MED SURG HESI V2 QUESTIONS AND ANSWERS.

MED SURG HESI V2 QUESTIONS
AND ANSWERS
What Information should the nurse include in the teaching plan of a client diagnosed with GERD?
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A. Sleep without pillows
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B. Adjust food intake to three full meals per day with no snacks
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C. Minimize symptoms by wearing loose, comfortable clothing
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D. Avoid Participation in any aerobic exercise program - Correct Answer - C. Minimize symptoms by
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wearing loose, comfortable clothing
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After a hospitalization for SIADH, a client develops pontine myelinolysis. Which Intervention should
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the nurse implement first?
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A. Reorient client to room
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B. Place a patch on one eye
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C. Evaluate clients ability to swallow
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D. Perform range of motion exercises - Correct Answer - A. Reorient client to room
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A male client with heart failure calls the clinic and reports that he cannot put his shoes on because
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they are too tight. Which additional information should the nurse obtain?
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A. What time did he take his medication?
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B. Has his weight changed in the last several days?
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C. Is he still able to tighten his belt buckle?
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D. How many hours did he sleep last night? - Correct Answer - B. Has his weight changed over the
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last several days?
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An older adult woman with a long history of COPD is admitted with progressive shortness of breath
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and a persistent cough, is anxious, and is complaining of dry mouth. Which intervention should the
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nurse implement?
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,A. Administer a prescribed sedative
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B. Encourage client to drink water
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C. Apply a high flow venturi mask
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D. Assist her to an upright position - Correct Answer - D. Assist her to an upright position
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A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath,
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productive cough with thickening mucous and the inability to walk up a flight of stairs without
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experiencing breathlessness. Which action is most important for the nurse to instruct the client
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about self care?
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A. Increase the daily intake of oral fluids to liquify secretions
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B. Avoid crowded enclosed areas to reduce pathogen exposure
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C. Call the clinic if undesirable side effects or medications occur
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D. Teach anxiety reduction methods for feelings of suffocation - Correct Answer - A. Increase the
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daily intake of oral fluids to liquify secretions
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A cardiac catheterization of a client with heart disease indicates the following blockages: 95%
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proximal left anterior descending (LAD), 99% proximal circumflex, and 95% proximal right coronary
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artery( RCA). The client later asks the nurse "What does all of that mean for me?" What
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information should the nurse provide?
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A. Blood supply to the heart is diminished by atherosclerotic lesions which necessitate life style
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changes.
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B. Blood vessels supplying the pumping chamber have blockages indicating a past heart attack.
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C. Three main arteries have major blockages, with only 1-5% of the blood flow getting through to
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the heart muscle
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D. The heart is not receiving enough blood, so there is a risk of heart failure and fluid retention -
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Correct Answer - C. Three main arteries have major blockages with only 1-5% of the blood flow
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getting through to the heart muscle
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A client who weighs 175 lbs is receiving an IV bolus dose of Heparin 80 units/kg. The Heparin is
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available in a 2 ml vial, labeled 10,000 units/ml. How many ml should the nurse administer? (enter
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numeric value only. If rounding is permitted, round to the nearest tenth) - Correct Answer - 0.6ml
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, The nurse is caring for a client with a lower left lobe pulmonary abscess. What position should the
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nurse instruct the client to maintain?
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A. Left lateral
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B. Supine, knees flexed.
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C. Dorsal recumbent
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D. Knee-chest - Correct Answer - A. Left Lateral
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A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or
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drink without becoming nauseous and vomiting. Which finding should the nurse report to the
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healthcare provider?
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A. Belching
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B. Amber urine
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C. Yellow sclera
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D. Flatulence - Correct Answer - C. Yellow Sclera
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While caring for a client with Amyotrophic Lateral Sclerosis (ALS), a nurse performs a neurological
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assessment every 4 hours. Which assessment finding warrants immediate intervention by the
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nurse?
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A. Inappropriate laughter
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B. Increasing anxiety
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C. Weakened cough effort
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D. Asymmetrical weakness - Correct Answer - D. Asymmetrical weakness
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The nurse is providing preoperative education for a Jewish client scheduled to receive a xenograft
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to promote burn healing. Which information should the nurse provide this client?
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A. Grafting icreases the risk for bacterial infections
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B. The xenograft is taken from a non-human source.
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