MED SURG HESI V2 - 2024/2025
Study online at https://quizlet.com/_ge1w93
1. What information should the nurse include in the Minimize symptoms by
teaching plan of a client diagnosed with GERD? wearing loose comfortable
clothing
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
2. After hospitalization for SIADH, a client develops pon- Reorient client to room
tine 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
3. A male client with heart failure calls the clinic and Has his weight changed in
reports that he cannot put his shoes on because they the last several days?
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?
4. An older adult woman with a long history of COPD Assist her to an upright
is admitted with progressive shortness of breath and position
a persistent cough, is anxious, and is complaining of
dry mouth. which intervention should the nurse imple-
, MED SURG HESI V2 - 2024/2025
Study online at https://quizlet.com/_ge1w93
ment?
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
5. A client with a history of asthma and bronchitis arrives Increase the daily intake of
at the clinic with shortness of breath, productive cough oral fluids to liquify secre-
with thickening mucous and the inability to walk up tions
a flight of stairs without experiencing breathlessness.
Which action is most important for the nurse to in-
struct the client about self care?
A. Increase the daily intake of oral fluids to liquify se-
cretions
B. Avoid crowded enclosed areas to reduce pathogens
exposure
C. Call the clinic if undesirable side effects or medica-
tions
6. A cardiac catherization of a client with heart disease Three main arteries have
indicates the following blockages: 95% proximal left major blockages, with only
anterior descending (LAD), 99% proximal circumflex, 1-5% of the blood flow
and 95% proximal right coronary artery (RCA) the client getting through to the
later asks the nurse "What does all of that mean for heart muscles
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
7. The nurse is caring for a client with a lower left lobe Left lateral
pulmonary abscess. what position should the nurse
, MED SURG HESI V2 - 2024/2025
Study online at https://quizlet.com/_ge1w93
instruct the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest
8. A client with Cholelithiasis has a gallstone lodged in the Yellow sclera
common bile duct and is unable to eat or drink with-
out becoming nauseous and vomiting. Which finding
should the nurse report to the healthcare provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence
9. While caring for a client with Amyotrophic lateral scle- Asymmetrical weakness
rosis (ALS) a nurse performs a neurological assess-
ment every 4 hours. Which assessment finding war-
rants immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness
10. The nurse is providing preoperative education for a The xenograft is taken
Jewish client scheduled to receive a xenograft to pro- from a non-human source
mote 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
Study online at https://quizlet.com/_ge1w93
1. What information should the nurse include in the Minimize symptoms by
teaching plan of a client diagnosed with GERD? wearing loose comfortable
clothing
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
2. After hospitalization for SIADH, a client develops pon- Reorient client to room
tine 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
3. A male client with heart failure calls the clinic and Has his weight changed in
reports that he cannot put his shoes on because they the last several days?
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?
4. An older adult woman with a long history of COPD Assist her to an upright
is admitted with progressive shortness of breath and position
a persistent cough, is anxious, and is complaining of
dry mouth. which intervention should the nurse imple-
, MED SURG HESI V2 - 2024/2025
Study online at https://quizlet.com/_ge1w93
ment?
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
5. A client with a history of asthma and bronchitis arrives Increase the daily intake of
at the clinic with shortness of breath, productive cough oral fluids to liquify secre-
with thickening mucous and the inability to walk up tions
a flight of stairs without experiencing breathlessness.
Which action is most important for the nurse to in-
struct the client about self care?
A. Increase the daily intake of oral fluids to liquify se-
cretions
B. Avoid crowded enclosed areas to reduce pathogens
exposure
C. Call the clinic if undesirable side effects or medica-
tions
6. A cardiac catherization of a client with heart disease Three main arteries have
indicates the following blockages: 95% proximal left major blockages, with only
anterior descending (LAD), 99% proximal circumflex, 1-5% of the blood flow
and 95% proximal right coronary artery (RCA) the client getting through to the
later asks the nurse "What does all of that mean for heart muscles
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
7. The nurse is caring for a client with a lower left lobe Left lateral
pulmonary abscess. what position should the nurse
, MED SURG HESI V2 - 2024/2025
Study online at https://quizlet.com/_ge1w93
instruct the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest
8. A client with Cholelithiasis has a gallstone lodged in the Yellow sclera
common bile duct and is unable to eat or drink with-
out becoming nauseous and vomiting. Which finding
should the nurse report to the healthcare provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence
9. While caring for a client with Amyotrophic lateral scle- Asymmetrical weakness
rosis (ALS) a nurse performs a neurological assess-
ment every 4 hours. Which assessment finding war-
rants immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness
10. The nurse is providing preoperative education for a The xenograft is taken
Jewish client scheduled to receive a xenograft to pro- from a non-human source
mote 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
