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MED-SURG II HESI TEST BANK ACTUAL EXAM 350
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |AGRADE
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
. .....ANSWER.....A.
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?
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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..
.....ANSWER.....A.
Following admission, a 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.
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D. Place a moist heating pad under the client's feet.
.....ANSWER.....B.
A nurse is caring for a 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
.....ANSWER.....C.
A nurse is caring for 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?
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A. Shivering
B. Infection
C. Burns
D. Hypervolemia .....ANSWER.....A.
A nurse is reinforcing teaching about exercise with a client who
has type 1 diabetes mellitus. Which of the following statements
by the client indicates an understanding of the teaching?
A. "I will carry a complex carbohydrate snack with me when I
exercise."
B. "I should exercise first thing in the morning before eating
breakfast."
C. "I should avoid injecting insulin into my thigh if I am going to
go running."
D. "I will not exercise if my urine is positive for ketones."
.....ANSWER.....D.
MED-SURG II HESI TEST BANK ACTUAL EXAM 350
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |AGRADE
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
. .....ANSWER.....A.
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?
,Page 2 of 77
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..
.....ANSWER.....A.
Following admission, a 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.
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D. Place a moist heating pad under the client's feet.
.....ANSWER.....B.
A nurse is caring for a 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
.....ANSWER.....C.
A nurse is caring for 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?
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A. Shivering
B. Infection
C. Burns
D. Hypervolemia .....ANSWER.....A.
A nurse is reinforcing teaching about exercise with a client who
has type 1 diabetes mellitus. Which of the following statements
by the client indicates an understanding of the teaching?
A. "I will carry a complex carbohydrate snack with me when I
exercise."
B. "I should exercise first thing in the morning before eating
breakfast."
C. "I should avoid injecting insulin into my thigh if I am going to
go running."
D. "I will not exercise if my urine is positive for ketones."
.....ANSWER.....D.
