MED SURG HESI V2 - 2024/2025 QUESTIONS A
ANSWERS
What cinformation cshould cthe cnurse cinclude cin cthe cteaching cplan cof ca cclient cdiagnosed cwith cG
A. cSleep cwithout cpillows c
B. cAdjust cfood cintake cto cthree cfull cmeals cper cday cwith cno csnacks c
C. cMinimize csymptoms cby cwearing cloose ccomfortable cclothing c
D. cAvoid cparticipation cin cany caerobic cexercise cprogram c- cCORRECT cANS✔✔Minimize csympto
ccomfortable cclothing
After chospitalization cfor cSIADH, ca cclient cdevelops cpontine cmyelinolysis. cWhich cintervention csho
cfirst? c
A. cReorient cclient cto croom c
B. cPlace ca cpatch con cone ceye c
C. cEvaluate cclients cability cto cswallow c
D. cPerform crange cof cmotion cexercises c- cCORRECT cANS✔✔Reorient cclient cto croom
A cmale cclient cwith cheart cfailure ccalls cthe cclinic cand creports cthat che ccannot cput chis cshoes con
cWhich cadditional cinformation cshould cthe cnurse cobtain? c
A. cWhat ctime cdid che ctake chis cmedication? c
B. cHas chis cweight cchanged cin cthe clast cseveral cdays? c
C. cIs che cstill cable cto ctighten chis cbelt cbuckle? c
D. cHow cmany chours cdid che csleep clast cnight? c- cCORRECT cANS✔✔Has chis cweight cchanged c
An colder cadult cwoman cwith ca clong chistory cof cCOPD cis cadmitted cwith cprogressive cshortness co
ccough, cis canxious, cand cis ccomplaining cof cdry cmouth. cwhich cintervention cshould cthe cnurse cim
, The cnurse cis ccaring cfor ca cclient cwith ca clower cleft clobe cpulmonary cabscess. cwhat cposition csho
cclient cto cmaintain? c
A. cLeft clateral
B. cSupine, cknees cflexed. c
C. cDorsal crecumbent c
D. cKnee-chest c- cCORRECT cANS✔✔Left clateral
A cclient cwith cCholelithiasis chas ca cgallstone clodged cin cthe ccommon cbile cduct cand cis cunable cto
cbecoming cnauseous cand cvomiting. cWhich cfinding cshould cthe cnurse creport cto cthe chealthcare cp
A. cBelching c
B. cAmber curine c
C. cYellow csclera c
D. cFlatulence c- cCORRECT cANS✔✔Yellow csclera
While ccaring cfor ca cclient cwith cAmyotrophic clateral csclerosis c(ALS) ca cnurse cperforms ca cneurolo
chours. cWhich cassessment cfinding cwarrants cimmediate cintervention cby cthe cnurse? c
A. cInappropriate claughter c
B. cIncreasing canxiety c
C. cWeakened ccough ceffort c
D. cAsymmetrical cweakness c- cCORRECT cANS✔✔Asymmetrical cweakness
The cnurse cis cproviding cpreoperative ceducation cfor ca cJewish cclient cscheduled cto creceive ca cxen
chealing. cWhich cinformation cshould cthe cprovider cthis cclient? c
A. cGrafting cincrease cthe crisk cfor cbacterial cinfections c
B. cThe cxenograft cis ctaken cfrom ca cnon-human csource. c
C. cGrafts care clater cremoved cby ca cdebriding cprocedure c
D. cAs cthe cburns cheals, cthe cgraft cpermanently c- cCORRECT cANS✔✔The cxenograft cis ctaken cfr
A cmale cclient cwho chad ccolon csurgery c3 cdays cago cis canxious cand crequesting cassistance cto cre
cturning chim, cthe cwound cdehiscences cand culcerates. cThe cnurse cmoistens can cavailable csterile c
cthe cwound. cWhich cintervention cshould cthe cnurse cimplement cnext. c
A. cBring cadditional csterile cdressing csupplies cto cthe croom. c
B. cPrepare cthe cclient cto creturn cto cthe cOR c
C. cObtain ca csample cof cthe cdrainage cto csend cto cthe clab
D. causculate cthe cabdomen cfor cbowel csounds c- cCORRECT cANS✔✔Bring cadditional csterile cdre
A cclient cwith ccarcinoma cof cthe clung cis ccomplaining cof cweakness cand chas ca cserum csodium cle
cnursing cproblem cshould cthe cnurse cinclude cin cthe cclients cplan cof ccare. c
A. cAltered curinary celimination c
B. cImpaired cgas cexchange c
C. cFluid cvolume cexcess c
D. cDecreased ccardiac coutput c- cCORRECT cANS✔✔Fluid cvolume cexcess
A cfemale cclient centers cthe cclinic cand cinsists con cbeing cseen. cShe cis cweak, cnervous cand crepor
crecent cweight closs cof c15 cpounds. cAfter cruling cout csubstance cwithdrawal, cthe cMD csuspects chy
cher cfor ctesting. cwhich caction cshould cthe cnurse cdo? c
A. cBegin cpreparing cthe cclient cfor cthyroidectomy cprocedure c
B. cSpace cthe cclients ccare cto cprovide cperiods cof crest
C. cAssess cthe cclient cfor chyperactive cbowel csounds c
D. cProvide cwarm cblanket cto cprevent cheat closs c- cCORRECT cANS✔✔Assess cthe cclient cfor chyp
The cnurse cis cteaching ca cclient cwith cglomerulonephritis cabout cself ccare. cWhich cdietary crecomm
cencourage cthe cclient cto cfollow. c
A. cincrease cintake cof chigh-fiber cfoods, csuch cas cbran ccereal.
ANSWERS
What cinformation cshould cthe cnurse cinclude cin cthe cteaching cplan cof ca cclient cdiagnosed cwith cG
A. cSleep cwithout cpillows c
B. cAdjust cfood cintake cto cthree cfull cmeals cper cday cwith cno csnacks c
C. cMinimize csymptoms cby cwearing cloose ccomfortable cclothing c
D. cAvoid cparticipation cin cany caerobic cexercise cprogram c- cCORRECT cANS✔✔Minimize csympto
ccomfortable cclothing
After chospitalization cfor cSIADH, ca cclient cdevelops cpontine cmyelinolysis. cWhich cintervention csho
cfirst? c
A. cReorient cclient cto croom c
B. cPlace ca cpatch con cone ceye c
C. cEvaluate cclients cability cto cswallow c
D. cPerform crange cof cmotion cexercises c- cCORRECT cANS✔✔Reorient cclient cto croom
A cmale cclient cwith cheart cfailure ccalls cthe cclinic cand creports cthat che ccannot cput chis cshoes con
cWhich cadditional cinformation cshould cthe cnurse cobtain? c
A. cWhat ctime cdid che ctake chis cmedication? c
B. cHas chis cweight cchanged cin cthe clast cseveral cdays? c
C. cIs che cstill cable cto ctighten chis cbelt cbuckle? c
D. cHow cmany chours cdid che csleep clast cnight? c- cCORRECT cANS✔✔Has chis cweight cchanged c
An colder cadult cwoman cwith ca clong chistory cof cCOPD cis cadmitted cwith cprogressive cshortness co
ccough, cis canxious, cand cis ccomplaining cof cdry cmouth. cwhich cintervention cshould cthe cnurse cim
, The cnurse cis ccaring cfor ca cclient cwith ca clower cleft clobe cpulmonary cabscess. cwhat cposition csho
cclient cto cmaintain? c
A. cLeft clateral
B. cSupine, cknees cflexed. c
C. cDorsal crecumbent c
D. cKnee-chest c- cCORRECT cANS✔✔Left clateral
A cclient cwith cCholelithiasis chas ca cgallstone clodged cin cthe ccommon cbile cduct cand cis cunable cto
cbecoming cnauseous cand cvomiting. cWhich cfinding cshould cthe cnurse creport cto cthe chealthcare cp
A. cBelching c
B. cAmber curine c
C. cYellow csclera c
D. cFlatulence c- cCORRECT cANS✔✔Yellow csclera
While ccaring cfor ca cclient cwith cAmyotrophic clateral csclerosis c(ALS) ca cnurse cperforms ca cneurolo
chours. cWhich cassessment cfinding cwarrants cimmediate cintervention cby cthe cnurse? c
A. cInappropriate claughter c
B. cIncreasing canxiety c
C. cWeakened ccough ceffort c
D. cAsymmetrical cweakness c- cCORRECT cANS✔✔Asymmetrical cweakness
The cnurse cis cproviding cpreoperative ceducation cfor ca cJewish cclient cscheduled cto creceive ca cxen
chealing. cWhich cinformation cshould cthe cprovider cthis cclient? c
A. cGrafting cincrease cthe crisk cfor cbacterial cinfections c
B. cThe cxenograft cis ctaken cfrom ca cnon-human csource. c
C. cGrafts care clater cremoved cby ca cdebriding cprocedure c
D. cAs cthe cburns cheals, cthe cgraft cpermanently c- cCORRECT cANS✔✔The cxenograft cis ctaken cfr
A cmale cclient cwho chad ccolon csurgery c3 cdays cago cis canxious cand crequesting cassistance cto cre
cturning chim, cthe cwound cdehiscences cand culcerates. cThe cnurse cmoistens can cavailable csterile c
cthe cwound. cWhich cintervention cshould cthe cnurse cimplement cnext. c
A. cBring cadditional csterile cdressing csupplies cto cthe croom. c
B. cPrepare cthe cclient cto creturn cto cthe cOR c
C. cObtain ca csample cof cthe cdrainage cto csend cto cthe clab
D. causculate cthe cabdomen cfor cbowel csounds c- cCORRECT cANS✔✔Bring cadditional csterile cdre
A cclient cwith ccarcinoma cof cthe clung cis ccomplaining cof cweakness cand chas ca cserum csodium cle
cnursing cproblem cshould cthe cnurse cinclude cin cthe cclients cplan cof ccare. c
A. cAltered curinary celimination c
B. cImpaired cgas cexchange c
C. cFluid cvolume cexcess c
D. cDecreased ccardiac coutput c- cCORRECT cANS✔✔Fluid cvolume cexcess
A cfemale cclient centers cthe cclinic cand cinsists con cbeing cseen. cShe cis cweak, cnervous cand crepor
crecent cweight closs cof c15 cpounds. cAfter cruling cout csubstance cwithdrawal, cthe cMD csuspects chy
cher cfor ctesting. cwhich caction cshould cthe cnurse cdo? c
A. cBegin cpreparing cthe cclient cfor cthyroidectomy cprocedure c
B. cSpace cthe cclients ccare cto cprovide cperiods cof crest
C. cAssess cthe cclient cfor chyperactive cbowel csounds c
D. cProvide cwarm cblanket cto cprevent cheat closs c- cCORRECT cANS✔✔Assess cthe cclient cfor chyp
The cnurse cis cteaching ca cclient cwith cglomerulonephritis cabout cself ccare. cWhich cdietary crecomm
cencourage cthe cclient cto cfollow. c
A. cincrease cintake cof chigh-fiber cfoods, csuch cas cbran ccereal.
