MED SURG HESI V2 EXAM
MED SURG HESI V1 -V7 EXAM ACTUAL
EXAM COMPLETE VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED RATIONALES)
|ALREADY GRADED A+
The nurse is teaching a female client about the best time to plan sexual intercourse in order to conceive.
Which information should the nurse provide?
A) Two weeks before menstruation.
B) Vaginal mucous discharge is thick.
C) Low basal temperature.
D) First thing in the morning. –
Correct Answer :A) Two weeks before menstruation.
A+ TEST BANK 1
, MED SURG HESI V2 EXAM
Ovulation typically occurs 14 days before menstruation begins (A), and sexual intercourse should occur
within 24 hours of ovulation for conception to occur. High estrogen levels occur during ovulation and
increase the vaginal mucous membrane characteristics, which become more "slippery" and stretchy, not
(B). A rise in basal temperature, not (C), signals ovulation. The timing during the day is not as significant in
determining conception as the day before and after ovulation (D).
During suctioning, a client with an uncuffed tracheostomy tube begins to cough violently and dislodges
the tracheostomy tube. Which action should the nurse implement first?
A) Notify the healthcare provider for reinsertion.
B) Attempt to reinsert the tracheostomy tube.
C) Position the client in a lateral position with the neck extended.
D) Ventilate client's tracheostomy stoma with a manual bag-mask. –
Correct Answer :B) Attempt to reinsert the tracheostomy tube.
The nurse should attempt to reinsert the tracheostomy tube (B) by using a hemostat to open the
tracheostomy or by grasping the retention sutures (if present) to spread the opening in insert a
replacement tube (with its obturator) into the stoma. Once in place, the obturator should immediately be
removed. (A, C, and D) place the client at risk of airway obstruction.
A male client who has never smoked but has had COPD for the past 5 years is now being assessed for
cancer of the lung. The nurse knows that he is most likely to develop which type of lung cancer?
A) Adenocarcinoma.
B) Oat-cell carcinoma.
C) Malignant melanoma.
D) Squamous-cell carcinoma. –
Correct Answer :A) Adenocarcinoma.
A+ TEST BANK 2
, MED SURG HESI V2 EXAM
Adenocarcinoma is the only lung cancer not related to cigarette smoking (A). It has been found to be
directly related to lung scarring and fibrosis from preexisting pulmonary disease such as TB or COPD. Both
(B and D) are malignant lung cancers related to cigarette smoking. (C) is a skin cancer and is related to
exposure to sunlight, not to lung problems.
The nurse assesses a client with advanced cirrhosis of the liver for signs of hepatic encephalopathy.
Which finding should the nurse consider an indication of progressive hepatic encephalopathy?
A) An increase in abdominal girth.
B) Hypertension and a bounding pulse.
C) Decreased bowel sounds.
D) Difficulty in handwriting.
- Correct Answer :D) Difficulty in handwriting.
A daily record in handwriting may provide evidence of progression or reversal of hepatic encephalopathy
leading to coma (D). (A) is a sign of ascites. (B) are not seen with hepatic encephalopathy. (C) does not
indicate an increase in serum ammonia level which is the primary cause of hepatic encephalopathy.
A client who has heart failure is admitted with a serum potassium level of 2.9 mEq/L. Which action is
most important for the nurse to implement?
A) Give 20 mEq of potassium chloride.
B) Initiate continuous cardiac monitoring.
C) Arrange a consultation with the dietician.
D) Teach about the side effects of diuretics. –
Correct Answer :B) Initiate continuous cardiac monitoring.
Hypokalemia (normal 3.5 to 5 mEq/L) causes changes in myocardial irritability and ECG waveform, so it is
most important for the nurse to initiate continuous cardiac monitoring (B) to identify ventricular ectopy
or other life-threatening dysrhythmias. Potassium chloride (A) should be given after cardiac monitoring is
initiated so that the effects of potassium replacement on the cardiac rhythm can be monitored. (C and D)
should be implemented when the client is stable.
A+ TEST BANK 3
, MED SURG HESI V2 EXAM
A client is brought to the Emergency Center after a snow-skiing accident. Which intervention is most
important for the nurse to implement?
A) Review the electrocardiogram tracing.
B) Obtain blood for coagulation studies.
C) Apply a warming blanket.
D) Provide heated PO fluids. –
Correct Answer :A) Review the electrocardiogram tracing.
Airway, breathing, and circulation are priorities in client assessment and treatment. Continuous cardiac
monitoring is indicated (A) because hypothermic clients have an increased risk for dysrhythmias.
Coagulations studies (A) and re-warming procedures (C and D) can be initiated after a review of the ECG
tracing (A).
The nurse is planning care to prevent complication for a client with multiple myeloma. Which
intervention is most important for the nurse to include?
A) Safety precautions during activity.
B) Assess for changes in size of lymph nodes.
C) Maintain a fluid intake of 3 to 4 L per day.
D) Administer narcotic analgesic around the clock. –
Correct Answer :C) Maintain a fluid intake of 3 to 4 L per day.
Multiple myeloma is a malignancy of plasma cells that infiltrate bone causing demineralization and
hypercalcemia, so maintaining a urinary output of 1.5 to 2 L per day requires an intake of 3 to 4 L (C) to
promote excretion of serum calcium. Although the client is at risk for pathologic fractures due to diffuse
osteoporosis, mobilization and weight bearing (A) should be encouraged to promote bone reabsorption
of circulating calcium, which can cause renal complications. (B) is a component of ongoing assessment.
Chronic pain management (D) should be included in the plan of care, but prevention of complications
related to hypercalcemia is most important.
A+ TEST BANK 4
MED SURG HESI V1 -V7 EXAM ACTUAL
EXAM COMPLETE VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED RATIONALES)
|ALREADY GRADED A+
The nurse is teaching a female client about the best time to plan sexual intercourse in order to conceive.
Which information should the nurse provide?
A) Two weeks before menstruation.
B) Vaginal mucous discharge is thick.
C) Low basal temperature.
D) First thing in the morning. –
Correct Answer :A) Two weeks before menstruation.
A+ TEST BANK 1
, MED SURG HESI V2 EXAM
Ovulation typically occurs 14 days before menstruation begins (A), and sexual intercourse should occur
within 24 hours of ovulation for conception to occur. High estrogen levels occur during ovulation and
increase the vaginal mucous membrane characteristics, which become more "slippery" and stretchy, not
(B). A rise in basal temperature, not (C), signals ovulation. The timing during the day is not as significant in
determining conception as the day before and after ovulation (D).
During suctioning, a client with an uncuffed tracheostomy tube begins to cough violently and dislodges
the tracheostomy tube. Which action should the nurse implement first?
A) Notify the healthcare provider for reinsertion.
B) Attempt to reinsert the tracheostomy tube.
C) Position the client in a lateral position with the neck extended.
D) Ventilate client's tracheostomy stoma with a manual bag-mask. –
Correct Answer :B) Attempt to reinsert the tracheostomy tube.
The nurse should attempt to reinsert the tracheostomy tube (B) by using a hemostat to open the
tracheostomy or by grasping the retention sutures (if present) to spread the opening in insert a
replacement tube (with its obturator) into the stoma. Once in place, the obturator should immediately be
removed. (A, C, and D) place the client at risk of airway obstruction.
A male client who has never smoked but has had COPD for the past 5 years is now being assessed for
cancer of the lung. The nurse knows that he is most likely to develop which type of lung cancer?
A) Adenocarcinoma.
B) Oat-cell carcinoma.
C) Malignant melanoma.
D) Squamous-cell carcinoma. –
Correct Answer :A) Adenocarcinoma.
A+ TEST BANK 2
, MED SURG HESI V2 EXAM
Adenocarcinoma is the only lung cancer not related to cigarette smoking (A). It has been found to be
directly related to lung scarring and fibrosis from preexisting pulmonary disease such as TB or COPD. Both
(B and D) are malignant lung cancers related to cigarette smoking. (C) is a skin cancer and is related to
exposure to sunlight, not to lung problems.
The nurse assesses a client with advanced cirrhosis of the liver for signs of hepatic encephalopathy.
Which finding should the nurse consider an indication of progressive hepatic encephalopathy?
A) An increase in abdominal girth.
B) Hypertension and a bounding pulse.
C) Decreased bowel sounds.
D) Difficulty in handwriting.
- Correct Answer :D) Difficulty in handwriting.
A daily record in handwriting may provide evidence of progression or reversal of hepatic encephalopathy
leading to coma (D). (A) is a sign of ascites. (B) are not seen with hepatic encephalopathy. (C) does not
indicate an increase in serum ammonia level which is the primary cause of hepatic encephalopathy.
A client who has heart failure is admitted with a serum potassium level of 2.9 mEq/L. Which action is
most important for the nurse to implement?
A) Give 20 mEq of potassium chloride.
B) Initiate continuous cardiac monitoring.
C) Arrange a consultation with the dietician.
D) Teach about the side effects of diuretics. –
Correct Answer :B) Initiate continuous cardiac monitoring.
Hypokalemia (normal 3.5 to 5 mEq/L) causes changes in myocardial irritability and ECG waveform, so it is
most important for the nurse to initiate continuous cardiac monitoring (B) to identify ventricular ectopy
or other life-threatening dysrhythmias. Potassium chloride (A) should be given after cardiac monitoring is
initiated so that the effects of potassium replacement on the cardiac rhythm can be monitored. (C and D)
should be implemented when the client is stable.
A+ TEST BANK 3
, MED SURG HESI V2 EXAM
A client is brought to the Emergency Center after a snow-skiing accident. Which intervention is most
important for the nurse to implement?
A) Review the electrocardiogram tracing.
B) Obtain blood for coagulation studies.
C) Apply a warming blanket.
D) Provide heated PO fluids. –
Correct Answer :A) Review the electrocardiogram tracing.
Airway, breathing, and circulation are priorities in client assessment and treatment. Continuous cardiac
monitoring is indicated (A) because hypothermic clients have an increased risk for dysrhythmias.
Coagulations studies (A) and re-warming procedures (C and D) can be initiated after a review of the ECG
tracing (A).
The nurse is planning care to prevent complication for a client with multiple myeloma. Which
intervention is most important for the nurse to include?
A) Safety precautions during activity.
B) Assess for changes in size of lymph nodes.
C) Maintain a fluid intake of 3 to 4 L per day.
D) Administer narcotic analgesic around the clock. –
Correct Answer :C) Maintain a fluid intake of 3 to 4 L per day.
Multiple myeloma is a malignancy of plasma cells that infiltrate bone causing demineralization and
hypercalcemia, so maintaining a urinary output of 1.5 to 2 L per day requires an intake of 3 to 4 L (C) to
promote excretion of serum calcium. Although the client is at risk for pathologic fractures due to diffuse
osteoporosis, mobilization and weight bearing (A) should be encouraged to promote bone reabsorption
of circulating calcium, which can cause renal complications. (B) is a component of ongoing assessment.
Chronic pain management (D) should be included in the plan of care, but prevention of complications
related to hypercalcemia is most important.
A+ TEST BANK 4
