MED-SURG II HESI PAPER RECENT QUESTIONS AND
ANSWERS SURE A+
✔✔A client with acute kidney failure is to receive peritoneal dialysis and asks why the
procedure is necessary. The nurse's best response is, "It: - ✔✔Helps perform some of
the work usually done by the kidneys."
✔✔A client has a closed chest drainage system in place. To determine the amount of
chest tube drainage, the nurse should: - ✔✔Refer to the date and time markings on the
outside of the collection chamber
✔✔A farmer seeks medical care for a large crusty patch of skin on the cheek. The client
states that even after using different remedies, it still bleeds easily and has not gotten
better. From the client's history, the nurse suspects skin cancer because the major
precipitating factor associated with skin cancer is: - ✔✔Exposure to radiation
✔✔A nurse determines that a client in the acute phase of burns has eaten only a small
portion of each meal. Considering this finding, the nurse should assess the client for: -
✔✔Prolonged wound healing
✔✔A client has had a total gastrectomy. What should the nurse include in the discharge
teaching? - ✔✔Injections of vitamin B12 for life.
✔✔A client with extensive bone and soft tissue injuries to the right leg is on bed rest.
When positioning the client, the nurse should: - ✔✔Elevate the entire right leg with
pillows, keeping the foot higher than the knee
✔✔A nurse is caring for a client with a new colostomy. Which client outcome is most
important for achievement of long-range goals associated with adjusting to a new
colostomy? - ✔✔Readiness to accept an altered body function
, ✔✔On the third postoperative day after a subtotal thyroidectomy for a tumor, a client
complains of a "funny, jittery feeling." On the basis of this statement, the nurse's best
action is to: - ✔✔est for Chvostek's and Trousseau's signs and notify the health care
provider of the complaints
✔✔After a transurethral vaporization of the prostate, the client returns to the unit with an
indwelling urinary catheter and a continuous bladder irrigation. The client puts the call
light on to report the need to urinate. What should the nurse do first? - ✔✔Assess that
the tubing attached to the collection bag is patent
✔✔A client who is receiving methotrexate for acute lymphocytic leukemia (ALL)
develops a temperature of 101° F. The nurse notifies the health care provider. Aspirin
650 mg every four hours as needed for temperature equal to or greater than 101° F is
prescribed. What should the nurse do regarding this prescription? - ✔✔Express concern
about the type of antipyretic prescribed.
✔✔A nurse is caring for a client who is scheduled to have an abdominal perineal
resection for colorectal cancer. A type and cross match is done because of a concern
about blood loss. The client has type B-negative blood. The blood type that can be used
for this client is: - ✔✔B negative
✔✔The nurse is creating a dietary plan for a client with cholecystitis who has been
placed on a modified diet. What would be appropriate to include in the dietary plan? -
✔✔Decreased fat intake to avoid stimulation of the cholecystokinin mechanism for bile
release
✔✔A client is admitted to the hospital with numbness of the hands and feet, which has
progressed upward and now involves the arms, legs, and lower trunk. The client tells
the nurse that approximately two weeks ago, the client experienced 48 hours of chills,
fever, and upper respiratory congestion. A tentative diagnosis of Guillain-Barré
syndrome is made. The nurse assesses for what major clinical manifestations of the
syndrome? - ✔✔Paresthesias and paralysis
✔✔Immediately after a liver biopsy, a client is placed onto the right side. The nurse
explains that the rationale for this positioning is to: - ✔✔Compress blood vessels to
prevent bleeding
✔✔A client is cautioned to avoid vitamin D toxicity while increasing protein intake.
Which nutrient selected by the client indicates to the nurse that the dietary teaching is
understood? - ✔✔Tofu
✔✔A client just has returned from the postanesthesia care unit after having a
laparotomy. Which sign or symptom indicates to the nurse that peristalsis has begun to
return? - ✔✔Borborygmi are auscultated
ANSWERS SURE A+
✔✔A client with acute kidney failure is to receive peritoneal dialysis and asks why the
procedure is necessary. The nurse's best response is, "It: - ✔✔Helps perform some of
the work usually done by the kidneys."
✔✔A client has a closed chest drainage system in place. To determine the amount of
chest tube drainage, the nurse should: - ✔✔Refer to the date and time markings on the
outside of the collection chamber
✔✔A farmer seeks medical care for a large crusty patch of skin on the cheek. The client
states that even after using different remedies, it still bleeds easily and has not gotten
better. From the client's history, the nurse suspects skin cancer because the major
precipitating factor associated with skin cancer is: - ✔✔Exposure to radiation
✔✔A nurse determines that a client in the acute phase of burns has eaten only a small
portion of each meal. Considering this finding, the nurse should assess the client for: -
✔✔Prolonged wound healing
✔✔A client has had a total gastrectomy. What should the nurse include in the discharge
teaching? - ✔✔Injections of vitamin B12 for life.
✔✔A client with extensive bone and soft tissue injuries to the right leg is on bed rest.
When positioning the client, the nurse should: - ✔✔Elevate the entire right leg with
pillows, keeping the foot higher than the knee
✔✔A nurse is caring for a client with a new colostomy. Which client outcome is most
important for achievement of long-range goals associated with adjusting to a new
colostomy? - ✔✔Readiness to accept an altered body function
, ✔✔On the third postoperative day after a subtotal thyroidectomy for a tumor, a client
complains of a "funny, jittery feeling." On the basis of this statement, the nurse's best
action is to: - ✔✔est for Chvostek's and Trousseau's signs and notify the health care
provider of the complaints
✔✔After a transurethral vaporization of the prostate, the client returns to the unit with an
indwelling urinary catheter and a continuous bladder irrigation. The client puts the call
light on to report the need to urinate. What should the nurse do first? - ✔✔Assess that
the tubing attached to the collection bag is patent
✔✔A client who is receiving methotrexate for acute lymphocytic leukemia (ALL)
develops a temperature of 101° F. The nurse notifies the health care provider. Aspirin
650 mg every four hours as needed for temperature equal to or greater than 101° F is
prescribed. What should the nurse do regarding this prescription? - ✔✔Express concern
about the type of antipyretic prescribed.
✔✔A nurse is caring for a client who is scheduled to have an abdominal perineal
resection for colorectal cancer. A type and cross match is done because of a concern
about blood loss. The client has type B-negative blood. The blood type that can be used
for this client is: - ✔✔B negative
✔✔The nurse is creating a dietary plan for a client with cholecystitis who has been
placed on a modified diet. What would be appropriate to include in the dietary plan? -
✔✔Decreased fat intake to avoid stimulation of the cholecystokinin mechanism for bile
release
✔✔A client is admitted to the hospital with numbness of the hands and feet, which has
progressed upward and now involves the arms, legs, and lower trunk. The client tells
the nurse that approximately two weeks ago, the client experienced 48 hours of chills,
fever, and upper respiratory congestion. A tentative diagnosis of Guillain-Barré
syndrome is made. The nurse assesses for what major clinical manifestations of the
syndrome? - ✔✔Paresthesias and paralysis
✔✔Immediately after a liver biopsy, a client is placed onto the right side. The nurse
explains that the rationale for this positioning is to: - ✔✔Compress blood vessels to
prevent bleeding
✔✔A client is cautioned to avoid vitamin D toxicity while increasing protein intake.
Which nutrient selected by the client indicates to the nurse that the dietary teaching is
understood? - ✔✔Tofu
✔✔A client just has returned from the postanesthesia care unit after having a
laparotomy. Which sign or symptom indicates to the nurse that peristalsis has begun to
return? - ✔✔Borborygmi are auscultated
