Med-Surg II HESI - set three questions
and answers
Angiotensin-converting benzyme b(ACE) binhibitors bmay bbe bprescribed bfor bthe
client bwith bdiabetes bmellitus bto breduce bvascular bchanges band bposterm-3sibly
bprevent bor bdelay
development bof:
1. bChronic bobstructive bpulmonary bdisease b(COPD).
2. bPancreatic bcancer.
3. bRenal bfailure.
4. bCerebrovascular baccident. b- bcorrect banswer✔✔3
The bnurse bshould bteach bthe bdiabetic bclient bthat bwhich bof bthe bfollowing bis bthe
most bcommon bsymptom bof bhypoglycemia?
1. bNervousness.
2. bAnorexia.
3. bKussmaul's brespirations.
4. bBradycardia. b- bcorrect banswer✔✔1
53. bThe bnurse bis bassessing bthe bclient's buse bof bmedications. bWhich bof bthe
bfollowing
medications bmay bcause ba bcomplication bwith bthe btreatment bplan bof ba bclient bwith
bdiabetes?
1. bAspirin.
2. bSteroids.
3. bSulfonylureas.
4. bAngiotensin-converting benzyme b(ACE) binhibitors. b- bcorrect banswer✔✔2
A bclient bwith btype b1 bdiabetes bmellitus bhas binfluenza. bThe bnurse bshould binstruct
the bclient bto:
1. bIncrease bthe bfrequency bof bself-monitoring b(blood bglucose btesting).
, 2. bReduce bfood bintake bto bdiminish bnausea.
3. bDiscontinue bthat bdose bof binsulin bif bunable bto beat.
4. bTake bhalf bof bthe bnormal bdose bof binsulin. b- bcorrect banswer✔✔1
Which bof bthe bfollowing bis ba bpriority bgoal bfor bthe bdiabetic bclient bwho bis btaking
insulin band bhas bnausea band bvomiting bfrom ba bviral billness bor binfluenza?
1. bObtaining badequate bfood bintake.
2. bManaging bown bhealth.
3. bRelieving bpain.
4. bIncreasing bactivity. b- bcorrect banswer✔✔1
A bclient bwith bdiabetes bbegins bto bcry band bsays, b"I bjust bcannot bstand bthe bthought
bof
having bto bgive bmyself ba bshot bevery bday." bWhich bof bthe bfollowing bwould bbe bthe
bbest
response bby bthe bnurse?
1. b"If byou bdo bnot bgive byourself byour binsulin bshots, byou bwill bdie."
2. b"We bcan bteach byour bdaughter bto bgive bthe bshots bso byou bwill bnot bhave bto bdo
bit."
3. b"I bcan barrange bto bhave ba bhome bcare bnurse bgive byou bthe bshots bevery bday."
4. b"What bis bit babout bgiving byourself bthe binsulin bshots bthat bbothers byou?" b- bcorrect
banswer✔✔4
A bclient bis bto bhave ba btranssphenoidal bhypophysectomy bto bremove ba blarge,
invasive bpituitary btumor. bThe bnurse bshould binstruct bthe bclient bthat bthe bsurgery bwill
bbe
performed bthrough ban bincision bin bthe:
1. bBack bof bthe bmouth.
2. bNose.
3. bSinus bchannel bbelow bthe bright beye.
4. bUpper bgingival bmucosa bin bthe bspace bbetween bthe bupper bgums band blip. b-
bcorrect banswer✔✔4
To bhelp bminimize bthe brisk bof bpostoperative brespiratory bcomplications bafter ba
hypophysectomy, bduring bpreoperative bteaching, bthe bnurse bshould binstruct bthe
bclient bhow
to:
1. bUse bincentive bspirometry.
2. bTurn bin bbed.
3. bTake bdeep bbreaths.
4. bCough. b- bcorrect banswer✔✔3
and answers
Angiotensin-converting benzyme b(ACE) binhibitors bmay bbe bprescribed bfor bthe
client bwith bdiabetes bmellitus bto breduce bvascular bchanges band bposterm-3sibly
bprevent bor bdelay
development bof:
1. bChronic bobstructive bpulmonary bdisease b(COPD).
2. bPancreatic bcancer.
3. bRenal bfailure.
4. bCerebrovascular baccident. b- bcorrect banswer✔✔3
The bnurse bshould bteach bthe bdiabetic bclient bthat bwhich bof bthe bfollowing bis bthe
most bcommon bsymptom bof bhypoglycemia?
1. bNervousness.
2. bAnorexia.
3. bKussmaul's brespirations.
4. bBradycardia. b- bcorrect banswer✔✔1
53. bThe bnurse bis bassessing bthe bclient's buse bof bmedications. bWhich bof bthe
bfollowing
medications bmay bcause ba bcomplication bwith bthe btreatment bplan bof ba bclient bwith
bdiabetes?
1. bAspirin.
2. bSteroids.
3. bSulfonylureas.
4. bAngiotensin-converting benzyme b(ACE) binhibitors. b- bcorrect banswer✔✔2
A bclient bwith btype b1 bdiabetes bmellitus bhas binfluenza. bThe bnurse bshould binstruct
the bclient bto:
1. bIncrease bthe bfrequency bof bself-monitoring b(blood bglucose btesting).
, 2. bReduce bfood bintake bto bdiminish bnausea.
3. bDiscontinue bthat bdose bof binsulin bif bunable bto beat.
4. bTake bhalf bof bthe bnormal bdose bof binsulin. b- bcorrect banswer✔✔1
Which bof bthe bfollowing bis ba bpriority bgoal bfor bthe bdiabetic bclient bwho bis btaking
insulin band bhas bnausea band bvomiting bfrom ba bviral billness bor binfluenza?
1. bObtaining badequate bfood bintake.
2. bManaging bown bhealth.
3. bRelieving bpain.
4. bIncreasing bactivity. b- bcorrect banswer✔✔1
A bclient bwith bdiabetes bbegins bto bcry band bsays, b"I bjust bcannot bstand bthe bthought
bof
having bto bgive bmyself ba bshot bevery bday." bWhich bof bthe bfollowing bwould bbe bthe
bbest
response bby bthe bnurse?
1. b"If byou bdo bnot bgive byourself byour binsulin bshots, byou bwill bdie."
2. b"We bcan bteach byour bdaughter bto bgive bthe bshots bso byou bwill bnot bhave bto bdo
bit."
3. b"I bcan barrange bto bhave ba bhome bcare bnurse bgive byou bthe bshots bevery bday."
4. b"What bis bit babout bgiving byourself bthe binsulin bshots bthat bbothers byou?" b- bcorrect
banswer✔✔4
A bclient bis bto bhave ba btranssphenoidal bhypophysectomy bto bremove ba blarge,
invasive bpituitary btumor. bThe bnurse bshould binstruct bthe bclient bthat bthe bsurgery bwill
bbe
performed bthrough ban bincision bin bthe:
1. bBack bof bthe bmouth.
2. bNose.
3. bSinus bchannel bbelow bthe bright beye.
4. bUpper bgingival bmucosa bin bthe bspace bbetween bthe bupper bgums band blip. b-
bcorrect banswer✔✔4
To bhelp bminimize bthe brisk bof bpostoperative brespiratory bcomplications bafter ba
hypophysectomy, bduring bpreoperative bteaching, bthe bnurse bshould binstruct bthe
bclient bhow
to:
1. bUse bincentive bspirometry.
2. bTurn bin bbed.
3. bTake bdeep bbreaths.
4. bCough. b- bcorrect banswer✔✔3
