Med-Surg II HESI Exam - set two EXAM Questions
And Answers Verified 100% Correct
After a myocardial infarction, the hospitalized client is taught to move the legs
while resting in bed. The expected outcome of this exercise is to:
1. Prepare the client for ambulation.
2. Promote urinary and intestinal elimination.
3. Prevent thrombophlebitis and blood clot formation.
4. Decrease the likelihood of pressure ulcer formation.
3
Which of the following is the most appropriate diet for a client during the acute
phase of myocardial infarction?
1. Liquids as desired.
2. Small, easily digested meals.
3. Three regular meals per day.
4. Nothing by mouth.
2
The nurse is caring for a client who recently experienced a myocardial infarction
and has been started on clopidogrel (Plavix). The nurse should develop a teaching
plan that includes which of the following points? Select all that apply.
1. The client should report unexpected bleeding or bleeding that lasts a long time.
2. The client should take Plavix with food.
3. The client may bruise more easily and may experience bleeding gums.
4. Plavix works by preventing platelets from sticking together and forming a clot.
5. The client should drink a glass of water after taking Plavix.
1, 3, 4
Which client is at greatest risk for coronary artery disease?
1. A 32-year-old female with mitral valve prolapse who quit smoking 10 years ago.
2. A 43-year-old male with a family history of CAD and cholesterol level of 158 (8.8
mmol/L).
3. A 56-year-old male with an HDL of 60 (3.3 mmol/L) who takes atorvastatin.
4. A 65-year-old female who is obese with an LDL of 188 (10.4 mmol/L).
4
A middle-aged adult with a family history of CAD has the following: total
,cholesterol 198 (11 mmol/L); LDL cholesterol 120 (6.7 mmol/L); HDL cholesterol 58
(3.2 mmol/L); triglycerides 148 (8.2 mmol/L); blood sugar 102 (5.7 mmol/L); and
Creactive
protein (CRP) 4.2. The health care provider prescribes a statin medication and
aspirin. The client asks the nurse why these medications are needed. Which is the
best response by the nurse?
1. "The labs indicate severe hyperlipidemia and the medications will lower your
LDL, along with a low-fat diet."
2. "The triglycerides are elevated and will not return to normal without these
medications."
3. "The CRP is elevated indicating inflammation seen in cardiovascular disease,
which can be lowered by the medications prescribed." 4. "These medications
will reduce the risk of type 2 diabetes." 3
. The client has been managing angina episodes with nitroglycerin. Which of the
, following indicate the drug is effective?
1. Decreased chest pain.
2. Increased blood pressure.
3. Decreased blood pressure.
4. Decreased heart rate. 1
. If a client displays risk factors for coronary artery disease, such as smoking cigarettes,
eating a diet high in saturated fat, or leading a sedentary lifestyle, techniques of
behavior modification may be used to help the client change the behavior. The nurse
can best reinforce new adaptive behaviors by:
1. Explaining how the risk factor behavior leads to poor health.
2. Withholding praise until the new behavior is well established.
3. Rewarding the client whenever the acceptable behavior is performed.
4. Instilling mild fear into the client to extinguish the behavior.
3
Alteplase recombinant, or tissue plasminogen activator (t-PA), a thrombolytic
enzyme, is administered during the first 6 hours after onset of myocardial infarction
(MI) to:
1. Control chest pain.
2. Reduce coronary artery vasospasm.
3. Control the arrhythmias associated with MI.
4. Revascularize the blocked coronary artery.
4
After the administration of t-PA, the nurse should:
1. Observe the client for chest pain.
2. Monitor for fever.
3. Review the 12-lead electrocardiogram (ECG).
4. Auscultate breath sounds.
1
When monitoring a client who is receiving tissue plasminogen activator (t-PA), the
nurse should have resuscitation equipment available because reperfusion of the
And Answers Verified 100% Correct
After a myocardial infarction, the hospitalized client is taught to move the legs
while resting in bed. The expected outcome of this exercise is to:
1. Prepare the client for ambulation.
2. Promote urinary and intestinal elimination.
3. Prevent thrombophlebitis and blood clot formation.
4. Decrease the likelihood of pressure ulcer formation.
3
Which of the following is the most appropriate diet for a client during the acute
phase of myocardial infarction?
1. Liquids as desired.
2. Small, easily digested meals.
3. Three regular meals per day.
4. Nothing by mouth.
2
The nurse is caring for a client who recently experienced a myocardial infarction
and has been started on clopidogrel (Plavix). The nurse should develop a teaching
plan that includes which of the following points? Select all that apply.
1. The client should report unexpected bleeding or bleeding that lasts a long time.
2. The client should take Plavix with food.
3. The client may bruise more easily and may experience bleeding gums.
4. Plavix works by preventing platelets from sticking together and forming a clot.
5. The client should drink a glass of water after taking Plavix.
1, 3, 4
Which client is at greatest risk for coronary artery disease?
1. A 32-year-old female with mitral valve prolapse who quit smoking 10 years ago.
2. A 43-year-old male with a family history of CAD and cholesterol level of 158 (8.8
mmol/L).
3. A 56-year-old male with an HDL of 60 (3.3 mmol/L) who takes atorvastatin.
4. A 65-year-old female who is obese with an LDL of 188 (10.4 mmol/L).
4
A middle-aged adult with a family history of CAD has the following: total
,cholesterol 198 (11 mmol/L); LDL cholesterol 120 (6.7 mmol/L); HDL cholesterol 58
(3.2 mmol/L); triglycerides 148 (8.2 mmol/L); blood sugar 102 (5.7 mmol/L); and
Creactive
protein (CRP) 4.2. The health care provider prescribes a statin medication and
aspirin. The client asks the nurse why these medications are needed. Which is the
best response by the nurse?
1. "The labs indicate severe hyperlipidemia and the medications will lower your
LDL, along with a low-fat diet."
2. "The triglycerides are elevated and will not return to normal without these
medications."
3. "The CRP is elevated indicating inflammation seen in cardiovascular disease,
which can be lowered by the medications prescribed." 4. "These medications
will reduce the risk of type 2 diabetes." 3
. The client has been managing angina episodes with nitroglycerin. Which of the
, following indicate the drug is effective?
1. Decreased chest pain.
2. Increased blood pressure.
3. Decreased blood pressure.
4. Decreased heart rate. 1
. If a client displays risk factors for coronary artery disease, such as smoking cigarettes,
eating a diet high in saturated fat, or leading a sedentary lifestyle, techniques of
behavior modification may be used to help the client change the behavior. The nurse
can best reinforce new adaptive behaviors by:
1. Explaining how the risk factor behavior leads to poor health.
2. Withholding praise until the new behavior is well established.
3. Rewarding the client whenever the acceptable behavior is performed.
4. Instilling mild fear into the client to extinguish the behavior.
3
Alteplase recombinant, or tissue plasminogen activator (t-PA), a thrombolytic
enzyme, is administered during the first 6 hours after onset of myocardial infarction
(MI) to:
1. Control chest pain.
2. Reduce coronary artery vasospasm.
3. Control the arrhythmias associated with MI.
4. Revascularize the blocked coronary artery.
4
After the administration of t-PA, the nurse should:
1. Observe the client for chest pain.
2. Monitor for fever.
3. Review the 12-lead electrocardiogram (ECG).
4. Auscultate breath sounds.
1
When monitoring a client who is receiving tissue plasminogen activator (t-PA), the
nurse should have resuscitation equipment available because reperfusion of the
