MED SURG HESI V2 - 2024/2026 exam |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
with correct answers |||\\\ |||\\\
What information should the nurse include in the teaching plan of a client diagnosed with
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
GERD? |||\\\
A. Sleep without pillows
|||\\\ |||\\\ |||\\\ |||\\\
B. Adjust food intake to three full meals per day with no snacks
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C. Minimize symptoms by wearing loose comfortable clothing
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D. Avoid participation in any aerobic exercise program - correct answer✔✔Minimize symptoms
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
by wearing loose comfortable clothing
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
After hospitalization for SIADH, a client develops pontine myelinolysis. Which intervention
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
should the nurse implement first? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A. Reorient client to room
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B. Place a patch on one eye
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C. Evaluate clients ability to swallow
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D. Perform range of motion exercises - correct answer✔✔Reorient client to room
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A male client with heart failure calls the clinic and reports that he cannot put his shoes on
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
because they are too tight. Which additional information should the nurse obtain?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A. What time did he take his medication?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,B. Has his weight changed in the last several days?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C. Is he still able to tighten his belt buckle?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D. How many hours did he sleep last night? - correct answer✔✔Has his weight changed in the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
last several days? |||\\\ |||\\\
An older adult woman with a long history of COPD is admitted with progressive shortness of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
breath and a persistent cough, is anxious, and is complaining of dry mouth. which intervention
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
should the nurse implement? |||\\\ |||\\\ |||\\\ |||\\\
A. Administer a prescribed sedative
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B. Encourage client to drink water
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C. Apply a high flow Venturi mask
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D. Assist her to an upright position - correct answer✔✔Assist her to an upright position
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
productive cough with thickening mucous and the inability to walk up a flight of stairs without |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
experiencing breathlessness. Which action is most important for the nurse to instruct the client |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
about self care?
|||\\\ |||\\\ |||\\\ |||\\\
A. Increase the daily intake of oral fluids to liquify secretions
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B. Avoid crowded enclosed areas to reduce pathogens exposure
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C. Call the clinic if undesirable side effects or medications - correct answer✔✔Increase the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
daily intake of oral fluids to liquify secretions |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A cardiac catherization of a client with heart disease indicates the following blockages: 95%
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
proximal left anterior descending (LAD), 99% proximal circumflex, and 95% proximal right |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
coronary artery (RCA) the client later asks the nurse "What does all of that mean for me?" |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What information should the nurse provide. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, B. Three main arteries have major blockages, with only 1-5% of the blood flow getting through
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
to the heart muscles - correct answer✔✔Three main arteries have major blockages, with only
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1-5% of the blood flow getting through to the heart muscles
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is caring for a client with a lower left lobe pulmonary abscess. what position should
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the nurse instruct the client to maintain?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A. Left lateral
|||\\\ |||\\\
B. Supine, knees flexed.
|||\\\ |||\\\ |||\\\ |||\\\
C. Dorsal recumbent
|||\\\ |||\\\ |||\\\
D. Knee-chest - correct answer✔✔Left lateral
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A client with Cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
or drink without becoming nauseous and vomiting. Which finding should the nurse report to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the healthcare provider?
|||\\\ |||\\\ |||\\\
A. Belching|||\\\ |||\\\
B. Amber urine
|||\\\ |||\\\ |||\\\
C. Yellow sclera
|||\\\ |||\\\ |||\\\
D. Flatulence - correct answer✔✔Yellow sclera
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
While caring for a client with Amyotrophic lateral sclerosis (ALS) a nurse performs a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
neurological assessment every 4 hours. Which assessment finding warrants immediate |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
intervention by the nurse? |||\\\ |||\\\ |||\\\ |||\\\
A. Inappropriate laughter
|||\\\ |||\\\ |||\\\
B. Increasing anxiety
|||\\\ |||\\\ |||\\\
C. Weakened cough effort
|||\\\ |||\\\ |||\\\ |||\\\
D. Asymmetrical weakness - correct answer✔✔Asymmetrical weakness
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is providing preoperative education for a Jewish client scheduled to receive a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
xenograft to promote burn healing. Which information should the provider this client? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
with correct answers |||\\\ |||\\\
What information should the nurse include in the teaching plan of a client diagnosed with
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
GERD? |||\\\
A. Sleep without pillows
|||\\\ |||\\\ |||\\\ |||\\\
B. Adjust food intake to three full meals per day with no snacks
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C. Minimize symptoms by wearing loose comfortable clothing
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D. Avoid participation in any aerobic exercise program - correct answer✔✔Minimize symptoms
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
by wearing loose comfortable clothing
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
After hospitalization for SIADH, a client develops pontine myelinolysis. Which intervention
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
should the nurse implement first? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A. Reorient client to room
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B. Place a patch on one eye
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C. Evaluate clients ability to swallow
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D. Perform range of motion exercises - correct answer✔✔Reorient client to room
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A male client with heart failure calls the clinic and reports that he cannot put his shoes on
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
because they are too tight. Which additional information should the nurse obtain?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A. What time did he take his medication?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,B. Has his weight changed in the last several days?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C. Is he still able to tighten his belt buckle?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D. How many hours did he sleep last night? - correct answer✔✔Has his weight changed in the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
last several days? |||\\\ |||\\\
An older adult woman with a long history of COPD is admitted with progressive shortness of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
breath and a persistent cough, is anxious, and is complaining of dry mouth. which intervention
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
should the nurse implement? |||\\\ |||\\\ |||\\\ |||\\\
A. Administer a prescribed sedative
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B. Encourage client to drink water
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C. Apply a high flow Venturi mask
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D. Assist her to an upright position - correct answer✔✔Assist her to an upright position
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
productive cough with thickening mucous and the inability to walk up a flight of stairs without |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
experiencing breathlessness. Which action is most important for the nurse to instruct the client |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
about self care?
|||\\\ |||\\\ |||\\\ |||\\\
A. Increase the daily intake of oral fluids to liquify secretions
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B. Avoid crowded enclosed areas to reduce pathogens exposure
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C. Call the clinic if undesirable side effects or medications - correct answer✔✔Increase the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
daily intake of oral fluids to liquify secretions |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A cardiac catherization of a client with heart disease indicates the following blockages: 95%
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
proximal left anterior descending (LAD), 99% proximal circumflex, and 95% proximal right |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
coronary artery (RCA) the client later asks the nurse "What does all of that mean for me?" |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What information should the nurse provide. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, B. Three main arteries have major blockages, with only 1-5% of the blood flow getting through
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
to the heart muscles - correct answer✔✔Three main arteries have major blockages, with only
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1-5% of the blood flow getting through to the heart muscles
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is caring for a client with a lower left lobe pulmonary abscess. what position should
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the nurse instruct the client to maintain?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A. Left lateral
|||\\\ |||\\\
B. Supine, knees flexed.
|||\\\ |||\\\ |||\\\ |||\\\
C. Dorsal recumbent
|||\\\ |||\\\ |||\\\
D. Knee-chest - correct answer✔✔Left lateral
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A client with Cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
or drink without becoming nauseous and vomiting. Which finding should the nurse report to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the healthcare provider?
|||\\\ |||\\\ |||\\\
A. Belching|||\\\ |||\\\
B. Amber urine
|||\\\ |||\\\ |||\\\
C. Yellow sclera
|||\\\ |||\\\ |||\\\
D. Flatulence - correct answer✔✔Yellow sclera
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
While caring for a client with Amyotrophic lateral sclerosis (ALS) a nurse performs a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
neurological assessment every 4 hours. Which assessment finding warrants immediate |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
intervention by the nurse? |||\\\ |||\\\ |||\\\ |||\\\
A. Inappropriate laughter
|||\\\ |||\\\ |||\\\
B. Increasing anxiety
|||\\\ |||\\\ |||\\\
C. Weakened cough effort
|||\\\ |||\\\ |||\\\ |||\\\
D. Asymmetrical weakness - correct answer✔✔Asymmetrical weakness
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is providing preoperative education for a Jewish client scheduled to receive a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
xenograft to promote burn healing. Which information should the provider this client? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
