MED SURG HESI V2 - 2026/2027
1. 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: Minimize symptoms by wearing
loose comfortable clothing
2. 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: Reorient client to room
3. 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?: Has his weight changed in the last several
days?
4. 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?
, MED SURG HESI V2 - 2026/2027
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: Assist her to an upright position
5. 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: Increase the daily intake of oral
fluids to liquify secretions
6. 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: 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 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: Left lateral
1. 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: Minimize symptoms by wearing
loose comfortable clothing
2. 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: Reorient client to room
3. 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?: Has his weight changed in the last several
days?
4. 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?
, MED SURG HESI V2 - 2026/2027
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: Assist her to an upright position
5. 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: Increase the daily intake of oral
fluids to liquify secretions
6. 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: 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 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: Left lateral
