MED SURG 2 HESI TEST BANK REAL EXAM 200+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|AGRADE

MED SURG 2 HESI TEST BANK REAL
EXAM 200+ QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALES|AGRADE
1.mAmclientmwithmCushing'smsyndromemismrecoveringmfrommanmelectivemlaparoscopicmprocedure.mW
hichmassessmentmfindingmwarrant'smimmediateminterventionmbymthemnurse?



a.mPurplemmarksmonmskinmofmthemabdomen

b.mIrregularmapicalmpulse

c.mQuartermsizembloodmspotmonmdressing

d.mPittingmanklemedemam-mCORRECTmANSWERmb.mIrregularmapicalmpulse



2.mAmclientmwithmlungmcancermwhomwearsmamsubcutaneousmmorphinemsulfatempatchmformpainmismsh
ortmofmbreathmandmismdifficultmtomarouse.mWhenmperformingmamheadmtomtoemassessment,mthemnurs
emdiscoversmfourmanalgesicmpatchesmonmthemclientsmbody.mWhichminterventionmshouldmthemnursemi
mplementmfirst?



a.mRemovemallmofmthemmorphinempatches

b.mAdministermamnarcoticmantagonist

c.mApplymoxygenmpermfacemmask

d.mMeasuremthemclient'smbloodmpressurem-
mCORRECTmANSWERmb.mAdministermamnarcoticmantagonist




3.mAmclientmreceivesmprescriptionsmformammultidrugmregimenmformthemtreatmentmofmtuberculosis.m
Whichminformationmshouldmthemnursemprioritize?



a.mAdherencemtomthemregimenmismimperative

,b.mMedicationsmshouldmbemtakenmwithmfood

c.mSerummlivermpanelsmaremcollectedmregularly

d.mEnhancedmsunmprotectionmmeasuresmwillmbemneededm-
mCORRECTmANSWERma.mAdherencemtomthemregimenmismimperative




4.mThemnursemismpreparingmamclientmformsurgerymwhomwasmadmittedmtomthememergencymcentermfoll
owingmammotormvehiclemcollision.mThemclientmhasmanmopenmfracturemofmthemfemurmandmismbleeding
mmoderatelymfrommthembonemprotrusionmsite.mDuringmthemprescriptivemassessment,mthemnursemde


terminesmthatmthemclientmcurrentlymreceivesmheparinmsodiumm5,000munitsmsubcutaneouslymdaily.m
Whatmismthemprioritymnursingmaction?



a.mNotifymthemhealthcaremprovidermofmthemclient'smmedicationmhistory

b.mObservemthemheparinminjectionsmsitesmformsignsmofmbruising

c.mHavemthemclientmsignmthemsurgicalmandmtransfusionmpermits

d.mEnsuremthatmthempotentialmformbleedingmismexplainedmtomthemclientm-
mCORRECTmANSWERma.mNotifymthemhealthcaremprovidermofmthemclient'smmedicationmhistory




5.mAmclientmwithmorthopneamexpressesmconcernmaboutmthemabilitymtom"getmenoughmair"mduringmams
cheduledmthoracentesis.mOnmwhichminformationmshouldmthemnurse'smresponsembembased?



a.mAmthoracentesismismambriefmprocessmthatmhasmminimalmdiscomfort

b.mOrthopneamismfrequentlymcausedmbymamclient'smuncontrolledmanxiety

c.mThemproceduremismperformedmwithmthemclientminmanmuprightmposition

d.mExtrampillowsmcanmbemusedmifmneededmtomelevatemthemclient'smheadm-
mCORRECTmANSWERmc.mThemproceduremismperformedmwithmthemclientminmanmuprightmposition




6.mWhatminformationmshouldmthemnursemincludeminmthemteachingmplanmofmamclientmdiagnosedmwith
mgastroesophagealmrefluxmdiseasem(GERD)?

,a.mSleepmwithoutmpillowsmatmnightmtommaintainmneckmalignment

b.mAdjustmfoodmintakemtomthreemfullmmealsmpermdaymandmnomsnacks

c.mMinimizemsymptomsmbymwearingmloose,mcomfortablemclothing

d.mAvoidmparticipationminmanymaerobicmexercisemprogramsm-
mCORRECTmANSWERmc.mMinimizemsymptomsmbymwearingmloose,mcomfortablemclothing




7.mThemnursemismprovidingmteachingmtomamclientmwithmTypem2mdiabetesmmellitusmandmperipheralmn
europathy.mWhichminformationmshouldmthemnursemprovide?



a.mFamilymmembersmcanmhelpmwithmregularmfootmexams

b.mHeatingmpadsmaremusefulmifmonmthemlowmsetting

c.mAchingmfeetmmaymbemsoakedminmlukewarmmwatermformonemhourmormmore

d.mShoesmshouldmbemwornmoutsidemthemhouse,mbutmitmismfinemtombembarefootminsidem-
mCORRECTmANSWERma.mFamilymmembersmcanmhelpmwithmregularmfootmexams




8.mAmclientminmthemoperatingmroommreceivedmsuccinylcholine.mThemclientmismexperiencingmmusclem
rigiditymandmhasmanmextremelymhighmtemperature.mWhatmactionmshouldmthemnursemimplement?



a.mHoldmamprescriptionmformdantrolenemuntilmfevermismreduced

b.mPreparemicempacksmformplacementminmthemclientsmaxillarymarea

c.mCallmthemPACUmnursemtompreparemformprolongedmventilatormsupport

d.mDeterminemifmprescribedmantibioticsmweremadministeredmpreoperativelym-
mCORRECTmANSWERmb.mPreparemicempacksmformplacementminmthemclientsmaxillarymarea




9.mThemnursemismdevelopingmamplanmofmcaremformamclientmwhomreportsmblurredmvisionmandmwhomism
newlymdiagnosedmwithmcardiovascularmdisease.mWhichmoutcomemshouldmthemnursemincludeminmth
emplanmofmcaremformthismclient?

, a.mThemnursemwillmencouragemthemclientmtomwalkmthirtymminutesmeverymday

b.mThemclientsmfamilymwillmstatemsignsmandmsymptomsmaboutmthemdisease

c.mThemclientsmdailymbloodmpressuremwillmbemlessmthanm140/80mthismmonth

d.mThemclientmbloodmpressuremreadingsmwillmbemlessmthanm160/90m-
mCORRECTmANSWERmc.mThemclientsmdailymbloodmpressuremwillmbemlessmthanm140/80mthismmonth




10.mThemfamilymsuspectsmthatmacquiredmimmunemdeficiencymsyndromem(AIDS)mdementiamismoccuri
ngminmtheirmsonmwhomismhumanmimmunodeficiencymvirusm(HIV)mpositive.mWhichmsymptomsmconfir
mmtheirmsuspicions?



a.mHemhasmbegunmtomsleepm18moutmofm24mhours

b.mAmchangemhasmrecentlymoccurredminmhismhandwriting

c.mHemrefusesmtomseemanymofmhismfriendsmormtomreturnmtheirmphonemcalls

d.mHemexhibitsmangrymoutburstmwhenmthemsubjectmofmdyingmismapproachedm-
mCORRECTmANSWERmb.mAmchangemhasmrecentlymoccurredminmhismhandwriting




11.mAmhospitalizedmclientmwithmperipheralmarterialmdiseasem(PAD)misminstructedmregardingmlegmand
mfootmcare.mWhichmstatementmbymthemclientmindicatesmtomthemnursemthatmlearningmhasmoccurred?




a.m"WhenevermImammsittingminmamchairmImwillmkeepmmymlegsmupmtomreducemswelling"

b.m"Imcanmusemammirrormtomcheckmthembottomsmofmmymfeetmformanymsignsmofmbreakdown"

c.m"Imwillmtrymtomkeepmmovingmifmlegmpainmoccursmtomhelpmpromotemgoodmcirculation"

d.m"Imwillmusemmymswimmingmpoolmearlyminmthemdaymwhilemthemwatermismstillmverymcool"m-
mCORRECTmANSWERmb.m"Imcanmusemammirrormtomcheckmthembottomsmofmmymfeetmformanymsignsmofm


breakdown"



12.mWhilemcompletingmamhealthmassessmentmformamclientmwithmmigrainemheadaches,mthemnursemas
sessesmbilateralmweaknessminmthemclient'smhandmgrips.mThemclientmreportsmjointmpainmandmtroublem