MED-SURG II HESI TEST BANK Exam 2025–2026
AccurateReal Exam 150Questionsand Verified
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A nurseis reinforcingteachingwith a clientwho has a newprescriptionfor epoetinalfa. The nurse
should reinforce to the client to take which of the following dietary supplements with this
medication?
1) Vitamin D
2) Vitamin A
3) Iron
4) Niacin - answer>>>C.
A nurseis caring for a clientaftera radicalneck dissection.To which of thefollowing should the
nurse give priority in the immediate postoperative period?
1) Malnourishmentrelatedto NPO statusand dysphagia
2) Impairedverbalcommunicationrelatedto thetracheostomy
3) High risk for infectionrelatedto surgicalincisions
4) Ineffectiveairwayclearancerelatedto thick, copioussecretions- answer>>>D.
A nurseis contributingto theplan of carefor a clientwho has a spinal cord injury at level C8 who
is admitted for comprehensive rehabilitation. Which of the following-term long goals is
appropriate with regard to the client's mobility?
1) Walk with leg bracesand crutches.
2) Drive an electricwheelchairwith a hand-controldevice.
3) Drive an electricwheelchairequippedwith a chin-controldevice.
4) Propela wheelchairequippedwith knobson thewheels.- answer>>>D.
A nurse is reinforcing health teaching about skin cancer with a group of clients. Which of the
followingrisk factorsshouldthe nurseidentifyas theleadingcauseof non-melanoma skin cancer?
1) Exposureto environmentalpollutants
2) Sun exposure.
3) History of viral illness
4) Scarsfrom a severeburn - answer>>>B.
Based on a client's recent history, a nurse suspects that a client is beginning menopause.ofWhich
thefollowingquestionsshouldthenurseask theclientto help confirm theclient is experiencing
manifestations of menopause?
,1) "Do you sleepwellat night?"
2) "Haveyou beenexperiencingchills?"
3) "Haveyou experiencedincreasedhair growth?"
4) "Whendid you beginyour menses?"- answer>>>A.
A nurseis reinforcingteachingwith a clientaboutcancerpreventionand plansto address the
importance of foods high in antioxidants. Which of the following foods should the nurse include
in the teaching?
1) Cottagecheese2) Fresh berries
3) Bran cereal
4) Skim milk - answer>>>B.
A nurseis assistingwith caring for a clientwho has a newconcussionfollowinga motor- vehicle
crash. The nurse should monitor the client for which of the following manifestations of increased
intracranial pressure?
1) Polyuria
2) Battle'ssign
3) Nuchal rigidity
4) Lethargy- answer>>>D.
A nurse is reinforcing teaching about a tonometry examination with a client who has
manifestationsof glaucoma.Which of thefollowingstatementsshouldthenurseinclude in the
teaching?
1) "Tonometryis performedto evaluateperipheralvision."
2) "This testwill diagnosethetypeof your glaucoma."
3) "Tonometrywill allowinspectionof theopticdisc for signs of degeneration."
4) "This testwill measuretheintraocularpressureof theeye."- answer>>>D.
A nurseis reviewingthelaboratoryresultsof a clientwho is taking cyclosporinefollowing a
kidney transplant. Which of the following laboratory findings should the nurse identify as the
most important to report to the provider?
1) Increasein serumglucose
2) Increasein serumcreatinine
3) Decreasein whitebloodcell count
4) Decreasein platelets- answer>>>B.
A nurseis checkingfor paradoxicalbloodpressureon a clientwho has constrictive pericarditis.
Which of the following findings should the nurse expect?
1) Apical pulseratedifferentthan theradialpulserate
, 2) Increasein heartrateby 20% whenstanding
3) Drop in systolicBP by 20 mm Hg whenmoving from a lying to a sitting position
4) Drop in systolicBP morethan 10 mm Hg on inspiration- answer>>>D.
A nurseis caring for a clientwho has Alzheimer'sdisease.The nursediscoverstheclient entering the
room of another client, who becomes upset and frightened. Which of the following actions should
the nurse take?
1) Attemptto determinewhattheclientwaslooking for.
2) Explain theclient'sAlzheimer'sdiagnosisto thefrightenedclient.
3) Reprimandtheclientfor invading theotherclient'sprivacy.
4) Ask theclientto apologizefor his behavior.- answer>>>A.
A nurseis caring for a clientimmediatelyfollowinga cardiaccatheterizationwith a femoral artery
approach. Which of the following actions should the nurse take?
1) Check pedalpulsesevery15 min.
2) Performpassiverange-of-motionfor theaffectedextremity.
3) Remind theclientnot to turn from sideto side.
4) Keep theclientin high-Fowler'spositionfor 6 hr. - answer>>>A.
A nurseis assistingwith planning an immunizationclinic for olderadultclients.Which of the
following information should the nurse plan to include about influenza?
1) Individualsat high risk shouldreceivethelive influenzavaccine.
2) Immunizationfor influenzashouldberepeatedevery10 years.
3) The compositionof theinfluenzavaccinechangesyearly.
4) The influenzavaccineis necessaryonly for clientswho haveneverhad influenza.-
answer>>>C.
A nurseis caring for an olderadultclientwho has colon cancer.The clientasks thenurse several
questions about his treatment plan. Which of the following actions should the nurse take?
1) Tell theclientto havea family membercall theproviderto ask whatoptionshe plans to
recommend.
2) Assuretheclientthattheproviderwill tell him whatis planned.
3) Help theclientwritedownquestionsto ask his provider.
4) Providetheclientwith a pamphletof informationaboutcancer.- answer>>>C.
A nurseis caring for a clientwho has hemiplegiafollowinga stroke.The client'sadultson is
distressed over his mother's crying and condition. Which of the following responses should the
nurse make?
AccurateReal Exam 150Questionsand Verified
Correct Answers JUST RELEASED
A nurseis reinforcingteachingwith a clientwho has a newprescriptionfor epoetinalfa. The nurse
should reinforce to the client to take which of the following dietary supplements with this
medication?
1) Vitamin D
2) Vitamin A
3) Iron
4) Niacin - answer>>>C.
A nurseis caring for a clientaftera radicalneck dissection.To which of thefollowing should the
nurse give priority in the immediate postoperative period?
1) Malnourishmentrelatedto NPO statusand dysphagia
2) Impairedverbalcommunicationrelatedto thetracheostomy
3) High risk for infectionrelatedto surgicalincisions
4) Ineffectiveairwayclearancerelatedto thick, copioussecretions- answer>>>D.
A nurseis contributingto theplan of carefor a clientwho has a spinal cord injury at level C8 who
is admitted for comprehensive rehabilitation. Which of the following-term long goals is
appropriate with regard to the client's mobility?
1) Walk with leg bracesand crutches.
2) Drive an electricwheelchairwith a hand-controldevice.
3) Drive an electricwheelchairequippedwith a chin-controldevice.
4) Propela wheelchairequippedwith knobson thewheels.- answer>>>D.
A nurse is reinforcing health teaching about skin cancer with a group of clients. Which of the
followingrisk factorsshouldthe nurseidentifyas theleadingcauseof non-melanoma skin cancer?
1) Exposureto environmentalpollutants
2) Sun exposure.
3) History of viral illness
4) Scarsfrom a severeburn - answer>>>B.
Based on a client's recent history, a nurse suspects that a client is beginning menopause.ofWhich
thefollowingquestionsshouldthenurseask theclientto help confirm theclient is experiencing
manifestations of menopause?
,1) "Do you sleepwellat night?"
2) "Haveyou beenexperiencingchills?"
3) "Haveyou experiencedincreasedhair growth?"
4) "Whendid you beginyour menses?"- answer>>>A.
A nurseis reinforcingteachingwith a clientaboutcancerpreventionand plansto address the
importance of foods high in antioxidants. Which of the following foods should the nurse include
in the teaching?
1) Cottagecheese2) Fresh berries
3) Bran cereal
4) Skim milk - answer>>>B.
A nurseis assistingwith caring for a clientwho has a newconcussionfollowinga motor- vehicle
crash. The nurse should monitor the client for which of the following manifestations of increased
intracranial pressure?
1) Polyuria
2) Battle'ssign
3) Nuchal rigidity
4) Lethargy- answer>>>D.
A nurse is reinforcing teaching about a tonometry examination with a client who has
manifestationsof glaucoma.Which of thefollowingstatementsshouldthenurseinclude in the
teaching?
1) "Tonometryis performedto evaluateperipheralvision."
2) "This testwill diagnosethetypeof your glaucoma."
3) "Tonometrywill allowinspectionof theopticdisc for signs of degeneration."
4) "This testwill measuretheintraocularpressureof theeye."- answer>>>D.
A nurseis reviewingthelaboratoryresultsof a clientwho is taking cyclosporinefollowing a
kidney transplant. Which of the following laboratory findings should the nurse identify as the
most important to report to the provider?
1) Increasein serumglucose
2) Increasein serumcreatinine
3) Decreasein whitebloodcell count
4) Decreasein platelets- answer>>>B.
A nurseis checkingfor paradoxicalbloodpressureon a clientwho has constrictive pericarditis.
Which of the following findings should the nurse expect?
1) Apical pulseratedifferentthan theradialpulserate
, 2) Increasein heartrateby 20% whenstanding
3) Drop in systolicBP by 20 mm Hg whenmoving from a lying to a sitting position
4) Drop in systolicBP morethan 10 mm Hg on inspiration- answer>>>D.
A nurseis caring for a clientwho has Alzheimer'sdisease.The nursediscoverstheclient entering the
room of another client, who becomes upset and frightened. Which of the following actions should
the nurse take?
1) Attemptto determinewhattheclientwaslooking for.
2) Explain theclient'sAlzheimer'sdiagnosisto thefrightenedclient.
3) Reprimandtheclientfor invading theotherclient'sprivacy.
4) Ask theclientto apologizefor his behavior.- answer>>>A.
A nurseis caring for a clientimmediatelyfollowinga cardiaccatheterizationwith a femoral artery
approach. Which of the following actions should the nurse take?
1) Check pedalpulsesevery15 min.
2) Performpassiverange-of-motionfor theaffectedextremity.
3) Remind theclientnot to turn from sideto side.
4) Keep theclientin high-Fowler'spositionfor 6 hr. - answer>>>A.
A nurseis assistingwith planning an immunizationclinic for olderadultclients.Which of the
following information should the nurse plan to include about influenza?
1) Individualsat high risk shouldreceivethelive influenzavaccine.
2) Immunizationfor influenzashouldberepeatedevery10 years.
3) The compositionof theinfluenzavaccinechangesyearly.
4) The influenzavaccineis necessaryonly for clientswho haveneverhad influenza.-
answer>>>C.
A nurseis caring for an olderadultclientwho has colon cancer.The clientasks thenurse several
questions about his treatment plan. Which of the following actions should the nurse take?
1) Tell theclientto havea family membercall theproviderto ask whatoptionshe plans to
recommend.
2) Assuretheclientthattheproviderwill tell him whatis planned.
3) Help theclientwritedownquestionsto ask his provider.
4) Providetheclientwith a pamphletof informationaboutcancer.- answer>>>C.
A nurseis caring for a clientwho has hemiplegiafollowinga stroke.The client'sadultson is
distressed over his mother's crying and condition. Which of the following responses should the
nurse make?
