RN-Hesi Medical Surgical Exam IV
Exam is designed to assess a nursing student's clinical decision-making and knowledge of adult medical-surgical nursing concepts; disease processes, pharmacologic interventions, nursing assessments, diagnostic procedures, patient education, and evidence-based interventions across body systems
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Q1: Following a motor vehicle accident, a client with chest trauma receives a chest tube to relieve a hemothorax. Two hours following the chest tube insertion, the nurse observes the water level in the water-seal chamber is rising during inspiration and falling during expiration. Which action should the nurse implement?
Q2: A client with a cervical spinal injury (C7) is experiencing autonomic dysreflexia. The nurse should first assess the client for which precipitating factor?
Q3: The healthcare provider prescribes regular insulin 10 units/hr IV. The IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline. How many mL/hr should the nurse program the infusion pump? (Enter numerical value only.)
Q4: The nurse is admitting a client with possible tuberculosis (TB). The client is placed in a private room with airborne precautions pending diagnostic test results. Which diagnostic test should the nurse review to confirm the diagnosis of TB?
Q5: Lactulose was prescribed two days ago for a client who was recently diagnosed with hepatic encephalopathy. The client is confused and experiencing frequent loose stools. Laboratory findings show an elevated serum ammonia (NH) level of 220 µg/dL (157.1 µmol/dL). Which action should the nurse take?Reference Range:Ammonia [10 to 80 µg/dL (6 to 47 µmol/L)]
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