MED SURG 2 HESI TEST BANK REAL EXAM 2025, 100+ QUESTIONS
AND CORRECT ANSWERS WITH RATIONALES|AGRADE
Terms in this set (231)
1. A client with Cushing's b. Irregular apical pulse
syndrome is recovering from
an elective laparoscopic
procedure. Which assessment
finding
warrant's immediate intervention
by the nurse?
a. Purple marks on skin of the
abdomen
b. Irregular apical pulse
c. Quarter size blood spot on
dressing
d. Pitting ankle edema
2. A client with lung cancer who b. Administer a narcotic antagonist
wears a subcutaneous
morphine sulfate patch for pain
is short of breath and is
difficult to
arouse. When performing a head
to toe assessment, the nurse
discovers four
analgesic patches on the clients
body.
Which intervention should
the nurse implement first?
a. Remove all of the morphine
patches
b. Administer a narcotic antagonist
c. Apply oxygen per face mask
d. Measure the client's blood
pressure
,3. A client receives a. Adherence to the regimen is imperative
prescriptions for a multidrug
regimen for the treatment of
tuberculosis. Which information
should the nurse prioritize?
a.Adherence to the regimen is
imperative
b. Medications should be taken with
food
c. Serum liver panels are
collected regularly
d. Enhanced sun protection
measures will be needed
4. The nurse is preparing a a. Notify the healthcare provider of the client's medication history
client for surgery who was
admitted to the
emergency center following a
motor vehicle collision. The
client has an open fracture of
the femur and is bleeding
moderately from the bone
protrusion site.
During the prescriptive
assessment, the nurse
determines that the client
currently receives heparin
sodium 5,000 units
subcutaneously daily. What is
the priority nursing action?
a. Notify the healthcare
provider of the client's
medication history
b. Observe the heparin
injections sites for signs of
bruising
c. Have the client sign the
,surgical and transfusion
permits
d. Ensure that the potential for
bleeding is explained to the
client
5. A client with orthopnea c. The procedure is performed with the client in an upright position
expresses concern about the
ability to "get enough air"
during a scheduled
thoracentesis. On which
information should the
nurse's response be based?
a.A thoracentesis is a brief
process that has minimal
discomfort
b. Orthopnea is frequently
caused by a client's
uncontrolled anxiety
c.The procedure is performed
with the client in an upright
position
d. Extra pillows can be used if
needed to elevate the client's
head
, 6. What information should the c. Minimize symptoms by wearing loose, comfortable clothing
nurse
include in the teaching plan of a
client
diagnosed with
gastroesophageal reflux disease
(GERD)?
a. Sleep without pillows at night
to maintain neck alignment
b. Adjust food intake to three full
meals per day and no snacks
c. Minimize symptoms by
wearing loose, comfortable
clothing
d. Avoid participation in any aerobic
exercise programs
7. The nurse is providing teaching a. Family members can help with regular foot exams
to a client with Type 2 diabetes
mellitus and
peripheral neuropathy. Which
information should the nurse
provide?
a. Family members can help
with regular foot exams
b. Heating pads are useful if
on the low setting
c. Aching feet may be soaked in
lukewarm water for one hour
or more
d. Shoes should be worn
outside the house, but it is
fine to be barefoot inside
AND CORRECT ANSWERS WITH RATIONALES|AGRADE
Terms in this set (231)
1. A client with Cushing's b. Irregular apical pulse
syndrome is recovering from
an elective laparoscopic
procedure. Which assessment
finding
warrant's immediate intervention
by the nurse?
a. Purple marks on skin of the
abdomen
b. Irregular apical pulse
c. Quarter size blood spot on
dressing
d. Pitting ankle edema
2. A client with lung cancer who b. Administer a narcotic antagonist
wears a subcutaneous
morphine sulfate patch for pain
is short of breath and is
difficult to
arouse. When performing a head
to toe assessment, the nurse
discovers four
analgesic patches on the clients
body.
Which intervention should
the nurse implement first?
a. Remove all of the morphine
patches
b. Administer a narcotic antagonist
c. Apply oxygen per face mask
d. Measure the client's blood
pressure
,3. A client receives a. Adherence to the regimen is imperative
prescriptions for a multidrug
regimen for the treatment of
tuberculosis. Which information
should the nurse prioritize?
a.Adherence to the regimen is
imperative
b. Medications should be taken with
food
c. Serum liver panels are
collected regularly
d. Enhanced sun protection
measures will be needed
4. The nurse is preparing a a. Notify the healthcare provider of the client's medication history
client for surgery who was
admitted to the
emergency center following a
motor vehicle collision. The
client has an open fracture of
the femur and is bleeding
moderately from the bone
protrusion site.
During the prescriptive
assessment, the nurse
determines that the client
currently receives heparin
sodium 5,000 units
subcutaneously daily. What is
the priority nursing action?
a. Notify the healthcare
provider of the client's
medication history
b. Observe the heparin
injections sites for signs of
bruising
c. Have the client sign the
,surgical and transfusion
permits
d. Ensure that the potential for
bleeding is explained to the
client
5. A client with orthopnea c. The procedure is performed with the client in an upright position
expresses concern about the
ability to "get enough air"
during a scheduled
thoracentesis. On which
information should the
nurse's response be based?
a.A thoracentesis is a brief
process that has minimal
discomfort
b. Orthopnea is frequently
caused by a client's
uncontrolled anxiety
c.The procedure is performed
with the client in an upright
position
d. Extra pillows can be used if
needed to elevate the client's
head
, 6. What information should the c. Minimize symptoms by wearing loose, comfortable clothing
nurse
include in the teaching plan of a
client
diagnosed with
gastroesophageal reflux disease
(GERD)?
a. Sleep without pillows at night
to maintain neck alignment
b. Adjust food intake to three full
meals per day and no snacks
c. Minimize symptoms by
wearing loose, comfortable
clothing
d. Avoid participation in any aerobic
exercise programs
7. The nurse is providing teaching a. Family members can help with regular foot exams
to a client with Type 2 diabetes
mellitus and
peripheral neuropathy. Which
information should the nurse
provide?
a. Family members can help
with regular foot exams
b. Heating pads are useful if
on the low setting
c. Aching feet may be soaked in
lukewarm water for one hour
or more
d. Shoes should be worn
outside the house, but it is
fine to be barefoot inside
