MED SURG HESI V2 QUESTIONS AND
ANSWERS
1. A cardiac catheterization of a patron with heart sickness shows the following blockages:
ninety five% proximal left anterior descending (LAD), ninety nine% proximal circumflex,
and 95% proximal right coronary artery( RCA). The patron later asks the nurse "What
does all of that imply for me?" What data must the nurse offer?
A. Blood deliver to the heart is dwindled by means of atherosclerotic lesions which
necessitate lifestyles fashion modifications.
B. Blood vessels supplying the pumping chamber have blockages indicating a past
coronary heart assault.
C. Three major arteries have principal blockages, with best 1-five% of the blood float
getting through to the coronary heart muscle
D. The coronary heart isn't receiving sufficient blood, so there may be a chance of heart
failure and fluid retention - ANS -C. Three foremost arteries have fundamental blockages
with simplest 1-five% of the blood glide getting through to the heart muscle
2. A purchaser admitted to a surgical unit is being evaluated for an intestinal obstruction.
The HCP prescribes a NG tube to be inserted and positioned to intermittent low wall
suction. Which interventuon need to the nurse implement to facilitate proper tube
placement?
A. Soak NG tube in warm water
B. Insert tube with clients head tilted again
C. Apply suction whilst inserting tube
D. Elevate head of mattress 60 to 90 tiers. - ANS -D. Elevate head of mattress 60 to 90
degrees.
3. A purchaser who has a records of hyperthyroidism became first of all admitted with
lethargy and confusion. Which extra locating warrants the most instantaneous action by
using the nurse?
A. Facial puffiness and periorbital edema.
B. Hematocrit of 30%
C. Cold and dry pores and skin
D. Further decline in LOC - ANS -D. Further decline in LOC
4. A purchaser who is newly diagnosed with emphysema is being prepared for discharge.
Which preparation is best for the nurse to offer the patron to help them with dyspnea
self-control?
A. Allow beyond regular time to finish bodily sports to lessen oxygen call for.
B. Practice breathing in through the nose and exhaling slowly thru pursed lips.
, C. Use a humidifier to growth domestic air fine humidity between 30-50%.
D. Strengthen stomach muscle mass by means of alternating leg increases during
exhalation. - ANS -B. Practice inhaling via the nose and exhaling slowly via pursed lips.
5. A customer who took a camping holiday two weeks in the past in a rustic with a tropical
weather comes to the health facility describing vague signs and symptoms and diarrhea
for the past week. Which finding is maximum essential for the nurse to file to the HCP?
A. Weakness and fatigue
B. Intestinal cramping
C. Weight loss
D. Jaundiced sclera - ANS -D. Jaundiced sclera
6. A patron who become discharged eight months in the past with cirrhosis and ascites is
admitted with anorexia and current hemoptysis. The purchaser is drowsy but responds to
verbal stimuli. The nurse programs a blood pressure screen to take readings every 15
mins. Which evaluation ought to the nurse put into effect first?
A. Evaluate distal capillary fill up for not on time perfusion
B. Check the extremities for bruising and petechiae
C. Examine the pertibial areas for pitting edema
D. Palpate the abdomen for tenderness and stress - ANS -D. Palpate the abdomen for
tenderness and rigidity.
7. A client who weighs 175 lbs is receiving an IV bolus dose of Heparin eighty gadgets/kg.
The Heparin is available in a 2 ml vial, categorised 10,000 units/ml. How many ml must
the nurse administer? (input numeric price simplest. If rounding is allowed, round to the
closest 10th) - ANS -0.6ml
8. A consumer with a records of bronchial asthma and bronchitis arrives on the medical
institution with shortness of breath, productive cough with thickening mucous and the
incapability to walk up a flight of stairs without experiencing breathlessness. Which
motion is most important for the nurse to educate the patron approximately self care?
A. Increase the every day consumption of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to lessen pathogen publicity
C. Call the sanatorium if undesirable aspect results or medicinal drugs occur
D. Teach tension discount methods for feelings of suffocation - ANS -A. Increase the day
by day consumption of oral fluids to liquify secretions
9. A client with Addison's disease started out taking hydrocortisone in a divided every day
dose ultimate week. It is most crucial for the nurse to display which serum laboratory
price?
A. Osmolarity
B. Glucose
C. Albumin
D. Platelets - ANS -B. Glucose
ANSWERS
1. A cardiac catheterization of a patron with heart sickness shows the following blockages:
ninety five% proximal left anterior descending (LAD), ninety nine% proximal circumflex,
and 95% proximal right coronary artery( RCA). The patron later asks the nurse "What
does all of that imply for me?" What data must the nurse offer?
A. Blood deliver to the heart is dwindled by means of atherosclerotic lesions which
necessitate lifestyles fashion modifications.
B. Blood vessels supplying the pumping chamber have blockages indicating a past
coronary heart assault.
C. Three major arteries have principal blockages, with best 1-five% of the blood float
getting through to the coronary heart muscle
D. The coronary heart isn't receiving sufficient blood, so there may be a chance of heart
failure and fluid retention - ANS -C. Three foremost arteries have fundamental blockages
with simplest 1-five% of the blood glide getting through to the heart muscle
2. A purchaser admitted to a surgical unit is being evaluated for an intestinal obstruction.
The HCP prescribes a NG tube to be inserted and positioned to intermittent low wall
suction. Which interventuon need to the nurse implement to facilitate proper tube
placement?
A. Soak NG tube in warm water
B. Insert tube with clients head tilted again
C. Apply suction whilst inserting tube
D. Elevate head of mattress 60 to 90 tiers. - ANS -D. Elevate head of mattress 60 to 90
degrees.
3. A purchaser who has a records of hyperthyroidism became first of all admitted with
lethargy and confusion. Which extra locating warrants the most instantaneous action by
using the nurse?
A. Facial puffiness and periorbital edema.
B. Hematocrit of 30%
C. Cold and dry pores and skin
D. Further decline in LOC - ANS -D. Further decline in LOC
4. A purchaser who is newly diagnosed with emphysema is being prepared for discharge.
Which preparation is best for the nurse to offer the patron to help them with dyspnea
self-control?
A. Allow beyond regular time to finish bodily sports to lessen oxygen call for.
B. Practice breathing in through the nose and exhaling slowly thru pursed lips.
, C. Use a humidifier to growth domestic air fine humidity between 30-50%.
D. Strengthen stomach muscle mass by means of alternating leg increases during
exhalation. - ANS -B. Practice inhaling via the nose and exhaling slowly via pursed lips.
5. A customer who took a camping holiday two weeks in the past in a rustic with a tropical
weather comes to the health facility describing vague signs and symptoms and diarrhea
for the past week. Which finding is maximum essential for the nurse to file to the HCP?
A. Weakness and fatigue
B. Intestinal cramping
C. Weight loss
D. Jaundiced sclera - ANS -D. Jaundiced sclera
6. A patron who become discharged eight months in the past with cirrhosis and ascites is
admitted with anorexia and current hemoptysis. The purchaser is drowsy but responds to
verbal stimuli. The nurse programs a blood pressure screen to take readings every 15
mins. Which evaluation ought to the nurse put into effect first?
A. Evaluate distal capillary fill up for not on time perfusion
B. Check the extremities for bruising and petechiae
C. Examine the pertibial areas for pitting edema
D. Palpate the abdomen for tenderness and stress - ANS -D. Palpate the abdomen for
tenderness and rigidity.
7. A client who weighs 175 lbs is receiving an IV bolus dose of Heparin eighty gadgets/kg.
The Heparin is available in a 2 ml vial, categorised 10,000 units/ml. How many ml must
the nurse administer? (input numeric price simplest. If rounding is allowed, round to the
closest 10th) - ANS -0.6ml
8. A consumer with a records of bronchial asthma and bronchitis arrives on the medical
institution with shortness of breath, productive cough with thickening mucous and the
incapability to walk up a flight of stairs without experiencing breathlessness. Which
motion is most important for the nurse to educate the patron approximately self care?
A. Increase the every day consumption of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to lessen pathogen publicity
C. Call the sanatorium if undesirable aspect results or medicinal drugs occur
D. Teach tension discount methods for feelings of suffocation - ANS -A. Increase the day
by day consumption of oral fluids to liquify secretions
9. A client with Addison's disease started out taking hydrocortisone in a divided every day
dose ultimate week. It is most crucial for the nurse to display which serum laboratory
price?
A. Osmolarity
B. Glucose
C. Albumin
D. Platelets - ANS -B. Glucose
