Med-Surg II HESI TEST BANK Q&A 2022/23

Med-SurgII v




HESI
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TESTBANK v




Q&A
2022/23
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, Med-Surg II HESI Test Bank v v v v



A.=Answer
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home.
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Which of the following instructions should the nurse include in the teaching?
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A. Take temperature once a day.
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B. Wash the armpits and genitals with a gentle cleanser daily.
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C. Change the litter boxes while wearing gloves.
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D. Wash dishes in warm water.
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A.=Answer
A nurse is caring for a client who is postoperative following a tracheostomy, and has copious
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and tenacious secretions. Which of the following is an acceptable method for the nurse to use
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to thin this client's secretions?
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A. Provide humidified oxygen.
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B. Perform chest physiotherapy prior to suctioning.
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C. Prelubricate the suction catheter tip with sterile saline when suctioning the airway.
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D. Hyperventilate the client with 100% oxygen before suctioning the airway..
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B.=Answer
Following admission, a client with a vascular occlusion of the right lower extremity calls the
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nurse and reports difficulty sleeping because of cold feet. Which of the following nursing
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actions should the nurse take to promote the client's comfort?
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A. Rub the client's feet briskly for several minutes.
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B. Obtain a pair of slipper socks for the client.
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C. Increase the client's oral fluid intake.
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D. Place a moist heating pad under the client's feet.
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C.=Answer
A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of
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the prostate (TURP). Which of the following is the priority finding for the nurse report to the
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provider?
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A. Emesis of 100 mL
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B. Oral temperature of 37.5° C (99.5° F)
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C. Thick, red-colored urine
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D. Pain level of 4 on a 0 to 10 rating scale
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A.=Answer
A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription
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for a hypothermia blanket. The nurse should monitor the client for which of the following
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adverse effects of the hypothermia blanket?
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A. Shivering
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B. Infection
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C. Burnsv


D. Hypervolemia
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, D.=Answer
A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus.
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Which of the following statements by the client indicates an understanding of the teaching?
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A. "I will carry a complex carbohydrate snack with me when I exercise."
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B. "I should exercise first thing in the morning before eating breakfast."
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C. "I should avoid injecting insulin into my thigh if I am going to go running."
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D. "I will not exercise if my urine is positive for ketones."
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A. =Answer
A nurse notes a small section of bowel protruding from the abdominal incision of a client who
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is postoperative. After calling for assistance, which of the following actions should the nurse
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vtake first? v


A. Cover the client's wound with a moist, sterile dressing.
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B. Have the client lie supine with knees flexed.
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C. Check the client's vital signs. v v v v


D. Inform the client about the need to return to surgery.
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B. =Answer
A nurse is collecting data from a client who has alcohol use disorder and is experiencing
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metabolic acidosis. Which of the following manifestations should the nurse expect?
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A. Cool, clammy skin.
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B. Hyperventilation
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C. Increased blood pressure
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D. Bradycardia
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A.=Answer
A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of
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the following should the nurse include in the teaching?
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A. Avoid bending at the waist.
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B. Remove the eye shield at bedtime.
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C. Limit the use of laxatives if constipated.
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D. Seeing flashes of light is an expected finding following extraction.
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C=Answer
A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily.
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The client refuses breakfast and reports nausea. Which of the following actions should the nurse
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take first?
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1) Suggest that the client rests before eating the meal.
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2) Request a dietary consult. v v v


3) Check the client's vital signs. v v v v


4) Request an order for an antiemetic. v v v v v




D.=Answer
A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The
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nurse suspects the client's wound is infected because the drainage from the dressing is yellow
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and thick. Which of the following findings should the nurse report as the type of drainage
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found?
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NURSINGENIUS Page 2 of 26