MED SURG HESI V2 2023-2023
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 -ANS-C. Minimize symptoms by wearing loose,
comfortable clothing
After a 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 -ANS-A. 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? -ANS-B. Has his weight changed over 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 -ANS-D. 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 pathogen exposure
C. Call the clinic if undesirable side effects or medications occur
D. Teach anxiety reduction methods for feelings of suffocation -ANS-A. Increase the daily intake of oral
fluids to liquify secretions
A cardiac catheterization 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?
A. Blood supply to the heart is diminished by atherosclerotic lesions which necessitate life style changes.
B. Blood vessels supplying the pumping chamber have blockages indicating a past heart attack.
C. Three main arteries have major blockages, with only 1-5% of the blood flow getting through to the
heart muscle
D. The heart is not receiving enough blood, so there is a risk of heart failure and fluid retention -ANS-C.
Three main arteries have major blockages with only 1-5% of the blood flow getting through to the heart
muscle
A client who weighs 175 lbs is receiving an IV bolus dose of Heparin 80 units/kg. The Heparin is available
in a 2 ml vial, labeled 10,000 units/ml. How many ml should the nurse administer? (enter numeric value
only. If rounding is permitted, round to the nearest tenth) -ANS-0.6ml
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 -ANS-A. 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 -ANS-C. 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 -ANS-D. 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 nurse provide this client?
A. Grafting icreases the risk for bacterial infections
B. The xenograft is taken from a non-human source.
C. Grafts are later removed by a debriding procedure.
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 -ANS-C. Minimize symptoms by wearing loose,
comfortable clothing
After a 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 -ANS-A. 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? -ANS-B. Has his weight changed over 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 -ANS-D. 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 pathogen exposure
C. Call the clinic if undesirable side effects or medications occur
D. Teach anxiety reduction methods for feelings of suffocation -ANS-A. Increase the daily intake of oral
fluids to liquify secretions
A cardiac catheterization 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?
A. Blood supply to the heart is diminished by atherosclerotic lesions which necessitate life style changes.
B. Blood vessels supplying the pumping chamber have blockages indicating a past heart attack.
C. Three main arteries have major blockages, with only 1-5% of the blood flow getting through to the
heart muscle
D. The heart is not receiving enough blood, so there is a risk of heart failure and fluid retention -ANS-C.
Three main arteries have major blockages with only 1-5% of the blood flow getting through to the heart
muscle
A client who weighs 175 lbs is receiving an IV bolus dose of Heparin 80 units/kg. The Heparin is available
in a 2 ml vial, labeled 10,000 units/ml. How many ml should the nurse administer? (enter numeric value
only. If rounding is permitted, round to the nearest tenth) -ANS-0.6ml
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 -ANS-A. 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 -ANS-C. 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 -ANS-D. 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 nurse provide this client?
A. Grafting icreases the risk for bacterial infections
B. The xenograft is taken from a non-human source.
C. Grafts are later removed by a debriding procedure.
