4 of 5

What pathophysiologic process is producing the symptoms of gout in a client with sudden onset of big toe joint pain and swelling?

A. Deposition of crystals in the synovial space of the joints produces inflammation and irritation. B. Degeneration of joint cartilage causing inflammation. C. Infection of the joint space leading to inflammation. D. Increased synovial fluid causing joint swelling and pain.

Question 5 of 5

The nurse is caring for a client with a nasogastric tube. Which action should the nurse take to ensure proper functioning of the tube?

A. Flush the tube with 50 mL of normal saline every 8 hours B. Clamp the tube when not in use C. Position the client in a supine position D. Verify tube placement by checking pH of gastric contents

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When speaking to young parents, the nurse states that lead poisoning is one of the most common preventable health problems affecting children. What condition occurs when the level of lead ingested exceeds the amount that can be absorbed by the bone?

When interacting with the parents of a SIDS infant, the nurse should attempt to assist the parents with:

A client with ulcerative colitis is experiencing frequent diarrhea. What is the priority nursing diagnosis?

Which signs/symptoms would be considered classical signs of meningeal irritation?

A client is receiving a continuous infusion of normal saline at 125 ml/hour post abdominal surgery. The client is drowsy and complaining of constant abdominal pain and a headache. Urine output is 800 ml over the past 24h with a central venous pressure of 15 mmHg. The nurse notes respiratory crackle and bounding central pulses. Vital signs: temperature 101.2�F, Heart rate 96 beats/min, Respirations 24 breaths/min, and Blood pressure 160/90 mmHg. Which interventions should the nurse implement first?

Medical Surgical HESI 2023

Skildor

HESI LPN

HESI LPN