MED SURG II HESI EXAM 2024 WITH VERSION (A, B, &C) WITH
ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED
RATIONALES ANSWERS
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?
An older adult woman with a long history of COPD is admitted with progressive
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
A client with a history of asthma and bronchitis arrives at the clinic with shortness of
breath, productive cough with thickening mucous and the inability 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
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
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
A cardiac catherization of a client with heart disease indicates the following blockages:
95% proximal left anterior descending (LAD), 99% proximal circumflex, 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
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
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
While caring for a client with Amyotrophic lateral sclerosis (ALS) a nurse performs a
neurological assessment every 4 hours. Which assessment finding warrants immediate
intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness - Asymmetrical weakness
The nurse is providing preoperative education for a Jewish client scheduled to receive a
xenograft to promote burn healing. Which information should the provider this client?
A. Grafting increase the risk for bacterial infections
B. The xenograft is taken from a non-human source.
C. Grafts are later removed by a debriding procedure
D. As the burns heals, the graft permanently - The xenograft is taken from a non-human
source
, A male client who had colon surgery 3 days ago is anxious and requesting assistance to
reposition. While the nurse is turning him, the wound dehiscences and ulcerates. The
nurse moistens an available sterile dressing and places it over the wound. Which
intervention should the nurse implement next.
A. Bring additional sterile dressing supplies to the room.
B. Prepare the client to return to the OR
C. Obtain a sample of the drainage to send to the lab
D. ausculate the abdomen for bowel sounds - Bring additional sterile dressing supplies
to the room
A client with carcinoma of the lung is complaining of weakness and has a serum sodium
level of 117/meq. Which nursing problem should the nurse include in the clients plan of
care.
A. Altered urinary elimination
B. Impaired gas exchange
C. Fluid volume excess
D. Decreased cardiac output - Fluid volume excess
A female client enters the clinic and insists on being seen. She is weak, nervous and
reports a racing heart beat and recent weight loss of 15 pounds. After ruling out
substance withdrawal, the MD suspects hyperthyroidisms and admits her for testing.
which action should the nurse do?
A. Begin preparing the client for thyroidectomy procedure
B. Space the clients care to provide periods of rest
C. Assess the client for hyperactive bowel sounds
D. Provide warm blanket to prevent heat loss - Assess the client for hyperactive bowel
sounds
The nurse is teaching a client with glomerulonephritis about self care. Which dietary
recommendations should the nurse encourage the client to follow.
A. increase intake of high-fiber foods, such as bran cereal.
B. Restrict protein intake by limiting meals and other high-protein foods
C. limit oral fluid intake of 500/ml/day
D. Increase intake of potassium rich foods such as bananas and cantaloupe - Restrict
protein intake by limiting meals and other high-protein foods
An overweight young adult male who was recently diagnosed with type 2 DM is
admitted for a hernia repair. he tells the nurse that he is feeling very weak and jittery.
Which actions should the nurse implement? Select all that apply.
A.Check his fingerstick glucose
B. Assess his skin temperature and moisture
C. Measure his pulse and BP
D. Document anxiety on the surgical checklist
E. Administer a PRN dose of regular insulin - Check his fingerstick glucose, assess his
skin temperature and moisture, measure his pulse and BP
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller chareiezekiel. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $29.99. You're not tied to anything after your purchase.
