MED SURG HESI V2 - Exam Questions And
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100% CORRECT |ALREADY GRADED A+
What information should the nurse include in the teaching plan of a client diagnosed with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose comfortable clothing
D. Avoid participation in any aerobic exercise program - CORRECT ANSWERS Minimize symptoms by
wearing loose comfortable clothing
After hospitalization for SIADH, a client develops pontine myelinolysis. Which intervention should the nurse
implement first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate clients ability to swallow
D. Perform range of motion exercises - CORRECT ANSWERS Reorient client to room
A male client with heart failure calls the clinic and reports that he cannot put his shoes on because they are too
tight. Which additional information should the nurse obtain?
A. What time did he take his medication?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night? - CORRECT ANSWERS Has his weight changed in the last
several days?
An older adult woman with a long history of COPD is admitted with progressive shortness of breath and a
persistent cough, is anxious, and is complaining of dry mouth. which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high flow Venturi mask
D. Assist her to an upright position - CORRECT ANSWERS Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath, productive cough
with thickening mucous and the inability to walk up a flight of stairs without experiencing breathlessness. Which
action is most important for the nurse to instruct the client about self care?
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogens exposure
C. Call the clinic if undesirable side effects or medications - CORRECT ANSWERS Increase the daily intake
of oral fluids to liquify secretions
A cardiac catherization of a client with heart disease indicates the following blockages: 95% proximal left anterior
descending (LAD), 99% proximal circumflex, and 95% proximal right coronary artery (RCA) the client later asks the
nurse "What does all of that mean for me?" What information should the nurse provide.
, B. Three main arteries have major blockages, with only 1-5% of the blood flow getting through to the heart
muscles - CORRECT ANSWERS Three main arteries have major blockages, with only 1-5% of the blood
flow getting through to the heart muscles
The nurse is caring for a client with a lower left lobe pulmonary abscess. what position should the nurse instruct
the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest - CORRECT ANSWERS Left lateral
A client with Cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink without
becoming nauseous and vomiting. Which finding should the nurse report to the healthcare provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence - CORRECT ANSWERS Yellow sclera
While caring for a client with Amyotrophic lateral sclerosis (ALS) a nurse performs a neurological assessment every
4 hours. Which assessment finding warrants immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness - CORRECT ANSWERS Asymmetrical weakness
The nurse is providing preoperative education for a Jewish client scheduled to receive a xenograft to promote burn
healing. Which information should the provider this client?
A. Grafting increase the risk for bacterial infections
B. The xenograft is taken from a non-human source.
C. Grafts are later removed by a debriding procedure
D. As the burns heals, the graft permanently - CORRECT ANSWERS The xenograft is taken from a non-
human source
A male client who had colon surgery 3 days ago is anxious and requesting assistance to reposition. While the nurse
is turning him, the wound dehiscences and ulcerates. The nurse moistens an available sterile dressing and places it
over the wound. Which intervention should the nurse implement next.
A. Bring additional sterile dressing supplies to the room.
B. Prepare the client to return to the OR
C. Obtain a sample of the drainage to send to the lab
D. ausculate the abdomen for bowel sounds - CORRECT ANSWERS Bring additional sterile dressing
supplies to the room
A client with carcinoma of the lung is complaining of weakness and has a serum sodium level of 117/meq. Which
nursing problem should the nurse include in the clients plan of care.
A. Altered urinary elimination
B. Impaired gas exchange
C. Fluid volume excess
D. Decreased cardiac output - CORRECT ANSWERS Fluid volume excess
A female client enters the clinic and insists on being seen. She is weak, nervous and reports a racing heart beat and
recent weight loss of 15 pounds. After ruling out substance withdrawal, the MD suspects hyperthyroidisms and
admits her for testing. which action should the nurse do?
A. Begin preparing the client for thyroidectomy procedure
Verified Answers With Rationales|GET IT
100% CORRECT |ALREADY GRADED A+
What information should the nurse include in the teaching plan of a client diagnosed with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose comfortable clothing
D. Avoid participation in any aerobic exercise program - CORRECT ANSWERS Minimize symptoms by
wearing loose comfortable clothing
After hospitalization for SIADH, a client develops pontine myelinolysis. Which intervention should the nurse
implement first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate clients ability to swallow
D. Perform range of motion exercises - CORRECT ANSWERS Reorient client to room
A male client with heart failure calls the clinic and reports that he cannot put his shoes on because they are too
tight. Which additional information should the nurse obtain?
A. What time did he take his medication?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night? - CORRECT ANSWERS Has his weight changed in the last
several days?
An older adult woman with a long history of COPD is admitted with progressive shortness of breath and a
persistent cough, is anxious, and is complaining of dry mouth. which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high flow Venturi mask
D. Assist her to an upright position - CORRECT ANSWERS Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath, productive cough
with thickening mucous and the inability to walk up a flight of stairs without experiencing breathlessness. Which
action is most important for the nurse to instruct the client about self care?
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogens exposure
C. Call the clinic if undesirable side effects or medications - CORRECT ANSWERS Increase the daily intake
of oral fluids to liquify secretions
A cardiac catherization of a client with heart disease indicates the following blockages: 95% proximal left anterior
descending (LAD), 99% proximal circumflex, and 95% proximal right coronary artery (RCA) the client later asks the
nurse "What does all of that mean for me?" What information should the nurse provide.
, B. Three main arteries have major blockages, with only 1-5% of the blood flow getting through to the heart
muscles - CORRECT ANSWERS Three main arteries have major blockages, with only 1-5% of the blood
flow getting through to the heart muscles
The nurse is caring for a client with a lower left lobe pulmonary abscess. what position should the nurse instruct
the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest - CORRECT ANSWERS Left lateral
A client with Cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink without
becoming nauseous and vomiting. Which finding should the nurse report to the healthcare provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence - CORRECT ANSWERS Yellow sclera
While caring for a client with Amyotrophic lateral sclerosis (ALS) a nurse performs a neurological assessment every
4 hours. Which assessment finding warrants immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness - CORRECT ANSWERS Asymmetrical weakness
The nurse is providing preoperative education for a Jewish client scheduled to receive a xenograft to promote burn
healing. Which information should the provider this client?
A. Grafting increase the risk for bacterial infections
B. The xenograft is taken from a non-human source.
C. Grafts are later removed by a debriding procedure
D. As the burns heals, the graft permanently - CORRECT ANSWERS The xenograft is taken from a non-
human source
A male client who had colon surgery 3 days ago is anxious and requesting assistance to reposition. While the nurse
is turning him, the wound dehiscences and ulcerates. The nurse moistens an available sterile dressing and places it
over the wound. Which intervention should the nurse implement next.
A. Bring additional sterile dressing supplies to the room.
B. Prepare the client to return to the OR
C. Obtain a sample of the drainage to send to the lab
D. ausculate the abdomen for bowel sounds - CORRECT ANSWERS Bring additional sterile dressing
supplies to the room
A client with carcinoma of the lung is complaining of weakness and has a serum sodium level of 117/meq. Which
nursing problem should the nurse include in the clients plan of care.
A. Altered urinary elimination
B. Impaired gas exchange
C. Fluid volume excess
D. Decreased cardiac output - CORRECT ANSWERS Fluid volume excess
A female client enters the clinic and insists on being seen. She is weak, nervous and reports a racing heart beat and
recent weight loss of 15 pounds. After ruling out substance withdrawal, the MD suspects hyperthyroidisms and
admits her for testing. which action should the nurse do?
A. Begin preparing the client for thyroidectomy procedure
