MED SURG FINAL HESI 2024 ACTUAL EXAM ALL
QUESTIONS AND WELL ELABORATED ANSWERS UPDATED
VERSION ||COMPLETE A+ GUIDE
,After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a
client develops pontine myselinolysis. Which intervention should the nurse implement
first?
A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
D. Perform range of motion exercises - CORRECT ANSWERS-A. Reorient client to his
room
A male client with heart failure (HF) 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 last medications?
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? - CORRECT ANSWERS-B. Has his weight
changed in the last several days?
An older adult woman with a long history of chronic obstructive pulmonary disease
(COPD) is admitted with progressive shortness of breath and a persistent cough. She is
anxious and is complaining of a 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 - CORRECT ANSWERS-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 thickened tenacious 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 liquefy secretions
B. Avoid crowded enclosed areas to reduce pathogen exposure
C. Call the clinic if undesirable side effects of mediations occur
D. Teach anxiety reduction methods for feelings of suffocation - CORRECT ANSWERS-
A. Increase the daily intake of oral fluids to liquefy secretions
A cardiac catherterization of a client with heart disease indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal circumflex, and
, ? % proximal right coronary artery (RCA). The client later asks the nurse "what does all
this mean for me?" What information should the nurse provide?
A. Blood supply to the heart is diminished by artherosclerotic lesions, which necessitate
lifestyle 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 to 5% of 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. - CORRECT ANSWERS-C. Three main arteries have major blockages, with
only 1 to 5% of blood flow getting through to the heart muscle.
A client who weighs 175 pounds is receiving 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 required, round to the
nearest tenth.) - CORRECT ANSWERS-0.6 ml
What information should the nurse include in the teaching plan of a client diagnosed
with gastroesophageal reflux disease (GERD)?
A. Sleep without pillows at night to maintain neck alignment.
B. Adjust food intake to three full meals per day and no snacks.
C. Minimize symptoms by wearing loose, comfortable clothing
D. Avoid participation in any aerobic exercise programs - CORRECT ANSWERS-C.
Minimize symptoms by wearing loose, comfortable clothing
The nurse is caring for a client with a lower left lobe pulmonary abscess. Which position
should the nurse instruct the client to maintain?
A. left lateral
B. Supine, knees flexed
C. Dorsal recumbent
D. Knee-chest - CORRECT ANSWERS-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 nauseated and vomiting. Which finding should the
nurse report to the healthcare provider.
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence - CORRECT ANSWERS-C. Yellow sclera
QUESTIONS AND WELL ELABORATED ANSWERS UPDATED
VERSION ||COMPLETE A+ GUIDE
,After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a
client develops pontine myselinolysis. Which intervention should the nurse implement
first?
A. Reorient client to his room
B. Place a patch on one eye
C. Evaluate client's ability to swallow
D. Perform range of motion exercises - CORRECT ANSWERS-A. Reorient client to his
room
A male client with heart failure (HF) 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 last medications?
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? - CORRECT ANSWERS-B. Has his weight
changed in the last several days?
An older adult woman with a long history of chronic obstructive pulmonary disease
(COPD) is admitted with progressive shortness of breath and a persistent cough. She is
anxious and is complaining of a 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 - CORRECT ANSWERS-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 thickened tenacious 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 liquefy secretions
B. Avoid crowded enclosed areas to reduce pathogen exposure
C. Call the clinic if undesirable side effects of mediations occur
D. Teach anxiety reduction methods for feelings of suffocation - CORRECT ANSWERS-
A. Increase the daily intake of oral fluids to liquefy secretions
A cardiac catherterization of a client with heart disease indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal circumflex, and
, ? % proximal right coronary artery (RCA). The client later asks the nurse "what does all
this mean for me?" What information should the nurse provide?
A. Blood supply to the heart is diminished by artherosclerotic lesions, which necessitate
lifestyle 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 to 5% of 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. - CORRECT ANSWERS-C. Three main arteries have major blockages, with
only 1 to 5% of blood flow getting through to the heart muscle.
A client who weighs 175 pounds is receiving 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 required, round to the
nearest tenth.) - CORRECT ANSWERS-0.6 ml
What information should the nurse include in the teaching plan of a client diagnosed
with gastroesophageal reflux disease (GERD)?
A. Sleep without pillows at night to maintain neck alignment.
B. Adjust food intake to three full meals per day and no snacks.
C. Minimize symptoms by wearing loose, comfortable clothing
D. Avoid participation in any aerobic exercise programs - CORRECT ANSWERS-C.
Minimize symptoms by wearing loose, comfortable clothing
The nurse is caring for a client with a lower left lobe pulmonary abscess. Which position
should the nurse instruct the client to maintain?
A. left lateral
B. Supine, knees flexed
C. Dorsal recumbent
D. Knee-chest - CORRECT ANSWERS-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 nauseated and vomiting. Which finding should the
nurse report to the healthcare provider.
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence - CORRECT ANSWERS-C. Yellow sclera
