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MED-SURG II HESI TEST BANK QUESTIONS & ANSWERS 2024 100% A+ GRADED

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A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? A. Take temperature once a day. B. Wash the armpits and genitals with a gentle cleanser daily. C. Change the litter boxes while ...

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  • 29 april 2024
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MED-SURG II HESI TEST BANK QUESTIONS & ANSWERS 2024 100% A+
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A.

A nurse is reinforcing teaching with a client who has HIV and is being discharged to
home. Which of the following instructions should the nurse include in the teaching?
A. Take temperature once a day.
B. Wash the armpits and genitals with a gentle
cleanser daily. C. Change the litter boxes while
wearing gloves.
D. Wash dishes in warm
water. ANS:A.

A nurse is caring for a client who is postoperative following a tracheostomy, and has
copious and tenacious secretions. Which of the following is an acceptable method for the
nurse to use to thin this client's secretions?
A. Provide humidified oxygen.
B. Perform chest physiotherapy prior to suctioning.
C. Prelubricate the suction catheter tip with sterile saline when suctioning
the airway. D. Hyperventilate the client with 100% oxygen before
suctioning the airway..
ANS:B.

Following admission, a client with a vascular occlusion of the right lower extremity calls
the nurse and reports difficulty sleeping because of cold feet. Which of the following
nursing actions should the nurse take to promote the client's comfort?
A. Rub the client's feet briskly for several
minutes. B. Obtain a pair of slipper socks
for the client.
C. Increase the client's oral fluid intake.
D. Place a moist heating pad under the
client's feet. ANS:C.

A nurse is caring for a client is who is 4 hr postoperative following a transurethral
resection of the prostate (TURP). Which of the following is the priority finding for the
nurse report to the provider? A. Emesis of 100 mL
B. Oral temperature of 37.5° C
(99.5° F) C. Thick, red-colored
urine
D. Pain level of 4 on a 0 to 10 rating
scale ANS:A.

, MED-SURG II HESI TEST BANK QUESTIONS & ANSWERS 2024 100% A+
GRADED




A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a
prescription for a hypothermia blanket. The nurse should monitor the client for which of
the following adverse effects of the hypothermia blanket?
A.
Shivering
B.
Infection
C. Burns
D.
Hypervolemia
ANS:D.

, MED-SURG II HESI TEST BANK QUESTIONS & ANSWERS 2024 100% A+
GRADED




A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes
mellitus. Which of the following statements by the client indicates an understanding of the
teaching?
A. "I will carry a complex carbohydrate snack with me when I
exercise." B. "I should exercise first thing in the morning
before eating breakfast."
C. "I should avoid injecting insulin into my thigh if I am going to go
running." D. "I will not exercise if my urine is positive for ketones."
ANS:A.

A nurse notes a small section of bowel protruding from the abdominal incision of a client
who
is postoperative. After calling for assistance, which of the following actions should the
nurse take first?
A. Cover the client's wound with a moist, sterile
dressing. B. Have the client lie supine with knees
flexed.
C. Check the client's vital signs.
D. Inform the client about the need to return to
surgery. ANS:B.

A nurse is collecting data from a client who has alcohol use disorder and is experiencing
metabolic acidosis. Which of the following manifestations should the nurse expect?
A. Cool, clammy
skin. B.
Hyperventilation
C. Increased blood
pressure D. Bradycardia
ANS:A.

A nurse is reinforcing discharge teaching with a client following a cataract extraction.
Which of the following should the nurse include in the teaching?
A. Avoid bending at the waist.
B. Remove the eye shield at bedtime.
C. Limit the use of laxatives if constipated.
D. Seeing flashes of light is an expected finding following
extraction. ANS:C

A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg
daily. The client refuses breakfast and reports nausea. Which of the following actions
should the nurse take first?
1) Suggest that the client rests before eating
the meal. 2) Request a dietary consult.
3) Check the client's vital signs.
4) Request an order for an

, MED-SURG II HESI TEST BANK QUESTIONS & ANSWERS 2024 100% A+
GRADED




antiemetic. ANS:D.

A nurse is caring for a client who is 3 days postoperative following a cholecystectomy.
The nurse suspects the client's wound is infected because the drainage from the
dressing is yellow and thick. Which of the following findings should the nurse report as
the type of drainage found?
1) Sanguineous
2) Serous
3) Serosanguinous
4) Purule
nt ANS:A.

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