MED SURG HESI V2 EXAM QUESTIONS AND
VERIFIED ANSWERS GUARANTEED SUCCESS
“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 |- |CORRECT |ANSWER |Minimize
|symptoms |by |wearing |loose |comfortable |clothing"
"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 |- |CORRECT
|ANSWER |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 |- |CORRECT |ANSWER |Check |his |fingerstick
|glucose, |assess |his |skin |temperature |and |moisture, |measure |his |pulse |and |BP"
"A |client |with |Cushing |Syndrome |is |recovering |from |an |elective |laparoscopic |procedure.
|which |assessment |finding |warrants |immediate |intervention |by |the |nurse? |
A. |Irregular |apical |pulse
B. |Purple |marks |on |skin |of |the |abdomen |
C. |Quarter |sized |blood |spot |on |the |dressing |
D. |Pitting |ankle |edema |- |CORRECT |ANSWER |Irregular |apical |pulse"
1
,"An |adult |woman |with |primary |Raynaud |phenomenon |develops |pallor |and |then |cyanosis |of
|her |fingers. |After |warming |her |hands, |the |fingers |turn |red |and |the |client |reports |a |burning
|sensation. |What |action |should |the |nurse |take?
A. |Apply |a |cool |compress |to |the |affected |fingers |for |20 |minutes
B. |Secure |a |pulse |oximeter |to |monitor |the |client's |oxygen |saturation
C. |Report |the |finding |to |the |healthcare |provider |as |soon |as |possible
D. |Continue |to |monitor |the |fingers |until |color |returns |to |normal |- |CORRECT |ANSWER
|Continue |to |monitor |the |fingers |until |color |returns |to |normal"
"A |male |client |with |muscular |dystrophy |fell |in |his |home |and |is |admitted |with |a |right |hip
|fracture. |His |right |foot |is |cool, |with |palpable |pedal |pulses. |lung |are |coarse |with |diminished
|bibasilar |breath |sounds. |Vital |signs |are |T: |101 |degrees, |HR: |128, |RR: |28, |B/P: |122/82.
|Which |interventions |is |most |important |for |the |nurse |to |implement |first? |
A. |Obtain |oxygen |saturation |level. |
B. |Encourage |incentivize |spirometry |
C. |Assess |lower |extremity |circulation |
D. |Administer |oral |PRN |antipyretic |- |CORRECT |ANSWER |Administer |oral |PRN
|antipyretic"
"A |client |with |cancer |is |receiving |chemotherapy |with |a |known |vesicant. |the |clients |IV |has
|been |in |place |for |72hrs. |The |nurse |determines |that |a |new |IV |site |cannot |be |obtained |and
|leaves |present |IV |in |place. |What |is |greatest |clinical |risk? |
A. |impaired |skin |integrity |
B. |fluid |volume |excess
C. |Acute |pain |and |anxiety |
D. |Peripheral |neuron |vascular |dysfunction |- |CORRECT |ANSWER |Impaired |skin
|integrity"
"A |postoperative |client |reports |incisional |pain. |The |client |has |two |prescriptions |for |PRN
|analgesia |that |accompanied |the |client |from |the |post-anesthesia |unit. |Before |selecting |which
|medication |to |administer, |which |action |should |the |nurse |implement? |
A. |Document |client |report |of |pain |in |EMR |
B. |Determine |which |prescription |will |have |quickest |onset |action |
C. |Compare |the |clients |pain |scale |rating |w/prescribed |dosing |
D. |Ask |the |client |to |choose |which |medication |is |needed |for |pain |- |CORRECT |ANSWER
|Compare |the |clients |pain |scale |rating |w/prescribed |dosing"
"While |assisting |a |female |client |to |the |toilet, |the |client |begins |to |have |a |seizure |and |the |nurse
|eases |her |to |the |floor. |The |nurse |calls |for |help |and |monitors |the |client |until |the |seizing
|stops. |Which |interventions |should |the |nurse |implement |first? |
2
, A. |Document |details |of |the |seizure |activity
B. |Observe |for |lacerations |to |the |tongue |
C. |Observe |for |prolonged |periods |of |apnea |
D. |Evaluate |the |evidence |of |incontinence |- |CORRECT |ANSWER |Document |details |of |the
|seizure |activity"
"While |assessing |a |client |with |degenerative |joint |disease, |the |nurse |observes |Heberden's
|nodes, |large |prominences |on |the |clients |finger |that |are |reddened. |The |client |reports |the
|nodes |are |painful. |Which |action |should |nurse |take? |
A. |Review |the |clients |dietary |intake |of |high |protein |foods |
B. |Notify |the |HCP |of |the |finding |immediately |
C. |Discuss |approaches |to |chronic |pain |control |with |the |client |
D. |Assess |the |clients |radial |pulses |and |capillary |refill |time |- |CORRECT |ANSWER |Discuss
|approaches |to |chronic |pain |control |with |the |client"
"A |client |who |took |a |camping |vacation |2 |weeks |ago |in |a |country |with |tropical |climate |comes
|to |the |clinic |describing |vague |symptoms |and |diarrhea |for |the |past |week. |which |finding |is
|most |important |for |the |nurse |to |report |to |the |HCP. |
A. |Weakness |and |fatigue |
B. |Intestinal |cramping |
C. |Weight |loss |
D. |Jaundiced |sclera |- |CORRECT |ANSWER |Jaundiced |sclera"
"Ten |hours |following |thrombolysis |for |an |ST |elevation |myocardial |infarction |(STEMI) |a
|client |is |receiving |a |lidocaine |infusion |for |isolated |runs |of |ventricular |tachycardia. |Which
|findings |should |the |nurse |document |in |the |EMR |as |therapeutic |response |to |the |lidocaine? |
A. |Stabilization |of |BP |ranges |
B. |Cessation |of |chest |pain
C. |Reduce |heart |rate |
D. |Decreased |frequency |of |episodes |of |VT |- |CORRECT |ANSWER |Decreased |frequency |of
|episodes |of |VT"
"After |a |CT |scan |with |intravenous |contrast |medium, |a |client |returns |to |the |room
|complaining |of |shortness |of |breath |and |itching. |Which |intervention |should |the |nurse
|implement?
A. |Call |respiratory |therapy |to |give |a |breathing |treatment.
B. |Send |another |nurse |for |emergency |tracheostomy |set
C. |Prepare |a |dose |of |epinephrine
3
VERIFIED ANSWERS GUARANTEED SUCCESS
“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 |- |CORRECT |ANSWER |Minimize
|symptoms |by |wearing |loose |comfortable |clothing"
"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 |- |CORRECT
|ANSWER |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 |- |CORRECT |ANSWER |Check |his |fingerstick
|glucose, |assess |his |skin |temperature |and |moisture, |measure |his |pulse |and |BP"
"A |client |with |Cushing |Syndrome |is |recovering |from |an |elective |laparoscopic |procedure.
|which |assessment |finding |warrants |immediate |intervention |by |the |nurse? |
A. |Irregular |apical |pulse
B. |Purple |marks |on |skin |of |the |abdomen |
C. |Quarter |sized |blood |spot |on |the |dressing |
D. |Pitting |ankle |edema |- |CORRECT |ANSWER |Irregular |apical |pulse"
1
,"An |adult |woman |with |primary |Raynaud |phenomenon |develops |pallor |and |then |cyanosis |of
|her |fingers. |After |warming |her |hands, |the |fingers |turn |red |and |the |client |reports |a |burning
|sensation. |What |action |should |the |nurse |take?
A. |Apply |a |cool |compress |to |the |affected |fingers |for |20 |minutes
B. |Secure |a |pulse |oximeter |to |monitor |the |client's |oxygen |saturation
C. |Report |the |finding |to |the |healthcare |provider |as |soon |as |possible
D. |Continue |to |monitor |the |fingers |until |color |returns |to |normal |- |CORRECT |ANSWER
|Continue |to |monitor |the |fingers |until |color |returns |to |normal"
"A |male |client |with |muscular |dystrophy |fell |in |his |home |and |is |admitted |with |a |right |hip
|fracture. |His |right |foot |is |cool, |with |palpable |pedal |pulses. |lung |are |coarse |with |diminished
|bibasilar |breath |sounds. |Vital |signs |are |T: |101 |degrees, |HR: |128, |RR: |28, |B/P: |122/82.
|Which |interventions |is |most |important |for |the |nurse |to |implement |first? |
A. |Obtain |oxygen |saturation |level. |
B. |Encourage |incentivize |spirometry |
C. |Assess |lower |extremity |circulation |
D. |Administer |oral |PRN |antipyretic |- |CORRECT |ANSWER |Administer |oral |PRN
|antipyretic"
"A |client |with |cancer |is |receiving |chemotherapy |with |a |known |vesicant. |the |clients |IV |has
|been |in |place |for |72hrs. |The |nurse |determines |that |a |new |IV |site |cannot |be |obtained |and
|leaves |present |IV |in |place. |What |is |greatest |clinical |risk? |
A. |impaired |skin |integrity |
B. |fluid |volume |excess
C. |Acute |pain |and |anxiety |
D. |Peripheral |neuron |vascular |dysfunction |- |CORRECT |ANSWER |Impaired |skin
|integrity"
"A |postoperative |client |reports |incisional |pain. |The |client |has |two |prescriptions |for |PRN
|analgesia |that |accompanied |the |client |from |the |post-anesthesia |unit. |Before |selecting |which
|medication |to |administer, |which |action |should |the |nurse |implement? |
A. |Document |client |report |of |pain |in |EMR |
B. |Determine |which |prescription |will |have |quickest |onset |action |
C. |Compare |the |clients |pain |scale |rating |w/prescribed |dosing |
D. |Ask |the |client |to |choose |which |medication |is |needed |for |pain |- |CORRECT |ANSWER
|Compare |the |clients |pain |scale |rating |w/prescribed |dosing"
"While |assisting |a |female |client |to |the |toilet, |the |client |begins |to |have |a |seizure |and |the |nurse
|eases |her |to |the |floor. |The |nurse |calls |for |help |and |monitors |the |client |until |the |seizing
|stops. |Which |interventions |should |the |nurse |implement |first? |
2
, A. |Document |details |of |the |seizure |activity
B. |Observe |for |lacerations |to |the |tongue |
C. |Observe |for |prolonged |periods |of |apnea |
D. |Evaluate |the |evidence |of |incontinence |- |CORRECT |ANSWER |Document |details |of |the
|seizure |activity"
"While |assessing |a |client |with |degenerative |joint |disease, |the |nurse |observes |Heberden's
|nodes, |large |prominences |on |the |clients |finger |that |are |reddened. |The |client |reports |the
|nodes |are |painful. |Which |action |should |nurse |take? |
A. |Review |the |clients |dietary |intake |of |high |protein |foods |
B. |Notify |the |HCP |of |the |finding |immediately |
C. |Discuss |approaches |to |chronic |pain |control |with |the |client |
D. |Assess |the |clients |radial |pulses |and |capillary |refill |time |- |CORRECT |ANSWER |Discuss
|approaches |to |chronic |pain |control |with |the |client"
"A |client |who |took |a |camping |vacation |2 |weeks |ago |in |a |country |with |tropical |climate |comes
|to |the |clinic |describing |vague |symptoms |and |diarrhea |for |the |past |week. |which |finding |is
|most |important |for |the |nurse |to |report |to |the |HCP. |
A. |Weakness |and |fatigue |
B. |Intestinal |cramping |
C. |Weight |loss |
D. |Jaundiced |sclera |- |CORRECT |ANSWER |Jaundiced |sclera"
"Ten |hours |following |thrombolysis |for |an |ST |elevation |myocardial |infarction |(STEMI) |a
|client |is |receiving |a |lidocaine |infusion |for |isolated |runs |of |ventricular |tachycardia. |Which
|findings |should |the |nurse |document |in |the |EMR |as |therapeutic |response |to |the |lidocaine? |
A. |Stabilization |of |BP |ranges |
B. |Cessation |of |chest |pain
C. |Reduce |heart |rate |
D. |Decreased |frequency |of |episodes |of |VT |- |CORRECT |ANSWER |Decreased |frequency |of
|episodes |of |VT"
"After |a |CT |scan |with |intravenous |contrast |medium, |a |client |returns |to |the |room
|complaining |of |shortness |of |breath |and |itching. |Which |intervention |should |the |nurse
|implement?
A. |Call |respiratory |therapy |to |give |a |breathing |treatment.
B. |Send |another |nurse |for |emergency |tracheostomy |set
C. |Prepare |a |dose |of |epinephrine
3
