MED SURG HESI V2 - 2024/2025 ACTUAL
EXAMi
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 Minimize symptoms by wearing
loose comfortable clothing
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 - ANS 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 Has his weight changed in 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 Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath, a
productive cough with thickening mucus 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 - ANS 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?
B. Three main arteries have major blockages, with only 1-5% of the blood flow getting through
to the heart muscles - ANS Three main arteries have major blockages, with only 1-5% of the
blood flow getting through to the heart muscles
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 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 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 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 provider of this client provide?
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
EXAMi
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 Minimize symptoms by wearing
loose comfortable clothing
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 - ANS 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 Has his weight changed in 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 Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath, a
productive cough with thickening mucus 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 - ANS 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?
B. Three main arteries have major blockages, with only 1-5% of the blood flow getting through
to the heart muscles - ANS Three main arteries have major blockages, with only 1-5% of the
blood flow getting through to the heart muscles
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 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 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 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 provider of this client provide?
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
