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MED SURG HESI V2 - 2024/2025 ACTUAL EXAMi 100% VERIFIED CORRECT
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MED SURG HESI V2 - 2024/2025 ACTUAL EXAMi 100% VERIFIED CORRECT
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MED SURG HESI V2 - 2024/2025 ACTUALEXAMi 100% VERIFIED CORRECT
What information should the nurse include in the teaching plan of a client diagnosed with
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GERD?
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A. Sleep without pillows
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B. Adjust food intake to three full meals per day with no snacks
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C. Minimize symptoms by wearing loose comfortable clothing
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D. Avoid participation in any aerobic exercise program - Minimize symptoms by wearing
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loose comfortable clothing
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ii After hospitalization for SIADH, a client develops pontine myelinolysis. Which
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ii intervention should the nurse implement first? ii ii ii ii ii ii
A. Reorient client to room
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B. Place a patch on one eye
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C. Evaluate clients ability to swallow
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D. Perform range of motion exercises - Reorient client to room
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ii A male client with heart failure calls the clinic and reports that he cannot put his shoes on
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ii because they are too tight. Which additional information should the nurse obtain?
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A. What time did he take his medication?
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B. Has his weight changed in the last several days?
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C. Is he still able to tighten his belt buckle?
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D. How many hours did he sleep last night? - Has his weight changed in the last several
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days?
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ii An older adult woman with a long history of COPD is admitted with progressive
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ii shortness of breath and a persistent cough, is anxious, and is complaining of dry mouth.
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ii which intervention should the nurse implement?
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A. Administer a prescribed sedative
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B. Encourage client to drink water
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C. Apply a high flow Venturi mask
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D. Assist her to an upright position - Assist her to an upright position
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A client with a history of asthma and bronchitis arrives at the clinic with shortness of
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breath, productive cough with thickening mucous and the inability to walk up a flight of
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stairs without experiencing breathlessness. Which action is most important for the nurse
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to instruct the client about self care?
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A. Increase the daily intake of oral fluids to liquify secretions
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B. Avoid crowded enclosed areas to reduce pathogens exposure
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, C. Call the clinic if undesirable side effects or medications - Increase the daily intake of
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oral fluids to liquify secretions
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ii A cardiac catherization of a client with heart disease indicates the following blockages:
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ii 95% proximal left anterior descending (LAD), 99% proximal circumflex, and 95%
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ii proximal right coronary artery (RCA) the client later asks the nurse "What does all of that
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ii mean for me?" What information should the nurse provide.
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B. Three main arteries have major blockages, with only 1-5% of the blood flow getting
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through to the heart muscles - Three main arteries have major blockages, with only 1-
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5% of the blood flow getting through to the heart muscles
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The nurse is caring for a client with a lower left lobe pulmonary abscess. what position
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should the nurse instruct the client to maintain?
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A. Left lateral
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B. Supine, knees flexed.
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C. Dorsal recumbent
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D. Knee-chest - Left lateral
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A client with Cholelithiasis has a gallstone lodged in the common bile duct and is unable
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to eat or drink without becoming nauseous and vomiting. Which finding should the nurse
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report to the healthcare provider?
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A. Belching
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B. Amber urine
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C. Yellow sclera
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D. Flatulence - Yellow sclera
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While caring for a client with Amyotrophic lateral sclerosis (ALS) a nurse performs a
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neurological assessment every 4 hours. Which assessment finding warrants immediate
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intervention by the nurse?
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A. Inappropriate laughter
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B. Increasing anxiety
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C. Weakened cough effort
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D. Asymmetrical weakness - Asymmetrical weakness
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The nurse is providing preoperative education for a Jewish client scheduled to receive a
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xenograft to promote burn healing. Which information should the provider this client?
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A. Grafting increase the risk for bacterial infections
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B. The xenograft is taken from a non-human source.
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C. Grafts are later removed by a debriding procedure
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D. As the burns heals, the graft permanently - The xenograft is taken from a non-human
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source
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ii A male client who had colon surgery 3 days ago is anxious and requesting assistance to
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ii reposition. While the nurse is turning him, the wound dehiscences and ulcerates. The
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