MEDSURG 2 HESI PRACTICE
QUESTIONS AND ANSWERS
A client is admitted to the hospital with symptoms consistent with right hemisphere
gv gv gv gv gv gv gv gv gv gv gv gv gv
stroke. With gv
Neurovascular assessment requires immediate intervention by the nurse? gv gv gv gv gv gv gv
A. Pupillary changes to ipsilateral dilation
gv gv gv gv gv
B. Orientation to person and place only.
gv gv gv gv gv gv
C. Left Sided Facial dropping and dysphagia
gv gv gv gv gv gv
D. Unequal bilateral hand grip strengths - ANSWERS-A
gv gv gv gv gv gv gv
Achieve maximum mobility and independence for a client multiple sclerosis (MS).
gv gv gv gv gv gv gv gv gv gv gv
Which intervention gv
is most important for the nurse to implement?
gv gv gv gv gv gv gv
A. Provide a walker for ambulation
gv gv gv gv gv
B. Frequently assist client to the bathroom
gv gv gv gv gv gv
C. Apply alternating patches over the eyes
gv gv gv gv gv gv
D. Teach strengthing exercises - ANSWERS-D
gv gv gv gv gv
The Nurse is teaching a client with glomerulonephritis about self-
gv gv gv gv gv gv gv gv gv
care. Which dietary recommendations
gv gv gv
should the nurse recommend the client to follow?
gv gv gv gv gv gv gv
A. Limit oral Fluid intake to 500 mL per day
gv gv gv gv gv gv gv gv gv
B. Restrict protein intake by including meats and other high protein foods
gv gv gv gv gv gv gv gv gv gv gv
C. Increase intake of potassium-rich foods such as bananas or cantaloupe
gv gv gv gv gv gv gv gv gv gv
D. Increase intake of high fiber foods, such as bran cereal. - ANSWERS-B
gv gv gv gv gv gv gv gv gv gv gv gv
The nurse Is caring for a client with herpes zoster who reports painful blisters that
gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv
align from the back gv gv gv
along the chest curvature to the anterior chest. Which intervention is the highest pr
gv gv gv gv gv gv gv gv gv gv gv gv gv
iority for the nurse?
gv gv gv
A. Place the client on contact precaution
gv gv gv gv gv gv
B. Administer antiviral medication
gv gv gv
C. Place wet compresses to ruptured vesicles
gv gv gv gv gv gv
D. Administer narcotic analgesics - ANSWERS-A
gv gv gv gv gv
A young adult who suffered a severe brain injury in an automobile collision has be
gv gv gv gv gv gv gv gv gv gv gv gv gv gv
en mechanically
gv
ventilated for the past three days and has no spontaneous respiratory effort. After
gv gv gv gv gv gv gv gv gv gv gv gv gv
serial
electroencephalograms (EEG) reveal no brain activity, the healthcare provider disc gv gv gv gv gv gv gv gv gv
usses end-of-life gv
options with family who agree to discontinue life support. Which intervention should
gv gv gv gv gv gv gv gv gv gv gv
the nurse
gv gv
implement?
A. Ask the family if they wish would remain at bedside during withdrawal
gv gv gv gv gv gv gv gv gv gv gv gv
B. Request a living will be placed in the client's medical record
gv gv gv gv gv gv gv gv gv gv gv
C. Discuss the withdrawal procedure with the family and offer support
gv gv gv gv gv gv gv gv gv gv
, D. Turn off the mechanical ventilator and note the time of death - ANSWERS-C
gv gv gv gv gv gv gv gv gv gv gv gv gv
Following a transurethral resection of the prostate (TURP), a client is discharged fr
gv gv gv gv gv gv gv gv gv gv gv gv
om the hospital with
gv gv gv
an indwelling urinary catheter. Which instruction is most important for the nurse to i
gv gv gv gv gv gv gv gv gv gv gv gv gv
nclude in the gv gv
discharge teaching plan? gv gv
A. Eliminate all the spicy food from your diet
gv gv gv gv gv gv gv gv
B. Drinl 3 liters of water each day
gv gv gv gv gv gv gv
C. Clamp the catheter when taking a shower
gv gv gv gv gv gv gv
D. Avoid driving a car for 2 weeks - ANSWERS-B
gv gv gv gv gv gv gv gv gv
On the first postoperative day, the nurse finds an older male client disoriented and
gv gv gv gv gv gv gv gv gv gv gv gv gv gv
trying to climb over gv gv gv
the bed railing. Previously he was oriented to person, place, and time on admissio
gv gv gv gv gv gv gv gv gv gv gv gv gv
n. Which intervention
gv gv
should the nurse implement first?
gv gv gv gv
A. Apply wrist restraints
gv gv gv
B. Determine the clients blood pressure
gv gv gv gv gv
C. Administer a mild sedative
gv gv gv gv
D. Asses the client for pain - ANSWERS-D
gv gv gv gv gv gv gv
Acute soft- gv
tissue injuries (I.e. sprains, strains) provide the nurse with a variety of teaching opp
gv gv gv gv gv gv gv gv gv gv gv gv gv
ortunities.
Which instruction should the nurse provide to a client with a soft-tissue injury?
gv gv gv gv gv gv gv gv gv gv gv gv
A. Watch for shortness of breath which may indicate a fat embolus
gv gv gv gv gv gv gv gv gv gv gv
B. Begin range of motion exercises within the first 24 hours
gv gv gv gv gv gv gv gv gv gv
C. Apply Ice intermittently for the first 24 hours
gv gv gv gv gv gv gv gv
D. After edema subsides, apply heat continuously - ANSWERS-C
gv gv gv gv gv gv gv gv
A male client is admitted to the rehabilitation unit following a cerebrovascular (CVA
gv gv gv gv gv gv gv gv gv gv gv gv
), which resulted in
gv gv gv
paralysis of his right arm. When the nurse enters the room, he is struggling to put
gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv
on a shirt, and he
gv gv gv gv
curses at the nurse. What is the best response from the nurse?
gv gv gv gv gv gv gv gv gv gv gv
A. "We will give you a class on dressing tomorrow"
gv gv gv gv gv gv gv gv gv
B. This unit has a policy against staff harassment
gv gv gv gv gv gv gv gv
C. Dressing must be a frustrating experience for you"
gv gv gv gv gv gv gv gv
D. "It is important to dress the right arm first" - ANSWERS-C
gv gv gv gv gv gv gv gv gv gv gv
A client returns to unit following a craniotomy for removal of brain tumor and is obt
gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv
unded but arouses gv gv
to painful stimuli. Which assessment is most important for the nurse to obtain?
gv gv gv gv gv gv gv gv gv gv gv gv
A. Drainage on dressing
gv gv gv
B. Last administration of analgesia
gv gv gv gv
C. Body temperature
gv gv
D. Serial blood pressure and pulse - ANSWERS-B
gv gv gv gv gv gv gv
QUESTIONS AND ANSWERS
A client is admitted to the hospital with symptoms consistent with right hemisphere
gv gv gv gv gv gv gv gv gv gv gv gv gv
stroke. With gv
Neurovascular assessment requires immediate intervention by the nurse? gv gv gv gv gv gv gv
A. Pupillary changes to ipsilateral dilation
gv gv gv gv gv
B. Orientation to person and place only.
gv gv gv gv gv gv
C. Left Sided Facial dropping and dysphagia
gv gv gv gv gv gv
D. Unequal bilateral hand grip strengths - ANSWERS-A
gv gv gv gv gv gv gv
Achieve maximum mobility and independence for a client multiple sclerosis (MS).
gv gv gv gv gv gv gv gv gv gv gv
Which intervention gv
is most important for the nurse to implement?
gv gv gv gv gv gv gv
A. Provide a walker for ambulation
gv gv gv gv gv
B. Frequently assist client to the bathroom
gv gv gv gv gv gv
C. Apply alternating patches over the eyes
gv gv gv gv gv gv
D. Teach strengthing exercises - ANSWERS-D
gv gv gv gv gv
The Nurse is teaching a client with glomerulonephritis about self-
gv gv gv gv gv gv gv gv gv
care. Which dietary recommendations
gv gv gv
should the nurse recommend the client to follow?
gv gv gv gv gv gv gv
A. Limit oral Fluid intake to 500 mL per day
gv gv gv gv gv gv gv gv gv
B. Restrict protein intake by including meats and other high protein foods
gv gv gv gv gv gv gv gv gv gv gv
C. Increase intake of potassium-rich foods such as bananas or cantaloupe
gv gv gv gv gv gv gv gv gv gv
D. Increase intake of high fiber foods, such as bran cereal. - ANSWERS-B
gv gv gv gv gv gv gv gv gv gv gv gv
The nurse Is caring for a client with herpes zoster who reports painful blisters that
gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv
align from the back gv gv gv
along the chest curvature to the anterior chest. Which intervention is the highest pr
gv gv gv gv gv gv gv gv gv gv gv gv gv
iority for the nurse?
gv gv gv
A. Place the client on contact precaution
gv gv gv gv gv gv
B. Administer antiviral medication
gv gv gv
C. Place wet compresses to ruptured vesicles
gv gv gv gv gv gv
D. Administer narcotic analgesics - ANSWERS-A
gv gv gv gv gv
A young adult who suffered a severe brain injury in an automobile collision has be
gv gv gv gv gv gv gv gv gv gv gv gv gv gv
en mechanically
gv
ventilated for the past three days and has no spontaneous respiratory effort. After
gv gv gv gv gv gv gv gv gv gv gv gv gv
serial
electroencephalograms (EEG) reveal no brain activity, the healthcare provider disc gv gv gv gv gv gv gv gv gv
usses end-of-life gv
options with family who agree to discontinue life support. Which intervention should
gv gv gv gv gv gv gv gv gv gv gv
the nurse
gv gv
implement?
A. Ask the family if they wish would remain at bedside during withdrawal
gv gv gv gv gv gv gv gv gv gv gv gv
B. Request a living will be placed in the client's medical record
gv gv gv gv gv gv gv gv gv gv gv
C. Discuss the withdrawal procedure with the family and offer support
gv gv gv gv gv gv gv gv gv gv
, D. Turn off the mechanical ventilator and note the time of death - ANSWERS-C
gv gv gv gv gv gv gv gv gv gv gv gv gv
Following a transurethral resection of the prostate (TURP), a client is discharged fr
gv gv gv gv gv gv gv gv gv gv gv gv
om the hospital with
gv gv gv
an indwelling urinary catheter. Which instruction is most important for the nurse to i
gv gv gv gv gv gv gv gv gv gv gv gv gv
nclude in the gv gv
discharge teaching plan? gv gv
A. Eliminate all the spicy food from your diet
gv gv gv gv gv gv gv gv
B. Drinl 3 liters of water each day
gv gv gv gv gv gv gv
C. Clamp the catheter when taking a shower
gv gv gv gv gv gv gv
D. Avoid driving a car for 2 weeks - ANSWERS-B
gv gv gv gv gv gv gv gv gv
On the first postoperative day, the nurse finds an older male client disoriented and
gv gv gv gv gv gv gv gv gv gv gv gv gv gv
trying to climb over gv gv gv
the bed railing. Previously he was oriented to person, place, and time on admissio
gv gv gv gv gv gv gv gv gv gv gv gv gv
n. Which intervention
gv gv
should the nurse implement first?
gv gv gv gv
A. Apply wrist restraints
gv gv gv
B. Determine the clients blood pressure
gv gv gv gv gv
C. Administer a mild sedative
gv gv gv gv
D. Asses the client for pain - ANSWERS-D
gv gv gv gv gv gv gv
Acute soft- gv
tissue injuries (I.e. sprains, strains) provide the nurse with a variety of teaching opp
gv gv gv gv gv gv gv gv gv gv gv gv gv
ortunities.
Which instruction should the nurse provide to a client with a soft-tissue injury?
gv gv gv gv gv gv gv gv gv gv gv gv
A. Watch for shortness of breath which may indicate a fat embolus
gv gv gv gv gv gv gv gv gv gv gv
B. Begin range of motion exercises within the first 24 hours
gv gv gv gv gv gv gv gv gv gv
C. Apply Ice intermittently for the first 24 hours
gv gv gv gv gv gv gv gv
D. After edema subsides, apply heat continuously - ANSWERS-C
gv gv gv gv gv gv gv gv
A male client is admitted to the rehabilitation unit following a cerebrovascular (CVA
gv gv gv gv gv gv gv gv gv gv gv gv
), which resulted in
gv gv gv
paralysis of his right arm. When the nurse enters the room, he is struggling to put
gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv
on a shirt, and he
gv gv gv gv
curses at the nurse. What is the best response from the nurse?
gv gv gv gv gv gv gv gv gv gv gv
A. "We will give you a class on dressing tomorrow"
gv gv gv gv gv gv gv gv gv
B. This unit has a policy against staff harassment
gv gv gv gv gv gv gv gv
C. Dressing must be a frustrating experience for you"
gv gv gv gv gv gv gv gv
D. "It is important to dress the right arm first" - ANSWERS-C
gv gv gv gv gv gv gv gv gv gv gv
A client returns to unit following a craniotomy for removal of brain tumor and is obt
gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv
unded but arouses gv gv
to painful stimuli. Which assessment is most important for the nurse to obtain?
gv gv gv gv gv gv gv gv gv gv gv gv
A. Drainage on dressing
gv gv gv
B. Last administration of analgesia
gv gv gv gv
C. Body temperature
gv gv
D. Serial blood pressure and pulse - ANSWERS-B
gv gv gv gv gv gv gv
