The mother of a child with acute laryngotracheobronchitis (LTB) asks why her child must be kept NPO. Which response would be the most correct?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 2 of 47
During the initial assessment of an older male client with obesity and diabetes who develops intermittent claudication, which additional information obtained by the nurse is most significant?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 3 of 47
An adolescent female asks the nurse about taking retinoic acid (Accutane). What guidance should be provided by the nurse?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 4 of 47
A male client with acquired immune deficiency syndrome (AIDS) and Pneumocystis carinii pneumonia has a CD4+ T cell count of 200 cells/microliter. The client asks the nurse why he keeps getting these massive infections. Which pathophysiologic mechanism should the nurse describe in response to the client's question?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 5 of 47
What is the most common method of attempted suicide?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 6 of 47
The nurse is evaluating teaching about drug therapy to treat gout. Which statement by the client demonstrates an understanding of the use of allopurinol to treat Gout?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 7 of 47
A young adult male is admitted to the intensive care unit with multiple rib fractures and severe pulmonary contusions after falling 20 feet from a rooftop. The Chest X-ray suggests acute Respiratory distress Syndrome. Which assessment finding warrants immediate intervention by the Nurse?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 8 of 47
A client who is experiencing respiratory distress is admitted with respiratory acidosis. Which pathophysiological process supports the client's respiratory acidosis?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 9 of 47
A male client with diabetes mellitus is transferred from the hospital to a rehabilitation facility following treatment for a stroke resulting in right hemiplegia. He tells the nurse that his feet are always uncomfortably cool at night, preventing him from falling asleep. Which action should the nurse implement?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 10 of 47
The nurse is teaching a client about coronary artery disease (CAD) preventive health. Which behavior stated by the client indicates a need for additional information and teaching?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 11 of 47
The nurse prepares a teaching plan for an adult client with metabolic syndrome. Which findings should the nurse address to help the client reduce the risk for diabetes mellitus and vascular disease? (Select all that apply)
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 12 of 47
An overweight, young adult male who was recently diagnosed with type 2 diabetes mellitus is admitted for a hernia repair. He tells the nurse that he is feeling very weak and jittery. Which actions should the nurse implement? (Select all that apply)
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 13 of 47
A client who took a camping vacation two weeks ago in a country with a tropical climate comes to the clinic describing vague symptoms and diarrhea for the past week. Which finding is most important for the nurse to report to the HCP?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 14 of 47
The parents of a child who has had a myringotomy are instructed by the nurse to place the child in which position?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 15 of 47
How should the nurse measure urinary output for an infant with dehydration?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 16 of 47
A client with AIDS has impaired gas exchange from a respiratory infection. Which assessment finding warrants immediate intervention by the nurse?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 17 of 47
Which nursing intervention promotes achievement of the goal 'optimal mobility' for a client who had a total hip replacement 8 hours ago?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 18 of 47
A woman with chronic osteoarthritis is complaining of knee pain. Which pathophysiological process is contributing to her pain?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 19 of 47
The nurse assesses an adult male client 24 hours following abdominal surgery and finds that his blood pressure is 98/40 mm Hg, he is tachycardic, restless, and irritable. Which action should the nurse take first?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 20 of 47
The nurse is providing postoperative care for a client who had a thyroidectomy. Which assessment finding requires immediate intervention?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 21 of 47
A client admitted to a surgical unit is being evaluated for an intestinal obstruction. The HCP prescribes an NG tube to be inserted and placed on intermittent low wall suction. Which intervention should the nurse implement to facilitate proper tube placement?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 22 of 47
Parents of a school-age child ask the nurse for suggestions in helping the child who is demonstrating school avoidance. What is an appropriate suggestion by the nurse?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 23 of 47
What is a causative factor of Hirschsprung disease?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 24 of 47
The nurse is triaging clients who have been injured during a tornado. Which client requires immediate action?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 25 of 47
A teenage girl has been placed in a brace for the treatment of scoliosis, the most common skeletal deformity of adolescence. The family asks what they can do to be more supportive. What suggestion from the nurse is the most appropriate?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 26 of 47
A client with chronic heart failure is experiencing dyspnea and has an oxygen saturation of 88%. Which position is most appropriate to improve oxygenation?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 27 of 47
What is the major criterion for diagnosing cognitive impairment in a child?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 28 of 47
What is the best position for a client experiencing a nosebleed?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 29 of 47
A young client who is being taught how to use an inhaler for symptoms of asthma tells the nurse about the intention to use the inhaler but plans to continue smoking cigarettes. In evaluating the client's response, what is the best initial action by the nurse?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 30 of 47
A client who has a history of hyperthyroidism was initially admitted with lethargy and confusion. Which additional finding warrants the most immediate action by the nurse?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 31 of 47
Which of the following is a priority assessment for a client receiving intravenous vancomycin?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 32 of 47
The client with chronic venous insufficiency is being taught about self-care measures. Which instruction should be included?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 33 of 47
What should be included in the medical management of sickle cell crisis?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 34 of 47
Which finding should the nurse report immediately for a client receiving a blood transfusion?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 35 of 47
After hospitalization for SIADH, a client develops pontine myelinolysis. Which intervention should the nurse implement first?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 36 of 47
A male client with Herpes Zoster (shingles) on his thorax tells the nurse that he is having difficulty sleeping. What is the etiology of this problem?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 37 of 47
A client with chronic obstructive pulmonary disease (COPD) presented with shortness of breath. Oxygen therapy was started at 2 liters/minute via nasal cannula. The arterial blood gases (ABGs) after treatment were pH 7.36, PaO2 52, PaCO2 59, HCO3 33. Which statement describes the most likely cause of the simultaneous increase in both PaO2 and PaCO2?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 38 of 47
Based on this strip, what is the interpretation of this rhythm?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 39 of 47
The nurse is reviewing blood pressure readings for a group of clients on a medical unit. Which client is at the highest risk for complications related to hypertension?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 40 of 47
The nurse uses a diagram to show that the tetralogy of Fallot involves a combination of four congenital defects. What are the defects?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 41 of 47
What is the main characteristic of cystic fibrosis?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 42 of 47
A client with diabetes mellitus is experiencing polyuria, polydipsia, and polyphagia. What do these symptoms indicate?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 43 of 47
A client with Parkinson's disease is experiencing difficulty swallowing. Which intervention should the nurse implement to prevent aspiration?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 44 of 47
The nurse caring for a hospitalized older client with a left hip fracture as a result of a fall at home notices different assessment findings. Which assessment finding warrants immediate intervention by the nurse?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 45 of 47
What are priority nursing interventions designed to do for a 4-year-old child with cerebral palsy?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 46 of 47
A client with deep vein thrombosis (DVT) is being treated with warfarin. Which dietary instruction should the nurse provide?
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HESI LPN · Medical Surgical Assignment Exam HESI
Question 47 of 47
The nurse is assessing a client who has herpes zoster. Which question will allow the nurse to gather further information about this condition?
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