MED SURG HESI V2 EXAM
MED - SURGERY HESI V1 -V7
PREDICTOR FINAL EXAM REAL EXAM
COMPLETE VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED RATIONALES) |ALREADY
GRADED A+
The nurse should recognize which symptom will be given the highest priority for monitoring for a
client with Grave's Disease?
a. Hypotension
b. Tachycardia
c. Hypothermia
d. Depression –
A+ TEST BANK 1
, MED SURG HESI V2 EXAM
Correct Answer :b.Tachycardia
A client experiencing symptoms of Grave's disease, or hyperthyroidism should have monitoring
for tachycardia as the highest priority of care. Hypotension, hypothermia, and depression are
associated with hypothyroidism.
The practical nurse receives shift report on their assigned clients. Based on the change of shift
report which situation has the highest priority?
a. An IV that is infusing at 125 mL/hour currently has 200 mL left in the bag.
b. A client's telemetry interpretation is sinus bradycardia with isolated premature ventricular
contractions (PVCs).
c. The 12-hour urinary output of a postoperative client which is 720 mL with an intake of 840 mL.
d. No output in a hemovac from the abdominal incision of a client who is post-op day 1. –
Correct Answer :d. No output in a hemovac from the abdominal incision of a client who is post-
op day 1.
The PN should first evaluate the client who has no hemovac output from the abdominal surgical
site to determine if the hemovac needs to be compressed, drainage tube kinked, or if the drain is
displaced from the wound.
The nurse is assisting with planning care for a client who is undergoing chemotherapy to treat
breast cancer. Which elements should be included in the client's education on ways to prevent
contracting pneumonia? (Select all that apply.)
a. Maintain a healthy diet with protein, fruits, and vegetables.
b. Ask your health care provider about receiving the flu and pneumonia vaccine.
c. Try to find ways you are able to cut back on the number of cigarettes you smoke.
A+ TEST BANK 2
, MED SURG HESI V2 EXAM
d. Try to do your grocery shopping when your local grocery store is the least crowded.
e. Stay awake most of the day time hours, so you can sleep uninterrupted during the night. –
Correct Answer :a. Maintain a healthy diet with protein, fruits, and vegetables.
b. Ask your health care provider about receiving the flu and pneumonia vaccine.
d. Try to do your grocery shopping when your local grocery store is the least crowded.
Adequate nutrition reduces the risk of contracting pneumonia. The client should receive all
recommended flu and pneumonia vaccines. The client should go in public places when those
places are the last crowded to avoid contact with large number of microorganisms. The client
should stop smoking, not simply cut back. Adequate rest periods during the day can improve the
client's ability to resist infection.
A client has had a permanent pacemaker implanted. Which aspect should the nurse include
when reinforcing instructions for care upon discharge?
a. Stand 4 feet away from radar detectors in use.
b. Stay away from homes and restaurants that use microwaves.
c. Immediately report a pulse rate higher than the pacemaker rate setting.
d. Request hand wand screenings when going through airport screening stations. –
Correct Answer :A. Stand 4 feet away from radar detectors in use.
The client should be educated to stay 4 to 5 feet away from electromagnetic sources, such as
radar detectors. It is not necessary to avoid microwaves. The client should be taught the
pacemaker rate settings, and it is important to report a pulse lower than the settings, as that
would indicate the pacemaker is not functioning. Clients should inform airport security of the
presence of a pacemaker; handheld wand screening should NOT be used over the pacemaker
site.
A+ TEST BANK 3
, MED SURG HESI V2 EXAM
The practical nurse has been assigned a client with a history of chronic obstructive pulmonary
disease (COPD) who has been admitted to the hospital with a medical diagnosis of pneumonia.
Which intervention poses the greatest risk of respiratory depression for a client with a history of
COPD?
a. Vancomycin 500 mg administered intravenously every 6 to 8 hours.
b. Chest physiotherapy and nebulizers performed every 4 to 6 hours.
c. Administration of acetaminophen 600 mg every 4 hours as needed for fever.
d. Oxygen administration via nasal cannula 4 L/m. –
Correct Answer :d. Oxygen administration via nasal cannula 4 L/m.
Clients with COPD drive to breathe is a hypoxic state. Their body becomes use to the high CO2
levels and too much oxygen could cause the client to decrease their respiratory drive to breath.
Oxygen administration in clients with COPD needs to be carefully monitored.
A client diagnosed with Guillain-Barré syndrome is hospitalized. Which finding is most important
for the practical nurse to report to the primary health care provider?
a. Ascending numbness from the feet to the knees.
b. Decrease in cognitive status of the client.
c. Blurred vision and sensation changes.
d. Persistent unilateral headache. –
Correct Answer :b. Decrease in cognitive status of the client.
A decline in cognitive status in a client is indicative of symptoms of hypoxia that are the result of
the respiratory muscles being affected and an indication that the client may require the
assistance of mechanical ventilation.
A+ TEST BANK 4
MED - SURGERY HESI V1 -V7
PREDICTOR FINAL EXAM REAL EXAM
COMPLETE VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED RATIONALES) |ALREADY
GRADED A+
The nurse should recognize which symptom will be given the highest priority for monitoring for a
client with Grave's Disease?
a. Hypotension
b. Tachycardia
c. Hypothermia
d. Depression –
A+ TEST BANK 1
, MED SURG HESI V2 EXAM
Correct Answer :b.Tachycardia
A client experiencing symptoms of Grave's disease, or hyperthyroidism should have monitoring
for tachycardia as the highest priority of care. Hypotension, hypothermia, and depression are
associated with hypothyroidism.
The practical nurse receives shift report on their assigned clients. Based on the change of shift
report which situation has the highest priority?
a. An IV that is infusing at 125 mL/hour currently has 200 mL left in the bag.
b. A client's telemetry interpretation is sinus bradycardia with isolated premature ventricular
contractions (PVCs).
c. The 12-hour urinary output of a postoperative client which is 720 mL with an intake of 840 mL.
d. No output in a hemovac from the abdominal incision of a client who is post-op day 1. –
Correct Answer :d. No output in a hemovac from the abdominal incision of a client who is post-
op day 1.
The PN should first evaluate the client who has no hemovac output from the abdominal surgical
site to determine if the hemovac needs to be compressed, drainage tube kinked, or if the drain is
displaced from the wound.
The nurse is assisting with planning care for a client who is undergoing chemotherapy to treat
breast cancer. Which elements should be included in the client's education on ways to prevent
contracting pneumonia? (Select all that apply.)
a. Maintain a healthy diet with protein, fruits, and vegetables.
b. Ask your health care provider about receiving the flu and pneumonia vaccine.
c. Try to find ways you are able to cut back on the number of cigarettes you smoke.
A+ TEST BANK 2
, MED SURG HESI V2 EXAM
d. Try to do your grocery shopping when your local grocery store is the least crowded.
e. Stay awake most of the day time hours, so you can sleep uninterrupted during the night. –
Correct Answer :a. Maintain a healthy diet with protein, fruits, and vegetables.
b. Ask your health care provider about receiving the flu and pneumonia vaccine.
d. Try to do your grocery shopping when your local grocery store is the least crowded.
Adequate nutrition reduces the risk of contracting pneumonia. The client should receive all
recommended flu and pneumonia vaccines. The client should go in public places when those
places are the last crowded to avoid contact with large number of microorganisms. The client
should stop smoking, not simply cut back. Adequate rest periods during the day can improve the
client's ability to resist infection.
A client has had a permanent pacemaker implanted. Which aspect should the nurse include
when reinforcing instructions for care upon discharge?
a. Stand 4 feet away from radar detectors in use.
b. Stay away from homes and restaurants that use microwaves.
c. Immediately report a pulse rate higher than the pacemaker rate setting.
d. Request hand wand screenings when going through airport screening stations. –
Correct Answer :A. Stand 4 feet away from radar detectors in use.
The client should be educated to stay 4 to 5 feet away from electromagnetic sources, such as
radar detectors. It is not necessary to avoid microwaves. The client should be taught the
pacemaker rate settings, and it is important to report a pulse lower than the settings, as that
would indicate the pacemaker is not functioning. Clients should inform airport security of the
presence of a pacemaker; handheld wand screening should NOT be used over the pacemaker
site.
A+ TEST BANK 3
, MED SURG HESI V2 EXAM
The practical nurse has been assigned a client with a history of chronic obstructive pulmonary
disease (COPD) who has been admitted to the hospital with a medical diagnosis of pneumonia.
Which intervention poses the greatest risk of respiratory depression for a client with a history of
COPD?
a. Vancomycin 500 mg administered intravenously every 6 to 8 hours.
b. Chest physiotherapy and nebulizers performed every 4 to 6 hours.
c. Administration of acetaminophen 600 mg every 4 hours as needed for fever.
d. Oxygen administration via nasal cannula 4 L/m. –
Correct Answer :d. Oxygen administration via nasal cannula 4 L/m.
Clients with COPD drive to breathe is a hypoxic state. Their body becomes use to the high CO2
levels and too much oxygen could cause the client to decrease their respiratory drive to breath.
Oxygen administration in clients with COPD needs to be carefully monitored.
A client diagnosed with Guillain-Barré syndrome is hospitalized. Which finding is most important
for the practical nurse to report to the primary health care provider?
a. Ascending numbness from the feet to the knees.
b. Decrease in cognitive status of the client.
c. Blurred vision and sensation changes.
d. Persistent unilateral headache. –
Correct Answer :b. Decrease in cognitive status of the client.
A decline in cognitive status in a client is indicative of symptoms of hypoxia that are the result of
the respiratory muscles being affected and an indication that the client may require the
assistance of mechanical ventilation.
A+ TEST BANK 4
