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HESI MEDSURG III FINAL EXAM ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+$17.99
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A 25-year-old client was B. Oral temperature of 102° F
admitted yesterday after a Rationale:
motor vehicle collision. Clients with basilar skull fractures are at high risk for
Neurodiagnostic studies infection of the brain, as indicated by an increased oral
have shown a basal skull temperature, because the fracture leaves the meninges
fracture in the middle open to bacterial invasion. Clients may experience
fossa. Assessment on options C and D, but these findings do not pose as great
admission revealed both a life-threatening risk as infection. Jugular distention is
halo and Battle signs. not a typical complication of basal skull fractures.
Which new symptom
indicates that the client is
likely to be experiencing
a common life-
threatening complication
associated with a basal
skull fracture?
A. Bilateral jugular venous
distention
B.Oral temperature of
102° F
C.Intermittent focal motor
seizures
D.Intractable pain in the
cervical region
,A 43-year-old homeless, B.Magnesium sulfate
malnourished female Rationale:
client with a history of Because the client has chronic alcoholism, she is likely to
alcoholism is transferred have hypomagnesemia. Option B is the recommended
to the ICU. She is placed drug for torsades de pointes, which is a form of
on telemetry, and the polymorphic ventricular tachycardia (VT) usually
rhythm strip shown is associated with a prolonged QT interval that occurs with
obtained. The nurse hypomagnesemia. Options A and D increase the QT
palpates a heart rate of interval, which can cause the torsades to worsen. Option
160 beats/min, and the C is the antiarrhythmic of choice in most cases of drug-
client's blood pressure is induced monomorphic VT, not torsades.
90/54 mm Hg. Based on
these findings, which IV
medication should the
nurse administer?
A. Amiodarone
(Cordarone)
B. Magnesium sulfate
C. Lidocaine (Xylocaine)
D. Procainamide
(Pronestyl)
,A 55-year-old male client C. The client smokes one to two packs of cigarettes per
has been admitted to the day.
hospital with a medical Rationale:
diagnosis of chronic Smoking, considered to be a modifiable risk factor, is the
obstructive pulmonary most significant risk factor for the development of
disease (COPD). Which COPD. The exact mechanism of genetic and hereditary
risk factor is the most implications for the development of COPD is still under
significant in the investigation, although exposure to similar predisposing
development of this factors (e.g., smoking or inhaling secondhand smoke)
client's COPD? may increase the likelihood of COPD incidence among
A.The client's father was family members. Options B and D do not exceed the
diagnosed with COPD in risks associated with cigarette smoking in the
his 50s. development of COPD.
B.A close family member
contracted tuberculosis
last year.
C.The client smokes one
to two packs of cigarettes
per day.
D.The client has been 40
pounds overweight for 15
years.
, A 58-year-old client who B.The immunization is administered once to older adults
has no health problems or those at risk for illness.
asks the nurse about Rationale:
receiving the It is usually recommended that persons older than 65
pneumococcal vaccine. years and those with a history of chronic illness should
Which statement given by receive the vaccine once in their lifetime. Some
the nurse would offer the recommend receiving the vaccine at 50 years of age.
client accurate The influenza vaccine is given once a year. Although the
information about this vaccine might be given to a person traveling overseas,
vaccine? that is not the main rationale for administering the
vaccine. The vaccine is usually given once in a lifetime,
A. The vaccine is given but with immunosuppressed clients or clients with a
annually before the flu history of pneumonia, revaccination is sometimes
season to those older required.
than 50 years.
B. The immunization is
administered once to
older adults or those at
risk for illness.
C.The vaccine is for all
ages and is given
primarily to those
persons traveling
overseas to areas of
infection.
D. The vaccine will
prevent the occurrence of
pneumococcal pneumonia
for up to 5 years.
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