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Hesi: Med Surg II Final Study Exam
Questions And Answers 100% Pass
A nurse is caring for a client who is learning how to take care of a newly created colostomy.
When observing a return demonstration of the colostomy irrigation, the nurse evaluates that
more teaching is required when the client: - ANS Hangs the irrigation bag on the door clothes
hook during fluid insertion
Following surgery, a client asks the nurse if he or she can help measure intake and output.
What is the best nursing response? - ANS Assess the client's ability to measure the intake
and output
A client with cancer of the pancreas has a pancreaticoduodenectomy (Whipple procedure). The
nurse expects that the client will have which tube after surgery? - ANS Nasogastric
A nurse is assessing a client with a diagnosis of early left ventricular heart failure. Specific to this
type of heart failure, the nurse expects the client to state: - ANS "I have trouble breathing
when I walk rapidly."
A client with a spontaneous pneumothorax asks, "Why did they put this tube into my chest?"
The nurse explains that the purpose of the chest tube is to: - ANS Remove air from the
pleural space
Following surgery in the inguinal area, the client complains of pain on the right side of the
chest, becomes dyspneic, and begins to cough violently. The nurse suspects that a pulmonary
embolus has occurred. What is the priority nursing action? - ANS Elevate the head of the bed
, ©EVERLY 2025 ALL RIGHTS RESERVED
As an acute episode of rheumatoid arthritis subsides, active and passive range-of-motion
exercises are taught to the client's spouse. The nurse should teach that direct pressure should
not be applied to the client's joints because this may precipitate: - ANS Pain
A client is admitted to the hospital with the diagnosis of cancer of the thyroid and a
thyroidectomy is scheduled. What is important for the nurse to consider when caring for this
client during the postoperative period? - ANS Hoarseness and airway obstruction may result
from laryngeal nerve damage.
A client is scheduled to have a cardiac catheterization via the femoral approach. The nurse
teaches the client about post-procedure interventions that protect the catheter insertion site.
The nurse instructs the client that the leg used for catheter insertion will be: - ANS Kept
extended while on bed rest
A female client who has recurrent urinary tract infections (UTIs) is inquiring about the
prevention of future UTIs. What information should the nurse include when teaching the client?
(Select all that apply.) - ANS -Drink 8 to 10 glasses of water each day
-Urinate immediately after sexual intercourse
A client is diagnosed with Cushing syndrome. Which clinical manifestation does the nurse
expect to increase in a client with Cushing syndrome? - ANS Glucose level
A client with hepatic cirrhosis begins to develop slurred speech, confusion, drowsiness, and a
flapping tremor. With this evidence of impending hepatic coma, which diet can the nurse
expect will be prescribed for this client? - ANS 20 g of protein, 2000 calories
A nurse concludes that the anemia that accompanies chronic kidney disease should be treated
because it contributes to: - ANS Chronic fatigue
A client is scheduled to receive general anesthesia during an upcoming surgery. The nurse
provides education about common side effects of general anesthesia. The nurse concludes that
Hesi: Med Surg II Final Study Exam
Questions And Answers 100% Pass
A nurse is caring for a client who is learning how to take care of a newly created colostomy.
When observing a return demonstration of the colostomy irrigation, the nurse evaluates that
more teaching is required when the client: - ANS Hangs the irrigation bag on the door clothes
hook during fluid insertion
Following surgery, a client asks the nurse if he or she can help measure intake and output.
What is the best nursing response? - ANS Assess the client's ability to measure the intake
and output
A client with cancer of the pancreas has a pancreaticoduodenectomy (Whipple procedure). The
nurse expects that the client will have which tube after surgery? - ANS Nasogastric
A nurse is assessing a client with a diagnosis of early left ventricular heart failure. Specific to this
type of heart failure, the nurse expects the client to state: - ANS "I have trouble breathing
when I walk rapidly."
A client with a spontaneous pneumothorax asks, "Why did they put this tube into my chest?"
The nurse explains that the purpose of the chest tube is to: - ANS Remove air from the
pleural space
Following surgery in the inguinal area, the client complains of pain on the right side of the
chest, becomes dyspneic, and begins to cough violently. The nurse suspects that a pulmonary
embolus has occurred. What is the priority nursing action? - ANS Elevate the head of the bed
, ©EVERLY 2025 ALL RIGHTS RESERVED
As an acute episode of rheumatoid arthritis subsides, active and passive range-of-motion
exercises are taught to the client's spouse. The nurse should teach that direct pressure should
not be applied to the client's joints because this may precipitate: - ANS Pain
A client is admitted to the hospital with the diagnosis of cancer of the thyroid and a
thyroidectomy is scheduled. What is important for the nurse to consider when caring for this
client during the postoperative period? - ANS Hoarseness and airway obstruction may result
from laryngeal nerve damage.
A client is scheduled to have a cardiac catheterization via the femoral approach. The nurse
teaches the client about post-procedure interventions that protect the catheter insertion site.
The nurse instructs the client that the leg used for catheter insertion will be: - ANS Kept
extended while on bed rest
A female client who has recurrent urinary tract infections (UTIs) is inquiring about the
prevention of future UTIs. What information should the nurse include when teaching the client?
(Select all that apply.) - ANS -Drink 8 to 10 glasses of water each day
-Urinate immediately after sexual intercourse
A client is diagnosed with Cushing syndrome. Which clinical manifestation does the nurse
expect to increase in a client with Cushing syndrome? - ANS Glucose level
A client with hepatic cirrhosis begins to develop slurred speech, confusion, drowsiness, and a
flapping tremor. With this evidence of impending hepatic coma, which diet can the nurse
expect will be prescribed for this client? - ANS 20 g of protein, 2000 calories
A nurse concludes that the anemia that accompanies chronic kidney disease should be treated
because it contributes to: - ANS Chronic fatigue
A client is scheduled to receive general anesthesia during an upcoming surgery. The nurse
provides education about common side effects of general anesthesia. The nurse concludes that
