Hesi Final Study Questions: Med Surg II-2024
A nurse is caring for a client who is learning how to take care of a newly created colostomy. When
observing a return demonstration of the colostomy irrigation, the nurse evaluates that more teaching is
required when the client: -CORRECT ANS-Hangs the irrigation bag on the door clothes hook during fluid
insertion
Following surgery, a client asks the nurse if he or she can help measure intake and output. What is the
best nursing response? -CORRECT ANS-Assess the client's ability to measure the intake and output
A client with cancer of the pancreas has a pancreaticoduodenectomy (Whipple procedure). The nurse
expects that the client will have which tube after surgery? -CORRECT ANS-Nasogastric
A nurse is assessing a client with a diagnosis of early left ventricular heart failure. Specific to this type of
heart failure, the nurse expects the client to state: -CORRECT ANS-"I have trouble breathing when I walk
rapidly."
A client with a spontaneous pneumothorax asks, "Why did they put this tube into my chest?" The nurse
explains that the purpose of the chest tube is to: -CORRECT ANS-Remove air from the pleural space
Following surgery in the inguinal area, the client complains of pain on the right side of the chest,
becomes dyspneic, and begins to cough violently. The nurse suspects that a pulmonary embolus has
occurred. What is the priority nursing action? -CORRECT ANS-Elevate the head of the bed
As an acute episode of rheumatoid arthritis subsides, active and passive range-of-motion exercises are
taught to the client's spouse. The nurse should teach that direct pressure should not be applied to the
client's joints because this may precipitate: -CORRECT ANS-Pain
A client is admitted to the hospital with the diagnosis of cancer of the thyroid and a thyroidectomy is
scheduled. What is important for the nurse to consider when caring for this client during the
postoperative period? -CORRECT ANS-Hoarseness and airway obstruction may result from laryngeal
nerve damage.
A client is scheduled to have a cardiac catheterization via the femoral approach. The nurse teaches the
client about post-procedure interventions that protect the catheter insertion site. The nurse instructs
, the client that the leg used for catheter insertion will be: -CORRECT ANS-Kept extended while on bed
rest
A female client who has recurrent urinary tract infections (UTIs) is inquiring about the prevention of
future UTIs. What information should the nurse include when teaching the client? (Select all that apply.)
-CORRECT ANS--Drink 8 to 10 glasses of water each day
-Urinate immediately after sexual intercourse
A client is diagnosed with Cushing syndrome. Which clinical manifestation does the nurse expect to
increase in a client with Cushing syndrome? -CORRECT ANS-Glucose level
A client with hepatic cirrhosis begins to develop slurred speech, confusion, drowsiness, and a flapping
tremor. With this evidence of impending hepatic coma, which diet can the nurse expect will be
prescribed for this client? -CORRECT ANS-20 g of protein, 2000 calories
A nurse concludes that the anemia that accompanies chronic kidney disease should be treated because
it contributes to: -CORRECT ANS-Chronic fatigue
A client is scheduled to receive general anesthesia during an upcoming surgery. The nurse provides
education about common side effects of general anesthesia. The nurse concludes that the teaching has
been effective when the client states, "Immediately after surgery I may experience: -CORRECT ANS-A
sore throat."
A client has surgery for the creation of burr holes after sustaining head trauma. An early clinical
manifestation of meningeal irritation for which the nurse assesses the client is: -CORRECT ANS-Kernig's
sign
What therapeutic effect should the nurse identify as the reason for administration of neomycin sulfate
to a client before colon surgery? -CORRECT ANS-Destroy intestinal bacteria
A client newly diagnosed with myasthenia gravis is concerned about fluctuations in physical condition
and generalized weakness. When caring for this client it is most important for the nurse to plan to: -
CORRECT ANS-Space activities throughout the day
A nurse is caring for a client who is learning how to take care of a newly created colostomy. When
observing a return demonstration of the colostomy irrigation, the nurse evaluates that more teaching is
required when the client: -CORRECT ANS-Hangs the irrigation bag on the door clothes hook during fluid
insertion
Following surgery, a client asks the nurse if he or she can help measure intake and output. What is the
best nursing response? -CORRECT ANS-Assess the client's ability to measure the intake and output
A client with cancer of the pancreas has a pancreaticoduodenectomy (Whipple procedure). The nurse
expects that the client will have which tube after surgery? -CORRECT ANS-Nasogastric
A nurse is assessing a client with a diagnosis of early left ventricular heart failure. Specific to this type of
heart failure, the nurse expects the client to state: -CORRECT ANS-"I have trouble breathing when I walk
rapidly."
A client with a spontaneous pneumothorax asks, "Why did they put this tube into my chest?" The nurse
explains that the purpose of the chest tube is to: -CORRECT ANS-Remove air from the pleural space
Following surgery in the inguinal area, the client complains of pain on the right side of the chest,
becomes dyspneic, and begins to cough violently. The nurse suspects that a pulmonary embolus has
occurred. What is the priority nursing action? -CORRECT ANS-Elevate the head of the bed
As an acute episode of rheumatoid arthritis subsides, active and passive range-of-motion exercises are
taught to the client's spouse. The nurse should teach that direct pressure should not be applied to the
client's joints because this may precipitate: -CORRECT ANS-Pain
A client is admitted to the hospital with the diagnosis of cancer of the thyroid and a thyroidectomy is
scheduled. What is important for the nurse to consider when caring for this client during the
postoperative period? -CORRECT ANS-Hoarseness and airway obstruction may result from laryngeal
nerve damage.
A client is scheduled to have a cardiac catheterization via the femoral approach. The nurse teaches the
client about post-procedure interventions that protect the catheter insertion site. The nurse instructs
, the client that the leg used for catheter insertion will be: -CORRECT ANS-Kept extended while on bed
rest
A female client who has recurrent urinary tract infections (UTIs) is inquiring about the prevention of
future UTIs. What information should the nurse include when teaching the client? (Select all that apply.)
-CORRECT ANS--Drink 8 to 10 glasses of water each day
-Urinate immediately after sexual intercourse
A client is diagnosed with Cushing syndrome. Which clinical manifestation does the nurse expect to
increase in a client with Cushing syndrome? -CORRECT ANS-Glucose level
A client with hepatic cirrhosis begins to develop slurred speech, confusion, drowsiness, and a flapping
tremor. With this evidence of impending hepatic coma, which diet can the nurse expect will be
prescribed for this client? -CORRECT ANS-20 g of protein, 2000 calories
A nurse concludes that the anemia that accompanies chronic kidney disease should be treated because
it contributes to: -CORRECT ANS-Chronic fatigue
A client is scheduled to receive general anesthesia during an upcoming surgery. The nurse provides
education about common side effects of general anesthesia. The nurse concludes that the teaching has
been effective when the client states, "Immediately after surgery I may experience: -CORRECT ANS-A
sore throat."
A client has surgery for the creation of burr holes after sustaining head trauma. An early clinical
manifestation of meningeal irritation for which the nurse assesses the client is: -CORRECT ANS-Kernig's
sign
What therapeutic effect should the nurse identify as the reason for administration of neomycin sulfate
to a client before colon surgery? -CORRECT ANS-Destroy intestinal bacteria
A client newly diagnosed with myasthenia gravis is concerned about fluctuations in physical condition
and generalized weakness. When caring for this client it is most important for the nurse to plan to: -
CORRECT ANS-Space activities throughout the day
