HESI MEDSURG Exam Quizlet

A young adult patient is being seen in the clinic with increased secretion of the

anterior pituitary hormones. The nurse would expect the laboratory test results to

show

a. increased urinary cortisol.

b. decreased serum thyroxine.

c. elevated serum aldosterone levels.

d. low urinary catecholamines excretion.

Which statement by a 50-yr-old female patient indicates to the nurse that further

assessment of thyroid function may be necessary?

a. "I notice my breasts are tender lately."

b. "I am so thirsty that I drink all day long."

c. "I get up several times at night to

urinate." d. "I feel a lump in my throat

when I swallow."

A patient seen in the emergency department for severe headache and acute

confusion has a serum sodium level of 118 mEq/L. The nurse will anticipate the

need for which diagnostic test?

a. Urinary 17-

ketosteroids b.

Antidiuretic hormone

level

c. Growth hormone stimulation test

d. Adrenocorticotropic hormone level

Which question from a nurse during a patient interview will provide focused

information about a possible thyroid disorder?

a. "What methods do you use to help cope with stress?"

b. "Have you experienced any blurring or double

vision?" c. "Have you had a recent unplanned

weight gain or loss?"

d. "Do you have to get up at night to empty your bladder?"

A patient will be scheduled in the outpatient clinic for blood cortisol testing.

Which instruction will the nurse provide?

a. "Avoid adding any salt to your foods for 24 hours before the test."

b. "You will need to lie down for 30 minutes before the blood is

drawn." c. "Come to the laboratory to have the blood drawn

early in the morning."

d. "Do not have anything to eat or drink before the blood test is obtained."

A 61-yr-old female patient admitted with pneumonia has a total serum calcium

level of 13.3 mg/dL (3.3 mmol/L). The nurse will anticipate the need to teach

the patient about testing for levels.

a. calcitonin

b. catecholamine

 1 / 4

c. thyroid hormone

d. parathyroid hormone

 2 / 4

During the nurse's physical examination of a young adult, the patient's thyroid

gland cannot be felt. The most appropriate action by the nurse is to

a. palpate the patient's neck more deeply.

b. document that the thyroid was nonpalpable.

c. notify the health care provider immediately.

d.teach the patient about thyroid hormone testing.

Which laboratory value should the nurse review to determine whether a patient's

hypothyroidism is caused by a problem with the anterior pituitary gland or with

the thyroid gland?

a. Thyroxine (T4) level

b. Triiodothyronine (T3) level

c. Thyroid-stimulating hormone (TSH) level

d. Thyrotropin-releasing hormone (TRH) level

The nurse reviews a patient's glycosylated hemoglobin (A1C) results to evaluate

a. fasting preprandial glucose levels.

b. glucose levels 2 hours after a

meal. c. glucose control over the

past 90 days.

d. hypoglycemic episodes in the past 3 months.

A patient is taking spironolactone (Aldactone), a drug that blocks the action of

aldosterone on the kidney, for hypertension. The nurse will monitor for

a. increased serum sodium.

b. decreased urinary

output. c. elevated serum

potassium.

d. evidence of fluid overload.

A patient has been newly diagnosed with type 2 diabetes mellitus. Which

information about the patient will be most useful to the nurse who is helping the

patient develop strategies for successful adaptation to this disease?

a. Ideal

weight b.

Value system

c. Activity level

d. Visual changes

An 18-yr-old male patient with small stature is scheduled for a growth hormone

stimulation test. In preparation for the test, the nurse will obtain

a. ice in a basin.

b. glargine insulin.

c. a cardiac monitor.

d. 50% dextrose solution.

The nurse will plan to teach a patient to minimize physical and emotional stress

while the patient is undergoing

a. a water deprivation test.

 3 / 4

b.testing for serum T3 and T4

levels. c. a 24-hour urine test for

free cortisol.

d. a radioactive iodine (I-131) uptake test.

The nurse will teach a patient who is scheduled to complete a 24-hour urine

collection for 17-ketosteroids to

a. insert and maintain a retention

catheter. b. keep the specimen

refrigerated or on ice.

c. drink at least 3 L of fluid during the 24 hours.

d. void and save that specimen to start the collection.

Which additional information will the nurse need to consider when reviewing the

laboratory results for a patient's total calcium level?

a. The blood

glucose b. The

serum albumin

c. The phosphate level

d. The magnesium level

A patient is admitted with tetany. Which laboratory value should the nurse plan to

monitor?

a. Total protein

b.Blood

glucose c.

Ionized calcium

d. Serum phosphate

Which information about a patient who is scheduled for an oral glucose tolerance

test should be reported to the health care provider before starting the test?

a. The patient reports having occasional orthostatic

dizziness. b. The patient takes oral corticosteroids for

rheumatoid arthritis.

c. The patient has had a 10-lb weight gain in the last month.

d. The patient drank several glasses of water an hour previously.

A registered nurse (RN) is caring for a patient with a goiter and possible

hyperthyroidism. Which action by the RN indicates that the charge nurse needs

to provide the RN with additional teaching?

a. The RN checks the blood pressure in both

arms. b. The RN palpates the neck to assess

thyroid size.

c. The RN orders saline eye drops to lubricate the patient's bulging eyes.

d. The RN lowers the thermostat to decrease the temperature in the room.

The nurse is caring for a 45-yr-old male patient during a water deprivation test.

Which finding is most important for the nurse to communicate to the health care

provider?

a. The patient complains of intense thirst.

Powered by qwivy(www.qwivy.org)

 4 / 4

MED SURG HESI EXIT EXAM/Latest 2022/Test Bank/With Rationales/Complete A+ Guide

MED SURG HESI EXIT EXAM/Latest 2022;2023/Test Bank/With Rationales/Complete A+ Guide

HESI MED SURG RN VERSION 2 / HESI MED SURG QUESTIONS & ANSWERS (LATEST): (VERIFIED AND UPDATED QUESTIONS AND ANSWERS, DOWNLOAD & PREPARE FOR BEST RESULT)

HESI MED SURG RN VERSION 2 / HESI MED SURG QUESTIONS & ANSWERS

Hundred thousands of people are searching for your content every day. You can easily upload your summaries to our platform and start earning money from your study notes.\n\nSign up for free today and start earning while helping others!

HESI MED SURG RN V2 QUESTIONS & ANSWERS (LATEST, 2020) |100% CORRECT ANSWERS, ALREADY GRADED A|

HESI MED SURG RN V2 QUESTIONS & ANSWERS (LATEST, 2020) |100% CORRECT ANSWERS, ALREADY GRADED A|

Chamberlain College of Nursing HESI- med surg Question and Answers 2022