5/1/25, 12:36 PM Med Surg HESI
MED SURG HESI COMPREHENSIVE TEST BANK ACTUAL
EXAM COMPLETE VERSION WITH UPDATED QUESTIONS
AND ACCURATE DETAILED ANSWERS \\VERIFIED
ANSWERS \\GRADED A+
The nurse is providing dietary Increase intake of soluble fiber to 10 to 25 grams per day.
instructions to a
68-year-old client who is at Rationale: To reduce risk factors associated with
high risk for coronary heart disease, the daily intake of soluble
development of coronary heart fiber should be increased to between 10 and 25 grams per day.
disease (CHD). According to the American Heart
Which information should the Association, soluble fibers helps reduce LDL cholesterol levels.
nurse include?
1. Limit dietary selection of
cholesterol to 300 mg per
day.
2. Increase intake of
soluble fiber to 10 to 25 grams
per day.
3. Decrease plant stanols
and sterols to less than 2
grams/day.
4. Ensure saturated fat is
less than 30% of total
caloric intake.
/ 1/64
,5/1/25, 12:36 PM Med Surg HESI
The nurse is teaching a female D) Do not leave the diaphragm in place longer than 8 hours after
client who uses a contraceptive intercourse.
diaphragm about E) Contact a healthcare provider a sudden onset of fever grater than
reducing the risk for toxic 101º F appears.
shock syndrome (TSS). Which
information should the nurse Correct selections are (D and E). The diaphragm needs to remain
include? (Select all that apply.) against the cervix for 6 to 8 hours to prevent pregnancy but should
A) Remove the diaphragm
not remain for longer than 8 hours
immediately after (D) to avoid the risk of TSS. If a sudden fever occurs, the client
intercourse. should notify the
healthcare provider (E). (A) increases the risk of pregnancy, and (B)
B) Wash the diaphragm
can reduce the integrity of the barrier contraceptive but neither
with an alcohol solution. prevents the risk of TSS. The
C) Use the diaphragm to diaphragm should not be used during menses (C) because it
prevent conception during obstructs the menstrual flow and is not indicated because conception
does not occur during this time. (F) is not necessary.
the menstrual cycle.
D) Do not leave the
diaphragm in place longer
than 8 hours after
intercourse.
E) Contact a healthcare
provider a sudden onset of
fever grater than 101º F
appears.
F) Replace the old diaphragm
every 3
months.
In preparing to administer A) Set the infusion pump to infuse the albumin within four hours.
intravenous D) Administer through a large gauge catheter.
albumin to a client following E) Monitor hemoglobin and hematocrit levels.
surgery, what is the priority F) Assess for increased bleeding after administration.
nursing intervention? (Select
all that apply.) (A, D, E, and F) are the correct selections. Albumin should be
infused within four
A) Set the infusion pump
hours because it does not contain any preservatives. Any fluid
to infuse the albumin
remaining after four
within four hours. hours should be discarded (A). Albumin administration does not
B) Compare the client's blood require blood typing
type with the label on the (B). Vital signs should be monitored periodically to
albumin. assess for fluid volume overload, but every 15 minutes is
C) Assign a UAP to monitor not necessary (C). This frequency is often used during
blood pressure q15 the first hour of a blood transfusion. A large gauge
catheter (D) allows for fast infusion rate, which may
/ 2/64
,5/1/25, 12:36 PM Med Surg HESI
minutes. be necessary. Hemodilution may decrease
D) Administer through a hemoglobin and hematocrit levels (E), while increased
large gauge catheter. blood volume and blood pressure may cause bleeding
E) Monitor hemoglobin and (F).
hematocrit levels.
F) Assess for increased
bleeding after
administration.
A client is admitted to the A) Lower left quadrant pain and a low-grade fever.
hospital with a diagnosis
of severe acute Left lower quadrant pain occurs with diverticulitis
diverticulitis. because the sigmoid colon is the most common area for
Which assessment finding diverticula, and the inflammation of diverticula causes a
should the nurse expect low- grade fever (A). (B) would be indicative of
this client to exhibit? appendicitis. (C and D) are symptoms
exhibited with ulcerative colitis.
A) Lower left quadrant
pain and a low- grade
fever.
B) Severe pain at
McBurney's point and
nausea.
C) Abdominal pain and
intermittent
tenesmus.
D) Exacerbations of severe
diarrhea.
A client who is fully awake D) Check the client's gag and swallow reflexes.
after a
gastroscopy asks the nurse Following gastroscopy, a client should remain nothing by
for something to drink. mouth until the effects of local anesthesia have
After confirming that liquids dissipated and the airway's protective reflexes, gag
are allowed, which and
assessment action should swallow reflexes, have returned (D). (A, B, and C) are
the nurse consider a not the priority before reintroducing oral fluids after a
priority? gastroscopy.
A) Listen to bilateral lung
/ 3/64
, 5/1/25, 12:36 PM Med Surg HESI
and bowel sounds.
B) Obtain the client's
pulse and blood
pressure.
C) Assist the client to the
bathroom to void.
D) Check the client's gag
and swallow reflexes.
/ 4/64
MED SURG HESI COMPREHENSIVE TEST BANK ACTUAL
EXAM COMPLETE VERSION WITH UPDATED QUESTIONS
AND ACCURATE DETAILED ANSWERS \\VERIFIED
ANSWERS \\GRADED A+
The nurse is providing dietary Increase intake of soluble fiber to 10 to 25 grams per day.
instructions to a
68-year-old client who is at Rationale: To reduce risk factors associated with
high risk for coronary heart disease, the daily intake of soluble
development of coronary heart fiber should be increased to between 10 and 25 grams per day.
disease (CHD). According to the American Heart
Which information should the Association, soluble fibers helps reduce LDL cholesterol levels.
nurse include?
1. Limit dietary selection of
cholesterol to 300 mg per
day.
2. Increase intake of
soluble fiber to 10 to 25 grams
per day.
3. Decrease plant stanols
and sterols to less than 2
grams/day.
4. Ensure saturated fat is
less than 30% of total
caloric intake.
/ 1/64
,5/1/25, 12:36 PM Med Surg HESI
The nurse is teaching a female D) Do not leave the diaphragm in place longer than 8 hours after
client who uses a contraceptive intercourse.
diaphragm about E) Contact a healthcare provider a sudden onset of fever grater than
reducing the risk for toxic 101º F appears.
shock syndrome (TSS). Which
information should the nurse Correct selections are (D and E). The diaphragm needs to remain
include? (Select all that apply.) against the cervix for 6 to 8 hours to prevent pregnancy but should
A) Remove the diaphragm
not remain for longer than 8 hours
immediately after (D) to avoid the risk of TSS. If a sudden fever occurs, the client
intercourse. should notify the
healthcare provider (E). (A) increases the risk of pregnancy, and (B)
B) Wash the diaphragm
can reduce the integrity of the barrier contraceptive but neither
with an alcohol solution. prevents the risk of TSS. The
C) Use the diaphragm to diaphragm should not be used during menses (C) because it
prevent conception during obstructs the menstrual flow and is not indicated because conception
does not occur during this time. (F) is not necessary.
the menstrual cycle.
D) Do not leave the
diaphragm in place longer
than 8 hours after
intercourse.
E) Contact a healthcare
provider a sudden onset of
fever grater than 101º F
appears.
F) Replace the old diaphragm
every 3
months.
In preparing to administer A) Set the infusion pump to infuse the albumin within four hours.
intravenous D) Administer through a large gauge catheter.
albumin to a client following E) Monitor hemoglobin and hematocrit levels.
surgery, what is the priority F) Assess for increased bleeding after administration.
nursing intervention? (Select
all that apply.) (A, D, E, and F) are the correct selections. Albumin should be
infused within four
A) Set the infusion pump
hours because it does not contain any preservatives. Any fluid
to infuse the albumin
remaining after four
within four hours. hours should be discarded (A). Albumin administration does not
B) Compare the client's blood require blood typing
type with the label on the (B). Vital signs should be monitored periodically to
albumin. assess for fluid volume overload, but every 15 minutes is
C) Assign a UAP to monitor not necessary (C). This frequency is often used during
blood pressure q15 the first hour of a blood transfusion. A large gauge
catheter (D) allows for fast infusion rate, which may
/ 2/64
,5/1/25, 12:36 PM Med Surg HESI
minutes. be necessary. Hemodilution may decrease
D) Administer through a hemoglobin and hematocrit levels (E), while increased
large gauge catheter. blood volume and blood pressure may cause bleeding
E) Monitor hemoglobin and (F).
hematocrit levels.
F) Assess for increased
bleeding after
administration.
A client is admitted to the A) Lower left quadrant pain and a low-grade fever.
hospital with a diagnosis
of severe acute Left lower quadrant pain occurs with diverticulitis
diverticulitis. because the sigmoid colon is the most common area for
Which assessment finding diverticula, and the inflammation of diverticula causes a
should the nurse expect low- grade fever (A). (B) would be indicative of
this client to exhibit? appendicitis. (C and D) are symptoms
exhibited with ulcerative colitis.
A) Lower left quadrant
pain and a low- grade
fever.
B) Severe pain at
McBurney's point and
nausea.
C) Abdominal pain and
intermittent
tenesmus.
D) Exacerbations of severe
diarrhea.
A client who is fully awake D) Check the client's gag and swallow reflexes.
after a
gastroscopy asks the nurse Following gastroscopy, a client should remain nothing by
for something to drink. mouth until the effects of local anesthesia have
After confirming that liquids dissipated and the airway's protective reflexes, gag
are allowed, which and
assessment action should swallow reflexes, have returned (D). (A, B, and C) are
the nurse consider a not the priority before reintroducing oral fluids after a
priority? gastroscopy.
A) Listen to bilateral lung
/ 3/64
, 5/1/25, 12:36 PM Med Surg HESI
and bowel sounds.
B) Obtain the client's
pulse and blood
pressure.
C) Assist the client to the
bathroom to void.
D) Check the client's gag
and swallow reflexes.
/ 4/64
