Med-Surg II HESI Exam - Set One Questions
With Accurate Answers
A 34-year-old female is diagnosed with hypothyroidism. The nurse should assess
the client for which of the following? (Select all that apply.)
1. rapid pulse
2. decreased energy and fatigue
3. weight gain of 10 lbs (4.5 kg)
4. fine, thin hair with hair loss
5. constipation
6. menorrhagia. correct answer 2. decreased energy and fatigue, 3. weight gain of
10 lbs (4.5 kg), 5. constipation, 6. menorrhagia
Clients with hypothyroidism exhibit symptoms indicating a lack of thyroid
hormone. Bradycardia, decreased energy and lethargy, memory problems, weight
gain, coarse hair, constipation, and menorrhagia are common signs and
symptoms of hypothyroidism.
CN: Physiological adaptation; CL: Analyze
A 60-year-old female is diagnosed with hypothyroidism. The nurse should
assess the client for which of the following?
1. Tachycardia.
2. Weight gain.
,3. Diarrhea.
4. Nausea. correct answer Weight gain
A client diagnosed with a deep vein thrombosis has heparin sodium infusing at
1,500 units/h. The concentration of heparin is 25,000 units/500 mL. If the infusion
remains at the same rate for a full 12-hour shift, how many milliliters of fluid will
infuse?
__________________________-mL. correct answer 360 mL
A client diagnosed with primary (essential) hypertension is taking
chlorothiazide (Diuril). The nurse determines teaching about this medication is
effective when the client makes the following statement. "I will (Select all that
apply.)
1. take my weight daily at the same time each day."
2. not drink alcoholic beverages while on this medication."
3. reduce salt intake in my diet."
4. reduce my dosage if I have severe dizziness."
5. use sunscreen if I have prolonged exposure to sunlight."
6. take the drug late in the evening." correct answer 1. take my weight daily at the
same time each day."
2. not drink alcoholic beverages while on this medication."
3. reduce salt intake in my diet."
5. use sunscreen if I have prolonged exposure to sunlight."
,A client has a nasogastric (NG) tube following a subtotal gastrectomy. The
nurse should:
1. Irrigate the tube with 30 mL of sterile water every hour, if needed.
2. Reposition the tube if it is not draining well.
3. Monitor the client for nausea, vomiting, and abdominal distention.
4. Turn the machine to high suction if the drainage is sluggish on low suction.
correct answer 3. Monitor the client for nausea, vomiting, and abdominal
distention.
A client has an emergency embolectomy for an embolus in the femoral artery.
After the client returns from the recovery room, in what order, from first to last,
should the nurse provide care?
1. Administer pain medication.
2. Draw blood for laboratory studies.
3. Regulate the IV infusion.
4. Monitor the pulses.
5. Inspect the dressing. correct answer 4. Monitor the pulses.
5. Inspect the dressing.
3. Regulate the IV infusion.
1. Administer pain medication.
2. Draw blood for laboratory studies.
, The nurse should first monitor the popliteal and the pedal pulses in the affected
extremity after arterial embolectomy. Monitoring peripheral pulses below the site
of
occlusion checks the arterial circulation in the involved extremity. The nurse
should next inspect the dressing to be sure that the client is not bleeding at the
surgical site. The
nurse should next regulate the IV infusion to prevent fluid overload. Then the
nurse should assess pain and administer pain medications as prescribed. Last, the
nurse can obtain blood for laboratory studies.
A client has been diagnosed with adenocarcinoma of the stomach and is
scheduled to undergo a subtotal gastrectomy (Billroth II procedure). During
preoperative teaching, the nurse is reinforcing information about the surgical
procedure. Which of the following explanations is most accurate?
1. The procedure will result in enlargement of the pyloric sphincter.
2. The procedure will result in anastomosis of the gastric stump to the jejunum.
3. The procedure will result in removal of the duodenum.
4. The procedure will result in repositioning of the vagus nerve. correct answer 2.
The procedure will result in anastomosis of the gastric stump to the jejunum.
A client has been on long-term prednisone therapy. The nurse should instruct the
client to consume a diet high in which of the following? Select all that apply.
1. Carbohydrate.
2. Protein.
3. Trans fat.
With Accurate Answers
A 34-year-old female is diagnosed with hypothyroidism. The nurse should assess
the client for which of the following? (Select all that apply.)
1. rapid pulse
2. decreased energy and fatigue
3. weight gain of 10 lbs (4.5 kg)
4. fine, thin hair with hair loss
5. constipation
6. menorrhagia. correct answer 2. decreased energy and fatigue, 3. weight gain of
10 lbs (4.5 kg), 5. constipation, 6. menorrhagia
Clients with hypothyroidism exhibit symptoms indicating a lack of thyroid
hormone. Bradycardia, decreased energy and lethargy, memory problems, weight
gain, coarse hair, constipation, and menorrhagia are common signs and
symptoms of hypothyroidism.
CN: Physiological adaptation; CL: Analyze
A 60-year-old female is diagnosed with hypothyroidism. The nurse should
assess the client for which of the following?
1. Tachycardia.
2. Weight gain.
,3. Diarrhea.
4. Nausea. correct answer Weight gain
A client diagnosed with a deep vein thrombosis has heparin sodium infusing at
1,500 units/h. The concentration of heparin is 25,000 units/500 mL. If the infusion
remains at the same rate for a full 12-hour shift, how many milliliters of fluid will
infuse?
__________________________-mL. correct answer 360 mL
A client diagnosed with primary (essential) hypertension is taking
chlorothiazide (Diuril). The nurse determines teaching about this medication is
effective when the client makes the following statement. "I will (Select all that
apply.)
1. take my weight daily at the same time each day."
2. not drink alcoholic beverages while on this medication."
3. reduce salt intake in my diet."
4. reduce my dosage if I have severe dizziness."
5. use sunscreen if I have prolonged exposure to sunlight."
6. take the drug late in the evening." correct answer 1. take my weight daily at the
same time each day."
2. not drink alcoholic beverages while on this medication."
3. reduce salt intake in my diet."
5. use sunscreen if I have prolonged exposure to sunlight."
,A client has a nasogastric (NG) tube following a subtotal gastrectomy. The
nurse should:
1. Irrigate the tube with 30 mL of sterile water every hour, if needed.
2. Reposition the tube if it is not draining well.
3. Monitor the client for nausea, vomiting, and abdominal distention.
4. Turn the machine to high suction if the drainage is sluggish on low suction.
correct answer 3. Monitor the client for nausea, vomiting, and abdominal
distention.
A client has an emergency embolectomy for an embolus in the femoral artery.
After the client returns from the recovery room, in what order, from first to last,
should the nurse provide care?
1. Administer pain medication.
2. Draw blood for laboratory studies.
3. Regulate the IV infusion.
4. Monitor the pulses.
5. Inspect the dressing. correct answer 4. Monitor the pulses.
5. Inspect the dressing.
3. Regulate the IV infusion.
1. Administer pain medication.
2. Draw blood for laboratory studies.
, The nurse should first monitor the popliteal and the pedal pulses in the affected
extremity after arterial embolectomy. Monitoring peripheral pulses below the site
of
occlusion checks the arterial circulation in the involved extremity. The nurse
should next inspect the dressing to be sure that the client is not bleeding at the
surgical site. The
nurse should next regulate the IV infusion to prevent fluid overload. Then the
nurse should assess pain and administer pain medications as prescribed. Last, the
nurse can obtain blood for laboratory studies.
A client has been diagnosed with adenocarcinoma of the stomach and is
scheduled to undergo a subtotal gastrectomy (Billroth II procedure). During
preoperative teaching, the nurse is reinforcing information about the surgical
procedure. Which of the following explanations is most accurate?
1. The procedure will result in enlargement of the pyloric sphincter.
2. The procedure will result in anastomosis of the gastric stump to the jejunum.
3. The procedure will result in removal of the duodenum.
4. The procedure will result in repositioning of the vagus nerve. correct answer 2.
The procedure will result in anastomosis of the gastric stump to the jejunum.
A client has been on long-term prednisone therapy. The nurse should instruct the
client to consume a diet high in which of the following? Select all that apply.
1. Carbohydrate.
2. Protein.
3. Trans fat.
