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Practice Question

 Which assessment finding should the nurse expect in a client with fluid volume excess?

Answer Choices:

Correct Answer:

Elevated blood pressure.

Rationale:

💧In fluid volume excess, there is increased circulatory volume, which leads to elevated blood pressure due to higher preload and systemic vascular resistance.

💧Other expected signs include bounding pulses, edema, jugular vein distention, and crackles on lung auscultation.

💧The cardiovascular system reflects this overload as the body struggles to maintain perfusion.

💧Hypertension in this case is a direct clinical indicator of excess volume.

💧Continuous monitoring of blood pressure, weight, and intake/output is essential for safe management.

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This question is from RN Medical Surgical Exam 2025 which contains 55 questions.

More Questions from This Exam
A client is using an otic solution, hydrocortisone, neomycin, and polymyxin B for external otitis media. Which therapeutic response should the nurse tell the client to expect?

Answer Choices:

A. Slows the rate of organism growth
B. Decreases inflammation and pain
C. Reduces the existing colony count
D. Prevents hearing loss as a possible complication.
 A female client with rheumatoid arthritis takes ibuprofen 600 mg PO 4 times a day. To prevent gastrointestinal bleeding, misoprostol 100 mcg PO is prescribed. Which information is most important for the nurse to include in client teaching?

Answer Choices:

A. Use contraception during intercourse
B. Ensure the Cytotec is taken on an empty stomach
C. Take Cytotec 30 minutes prior to Motrin
D. Encourage oral fluid intake to prevent constipation.
 A client is admitted to the hospital with a medical diagnosis of pneumococcal pneumonia. The nurse knows that the prognosis for gram-negative pneumonias (such as E. coli, Klebsiella, Pseudomonas, and Proteus) is very poor. Which information relates most directly to the prognosis for gram-negative pneumonias?

Answer Choices:

A. Gram-negative organisms are more resistant to antibiotic therapy
B. Usually occur in healthy young adults who have recently been debilitated by an upper respiratory infection.
C. The gram-negative infections occur in the lower lobe alveoli which are more sensitive to infection.
D. Gram-negative pneumonias usually affect infants and small children.
 The nurse is performing an ophthalmoscopic examination on a hypertensive client. When assessing the client, which finding indicates the severity of hypertension?

Answer Choices:

A. Opague color of the sclera.
B. Transparency of the cornea.
C. Amount of retinal vessel damage that has occurred.
D. Constriction and dilatation of the pupils.
From Exam
RN Medical Surgical Exam 2025

55 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: HESI Exam(s)
  • Domain: Hesi MedSurg
  • Answer Choices: 4
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