2024 RN MED SURGE HESI EXIT RN EXAM TOTAL QUESTIONS AND ANSWERS FOR EACH VERSION RATED A+ NGN

2024 RN MED SURGE HESI EXIT RN EXAM TOTAL QUESTIONS AND ANSWERS FOR EACH VERSION RATED A+ NGN 2.The nurse is developing the plan of care for a client with pneumonia and includes the nursing diagnosis of “Ineffective airway clearance related to thick pulmonary secretions.” Which intervention is most important for the nurse to include in the client’s plan of care? •Increase fluid intake to 3,000 ml/daily 3.The nurse plans to collect a 24- hour urine specimen for a creatinine clearance test. Which instruction should the nurse provide to the adult male client? •Clearance around the meatus, discard first portion of voiding, and collect the rest in a sterile bottle •Urinate at specific time, discard the urine, and collect all subsequenturine during the next 24 hours. •For the next 24 hours, notify the nurse when the bladder is full, and the nurse will collect catheterized specimens. •Urinate immediately into a urinal, and the lab will collect specimen every 6 hours, for the next 24 hours. •Rationale: Urinate at specific time, discard the urine, and collect all subsequent urine during the next 24 hours is the correct procedure for collecting 24-hour urine specimen. Discarding even one voided specimen invalidate the test. 4.The nurse is preparing to administer a histamine 2-receptor antagonist to a client with peptic ulcer disease. What is the primary purpose of this drug classification? •Decreases the amount of HCL secretion by the parietal cells in the stomach 5.The healthcare provider prescribes acarbose (Precose), an alpha-glucosidase inhibitor, for a client with Type 2 diabetes mellitus. Which information provides the best indicator of the drug’s effectiveness? •Hemoglobin A1C (HbA1C) reading less than 7% 6.The nurse assesses a client with new onset diarrhea. It is most important for the nurse to question the client about recent use of which type of medication? •Antibiotics •Anticoagulants