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MED SURG HESI V2 - 2024/2025
Questions and Verified Answers
What information should the nurse include in the teaching plan of a client diagnosed with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose comfortable clothing
D. Avoid participation in any aerobic exercise program Ans: Minimize symptoms by wearing loose
comfortable clothing
After hospitalization for SIADH, a client develops pontine myelinolysis. Which intervention should the
nurse implement first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate clients ability to swallow
D. Perform range of motion exercises Ans: Reorient client to room
A male client with heart failure calls the clinic and reports that he cannot put his shoes on because they
are too tight. Which additional information should the nurse obtain?
A. What time did he take his medication?
B. Has his weight changed in the last several days?
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C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night? Ans: Has his weight changed in the last several days?
An older adult woman with a long history of COPD is admitted with progressive shortness of breath
and a persistent cough, is anxious, and is complaining of dry mouth. which intervention should the
nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high flow Venturi mask
D. Assist her to an upright position Ans: Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath,
productive cough with thickening mucous and the inability to walk up a flight of stairs without
experiencing breathlessness. Which action is most important for the nurse to instruct the client about
self care?
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogens exposure
C. Call the clinic if undesirable side effects or medications Ans: Increase the daily intake of oral fluids to
liquify secretions
A cardiac catherization of a client with heart disease indicates the following blockages: 95% proximal
left anterior descending (LAD), 99% proximal circumflex, and 95% proximal right coronary artery
(RCA) the client later asks the nurse "What does all of that mean for me?" What information should the
nurse provide.
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B. Three main arteries have major blockages, with only 1-5% of the blood flow getting through to the
heart muscles Ans: Three main arteries have major blockages, with only 1-5% of the blood flow getting
through to the heart muscles
The nurse is caring for a client with a lower left lobe pulmonary abscess. what position should the nurse
instruct the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest Ans: Left lateral
A client with Cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink
without becoming nauseous and vomiting. Which finding should the nurse report to the healthcare
provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence Ans: Yellow sclera
While caring for a client with Amyotrophic lateral sclerosis (ALS) a nurse performs a neurological
assessment every 4 hours. Which assessment finding warrants immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
MED SURG HESI V2 - 2024/2025
Questions and Verified Answers
What information should the nurse include in the teaching plan of a client diagnosed with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose comfortable clothing
D. Avoid participation in any aerobic exercise program Ans: Minimize symptoms by wearing loose
comfortable clothing
After hospitalization for SIADH, a client develops pontine myelinolysis. Which intervention should the
nurse implement first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate clients ability to swallow
D. Perform range of motion exercises Ans: Reorient client to room
A male client with heart failure calls the clinic and reports that he cannot put his shoes on because they
are too tight. Which additional information should the nurse obtain?
A. What time did he take his medication?
B. Has his weight changed in the last several days?
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C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night? Ans: Has his weight changed in the last several days?
An older adult woman with a long history of COPD is admitted with progressive shortness of breath
and a persistent cough, is anxious, and is complaining of dry mouth. which intervention should the
nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high flow Venturi mask
D. Assist her to an upright position Ans: Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath,
productive cough with thickening mucous and the inability to walk up a flight of stairs without
experiencing breathlessness. Which action is most important for the nurse to instruct the client about
self care?
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogens exposure
C. Call the clinic if undesirable side effects or medications Ans: Increase the daily intake of oral fluids to
liquify secretions
A cardiac catherization of a client with heart disease indicates the following blockages: 95% proximal
left anterior descending (LAD), 99% proximal circumflex, and 95% proximal right coronary artery
(RCA) the client later asks the nurse "What does all of that mean for me?" What information should the
nurse provide.
, Page | 3
B. Three main arteries have major blockages, with only 1-5% of the blood flow getting through to the
heart muscles Ans: Three main arteries have major blockages, with only 1-5% of the blood flow getting
through to the heart muscles
The nurse is caring for a client with a lower left lobe pulmonary abscess. what position should the nurse
instruct the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest Ans: Left lateral
A client with Cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink
without becoming nauseous and vomiting. Which finding should the nurse report to the healthcare
provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence Ans: Yellow sclera
While caring for a client with Amyotrophic lateral sclerosis (ALS) a nurse performs a neurological
assessment every 4 hours. Which assessment finding warrants immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
