MEDI SURG HESI VI EXAM WITH
QUESTIONS AND CORRECT ANSWERS
.[ACTUAL EXAM 100% GRADED A+]
The nurse obtains a fingerstick glucose level utilizing bedside
lancet/glucose meter equipment from a client with prescribed sliding scale
insulin protocol. The meter indicates 56 mg/dl (3.12 mmol/l). At this time
which intervention should the nurse implement first?
A. Collect a blood specimen by venipuncture to send to the laboratory for
serum glucose analysis.
B. Prepare the prescribed dose of rapid acting insulin from the sliding scale
instructions.
C. Give the client six ounces of non-diet carbonated soda and instruct to
drink it entirely.
D. Document the glucose reading in the electronic medical record as the
only action needed.
C
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To achieve maximum mobility and independence for a client with multiple
sclerosis (MS), which intervention is most important for the nurse to
implement?
A. Provide a walker for ambulation
B. Frequently assist the client to the bathroom
C. Apply alternating patches over eyes
D. Teach strengthening exercises
D
The nurse is caring for a client with Herpes zoster who reports painful, red,
blisters that align from the back along the chest's curvature to the anterior
chest. Which intervention is the highest priority for the nurse?
A. Place the client on contact precautions
B. Administer antiviral medications
C. Place wet compresses to ruptured vesicles
D. Administer narcotic analgesics
B
A client is admitted to the hospital with symptoms consistent with a right
hemisphere stroke. Which neurovascular assessment requires immediate
intervention by the nurse?
A. Pupillary changes to ipsilateral dilation
B. Orientation to person and place only
C. Left- sided drooping and dysphagia
D. Unequal bilateral hand grip strengths
C
The nurse is teaching a client with glomerulonephritis about self care.
Which dietary recommendations should the nurse encourage the client to
follow?
A. Limit oral fluid intake to 500 ml per day
B. Restrict protein intake by limiting meats and other high-protein foods
C. Increase intake of potassium-rich foods such as bananas and
cantaloupe.
D. Increase intake of high fiber foods such as bran cereal
B
A young adult who suffered a severe brain injury in an automobile collision
has been mechanically ventilated for the past three days and has no
spontaneous respiratory effort. After serial electroencephalograms (EEG)
reveal no brain activity, the healthcare provider discusses end-of-life
options with the family who agree to discontinue life support. Which
intervention should the nurse implement?
A. Ask the family if they
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