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Surgical Nursing Exam Prep x x x
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• Verified answers
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, MED SURG HESI V2 (Latest 2026/2027) |
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Most Comprehensive Questions & Answers with
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Verified Rationales | HESI Medical-Surgical
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x Nursing Exam Prep x x
Question 1 x
What Information should the nurse include in the teaching plan of a
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client diagnosed with GERD?
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A. Sleep without pillows
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B. Adjust food intake to three full meals per day with no snacks
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C. Minimize symptoms by wearing loose, comfortable clothing
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D. Avoid Participation in any aerobic exercise program
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Answer: C. Minimize symptoms by wearing loose, comfortable
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clothing
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Rationale: Wearing loose, comfortable clothing reduces abdominal
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pressure, which can help minimize GERD symptoms. Clients with GERD
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should sleep with the head elevated (not without pillows), eat smaller more
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frequent meals rather than three large meals, and can participate in
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moderate exercise.
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Question 2 x
A client with cholelithiasis has a gallstone lodged in the common bile
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duct and is unable to eat or drink without becoming nauseous and
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,vomiting. Which finding should the nurse report to the healthcare
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provider?
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A. Belching
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B. Amber urine
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C. Yellow sclera
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D. Flatulence
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Answer: C. Yellow sclerax x x
Rationale: Yellow sclera (jaundice) indicates bile duct obstruction and
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requires immediate reporting to the healthcare provider. This suggests that
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bile cannot flow properly into the intestines, leading to bilirubin
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accumulation in the bloodstream.
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Question 3 x
Following surgical repair of the bladder, a female client is being
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discharged from the hospital to home with an indwelling urinary
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catheter. Which instruction is most important for the nurse to provide
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to this client?
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A. Avoid coiling the tubing and keep it free of kinks
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B. Cleanse the perineal area with soap and water twice daily
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C. Keep the drainage bag lower than the level of the bladder
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D. Drink 1,000 ml of fluids daily to irrigate catheter
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Answer: C. Keep the drainage bag lower than the level of the bladder
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Rationale: Keeping the drainage bag below the bladder level prevents
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backflow of urine, which could lead to infection. This is the most critical
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instruction for a client with an indwelling catheter.
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, Question 4 x
A client admitted to a surgical unit is being evaluated for an intestinal
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obstruction. The HCP prescribes a NG tube to be inserted and placed
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to intermittent low wall suction. Which intervention should the nurse
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implement to facilitate proper tube placement?
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A. Soak NG tube in warm water
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B. Insert tube with clients head tilted back
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C. Apply suction while inserting tube
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D. Elevate head of bed 60 to 90 degrees
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Answer: D. Elevate head of bed 60 to 90 degrees
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Rationale: Elevating the head of the bed to 60-90 degrees facilitates
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passage of the NG tube by aligning the esophagus and reducing the risk of
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aspiration. The tube should be lubricated (not soaked), and suction should
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not be applied during insertion.
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Question 5 x
A client with urolithiasis is preparing for discharge after lithotripsy.
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Which intervention should the nurse include in the client's
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postoperative discharge instructions?
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A. Report when hematuria becomes pink tinged
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B. Use incentive spirometer
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C. Restrict physical activities
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D. Monitor urinary stream for decrease in output
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Answer: D. Monitor urinary stream for decrease in output
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Rationale: After lithotripsy, the client should monitor for decreased urinary
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output, which could indicate obstruction from stone fragments. Some
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