Med Surg 2 Hesi Test Bank Real Exam 100+ Questions And Correct Answers With Rationales|A Grade

MED SURG 2 HESI TEST BANK REAL
EXAM 100+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES|A
GRADE
1.CACclientCwithCCushing'sCsyndromeCisCrecoveringCfromCanCelectiveClaparoscopicCprocedure.CWhic
hCassessmentCfindingCwarrant'sCimmediateCinterventionCbyCtheCnurse?



a.CPurpleCmarksConCskinCofCtheCabdomen

b.CIrregularCapicalCpulse

c.CQuarterCsizeCbloodCspotConCdressing

d.CPittingCankleCedemaC-CCORRECTCANSWERb.CIrregularCapicalCpulse



2.CACclientCwithClungCcancerCwhoCwearsCaCsubcutaneousCmorphineCsulfateCpatchCforCpainCisCshortC
ofCbreathCandCisCdifficultCtoCarouse.CWhenCperformingCaCheadCtoCtoeCassessment,CtheCnurseCdiscov
ersCfourCanalgesicCpatchesConCtheCclientsCbody.CWhichCinterventionCshouldCtheCnurseCimplementCf
irst?



a.CRemoveCallCofCtheCmorphineCpatches

b.CAdministerCaCnarcoticCantagonist

c.CApplyCoxygenCperCfaceCmask

d.CMeasureCtheCclient'sCbloodCpressureC-CCORRECTCANSWERb.CAdministerCaCnarcoticCantagonist



3.CACclientCreceivesCprescriptionsCforCaCmultidrugCregimenCforCtheCtreatmentCofCtuberculosis.CWhic
hCinformationCshouldCtheCnurseCprioritize?



a.CAdherenceCtoCtheCregimenCisCimperative

b.CMedicationsCshouldCbeCtakenCwithCfood

,c.CSerumCliverCpanelsCareCcollectedCregularly

d.CEnhancedCsunCprotectionCmeasuresCwillCbeCneededC-
CCORRECTCANSWERa.CAdherenceCtoCtheCregimenCisCimperative




4.CTheCnurseCisCpreparingCaCclientCforCsurgeryCwhoCwasCadmittedCtoCtheCemergencyCcenterCfollowi
ngCaCmotorCvehicleCcollision.CTheCclientChasCanCopenCfractureCofCtheCfemurCandCisCbleedingCmoder
atelyCfromCtheCboneCprotrusionCsite.CDuringCtheCprescriptiveCassessment,CtheCnurseCdeterminesCt
hatCtheCclientCcurrentlyCreceivesCheparinCsodiumC5,000CunitsCsubcutaneouslyCdaily.CWhatCisCtheCpr
iorityCnursingCaction?



a.CNotifyCtheChealthcareCproviderCofCtheCclient'sCmedicationChistory

b.CObserveCtheCheparinCinjectionsCsitesCforCsignsCofCbruising

c.CHaveCtheCclientCsignCtheCsurgicalCandCtransfusionCpermits

d.CEnsureCthatCtheCpotentialCforCbleedingCisCexplainedCtoCtheCclientC-
CCORRECTCANSWERa.CNotifyCtheChealthcareCproviderCofCtheCclient'sCmedicationChistory




5.CACclientCwithCorthopneaCexpressesCconcernCaboutCtheCabilityCtoC"getCenoughCair"CduringCaCsche
duledCthoracentesis.COnCwhichCinformationCshouldCtheCnurse'sCresponseCbeCbased?



a.CACthoracentesisCisCaCbriefCprocessCthatChasCminimalCdiscomfort

b.COrthopneaCisCfrequentlyCcausedCbyCaCclient'sCuncontrolledCanxiety

c.CTheCprocedureCisCperformedCwithCtheCclientCinCanCuprightCposition

d.CExtraCpillowsCcanCbeCusedCifCneededCtoCelevateCtheCclient'sCheadC-
CCORRECTCANSWERc.CTheCprocedureCisCperformedCwithCtheCclientCinCanCuprightCposition




6.CWhatCinformationCshouldCtheCnurseCincludeCinCtheCteachingCplanCofCaCclientCdiagnosedCwithCgas
troesophagealCrefluxCdiseaseC(GERD)?



a.CSleepCwithoutCpillowsCatCnightCtoCmaintainCneckCalignment

,b.CAdjustCfoodCintakeCtoCthreeCfullCmealsCperCdayCandCnoCsnacks

c.CMinimizeCsymptomsCbyCwearingCloose,CcomfortableCclothing

d.CAvoidCparticipationCinCanyCaerobicCexerciseCprogramsC-
CCORRECTCANSWERc.CMinimizeCsymptomsCbyCwearingCloose,CcomfortableCclothing




7.CTheCnurseCisCprovidingCteachingCtoCaCclientCwithCTypeC2CdiabetesCmellitusCandCperipheralCneuro
pathy.CWhichCinformationCshouldCtheCnurseCprovide?



a.CFamilyCmembersCcanChelpCwithCregularCfootCexams

b.CHeatingCpadsCareCusefulCifConCtheClowCsetting

c.CAchingCfeetCmayCbeCsoakedCinClukewarmCwaterCforConeChourCorCmore

d.CShoesCshouldCbeCwornCoutsideCtheChouse,CbutCitCisCfineCtoCbeCbarefootCinsideC-
CCORRECTCANSWERa.CFamilyCmembersCcanChelpCwithCregularCfootCexams




8.CACclientCinCtheCoperatingCroomCreceivedCsuccinylcholine.CTheCclientCisCexperiencingCmuscleCrigid
ityCandChasCanCextremelyChighCtemperature.CWhatCactionCshouldCtheCnurseCimplement?



a.CHoldCaCprescriptionCforCdantroleneCuntilCfeverCisCreduced

b.CPrepareCiceCpacksCforCplacementCinCtheCclientsCaxillaryCarea

c.CCallCtheCPACUCnurseCtoCprepareCforCprolongedCventilatorCsupport

d.CDetermineCifCprescribedCantibioticsCwereCadministeredCpreoperativelyC-
CCORRECTCANSWERb.CPrepareCiceCpacksCforCplacementCinCtheCclientsCaxillaryCarea




9.CTheCnurseCisCdevelopingCaCplanCofCcareCforCaCclientCwhoCreportsCblurredCvisionCandCwhoCisCnewly
CdiagnosedCwithCcardiovascularCdisease.CWhichCoutcomeCshouldCtheCnurseCincludeCinCtheCplanCofC


careCforCthisCclient?



a.CTheCnurseCwillCencourageCtheCclientCtoCwalkCthirtyCminutesCeveryCday

, b.CTheCclientsCfamilyCwillCstateCsignsCandCsymptomsCaboutCtheCdisease

c.CTheCclientsCdailyCbloodCpressureCwillCbeClessCthanC140/80CthisCmonth

d.CTheCclientCbloodCpressureCreadingsCwillCbeClessCthanC160/90C-
CCORRECTCANSWERc.CTheCclientsCdailyCbloodCpressureCwillCbeClessCthanC140/80CthisCmonth




10.CTheCfamilyCsuspectsCthatCacquiredCimmuneCdeficiencyCsyndromeC(AIDS)CdementiaCisCoccuringC
inCtheirCsonCwhoCisChumanCimmunodeficiencyCvirusC(HIV)Cpositive.CWhichCsymptomsCconfirmCthei
rCsuspicions?



a.CHeChasCbegunCtoCsleepC18CoutCofC24Chours

b.CACchangeChasCrecentlyCoccurredCinChisChandwriting

c.CHeCrefusesCtoCseeCanyCofChisCfriendsCorCtoCreturnCtheirCphoneCcalls

d.CHeCexhibitsCangryCoutburstCwhenCtheCsubjectCofCdyingCisCapproachedC-
CCORRECTCANSWERb.CACchangeChasCrecentlyCoccurredCinChisChandwriting




11.CAChospitalizedCclientCwithCperipheralCarterialCdiseaseC(PAD)CisCinstructedCregardingClegCandCfoo
tCcare.CWhichCstatementCbyCtheCclientCindicatesCtoCtheCnurseCthatClearningChasCoccurred?



a.C"WheneverCICamCsittingCinCaCchairCICwillCkeepCmyClegsCupCtoCreduceCswelling"

b.C"ICcanCuseCaCmirrorCtoCcheckCtheCbottomsCofCmyCfeetCforCanyCsignsCofCbreakdown"

c.C"ICwillCtryCtoCkeepCmovingCifClegCpainCoccursCtoChelpCpromoteCgoodCcirculation"

d.C"ICwillCuseCmyCswimmingCpoolCearlyCinCtheCdayCwhileCtheCwaterCisCstillCveryCcool"C-
CCORRECTCANSWERb.C"ICcanCuseCaCmirrorCtoCcheckCtheCbottomsCofCmyCfeetCforCanyCsignsCofCbreakd


own"



12.CWhileCcompletingCaChealthCassessmentCforCaCclientCwithCmigraineCheadaches,CtheCnurseCasses
sesCbilateralCweaknessCinCtheCclient'sChandCgrips.CTheCclientCreportsCjointCpainCandCtroubleCtwistin
gCaCdoorCknobCdueCtoCweakness.CWhichCactionCshouldCtheCnurseCtakeCinCresponseCtoCtheseCfinding
s?