MED SURG HESI V2 - 2024/2025 EXAM QUESTIONS

MED SURG HESI V2 - 2024/2025
EXAM QUESTIONS
Whatp4informationp4shouldp4thep4nursep4includep4inp4thep4teachingp4planp4ofp4ap4clientp4dia
gnosedp4withp4GERD?p4

A.p4Sleepp4withoutp4pillowsp4
B.p4Adjustp4foodp4intakep4top4threep4fullp4mealsp4perp4dayp4withp4nop4snacksp4
C.p4Minimizep4symptomsp4byp4wearingp4loosep4comfortablep4clothingp4
D.p4Avoidp4participationp4inp4anyp4aerobicp4exercisep4programp4-p4ANSWERS--
Minimizep4symptomsp4byp4wearingp4loosep4comfortablep4clothing

Afterp4hospitalizationp4forp4SIADH,p4ap4clientp4developsp4pontinep4myelinolysis.p4Whichp4i
nterventionp4shouldp4thep4nursep4implementp4first?p4

A.p4Reorientp4clientp4top4roomp4
B.p4Placep4ap4patchp4onp4onep4eyep4
C.p4Evaluatep4clientsp4abilityp4top4swallowp4
D.p4Performp4rangep4ofp4motionp4exercisesp4-p4ANSWERS--Reorientp4clientp4top4room

Ap4malep4clientp4withp4heartp4failurep4callsp4thep4clinicp4andp4reportsp4thatp4hep4cannotp4putp
4hisp4shoesp4onp4becausep4theyp4arep4toop4tight.p4Whichp4additionalp4informationp4shouldp

4thep4nursep4obtain?p4



A.p4Whatp4timep4didp4hep4takep4hisp4medication?p4
B.p4Hasp4hisp4weightp4changedp4inp4thep4lastp4severalp4days?p4
C.p4Isp4hep4stillp4ablep4top4tightenp4hisp4beltp4buckle?p4
D.p4Howp4manyp4hoursp4didp4hep4sleepp4lastp4night?p4-p4ANSWERS--
Hasp4hisp4weightp4changedp4inp4thep4lastp4severalp4days?

Anp4olderp4adultp4womanp4withp4ap4longp4historyp4ofp4COPDp4isp4admittedp4withp4progressi
vep4shortnessp4ofp4breathp4andp4ap4persistentp4cough,p4isp4anxious,p4andp4isp4complaining
p4ofp4dryp4mouth.p4whichp4interventionp4shouldp4thep4nursep4implement?p4



A.p4Administerp4ap4prescribedp4sedativep4
B.p4Encouragep4clientp4top4drinkp4waterp4
C.p4Applyp4ap4highp4flowp4Venturip4maskp4
D.p4Assistp4herp4top4anp4uprightp4positionp4-p4ANSWERS--
Assistp4herp4top4anp4uprightp4position

Ap4clientp4withp4ap4historyp4ofp4asthmap4andp4bronchitisp4arrivesp4atp4thep4clinicp4withp4short
nessp4ofp4breath,p4productivep4coughp4withp4thickeningp4mucousp4andp4thep4inabilityp4top4
walkp4upp4ap4flightp4ofp4stairsp4withoutp4experiencingp4breathlessness.p4Whichp4actionp4isp
4mostp4importantp4forp4thep4nursep4top4instructp4thep4clientp4aboutp4selfp4care?p4

A.p4Increasep4thep4dailyp4intakep4ofp4oralp4fluidsp4top4liquifyp4secretionsp4
B.p4Avoidp4crowdedp4enclosedp4areasp4top4reducep4pathogensp4exposurep4

, C.p4Callp4thep4clinicp4ifp4undesirablep4sidep4effectsp4orp4medicationsp4-p4ANSWERS--
Increasep4thep4dailyp4intakep4ofp4oralp4fluidsp4top4liquifyp4secretions

Ap4cardiacp4catherizationp4ofp4ap4clientp4withp4heartp4diseasep4indicatesp4thep4followingp4bl
ockages:p495%p4proximalp4leftp4anteriorp4descendingp4(LAD),p499%p4proximalp4circumfle
x,p4andp495%p4proximalp4rightp4coronaryp4arteryp4(RCA)p4thep4clientp4laterp4asksp4thep4nur
sep4"Whatp4doesp4allp4ofp4thatp4meanp4forp4me?"p4Whatp4informationp4shouldp4thep4nursep4
provide.p4

B.p4Threep4mainp4arteriesp4havep4majorp4blockages,p4withp4onlyp41-
5%p4ofp4thep4bloodp4flowp4gettingp4throughp4top4thep4heartp4musclesp4-p4ANSWERS--
Threep4mainp4arteriesp4havep4majorp4blockages,p4withp4onlyp41-
5%p4ofp4thep4bloodp4flowp4gettingp4throughp4top4thep4heartp4muscles

Thep4nursep4isp4caringp4forp4ap4clientp4withp4ap4lowerp4leftp4lobep4pulmonaryp4abscess.p4wh
atp4positionp4shouldp4thep4nursep4instructp4thep4clientp4top4maintain?p4
A.p4Leftp4lateral
B.p4Supine,p4kneesp4flexed.p4
C.p4Dorsalp4recumbentp4
D.p4Knee-chestp4-p4ANSWERS--Leftp4lateral

Ap4clientp4withp4Cholelithiasisp4hasp4ap4gallstonep4lodgedp4inp4thep4commonp4bilep4ductp4a
ndp4isp4unablep4top4eatp4orp4drinkp4withoutp4becomingp4nauseousp4andp4vomiting.p4Whichp
4findingp4shouldp4thep4nursep4reportp4top4thep4healthcarep4provider?p4

A.p4Belchingp4
B.p4Amberp4urinep4
C.p4Yellowp4sclerap4
D.p4Flatulencep4-p4ANSWERS--Yellowp4sclera

Whilep4caringp4forp4ap4clientp4withp4Amyotrophicp4lateralp4sclerosisp4(ALS)p4ap4nursep4perf
ormsp4ap4neurologicalp4assessmentp4everyp44p4hours.p4Whichp4assessmentp4findingp4war
rantsp4immediatep4interventionp4byp4thep4nurse?p4
A.p4Inappropriatep4laughterp4
B.p4Increasingp4anxietyp4
C.p4Weakenedp4coughp4effortp4
D.p4Asymmetricalp4weaknessp4-p4ANSWERS--Asymmetricalp4weakness

Thep4nursep4isp4providingp4preoperativep4educationp4forp4ap4Jewishp4clientp4scheduledp4to
p4receivep4ap4xenograftp4top4promotep4burnp4healing.p4Whichp4informationp4shouldp4thep4pr

oviderp4thisp4client?p4
A.p4Graftingp4increasep4thep4riskp4forp4bacterialp4infectionsp4
B.p4Thep4xenograftp4isp4takenp4fromp4ap4non-humanp4source.p4
C.p4Graftsp4arep4laterp4removedp4byp4ap4debridingp4procedurep4
D.p4Asp4thep4burnsp4heals,p4thep4graftp4permanentlyp4-p4ANSWERS--
Thep4xenograftp4isp4takenp4fromp4ap4non-humanp4source

Ap4malep4clientp4whop4hadp4colonp4surgeryp43p4daysp4agop4isp4anxiousp4andp4requestingp4a
ssistancep4top4reposition.p4Whilep4thep4nursep4isp4turningp4him,p4thep4woundp4dehiscence
sp4andp4ulcerates.p4Thep4nursep4moistensp4anp4availablep4sterilep4dressingp4andp4placesp4
itp4overp4thep4wound.p4Whichp4interventionp4shouldp4thep4nursep4implementp4next.p4