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MED-SURG II HESI TEST BANK 2025|
BRAND NEW ACTUAL EXAM WITH 100%
VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK|
ACE YOUR GRADES.
1. A nurse is caring for a client who is postoperative and
requesting something to drink. The nurse reads the client's
postoperative prescriptions, which include, "Clear liquids,
advance diet as tolerated." Which of the following actions
should the nurse take first?
1) Offer the client apple juice.
2) Elevate the client's head of bed.
3) Auscultate the client's abdomen.
4) Order a lunch tray for the client. - correct answer - C.
2. A nurse is collecting data on a client who has a surgical wound
healing by secondary intention. Which of the following findings
should the nurse report to the charge nurse?
1) The wound is tender to touch.
2) The wound has pink, shiny tissue with a granular
appearance.
3) The wound has serosanguineous drainage.
4) The wound has a halo of erythema on the surrounding skin.
- correct answer - D.
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3. A nurse is assisting with the care of a client who has multiple
injuries following a motor vehicle crash. The nurse should
monitor for which of the following manifestations of a
pneumothorax?
1) Inspiratory stridor
2) Expiratory wheeze
3) Absence of breath sounds
4) Coarse crackles - correct answer - C.
4. A nurse is collecting data from a client who has right-sided
heart failure. Which of the following findings should the nurse
expect?
1) Frothy sputum
2) Dyspnea
3) Orthopnea
4) Peripheral edema - correct answer - D.
5. A nurse is caring for a client who is receiving chemotherapy for
treatment of ovarian cancer and experiencing nausea. Which of
the following actions should the nurse take?
1) Advise the client to lie down after meals.
2) Instruct the client to restrict food intake prior to treatment.
3) Provide the client with an antiemetic 2 hr prior to the
chemotherapy.
4) Encourage the client to drink a carbonated beverage 1 hr
before meals. - correct answer - D.
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6. A nurse is assisting with the care of a client following a
transurethral resection of the prostate (TURP) and has an
indwelling urinary catheter. Which of the following actions
should the nurse take?
1) Weigh the client weekly.
2) Irrigate the catheter as prescribed.
3) Instruct the client to report an urge to urinate.
4) Instruct the client to bear down as if to have a bowel
movement every hour. - correct answer - B.
7. A nurse is evaluating discharge instructions for a client
following a right cataract extraction. Which of the following
client statements indicates the teaching is effective?
1) "I will take a stool softener until my eye is healed."
2) "I will expect to have moderately severe pain for 1-2 days."
3) "I will refrain from cooking for 1 week."
4) "I will bend at the waist to tie my shoes." - correct answer -
A.
8. A nurse is collecting data from a client who is 6 days post
craniotomy for removal of an intracerebral aneurysm. The
nurse should monitor the client for which of the following
manifestations of increased intracranial pressure?
1) Decreased pedal pulses
2) Hypertension
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3) Peripheral edema
4) Diarrhea - correct answer - B.
9. A nurse is caring for a client who has COPD. Which of the
following actions should the nurse take?
1) Encourage the client to drink 8 glasses of water a day.
2) Instruct the client to cough every 4 hr.
3) Provide the client with a low protein diet.
4) Advise the client to lie down after eating. - correct answer -
A.
10. A nurse is caring for a client who was admitted with major
burns to the head, neck, and chest. Which of the following
complications should the nurse identify as the greatest risk to
the client?
1) Hypothermia
2) Hyponatremia
3) Fluid imbalance
4) Airway obstruction - correct answer - D.
11. A nurse is collecting data from a client who was bitten by a
tick one week ago. Which of the following client manifestations
should the nurse identify as an indication of the development of
Lyme disease?
1) An expanding circular rash
MED-SURG II HESI TEST BANK 2025|
BRAND NEW ACTUAL EXAM WITH 100%
VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK|
ACE YOUR GRADES.
1. A nurse is caring for a client who is postoperative and
requesting something to drink. The nurse reads the client's
postoperative prescriptions, which include, "Clear liquids,
advance diet as tolerated." Which of the following actions
should the nurse take first?
1) Offer the client apple juice.
2) Elevate the client's head of bed.
3) Auscultate the client's abdomen.
4) Order a lunch tray for the client. - correct answer - C.
2. A nurse is collecting data on a client who has a surgical wound
healing by secondary intention. Which of the following findings
should the nurse report to the charge nurse?
1) The wound is tender to touch.
2) The wound has pink, shiny tissue with a granular
appearance.
3) The wound has serosanguineous drainage.
4) The wound has a halo of erythema on the surrounding skin.
- correct answer - D.
, Page | 2
3. A nurse is assisting with the care of a client who has multiple
injuries following a motor vehicle crash. The nurse should
monitor for which of the following manifestations of a
pneumothorax?
1) Inspiratory stridor
2) Expiratory wheeze
3) Absence of breath sounds
4) Coarse crackles - correct answer - C.
4. A nurse is collecting data from a client who has right-sided
heart failure. Which of the following findings should the nurse
expect?
1) Frothy sputum
2) Dyspnea
3) Orthopnea
4) Peripheral edema - correct answer - D.
5. A nurse is caring for a client who is receiving chemotherapy for
treatment of ovarian cancer and experiencing nausea. Which of
the following actions should the nurse take?
1) Advise the client to lie down after meals.
2) Instruct the client to restrict food intake prior to treatment.
3) Provide the client with an antiemetic 2 hr prior to the
chemotherapy.
4) Encourage the client to drink a carbonated beverage 1 hr
before meals. - correct answer - D.
, Page | 3
6. A nurse is assisting with the care of a client following a
transurethral resection of the prostate (TURP) and has an
indwelling urinary catheter. Which of the following actions
should the nurse take?
1) Weigh the client weekly.
2) Irrigate the catheter as prescribed.
3) Instruct the client to report an urge to urinate.
4) Instruct the client to bear down as if to have a bowel
movement every hour. - correct answer - B.
7. A nurse is evaluating discharge instructions for a client
following a right cataract extraction. Which of the following
client statements indicates the teaching is effective?
1) "I will take a stool softener until my eye is healed."
2) "I will expect to have moderately severe pain for 1-2 days."
3) "I will refrain from cooking for 1 week."
4) "I will bend at the waist to tie my shoes." - correct answer -
A.
8. A nurse is collecting data from a client who is 6 days post
craniotomy for removal of an intracerebral aneurysm. The
nurse should monitor the client for which of the following
manifestations of increased intracranial pressure?
1) Decreased pedal pulses
2) Hypertension
, Page | 4
3) Peripheral edema
4) Diarrhea - correct answer - B.
9. A nurse is caring for a client who has COPD. Which of the
following actions should the nurse take?
1) Encourage the client to drink 8 glasses of water a day.
2) Instruct the client to cough every 4 hr.
3) Provide the client with a low protein diet.
4) Advise the client to lie down after eating. - correct answer -
A.
10. A nurse is caring for a client who was admitted with major
burns to the head, neck, and chest. Which of the following
complications should the nurse identify as the greatest risk to
the client?
1) Hypothermia
2) Hyponatremia
3) Fluid imbalance
4) Airway obstruction - correct answer - D.
11. A nurse is collecting data from a client who was bitten by a
tick one week ago. Which of the following client manifestations
should the nurse identify as an indication of the development of
Lyme disease?
1) An expanding circular rash
