Med-Surg II HESI Exam Newest With
Questions And Answers
2026/2027|Graded A+
The nurse is administering a saturated solution of potassium iodide (SSKI). The nurse should:
1. Pour the solution over ice chips.
2. Mix the solution with an antacid.
3. Dilute the solution with water, milk, or fruit juice and have the client drink it with a straw.
4. Disguise the solution in a pureed fruit or vegetable. - ANSWER>3. Dilute the solution with water, milk, or fruit
juice and have the client drink it with a straw.
SSKI should be diluted well in milk, water, juice, or a carbonated beverage before administration to help disguise
the strong, bitter taste. Also, this drug is irritating
to mucosa if taken undiluted. The client should sip the diluted preparation through a drinking straw to help prevent
staining of the teeth. Pouring the solution over ice chips will not sufficiently dilute the SSKI or cover the taste.
Antacids are not used to dilute or cover the taste of SSKI. Mixing in a puree would put the SSKI in contact with the
teeth.
,CN: Pharmacological and parenteral therapies; CL: Apply
Following a subtotal thyroidectomy, the nurse asks the client to speak
immediately upon regaining consciousness. The nurse does this to monitor for signs of which of the following?
1. Internal hemorrhage.
2. Decreasing level of consciousness.
3. Laryngeal nerve damage.
4. Upper airway obstruction. - ANSWER>3. Laryngeal nerve damage.
Laryngeal nerve damage is a potential complication of thyroid surgery because of the proximity of the thyroid gland
to the recurrent laryngeal nerve. Asking the
client to speak helps assess for signs of laryngeal nerve damage. Persistent or worsening hoarseness and weak
voice are signs of laryngeal nerve damage and should
be reported to the physician immediately. Internal hemorrhage is detected by changes in vital signs. The client's
level of consciousness can be partially assessed by asking her to speak, but that is not the primary reason for doing
so in this situation. Upper airway obstruction is detected by color and respiratory rate and pattern.
, CN: Reduction of risk potential; CL: Analyze
A client who has undergone a subtotal thyroidectomy is subject to
complications in the first 48 hours after surgery. The nurse should obtain and keep at the bedside equipment to:
1. Begin total parenteral nutrition.
2. Start a cutdown infusion.
3. Administer tube feedings.
4. Perform a tracheotomy. - ANSWER>4. Perform a tracheotomy
One day following a subtotal thyroidectomy, a client begins to have tingling in the fingers and toes. The nurse
should first:
1. Encourage the client to flex and extend the fingers and toes.
2. Notify the physician.
3. Assess the client for thrombophlebitis.
4. Ask the client to speak. - ANSWER>2. Notify the physician
Questions And Answers
2026/2027|Graded A+
The nurse is administering a saturated solution of potassium iodide (SSKI). The nurse should:
1. Pour the solution over ice chips.
2. Mix the solution with an antacid.
3. Dilute the solution with water, milk, or fruit juice and have the client drink it with a straw.
4. Disguise the solution in a pureed fruit or vegetable. - ANSWER>3. Dilute the solution with water, milk, or fruit
juice and have the client drink it with a straw.
SSKI should be diluted well in milk, water, juice, or a carbonated beverage before administration to help disguise
the strong, bitter taste. Also, this drug is irritating
to mucosa if taken undiluted. The client should sip the diluted preparation through a drinking straw to help prevent
staining of the teeth. Pouring the solution over ice chips will not sufficiently dilute the SSKI or cover the taste.
Antacids are not used to dilute or cover the taste of SSKI. Mixing in a puree would put the SSKI in contact with the
teeth.
,CN: Pharmacological and parenteral therapies; CL: Apply
Following a subtotal thyroidectomy, the nurse asks the client to speak
immediately upon regaining consciousness. The nurse does this to monitor for signs of which of the following?
1. Internal hemorrhage.
2. Decreasing level of consciousness.
3. Laryngeal nerve damage.
4. Upper airway obstruction. - ANSWER>3. Laryngeal nerve damage.
Laryngeal nerve damage is a potential complication of thyroid surgery because of the proximity of the thyroid gland
to the recurrent laryngeal nerve. Asking the
client to speak helps assess for signs of laryngeal nerve damage. Persistent or worsening hoarseness and weak
voice are signs of laryngeal nerve damage and should
be reported to the physician immediately. Internal hemorrhage is detected by changes in vital signs. The client's
level of consciousness can be partially assessed by asking her to speak, but that is not the primary reason for doing
so in this situation. Upper airway obstruction is detected by color and respiratory rate and pattern.
, CN: Reduction of risk potential; CL: Analyze
A client who has undergone a subtotal thyroidectomy is subject to
complications in the first 48 hours after surgery. The nurse should obtain and keep at the bedside equipment to:
1. Begin total parenteral nutrition.
2. Start a cutdown infusion.
3. Administer tube feedings.
4. Perform a tracheotomy. - ANSWER>4. Perform a tracheotomy
One day following a subtotal thyroidectomy, a client begins to have tingling in the fingers and toes. The nurse
should first:
1. Encourage the client to flex and extend the fingers and toes.
2. Notify the physician.
3. Assess the client for thrombophlebitis.
4. Ask the client to speak. - ANSWER>2. Notify the physician
