MED SURG HESI V2 - 2024/2025 ACTUAL EXAMINATION
1. 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: Minimize
symptoms by wearing loose comfortable clothing
2. 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: Reorient client to room
3. 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?: Has his weight changed in
,the last several days?
4. An older adult woman with a long history of COPD is admitted with
pro- gressive 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: Assist her to an upright position
5. A client with a history of asthma and bronchitis arrives at the clinic with
shortness of breath, productive cough with thickening mucous and the
inabil- ity 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: Increase the
daily intake of oral fluids to liquify secretions
6. A cardiac catherization of a client with heart disease indicates the
following blockages: 95% proximal left anterior descending (LAD), 99%
proximal circum- flex, 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: Three main arteries have major
blockages, with only 1-5% of the blood flow getting through to the heart
muscles
7. 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: Left lateral
8. 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: Yellow sclera
1. 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: Minimize
symptoms by wearing loose comfortable clothing
2. 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: Reorient client to room
3. 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?: Has his weight changed in
,the last several days?
4. An older adult woman with a long history of COPD is admitted with
pro- gressive 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: Assist her to an upright position
5. A client with a history of asthma and bronchitis arrives at the clinic with
shortness of breath, productive cough with thickening mucous and the
inabil- ity 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: Increase the
daily intake of oral fluids to liquify secretions
6. A cardiac catherization of a client with heart disease indicates the
following blockages: 95% proximal left anterior descending (LAD), 99%
proximal circum- flex, 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: Three main arteries have major
blockages, with only 1-5% of the blood flow getting through to the heart
muscles
7. 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: Left lateral
8. 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: Yellow sclera
