266 MED SURG HESI QUESTIONS AND VERIFIED
ANSWERS (2024/2025 UPDATE)
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.
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.
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 fol- lowing nursing
actions should the nurse take to promote the client's comfort?
- 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?
- 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
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 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.
A nurse is collecting data from a client who has alco- hol use disorder and is experiencing
metabolic acidosis. Which of the following manifestations should the nurse expect?
- Hyperventilation
A nurse is reinforcing discharge teaching with a client fol- lowing a cataract extraction. Which of
the following should the nurse include in the teaching?
- 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 ac- tions should the nurse
take first
- Check the client's vital signs.
A nurse is caring for a client who is 3 days postoper- ative 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
A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent
postoperative compli- cations 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
A nurse is collecting data from a client who has emphy- sema. Which of the following findings
should the nurse expect? (Select all that apply.)
- 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.
- Test the drainage for glucose.
ANSWERS (2024/2025 UPDATE)
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.
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.
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 fol- lowing nursing
actions should the nurse take to promote the client's comfort?
- 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?
- 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
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 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.
A nurse is collecting data from a client who has alco- hol use disorder and is experiencing
metabolic acidosis. Which of the following manifestations should the nurse expect?
- Hyperventilation
A nurse is reinforcing discharge teaching with a client fol- lowing a cataract extraction. Which of
the following should the nurse include in the teaching?
- 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 ac- tions should the nurse
take first
- Check the client's vital signs.
A nurse is caring for a client who is 3 days postoper- ative 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
A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent
postoperative compli- cations 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
A nurse is collecting data from a client who has emphy- sema. Which of the following findings
should the nurse expect? (Select all that apply.)
- 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.
- Test the drainage for glucose.
