(Complete 275 Q&A) Med-Surg II HESI Test Bank 2024-
2025
- A nurse is caring for a client who has partial-thickness and full-thickness burns of his head, neck, and
chest. The nurse should recognize which of the following is the priority risk to the client?
1) Airway obstruction
2) Infection
3) Fluid imbalance
4) Contractures
- A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and
tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this
client's secretions?
A. Provide humidified oxygen.
B. Perform chest physiotherapy prior to suctioning.
Complete Answered File at: https://www.stuvia.com/doc/2164603/med-surg-ii-
hesi-test-bank_-complete-updated-fall-2022-2023.
,(Complete 275 Q&A) Med-Surg II HESI Test Bank 2024-
2025
C. Prelubricate the suction catheter tip with sterile saline when suctioning the airway.
D. Hyperventilate the client with 100% oxygen before suctioning the airway..
- A nurse is caring for a client who is postoperative open reduction and internal fixation with placement
of a wound drain to repair a hip fracture. Which of the following actions should the nurse take?
1) Empty the suction device every 4 hr.
2) Monitor circulation on the affected extremity every 2 hr for the first 12 hr.
3) Position the client's hip so that it is internally rotated.
4) Encourage foot exercises every 4 hr.
- A nurse is collecting data from a client who has Cushing's syndrome. Which of the following
manifestations should the nurse expect?
1) Bruising
2) Weight loss
3) Hyperpigmentation
4) Double vision
- A nurse is collecting data from a client who has open-angle glaucoma. Which of the following findings
should the nurse expect?
1) Loss of peripheral vision
2) Headache
3) Halos around lights
4) Discomfort in the eyes
- A nurse is collecting data from a client who is having an acute asthma exacerbation. When
auscultating the client's chest, the nurse should expect to hear which of the following sounds?
1) Expiratory wheeze
2) Pleural friction rub
3) Fine rales
4) Rhonchi
- 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
2) Swollen, painful joints
3) Decreased level of consciousness
4) Necrosis at the site of the bite
- A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations
should the nurse expect the client to report?
1) Frequent mood changes
2) Constipation
Complete Answered File at: https://www.stuvia.com/doc/2164603/med-surg-ii-
hesi-test-bank_-complete-updated-fall-2022-2023.
,(Complete 275 Q&A) Med-Surg II HESI Test Bank 2024-
2025
3) Sensitivity to cold
4) Weight gain
- A nurse is contribution to the plan of care for a client who is 12 hr postoperative following a right radical
mastectomy with closed suction drains present. The nurse should expect that the client will be unable to
perform which of the following activities with her right arm?
1) Combing her hair
2) Eating her breakfast
3) Buttoning her blouse
4) Tying her shoes
- 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."
- A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent
postoperative complications which of the following actions should be reinforced during the teaching?
1) Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises.
2) Place the client's affected leg into the CPM machine with the machine in the flexed position.
3) Place the client into a high Fowler's position when initiating the CPM exercises.
4) Align the joints of the CPM machine with the knee gatch in the client's bed.
- A nurse is reinforcing discharge teaching with a client about how to care for a newly created ileal
conduit. Which of the following instructions should the nurse include in the teaching?
1) Change the ostomy pouch daily.
2) Empty the ostomy pouch when it is 2/3 full.
3) Trim the opening of the ostomy seal to be 1/2 in. wider than the stoma.
4) Apply lotion to the peristomal skin when changing the ostomy pouch.
- A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the
following should the nurse include in the teaching?
A. Avoid bending at the waist.
B. Remove the eye shield at bedtime.
C. Limit the use of laxatives if constipated.
D. Seeing flashes of light is an expected finding following extraction.
- A nurse is reinforcing teaching about pernicious anemia with a client following a total gastrectomy.
Which of the following dietary supplements should the nurse include in the teaching as the treatment
for pernicious anemia?
Complete Answered File at: https://www.stuvia.com/doc/2164603/med-surg-ii-
hesi-test-bank_-complete-updated-fall-2022-2023.
, (Complete 275 Q&A) Med-Surg II HESI Test Bank 2024-
2025
1) Vitamin B12
2) Vitamin C
3) Iron
4) Folate
- A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of
the following statements should the nurse include in the teaching?
1) "You should wear glasses instead of contacts while taking this medication."
2) "The medication causes amenorrhea if taken along with an oral contraceptive."
3) "A yellow tint to the skin is an expected reaction to the medication."
4) "Lifelong treatment with this medication is necessary."
- A nurse is reinforcing teaching with a client about how to prevent the onset of manifestations of
Raynaud's phenomenon. Which of the following statements should the nurse identify as an indication that
the client needs further teaching?
1) "I will keep my house at a cool temperature."
2) "I will try to anticipate and avoid stressful situations."
3) "I will complete the smoking cessation program I started."
4) "I will wear gloves when removing food from the freezer."
- A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of
the following instructions should the nurse include in the teaching?
A. Take temperature once a day.
B. Wash the armpits and genitals with a gentle cleanser daily.
C. Change the litter boxes while wearing gloves.
D. Wash dishes in warm water.
- A nurse is reinforcing teaching with a client who has iron deficiency anemia and is to start taking
ferrous sulfate twice a day. Which of the following statements by the client indicate an understanding of
the teaching?
1) "I will take the medication with orange juice."
2) "I should expect to have loose stools while taking this medication."
3) "I will have clay colored stools while taking this medication."
4) "I should take the medication with milk."
- A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to
start taking neostigmine. Which of the following instructions should the nurse include in the teaching?
1) Take the medication 45 minutes before eating.
2) Expect diaphoresis as a side effect of the neostigmine.
3) If a medication dose is missed, wait until the next scheduled dose to take the medication.
4) Treat nasal rhinitis with an over-the-counter antihistamine.
Complete Answered File at: https://www.stuvia.com/doc/2164603/med-surg-ii-
hesi-test-bank_-complete-updated-fall-2022-2023.
2025
- A nurse is caring for a client who has partial-thickness and full-thickness burns of his head, neck, and
chest. The nurse should recognize which of the following is the priority risk to the client?
1) Airway obstruction
2) Infection
3) Fluid imbalance
4) Contractures
- A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and
tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this
client's secretions?
A. Provide humidified oxygen.
B. Perform chest physiotherapy prior to suctioning.
Complete Answered File at: https://www.stuvia.com/doc/2164603/med-surg-ii-
hesi-test-bank_-complete-updated-fall-2022-2023.
,(Complete 275 Q&A) Med-Surg II HESI Test Bank 2024-
2025
C. Prelubricate the suction catheter tip with sterile saline when suctioning the airway.
D. Hyperventilate the client with 100% oxygen before suctioning the airway..
- A nurse is caring for a client who is postoperative open reduction and internal fixation with placement
of a wound drain to repair a hip fracture. Which of the following actions should the nurse take?
1) Empty the suction device every 4 hr.
2) Monitor circulation on the affected extremity every 2 hr for the first 12 hr.
3) Position the client's hip so that it is internally rotated.
4) Encourage foot exercises every 4 hr.
- A nurse is collecting data from a client who has Cushing's syndrome. Which of the following
manifestations should the nurse expect?
1) Bruising
2) Weight loss
3) Hyperpigmentation
4) Double vision
- A nurse is collecting data from a client who has open-angle glaucoma. Which of the following findings
should the nurse expect?
1) Loss of peripheral vision
2) Headache
3) Halos around lights
4) Discomfort in the eyes
- A nurse is collecting data from a client who is having an acute asthma exacerbation. When
auscultating the client's chest, the nurse should expect to hear which of the following sounds?
1) Expiratory wheeze
2) Pleural friction rub
3) Fine rales
4) Rhonchi
- 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
2) Swollen, painful joints
3) Decreased level of consciousness
4) Necrosis at the site of the bite
- A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations
should the nurse expect the client to report?
1) Frequent mood changes
2) Constipation
Complete Answered File at: https://www.stuvia.com/doc/2164603/med-surg-ii-
hesi-test-bank_-complete-updated-fall-2022-2023.
,(Complete 275 Q&A) Med-Surg II HESI Test Bank 2024-
2025
3) Sensitivity to cold
4) Weight gain
- A nurse is contribution to the plan of care for a client who is 12 hr postoperative following a right radical
mastectomy with closed suction drains present. The nurse should expect that the client will be unable to
perform which of the following activities with her right arm?
1) Combing her hair
2) Eating her breakfast
3) Buttoning her blouse
4) Tying her shoes
- 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."
- A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent
postoperative complications which of the following actions should be reinforced during the teaching?
1) Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises.
2) Place the client's affected leg into the CPM machine with the machine in the flexed position.
3) Place the client into a high Fowler's position when initiating the CPM exercises.
4) Align the joints of the CPM machine with the knee gatch in the client's bed.
- A nurse is reinforcing discharge teaching with a client about how to care for a newly created ileal
conduit. Which of the following instructions should the nurse include in the teaching?
1) Change the ostomy pouch daily.
2) Empty the ostomy pouch when it is 2/3 full.
3) Trim the opening of the ostomy seal to be 1/2 in. wider than the stoma.
4) Apply lotion to the peristomal skin when changing the ostomy pouch.
- A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the
following should the nurse include in the teaching?
A. Avoid bending at the waist.
B. Remove the eye shield at bedtime.
C. Limit the use of laxatives if constipated.
D. Seeing flashes of light is an expected finding following extraction.
- A nurse is reinforcing teaching about pernicious anemia with a client following a total gastrectomy.
Which of the following dietary supplements should the nurse include in the teaching as the treatment
for pernicious anemia?
Complete Answered File at: https://www.stuvia.com/doc/2164603/med-surg-ii-
hesi-test-bank_-complete-updated-fall-2022-2023.
, (Complete 275 Q&A) Med-Surg II HESI Test Bank 2024-
2025
1) Vitamin B12
2) Vitamin C
3) Iron
4) Folate
- A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of
the following statements should the nurse include in the teaching?
1) "You should wear glasses instead of contacts while taking this medication."
2) "The medication causes amenorrhea if taken along with an oral contraceptive."
3) "A yellow tint to the skin is an expected reaction to the medication."
4) "Lifelong treatment with this medication is necessary."
- A nurse is reinforcing teaching with a client about how to prevent the onset of manifestations of
Raynaud's phenomenon. Which of the following statements should the nurse identify as an indication that
the client needs further teaching?
1) "I will keep my house at a cool temperature."
2) "I will try to anticipate and avoid stressful situations."
3) "I will complete the smoking cessation program I started."
4) "I will wear gloves when removing food from the freezer."
- A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of
the following instructions should the nurse include in the teaching?
A. Take temperature once a day.
B. Wash the armpits and genitals with a gentle cleanser daily.
C. Change the litter boxes while wearing gloves.
D. Wash dishes in warm water.
- A nurse is reinforcing teaching with a client who has iron deficiency anemia and is to start taking
ferrous sulfate twice a day. Which of the following statements by the client indicate an understanding of
the teaching?
1) "I will take the medication with orange juice."
2) "I should expect to have loose stools while taking this medication."
3) "I will have clay colored stools while taking this medication."
4) "I should take the medication with milk."
- A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to
start taking neostigmine. Which of the following instructions should the nurse include in the teaching?
1) Take the medication 45 minutes before eating.
2) Expect diaphoresis as a side effect of the neostigmine.
3) If a medication dose is missed, wait until the next scheduled dose to take the medication.
4) Treat nasal rhinitis with an over-the-counter antihistamine.
Complete Answered File at: https://www.stuvia.com/doc/2164603/med-surg-ii-
hesi-test-bank_-complete-updated-fall-2022-2023.
