MED-SURG II HESI ACTUAL EXAM 140 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |AGRADE
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Course
MED-SURG II HESI
Institution
MED-SURG II HESI
MED-SURG II HESI ACTUAL EXAM 140 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |AGRADE
MED-SURG II HESI ACTUAL EXAM 140 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |AGRADE
MED-SURG II HESI 2023-2024 ACTUAL EXAM 140 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |AGRADE
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed
with emphysema. Which of the following instructions should be included in the teaching?
1) Rest in a supine position.
2) Consume a low-protein diet.
3) Breathe in through her nose and out through pursed lips.
4) Limit fluid intake throughout the day. - ANSWER-C.
A nurse is caring for a client who is postoperative and has a history Addison's disease. For which of the
following manifestations should the nurse monitor?
1) Hypernatremia 2) Hypotension
3) Bradycardia
4) Hypokalemia - ANSWER-B.
A nurse is reinforcing pre-operative teaching for a client who is scheduled for surgery and is to take
hydroxyzine preoperatively. Which of the following effects of the medication should the nurse include in
the teaching? (Select all that apply.)
1) Decreasing anxiety 2) Controlling emesis
3) Relaxing skeletal muscles
4) Preventing surgical site infections
5) Reducing the amount of narcotics needed for pain relief - ANSWER-A, B,
A nurse is reinforcing teaching with a client who has a new prescription for epoetin alfa. The nurse
should reinforce to the client to take which of the following dietary supplements with this medication?
1) Vitamin D
2) Vitamin A
3) Iron
4) Niacin - ANSWER-C.
,A nurse is caring for a client after a radical neck dissection. To which of the following should the nurse
give priority in the immediate postoperative period?
1) Malnourishment related to NPO status and dysphagia
2) Impaired verbal communication related to the tracheostomy
3) High risk for infection related to surgical incisions
4) Ineffective airway clearance related to thick, copious secretions - ANSWER-D.
A nurse is contributing to the plan of care for a client who has a spinal cord injury at level C8 who is
admitted for comprehensive rehabilitation. Which of the following long-term goals is appropriate with
regard to the client's mobility?
1) Walk with leg braces and crutches.
2) Drive an electric wheelchair with a hand-control device.
3) Drive an electric wheelchair equipped with a chin-control device.
4) Propel a wheelchair equipped with knobs on the wheels. - ANSWER-D.
A nurse is reinforcing health teaching about skin cancer with a group of clients. Which of the following
risk factors should the nurse identify as the leading cause of non-melanoma skin cancer?
1) Exposure to environmental pollutants
2) Sun exposure.
3) History of viral illness
4) Scars from a severe burn - ANSWER-B.
Based on a client's recent history, a nurse suspects that a client is beginning menopause. Which of the
following questions should the nurse ask the client to help confirm the client is experiencing
manifestations of menopause?
1) "Do you sleep well at night?"
2) "Have you been experiencing chills?"
3) "Have you experienced increased hair growth?"
4) "When did you begin your menses?" - ANSWER-A.
,A nurse is reinforcing teaching with a client about cancer prevention and plans to address the
importance of foods high in antioxidants. Which of the following foods should the nurse include in the
teaching?
1) Cottage cheese 2) Fresh berries
3) Bran cereal
4) Skim milk - ANSWER-B.
A nurse is assisting with caring for a client who has a new concussion following a motor-vehicle crash.
The nurse should monitor the client for which of the following manifestations of increased intracranial
pressure?
1) Polyuria
2) Battle's sign
3) Nuchal rigidity
4) Lethargy - ANSWER-D.
A nurse is reinforcing teaching about a tonometry examination with a client who has manifestations of
glaucoma. Which of the following statements should the nurse include in the teaching?
1) "Tonometry is performed to evaluate peripheral vision."
2) "This test will diagnose the type of your glaucoma."
3) "Tonometry will allow inspection of the optic disc for signs of degeneration."
4) "This test will measure the intraocular pressure of the eye." - ANSWER-D.
A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney
transplant. Which of the following laboratory findings should the nurse identify as the most important to
report to the provider?
1) Increase in serum glucose
2) Increase in serum creatinine
3) Decrease in white blood cell count
4) Decrease in platelets - ANSWER-B.
A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of
the following findings should the nurse expect?
, 1) Apical pulse rate different than the radial pulse rate
2) Increase in heart rate by 20% when standing
3) Drop in systolic BP by 20 mm Hg when moving from a lying to a sitting position
4) Drop in systolic BP more than 10 mm Hg on inspiration - ANSWER-D.
A nurse is caring for a client who has Alzheimer's disease. The nurse discovers the client entering the
room of another client, who becomes upset and frightened. Which of the following actions should the
nurse take?
1) Attempt to determine what the client was looking for.
2) Explain the client's Alzheimer's diagnosis to the frightened client.
3) Reprimand the client for invading the other client's privacy.
4) Ask the client to apologize for his behavior. - ANSWER-A.
A nurse is caring for a client immediately following a cardiac catheterization with a femoral artery
approach. Which of the following actions should the nurse take?
1) Check pedal pulses every 15 min.
2) Perform passive range-of-motion for the affected extremity.
3) Remind the client not to turn from side to side.
4) Keep the client in high-Fowler's position for 6 hr. - ANSWER-A.
A nurse is assisting with planning an immunization clinic for older adult clients. Which of the following
information should the nurse plan to include about influenza?
1) Individuals at high risk should receive the live influenza vaccine.
2) Immunization for influenza should be repeated every 10 years.
3) The composition of the influenza vaccine changes yearly.
4) The influenza vaccine is necessary only for clients who have never had influenza. - ANSWER-C.
A nurse is caring for an older adult client who has colon cancer. The client asks the nurse several
questions about his treatment plan. Which of the following actions should the nurse take?
1) Tell the client to have a family member call the provider to ask what options he plans to recommend.
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