2026UPDATED MED SURG HESI V2 – 51 Realistic questions and
verified answers with complete solutions and graduate A+.
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 - 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
C. Evaluate clients ability to swallow
D. Perform range of motion exercises - ANSWER: Reorient client to room
A male client with heart failure calls the clinic and reports that he cannot put his
shoes on because they are too tight. Which additional information should the nurse
obtain?
A. What time did he take his medication?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night? - ANSWER: Has his weight changed in
the last several days?
An older adult woman with a long history of COPD is admitted with progressive
shortness of breath and a persistent cough, is anxious, and is complaining of dry
mouth. which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high flow Venturi mask
D. Assist her to an upright position - ANSWER: Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with shortness
of breath, productive cough with thickening mucous and the inability to walk up a
flight of stairs without experiencing breathlessness. Which action is most important
for the nurse to instruct the client about self care?
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogens exposure
C. Call the clinic if undesirable side effects or medications - ANSWER: Increase the
daily intake of oral fluids to liquify secretions
, A cardiac catherization of a client with heart disease indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal circumflex,
and 95% proximal right coronary artery (RCA) the client later asks the nurse "What
does all of that mean for me?" What information should the nurse provide.
B. Three main arteries have major blockages, with only 1-5% of the blood flow
getting through to the heart muscles - ANSWER: Three main arteries have major
blockages, with only 1-5% of the blood flow getting through to the heart muscles
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 - 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 - 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?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness - 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 - 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
verified answers with complete solutions and graduate A+.
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 - 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
C. Evaluate clients ability to swallow
D. Perform range of motion exercises - ANSWER: Reorient client to room
A male client with heart failure calls the clinic and reports that he cannot put his
shoes on because they are too tight. Which additional information should the nurse
obtain?
A. What time did he take his medication?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night? - ANSWER: Has his weight changed in
the last several days?
An older adult woman with a long history of COPD is admitted with progressive
shortness of breath and a persistent cough, is anxious, and is complaining of dry
mouth. which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high flow Venturi mask
D. Assist her to an upright position - ANSWER: Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with shortness
of breath, productive cough with thickening mucous and the inability to walk up a
flight of stairs without experiencing breathlessness. Which action is most important
for the nurse to instruct the client about self care?
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogens exposure
C. Call the clinic if undesirable side effects or medications - ANSWER: Increase the
daily intake of oral fluids to liquify secretions
, A cardiac catherization of a client with heart disease indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal circumflex,
and 95% proximal right coronary artery (RCA) the client later asks the nurse "What
does all of that mean for me?" What information should the nurse provide.
B. Three main arteries have major blockages, with only 1-5% of the blood flow
getting through to the heart muscles - ANSWER: Three main arteries have major
blockages, with only 1-5% of the blood flow getting through to the heart muscles
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 - 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 - 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?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness - 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 - 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
