MED SURG II HESI CERTIFICATION
EVALUATION 2026 DETAILED SOLUTIONS
HIGH PERFORMANCE GUIDE
◉ The nurse is preparing to teach a client with a peptic ulcer about
the diet that should be followed after discharge. The nurse should
explain that the client should eat which of the following?
1. Bland foods.
2. High-protein foods.
3. Any foods that are tolerated.
4. A glass of milk with each meal..
Answer: 3. Any foods that are tolerated.
◉ The nurse finds a client who has been diagnosed with a peptic
ulcer surrounded by papers from a briefcase and arguing on the
telephone with a coworker. The nurse's response to observing these
actions should be based on knowledge that:
1. Involvement with the job will keep the client from becoming
bored.
2. A relaxed environment will promote ulcer healing.
,3. Not keeping up with the job will increase the client's stress level.
4. Setting limits on the client's behavior is an important nursing
responsibility..
Answer: 2. A relaxed environment will promote ulcer healing.
◉ A client with a peptic ulcer has been instructed to avoid intense
physical
activity and stress. Which strategy should the client incorporate into
the home care plan?
1. Conduct physical activity in the morning in order to be able to rest
in the
afternoon.
2. Have the family agree to perform the necessary yard work at
home.
3. Give up jogging and substitute a less demanding hobby.
4. Incorporate periods of physical and mental rest in the daily
schedule..
Answer: 4. Incorporate periods of physical and mental rest in the
daily schedule.
◉ A client is to take one daily dose of ranitidine (Zantac) at home to
treat a peptic ulcer. The client understands proper drug
,administration of ranitidine when the client will take the drug at
which of the following times?
1. Before meals.
2. With meals.
3. At bedtime.
4. When pain occurs..
Answer: 3. At bedtime.
◉ A client has been taking aluminum hydroxide 30 mL six times per
day at home to treat a peptic ulcer. The client has been unable to
have a bowel movement for 3 days. Based on this information, the
nurse would determine that which of the following is the most likely
cause of the client's constipation?
1. The client has not been including enough fiber in the diet.
2. The client needs to increase the daily exercise.
3. The client is experiencing an adverse effect of the aluminum
hydroxide.
4. The client has developed a gastrointestinal obstruction..
Answer: 3. The client is experiencing an adverse effect of the
aluminum hydroxide.
, ◉ A client is taking an antacid for treatment of a peptic ulcer. Which
of the
following statements best indicates that the client understands how
to correctly take the antacid?
1. "I should take my antacid before I take my other medications."
2. "I need to decrease my intake of fluids so that I don't dilute the
effects of my antacid."
3. "My antacid will be most effective if I take it whenever I
experience stomach pains."
4. "It is best for me to take my antacid 1 to 3 hours after meals.".
Answer: 4. "It is best for me to take my antacid 1 to 3 hours after
meals."
◉ Which of the following would be an expected outcome for a client
with peptic ulcer disease? The client will:
1. Demonstrate appropriate use of analgesics to control pain.
2. Explain the rationale for eliminating alcohol from the diet.
3. Verbalize the importance of monitoring hemoglobin and
hematocrit every 3 months.
4. Eliminate engaging in contact sports..
Answer: 2. Explain the rationale for eliminating alcohol from the
diet.
EVALUATION 2026 DETAILED SOLUTIONS
HIGH PERFORMANCE GUIDE
◉ The nurse is preparing to teach a client with a peptic ulcer about
the diet that should be followed after discharge. The nurse should
explain that the client should eat which of the following?
1. Bland foods.
2. High-protein foods.
3. Any foods that are tolerated.
4. A glass of milk with each meal..
Answer: 3. Any foods that are tolerated.
◉ The nurse finds a client who has been diagnosed with a peptic
ulcer surrounded by papers from a briefcase and arguing on the
telephone with a coworker. The nurse's response to observing these
actions should be based on knowledge that:
1. Involvement with the job will keep the client from becoming
bored.
2. A relaxed environment will promote ulcer healing.
,3. Not keeping up with the job will increase the client's stress level.
4. Setting limits on the client's behavior is an important nursing
responsibility..
Answer: 2. A relaxed environment will promote ulcer healing.
◉ A client with a peptic ulcer has been instructed to avoid intense
physical
activity and stress. Which strategy should the client incorporate into
the home care plan?
1. Conduct physical activity in the morning in order to be able to rest
in the
afternoon.
2. Have the family agree to perform the necessary yard work at
home.
3. Give up jogging and substitute a less demanding hobby.
4. Incorporate periods of physical and mental rest in the daily
schedule..
Answer: 4. Incorporate periods of physical and mental rest in the
daily schedule.
◉ A client is to take one daily dose of ranitidine (Zantac) at home to
treat a peptic ulcer. The client understands proper drug
,administration of ranitidine when the client will take the drug at
which of the following times?
1. Before meals.
2. With meals.
3. At bedtime.
4. When pain occurs..
Answer: 3. At bedtime.
◉ A client has been taking aluminum hydroxide 30 mL six times per
day at home to treat a peptic ulcer. The client has been unable to
have a bowel movement for 3 days. Based on this information, the
nurse would determine that which of the following is the most likely
cause of the client's constipation?
1. The client has not been including enough fiber in the diet.
2. The client needs to increase the daily exercise.
3. The client is experiencing an adverse effect of the aluminum
hydroxide.
4. The client has developed a gastrointestinal obstruction..
Answer: 3. The client is experiencing an adverse effect of the
aluminum hydroxide.
, ◉ A client is taking an antacid for treatment of a peptic ulcer. Which
of the
following statements best indicates that the client understands how
to correctly take the antacid?
1. "I should take my antacid before I take my other medications."
2. "I need to decrease my intake of fluids so that I don't dilute the
effects of my antacid."
3. "My antacid will be most effective if I take it whenever I
experience stomach pains."
4. "It is best for me to take my antacid 1 to 3 hours after meals.".
Answer: 4. "It is best for me to take my antacid 1 to 3 hours after
meals."
◉ Which of the following would be an expected outcome for a client
with peptic ulcer disease? The client will:
1. Demonstrate appropriate use of analgesics to control pain.
2. Explain the rationale for eliminating alcohol from the diet.
3. Verbalize the importance of monitoring hemoglobin and
hematocrit every 3 months.
4. Eliminate engaging in contact sports..
Answer: 2. Explain the rationale for eliminating alcohol from the
diet.
