MED SURG HESI V2 EXAM
HESI MED - SURG PREDICTOR FINAL
EXAM REAL EXAM COMPLETE
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
RATIONALES) |ALREADY GRADED A+
The nurse directs an unlicensed assistive personnel (IAP) to obtain the vital signs for a client who
returns to the unit after having a mastectomy for cancer. What information should the nurse
provide the UAP?
A) Elevate the arm with an IV infusing on the operative side with a pillow.
B) Apply the blood pressure cuff to the arm on the unoperative side.
C) Position the arm on the operative side close to the body.
D) Collect a fingerstick blood specimen from the arm on the operative side. –
Correct Answer :Correct Answer(s): B
A+ TEST BANK 1
, MED SURG HESI V2 EXAM
Blood pressure readings should be obtained from the arm on the un-operative side (B) to reduce
the risk of injury of the extremity that may have compromised lymphatic drainage
postoperatively. The arm on the operative side of the mastectomy should be elevated on a
pillow above the level of the right atrium to facilitate lymphatic drainage, not (C). An IV infusion
(A) or blood specimen collection (D) should not involve the use of the arm on the operative side.
Which reaction should the nurse identify in a client who is responding to stimulation of the
sympathetic nervous system?
A) Pupil constriction.
B) Increased heart rate.
C) Bronchial constriction.
D) Decreased blood pressure. –
Correct Answer :B
A client receiving cholestyramine (Questran) for hyperlipidemia should be evaluated for what
vitamin deficiency?
A) K.
B) B12.
C) B6.
D) C. –
Correct Answer :A
The nurse is caring for a client with a stroke resulting in right-sided paresis and aphasia. The
client attempts to use the left hand for feeding and other self-care activities. The spouse
becomes frustrated and insists on doing everything for the client. Based on this data, which
nursing diagnosis should the nurse document for this client?
A+ TEST BANK 2
, MED SURG HESI V2 EXAM
A) Situational low self-esteem related to functional impairment and change in role function.
B) Disabled family coping related to dissonant coping style of significant person.
C) Interrupted family processes related to shift in health status of family member.
D) Risk for ineffective therapeutic regimen management related to complexity of care. –
Correct Answer :B
When teaching diaphragmatic breathing to a client with chronic obstructive pulmonary disease
(COPD), which information should the nurse provide?
A) Place a small book or magazine on the abdomen and make it rise while inhaling deeply.
B) Purse the lips while inhaling as deeply as possible and then exhale through the nose.
C) Wrap a towel around the abdomen and push against the towel while forcefully exhaling.
D) Place one hand on the chest, one hand the abdomen and make both hands move outward. –
Correct Answer :A
A middle-aged male client with diabetes continues to eat an abundance of foods that are high in
sugar and fat. According to the Health Belief Model, which event is most likely to increase the
client's willingness to become compliant with the prescribed diet?
A) He visits his diabetic brother who just had surgery to amputate an infected foot.
B) He is provided with the most current information about the dangers of untreated diabetes.
C) He comments on the community service announcements about preventing complications
associated with diabetes.
D) His wife expresses a sincere willingness to prepare meals that are within his prescribed diet. –
Correct Answer :A
A+ TEST BANK 3
, MED SURG HESI V2 EXAM
After the fourth dose of gentamicin sulfate (Garamycin) IV, the nurse plans to draw blood
samples to determine peak and trough levels. When are the best times to draw these samples?
A) 15 minutes before and 15 minutes after the next dose.
B) One hour before and one hour after the next dose.
C) 5 minutes before and 30 minutes after the next dose.
D) 30 minutes before and 30 minutes after the next dose. –
Correct Answer :C
During a health fair, a 72-year-old male client tells the nurse that he is experiencing shortness of
breath. Auscultation reveals crackles and wheezing in both lungs. Suspecting that the client
might have chronic bronchitis, which classic symptom should the nurse expect this client to
have?
A) Racing pulse with exertion.
B) Clubbing of the fingers.
C) An increased chest diameter.
D) Productive cough with grayish-white sputum. –
Correct Answer :D
What discharge instruction is most important for a client after a kidney transplant?
A) Weigh weekly.
B) Report symptoms of secondary Candidiasis.
C) Use daily reminders to take immunosuppressants.
D) Stop cigarette smoking. –
Correct Answer :C
A+ TEST BANK 4
HESI MED - SURG PREDICTOR FINAL
EXAM REAL EXAM COMPLETE
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
RATIONALES) |ALREADY GRADED A+
The nurse directs an unlicensed assistive personnel (IAP) to obtain the vital signs for a client who
returns to the unit after having a mastectomy for cancer. What information should the nurse
provide the UAP?
A) Elevate the arm with an IV infusing on the operative side with a pillow.
B) Apply the blood pressure cuff to the arm on the unoperative side.
C) Position the arm on the operative side close to the body.
D) Collect a fingerstick blood specimen from the arm on the operative side. –
Correct Answer :Correct Answer(s): B
A+ TEST BANK 1
, MED SURG HESI V2 EXAM
Blood pressure readings should be obtained from the arm on the un-operative side (B) to reduce
the risk of injury of the extremity that may have compromised lymphatic drainage
postoperatively. The arm on the operative side of the mastectomy should be elevated on a
pillow above the level of the right atrium to facilitate lymphatic drainage, not (C). An IV infusion
(A) or blood specimen collection (D) should not involve the use of the arm on the operative side.
Which reaction should the nurse identify in a client who is responding to stimulation of the
sympathetic nervous system?
A) Pupil constriction.
B) Increased heart rate.
C) Bronchial constriction.
D) Decreased blood pressure. –
Correct Answer :B
A client receiving cholestyramine (Questran) for hyperlipidemia should be evaluated for what
vitamin deficiency?
A) K.
B) B12.
C) B6.
D) C. –
Correct Answer :A
The nurse is caring for a client with a stroke resulting in right-sided paresis and aphasia. The
client attempts to use the left hand for feeding and other self-care activities. The spouse
becomes frustrated and insists on doing everything for the client. Based on this data, which
nursing diagnosis should the nurse document for this client?
A+ TEST BANK 2
, MED SURG HESI V2 EXAM
A) Situational low self-esteem related to functional impairment and change in role function.
B) Disabled family coping related to dissonant coping style of significant person.
C) Interrupted family processes related to shift in health status of family member.
D) Risk for ineffective therapeutic regimen management related to complexity of care. –
Correct Answer :B
When teaching diaphragmatic breathing to a client with chronic obstructive pulmonary disease
(COPD), which information should the nurse provide?
A) Place a small book or magazine on the abdomen and make it rise while inhaling deeply.
B) Purse the lips while inhaling as deeply as possible and then exhale through the nose.
C) Wrap a towel around the abdomen and push against the towel while forcefully exhaling.
D) Place one hand on the chest, one hand the abdomen and make both hands move outward. –
Correct Answer :A
A middle-aged male client with diabetes continues to eat an abundance of foods that are high in
sugar and fat. According to the Health Belief Model, which event is most likely to increase the
client's willingness to become compliant with the prescribed diet?
A) He visits his diabetic brother who just had surgery to amputate an infected foot.
B) He is provided with the most current information about the dangers of untreated diabetes.
C) He comments on the community service announcements about preventing complications
associated with diabetes.
D) His wife expresses a sincere willingness to prepare meals that are within his prescribed diet. –
Correct Answer :A
A+ TEST BANK 3
, MED SURG HESI V2 EXAM
After the fourth dose of gentamicin sulfate (Garamycin) IV, the nurse plans to draw blood
samples to determine peak and trough levels. When are the best times to draw these samples?
A) 15 minutes before and 15 minutes after the next dose.
B) One hour before and one hour after the next dose.
C) 5 minutes before and 30 minutes after the next dose.
D) 30 minutes before and 30 minutes after the next dose. –
Correct Answer :C
During a health fair, a 72-year-old male client tells the nurse that he is experiencing shortness of
breath. Auscultation reveals crackles and wheezing in both lungs. Suspecting that the client
might have chronic bronchitis, which classic symptom should the nurse expect this client to
have?
A) Racing pulse with exertion.
B) Clubbing of the fingers.
C) An increased chest diameter.
D) Productive cough with grayish-white sputum. –
Correct Answer :D
What discharge instruction is most important for a client after a kidney transplant?
A) Weigh weekly.
B) Report symptoms of secondary Candidiasis.
C) Use daily reminders to take immunosuppressants.
D) Stop cigarette smoking. –
Correct Answer :C
A+ TEST BANK 4
