Hesi Final Study Questions: Med Surg II
Questions and Answers (100% Correct
Answers) Already Graded A+
A nurse is caring for a client who is learning how to take
care of a newly created colostomy. When observing a
return demonstration of the colostomy irrigation, the
nurse evaluates that more teaching is required when the
client: [ Ans: ] Hangs the irrigation bag on the door clothes
hook during fluid insertion
Following surgery, a client asks the nurse if he or she can
help measure intake and output. What is the best nursing
response? [ Ans: ] Assess the client's ability to measure
the intake and output
A client with cancer of the pancreas has a
pancreaticoduodenectomy (Whipple procedure). The nurse
expects that the client will have which tube after surgery?
[ Ans: ] Nasogastric
A nurse is assessing a client with a diagnosis of early left
ventricular heart failure. Specific to this type of heart
failure, the nurse expects the client to state: [ Ans: ] "I
have trouble breathing when I walk rapidly."
A client with a spontaneous pneumothorax asks, "Why did
they put this tube into my chest?" The nurse explains that
the purpose of the chest tube is to: [ Ans: ] Remove air
from the pleural space
,Following surgery in the inguinal area, the client
complains of pain on the right side of the chest, becomes
dyspneic, and begins to cough violently. The nurse
suspects that a pulmonary embolus has occurred. What is
the priority nursing action? [ Ans: ] Elevate the head of the
bed
As an acute episode of rheumatoid arthritis subsides,
active and passive range-of-motion exercises are taught to
the client's spouse. The nurse should teach that direct
pressure should not be applied to the client's joints
because this may precipitate: [ Ans: ] Pain
A client is admitted to the hospital with the diagnosis of
cancer of the thyroid and a thyroidectomy is scheduled.
What is important for the nurse to consider when caring
for this client during the postoperative period? [ Ans: ]
Hoarseness and airway obstruction may result from
laryngeal nerve damage.
A client is scheduled to have a cardiac catheterization via
the femoral approach. The nurse teaches the client about
post-procedure interventions that protect the catheter
insertion site. The nurse instructs the client that the leg
used for catheter insertion will be: [ Ans: ] Kept extended
while on bed rest
A female client who has recurrent urinary tract infections
(UTIs) is inquiring about the prevention of future UTIs.
What information should the nurse include when teaching
the client? (Select all that apply.) [ Ans: ] -Drink 8 to 10
glasses of water each day
, -Urinate immediately after sexual intercourse
A client is diagnosed with Cushing syndrome. Which
clinical manifestation does the nurse expect to increase in
a client with Cushing syndrome? [ Ans: ] Glucose level
A client with hepatic cirrhosis begins to develop slurred
speech, confusion, drowsiness, and a flapping tremor.
With this evidence of impending hepatic coma, which diet
can the nurse expect will be prescribed for this client? [
Ans: ] 20 g of protein, 2000 calories
A nurse concludes that the anemia that accompanies
chronic kidney disease should be treated because it
contributes to: [ Ans: ] Chronic fatigue
A client is scheduled to receive general anesthesia during
an upcoming surgery. The nurse provides education about
common side effects of general anesthesia. The nurse
concludes that the teaching has been effective when the
client states, "Immediately after surgery I may experience:
[ Ans: ] A sore throat."
A client has surgery for the creation of burr holes after
sustaining head trauma. An early clinical manifestation of
meningeal irritation for which the nurse assesses the
client is: [ Ans: ] Kernig's sign
What therapeutic effect should the nurse identify as the
reason for administration of neomycin sulfate to a client
before colon surgery? [ Ans: ] Destroy intestinal bacteria
Questions and Answers (100% Correct
Answers) Already Graded A+
A nurse is caring for a client who is learning how to take
care of a newly created colostomy. When observing a
return demonstration of the colostomy irrigation, the
nurse evaluates that more teaching is required when the
client: [ Ans: ] Hangs the irrigation bag on the door clothes
hook during fluid insertion
Following surgery, a client asks the nurse if he or she can
help measure intake and output. What is the best nursing
response? [ Ans: ] Assess the client's ability to measure
the intake and output
A client with cancer of the pancreas has a
pancreaticoduodenectomy (Whipple procedure). The nurse
expects that the client will have which tube after surgery?
[ Ans: ] Nasogastric
A nurse is assessing a client with a diagnosis of early left
ventricular heart failure. Specific to this type of heart
failure, the nurse expects the client to state: [ Ans: ] "I
have trouble breathing when I walk rapidly."
A client with a spontaneous pneumothorax asks, "Why did
they put this tube into my chest?" The nurse explains that
the purpose of the chest tube is to: [ Ans: ] Remove air
from the pleural space
,Following surgery in the inguinal area, the client
complains of pain on the right side of the chest, becomes
dyspneic, and begins to cough violently. The nurse
suspects that a pulmonary embolus has occurred. What is
the priority nursing action? [ Ans: ] Elevate the head of the
bed
As an acute episode of rheumatoid arthritis subsides,
active and passive range-of-motion exercises are taught to
the client's spouse. The nurse should teach that direct
pressure should not be applied to the client's joints
because this may precipitate: [ Ans: ] Pain
A client is admitted to the hospital with the diagnosis of
cancer of the thyroid and a thyroidectomy is scheduled.
What is important for the nurse to consider when caring
for this client during the postoperative period? [ Ans: ]
Hoarseness and airway obstruction may result from
laryngeal nerve damage.
A client is scheduled to have a cardiac catheterization via
the femoral approach. The nurse teaches the client about
post-procedure interventions that protect the catheter
insertion site. The nurse instructs the client that the leg
used for catheter insertion will be: [ Ans: ] Kept extended
while on bed rest
A female client who has recurrent urinary tract infections
(UTIs) is inquiring about the prevention of future UTIs.
What information should the nurse include when teaching
the client? (Select all that apply.) [ Ans: ] -Drink 8 to 10
glasses of water each day
, -Urinate immediately after sexual intercourse
A client is diagnosed with Cushing syndrome. Which
clinical manifestation does the nurse expect to increase in
a client with Cushing syndrome? [ Ans: ] Glucose level
A client with hepatic cirrhosis begins to develop slurred
speech, confusion, drowsiness, and a flapping tremor.
With this evidence of impending hepatic coma, which diet
can the nurse expect will be prescribed for this client? [
Ans: ] 20 g of protein, 2000 calories
A nurse concludes that the anemia that accompanies
chronic kidney disease should be treated because it
contributes to: [ Ans: ] Chronic fatigue
A client is scheduled to receive general anesthesia during
an upcoming surgery. The nurse provides education about
common side effects of general anesthesia. The nurse
concludes that the teaching has been effective when the
client states, "Immediately after surgery I may experience:
[ Ans: ] A sore throat."
A client has surgery for the creation of burr holes after
sustaining head trauma. An early clinical manifestation of
meningeal irritation for which the nurse assesses the
client is: [ Ans: ] Kernig's sign
What therapeutic effect should the nurse identify as the
reason for administration of neomycin sulfate to a client
before colon surgery? [ Ans: ] Destroy intestinal bacteria
