1|Page
MED-SURG II HESI TEST BANK ACTUAL EXAM 350
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |AGRADE||
VERIFIED EXAM!!!
A nurse is caring for an older adult client who has
dysphagia and left-sided weakness following a stroke.
Which of the following actions should the nurse take?
1) Instruct the client to tilt her head back when she
swallows.
2) Place food on the left side of the client's mouth.
3) Add thickener to fluids.
4) Serve food at room temperature. - ANSWER-Add
thickener to fluids.
A nurse is caring for a client who has partial-thickness and
full-thickness burns of his head, neck, and
chest. The nurse should recognize which of the following
is the priority risk to the client?
1) Airway obstruction
2) Infection
3) Fluid imbalance
4) Contractures - ANSWER-1) Airway obstruction
,2|Page
A nurse is reinforcing teaching with a client who is newly
diagnosed with myasthenia gravis and is to start
taking neostigmine. Which of the following instructions
should the nurse include in the teaching?
1) Take the medication 45 minutes before eating.
2) Expect diaphoresis as a side effect of the neostigmine.
3) If a medication dose is missed, wait until the next
scheduled dose to take the medication.
4) Treat nasal rhinitis with an over-the-counter
antihistamine. - ANSWER-1) Take the medication 45
minutes before eating.
A nurse is caring for a client who is 12 hours postoperative
following a transurethral resection of the
prostate (TURP) and has a 3-way urinary catheter with
continuous irrigation. The nurse notes there has not
been any urinary output in the last hour. Which of the
following actions should the nurse perform first?
1) Notify the provider.
2) Administer a prescribed analgesic.
3) Offer oral fluids.
4) Determine the patency of the tubing. - ANSWER-4)
Determine the patency of the tubing.
,3|Page
A nurse is caring for a client scheduled for a bone marrow
biopsy. The client expresses fear about the
procedure and asks the nurse if the biopsy will hurt. Which
of the following responses should the nurse
make?
1) "You must be very worried about what the biopsy will
show."
2) "You'll be asleep for the whole biopsy procedure and
won't be aware of what's happening."
3) "Your provider scheduled this, so she will want to know
you still have questions about the
procedure."
4) "The biopsy can be uncomfortable, but we will try to
keep you as comfortable as possible." - ANSWER-4) "The
biopsy can be uncomfortable, but we will try to keep you
as comfortable as possible."
A nurse is assisting with planning care for a client who is
recovering from a left-hemispheric stroke.
Which of the following interventions should the nurse
include in the plan?
1) Control impulsive behavior.
2) Compensate for left visual field deficits.
3) Re-establish communication.
, 4|Page
4) Improve left-side motor function. - ANSWER-3) Re-
establish communication.
A nurse is assisting with the care of a client who has
diabetes insipidus. The nurse should monitor the
client for which of the following manifestations?
1) Hypotension
2) Polyphagia
3) Hyperglycemia
4) Bradycardia - ANSWER-1) Hypotension
A nurse is reviewing the laboratory results of a client who
is postoperative and has a respiratory rate of
7/min. The arterial blood gas (ABG) values include:
pH 7.22 PaCO2 68 mm Hg Base excess -2 PaO2 78 mm
Hg
Oxygen saturation 80% Bicarbonate 28 mEq/L
Which of the following interpretations of the ABG values
should the nurse make?
1) Metabolic acidosis
2) Respiratory acidosis
3) Metabolic alkalosis
MED-SURG II HESI TEST BANK ACTUAL EXAM 350
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |AGRADE||
VERIFIED EXAM!!!
A nurse is caring for an older adult client who has
dysphagia and left-sided weakness following a stroke.
Which of the following actions should the nurse take?
1) Instruct the client to tilt her head back when she
swallows.
2) Place food on the left side of the client's mouth.
3) Add thickener to fluids.
4) Serve food at room temperature. - ANSWER-Add
thickener to fluids.
A nurse is caring for a client who has partial-thickness and
full-thickness burns of his head, neck, and
chest. The nurse should recognize which of the following
is the priority risk to the client?
1) Airway obstruction
2) Infection
3) Fluid imbalance
4) Contractures - ANSWER-1) Airway obstruction
,2|Page
A nurse is reinforcing teaching with a client who is newly
diagnosed with myasthenia gravis and is to start
taking neostigmine. Which of the following instructions
should the nurse include in the teaching?
1) Take the medication 45 minutes before eating.
2) Expect diaphoresis as a side effect of the neostigmine.
3) If a medication dose is missed, wait until the next
scheduled dose to take the medication.
4) Treat nasal rhinitis with an over-the-counter
antihistamine. - ANSWER-1) Take the medication 45
minutes before eating.
A nurse is caring for a client who is 12 hours postoperative
following a transurethral resection of the
prostate (TURP) and has a 3-way urinary catheter with
continuous irrigation. The nurse notes there has not
been any urinary output in the last hour. Which of the
following actions should the nurse perform first?
1) Notify the provider.
2) Administer a prescribed analgesic.
3) Offer oral fluids.
4) Determine the patency of the tubing. - ANSWER-4)
Determine the patency of the tubing.
,3|Page
A nurse is caring for a client scheduled for a bone marrow
biopsy. The client expresses fear about the
procedure and asks the nurse if the biopsy will hurt. Which
of the following responses should the nurse
make?
1) "You must be very worried about what the biopsy will
show."
2) "You'll be asleep for the whole biopsy procedure and
won't be aware of what's happening."
3) "Your provider scheduled this, so she will want to know
you still have questions about the
procedure."
4) "The biopsy can be uncomfortable, but we will try to
keep you as comfortable as possible." - ANSWER-4) "The
biopsy can be uncomfortable, but we will try to keep you
as comfortable as possible."
A nurse is assisting with planning care for a client who is
recovering from a left-hemispheric stroke.
Which of the following interventions should the nurse
include in the plan?
1) Control impulsive behavior.
2) Compensate for left visual field deficits.
3) Re-establish communication.
, 4|Page
4) Improve left-side motor function. - ANSWER-3) Re-
establish communication.
A nurse is assisting with the care of a client who has
diabetes insipidus. The nurse should monitor the
client for which of the following manifestations?
1) Hypotension
2) Polyphagia
3) Hyperglycemia
4) Bradycardia - ANSWER-1) Hypotension
A nurse is reviewing the laboratory results of a client who
is postoperative and has a respiratory rate of
7/min. The arterial blood gas (ABG) values include:
pH 7.22 PaCO2 68 mm Hg Base excess -2 PaO2 78 mm
Hg
Oxygen saturation 80% Bicarbonate 28 mEq/L
Which of the following interpretations of the ABG values
should the nurse make?
1) Metabolic acidosis
2) Respiratory acidosis
3) Metabolic alkalosis
