MED SURG HESI V2 EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS LATEST
UPDATE WITH RATIONALES
The nurse is caring for a client with a lower left lobe pulmonary abscess. what
position should the nurse instruct the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest --CORRECT ANSWER--Left lateral
A client with Cholelithiasis has a gallstone lodged in the common bile duct and
is unable to eat or drink without becoming nauseous and vomiting. Which
finding should the nurse report to the healthcare provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence --CORRECT ANSWER--Yellow sclera
While caring for a client with Amyotrophic lateral sclerosis (ALS) a nurse
performs a neurological assessment every 4 hours. Which assessment finding
warrants immediate intervention by the nurse?
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,A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness --CORRECT ANSWER--Asymmetrical weakness
The nurse is providing preoperative education for a Jewish client scheduled to
receive a xenograft to promote burn healing. Which information should the
provider this client?
A. Grafting increase the risk for bacterial infections
B. The xenograft is taken from a non-human source.
C. Grafts are later removed by a debriding procedure
D. As the burns heals, the graft permanently --CORRECT ANSWER--The
xenograft is taken from a non-human source
A male client who had colon surgery 3 days ago is anxious and requesting
assistance to reposition. While the nurse is turning him, the wound dehiscences
and ulcerates. The nurse moistens an available sterile dressing and places it over
the wound. Which intervention should the nurse implement next.
A. Bring additional sterile dressing supplies to the room.
B. Prepare the client to return to the OR
C. Obtain a sample of the drainage to send to the lab
D. ausculate the abdomen for bowel sounds --CORRECT ANSWER--Bring
additional sterile dressing supplies to the room
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, A client with carcinoma of the lung is complaining of weakness and has a serum
sodium level of 117/meq. Which nursing problem should the nurse include in
the clients plan of care.
A. Altered urinary elimination
B. Impaired gas exchange
C. Fluid volume excess
D. Decreased cardiac output --CORRECT ANSWER--Fluid volume excess
What information should the nurse include in the teaching plan of a client
diagnosed with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose comfortable clothing
D. Avoid participation in any aerobic exercise program --CORRECT
ANSWER--Minimize symptoms by wearing loose comfortable clothing
After hospitalization for SIADH, a client develops pontine myelinolysis. Which
intervention should the nurse implement first?
A. Reorient client to room
B. Place a patch on one eye
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CORRECT DETAILED ANSWERS LATEST
UPDATE WITH RATIONALES
The nurse is caring for a client with a lower left lobe pulmonary abscess. what
position should the nurse instruct the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest --CORRECT ANSWER--Left lateral
A client with Cholelithiasis has a gallstone lodged in the common bile duct and
is unable to eat or drink without becoming nauseous and vomiting. Which
finding should the nurse report to the healthcare provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence --CORRECT ANSWER--Yellow sclera
While caring for a client with Amyotrophic lateral sclerosis (ALS) a nurse
performs a neurological assessment every 4 hours. Which assessment finding
warrants immediate intervention by the nurse?
Page | 1
,A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness --CORRECT ANSWER--Asymmetrical weakness
The nurse is providing preoperative education for a Jewish client scheduled to
receive a xenograft to promote burn healing. Which information should the
provider this client?
A. Grafting increase the risk for bacterial infections
B. The xenograft is taken from a non-human source.
C. Grafts are later removed by a debriding procedure
D. As the burns heals, the graft permanently --CORRECT ANSWER--The
xenograft is taken from a non-human source
A male client who had colon surgery 3 days ago is anxious and requesting
assistance to reposition. While the nurse is turning him, the wound dehiscences
and ulcerates. The nurse moistens an available sterile dressing and places it over
the wound. Which intervention should the nurse implement next.
A. Bring additional sterile dressing supplies to the room.
B. Prepare the client to return to the OR
C. Obtain a sample of the drainage to send to the lab
D. ausculate the abdomen for bowel sounds --CORRECT ANSWER--Bring
additional sterile dressing supplies to the room
Page | 2
, A client with carcinoma of the lung is complaining of weakness and has a serum
sodium level of 117/meq. Which nursing problem should the nurse include in
the clients plan of care.
A. Altered urinary elimination
B. Impaired gas exchange
C. Fluid volume excess
D. Decreased cardiac output --CORRECT ANSWER--Fluid volume excess
What information should the nurse include in the teaching plan of a client
diagnosed with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose comfortable clothing
D. Avoid participation in any aerobic exercise program --CORRECT
ANSWER--Minimize symptoms by wearing loose comfortable clothing
After hospitalization for SIADH, a client develops pontine myelinolysis. Which
intervention should the nurse implement first?
A. Reorient client to room
B. Place a patch on one eye
Page | 3
