MED-SURG II HESI TEST BANK 2024-2025
ACTUAL EXAM 150 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |AGRADE
Leave the first rating
Terms in this set (133)
A nurse is reinforcing A.
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 caring for a 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.
C. Prelubricate the
suction catheter tip with
sterile saline when
suctioning the airway.
D. Hyperventilate the
client with 100% oxygen
before suctioning the
airway..
,Following admission, a B.
client with a vascular
occlusion of the right
lower extremity calls the
nurse and reports
difficulty sleeping
because of cold feet.
Which of the following
nursing actions should
the nurse take to
promote the client's
comfort?
A. Rub the client's feet
briskly for several
minutes.
B. Obtain a pair of slipper
socks for the client.
C. Increase the client's
oral fluid intake.
D. Place a moist heating
pad under the client's
feet.
, A nurse is caring for a C.
client is who is 4 hr
postoperative following a
transurethral resection of
the prostate (TURP).
Which of the following is
the priority finding for the
nurse report to the
provider?
A. Emesis of 100 mL
B. Oral temperature of
37.5° C (99.5° F)
C. Thick, red-colored
urine
D. Pain level of 4 on a 0
to 10 rating scale
A nurse is caring for a A.
client who has a
temperature of 39.7° C
(103.5° F) and has a
prescription for a
hypothermia blanket. The
nurse should monitor the
client for which of the
following adverse effects
of the hypothermia
blanket?
A. Shivering
B. Infection
C. Burns
D. Hypervolemia
ACTUAL EXAM 150 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |AGRADE
Leave the first rating
Terms in this set (133)
A nurse is reinforcing A.
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 caring for a 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.
C. Prelubricate the
suction catheter tip with
sterile saline when
suctioning the airway.
D. Hyperventilate the
client with 100% oxygen
before suctioning the
airway..
,Following admission, a B.
client with a vascular
occlusion of the right
lower extremity calls the
nurse and reports
difficulty sleeping
because of cold feet.
Which of the following
nursing actions should
the nurse take to
promote the client's
comfort?
A. Rub the client's feet
briskly for several
minutes.
B. Obtain a pair of slipper
socks for the client.
C. Increase the client's
oral fluid intake.
D. Place a moist heating
pad under the client's
feet.
, A nurse is caring for a C.
client is who is 4 hr
postoperative following a
transurethral resection of
the prostate (TURP).
Which of the following is
the priority finding for the
nurse report to the
provider?
A. Emesis of 100 mL
B. Oral temperature of
37.5° C (99.5° F)
C. Thick, red-colored
urine
D. Pain level of 4 on a 0
to 10 rating scale
A nurse is caring for a A.
client who has a
temperature of 39.7° C
(103.5° F) and has a
prescription for a
hypothermia blanket. The
nurse should monitor the
client for which of the
following adverse effects
of the hypothermia
blanket?
A. Shivering
B. Infection
C. Burns
D. Hypervolemia
