Med-Surg II HESI Test Bank 2023/2024 Final Exam Questions and Answers

A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? Take Temperature once a day Wash armpits Change litter boxes while wearing gloves - Take temperature once a day A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions? Provide humidified oxygen Perform Chest physiotherapy - Provide humidified oxygen Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort? Rub the clients feet briskly Obtain a pair of slipper socks for the client - Obtain a pair of slipper socks for the client A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the prostate (TURP). Which of the following is the priority finding for the nurse report to the provider? Pain Level of 4 Thick, red-colored urine - Thick, red-colored urine A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription for a hypothermia blanket. The nurse should monitor the client for which of the following adverse effects of the hypothermia blanket? Shivering Infection Burns - Shivering A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? "I will increase intensity of the exercise if my urine is positive for ketones." I will exercise 2 times a week - "I will not exercise if my urine is positive for ketones." A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative. After calling for assistance, which of the following actions should the nurse take first? Cover the client's wound with a moist, sterile dressing Have client lay supine with knees fixed - Cover the client's wound with a moist, sterile dressing A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect? Hyperventilation High blood pressure - Hyperventilation A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the following should the nurse include in the teaching? Avoid bending at the waist Stand up fast - Avoid bending at the waist A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first? Get scheduled medications Check the clients vital signs - Check the client's vital signs A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the client's wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found? Purulent Ketones - Purulent A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent postoperative complications which of the following actions should be reinforced during the teaching? Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises Provide deep breathing exercises - Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? (Select all that apply.) Dyspnea, Barrel chest, Clubbing of the fingers, Shallow respirations , hypotension - Dyspnea, Barrel chest, Clubbing of the fingers, Shallow respirations A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene care, the nurse notices a thin stream of clear drainage coming from out of the client's right nostril. Which of the following actions should the nurse take first? Test the drainage for glucose Administer insulin - Test the drainage for glucose A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the client is at risk for autonomic dysreflexia. Which of the following interventions should the nurse take to prevent autonomic dysreflexia? Prevent bladder distention Administer opioids - Prevent bladder distention