MED SURG II HESI (Elsevier) Exam Test with Verified Answers
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Course
MED SURG II HESI
Institution
MED SURG II HESI
MED SURG II HESI (Elsevier) Exam Test with Verified Answers
1. Elevate the head
of the bed and
obtain vital signs
2. 4. "I have trouble
breathing when I
walk rapidly
3. 1. Focus on
the client's feel-
ings by exploring
the reason why
the question was
asked.
A client is admitted for dehy...
MED SURG II HESI (Elsevier) Exam Test with Verified Answers
1. Elevate the head A client is admitted for dehydration, and an intravenous
of the bed and (IV) infusion of normal saline at 125 mL/hr has been
obtain vital signs started. One hour after the IV initiation the client begins
screaming, "I can't breathe!" The nursing priority action is:
1. Discontinue the IV site and contact the primary health
care provider
2. Elevate the head of the bed and obtain vital signs
3. Contact the primary health care provider to obtain a
prescription for a sedative
4. Assess for allergies and change the IV to an intermittent
infusion device
2. 4. "I have trouble A nurse is assessing a client with a diagnosis of early
breathing when I left ventricular heart failure. Specific to this type of heart
walk rapidly failure, the nurse expects the client to state:
1. "My ankles are swollen."
2. "I am tired at the end of the day."
3. "When I eat a large meal, I feel bloated."
4. "I have trouble breathing when I walk rapidly
3. 1. Focus on A client who had a myocardial infarction asks the nurse,
the client's feel- "What's the chance of my having another heart attack if
ings by exploring I carefully watch my diet and stress levels?" What is the
the reason why nurse's most appropriate initial response?
the question was
asked. 1. Focus on the client's feelings by exploring the reason
why the question was asked.
2. Explain that it is all right to be frightened and refer the
client to the psychiatric nurse.
1/5
, MED SURG II HESI (Elsevier) Exam Test with Verified Answers
3. Provide information that the client is correct in being
especially careful in these areas.
4. Suggest that the client discuss follow-up care with the
health care provider and the dietitian.
4. 3. Neck vein dis- The nurse is assessing a client for signs of right ventricular
tention failure. What should the nurse expect if this occurs?
1. Slowed pulse rate
2. Pleural friction rub
3. Neck vein distention
4. Increasing hypotension
5. 4. Leakage of A client with bilateral varicose veins of the lower extremi-
red blood cells ties questions the nurse about the brownish discoloration
through the vas- of the lower legs. The best response by the nurse is, "This
cular wall." is probably the result of:
1. Inadequate arterial blood supply."
2. Delayed healing of tissues after an injury."
3. Increased production of melanin in the area."
4. Leakage of red blood cells through the vascular wall."
6. 4. Check pulses A client with arterial insufficiency of both lower extremities
in the legs regu- is visited by the home health care nurse. An essential
larly nursing intervention is to teach the client to:
1. Maintain elevation of both legs
2. Massage the legs when painful
3. Apply a hot water bottle to the legs
2/5
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