MED SURG II HESI CORRECT FINALS QUESTIONS
AND ANSWERS SURE A+
✔✔A client who is recovering from gastric surgery is receiving IV fluids to be infused at
100 mL/h. The IV tubing delivers 15 gtt/mL. The nurse should infuse the solution at a
flow rate of how many drops per minute to ensure that the client receives 100 mL/h?
____________ gtt/min. - ✔✔25 gtt/min
To administer IV fluids at 100 mL/h using tubing that has a drip factor of 15 gtt/mL, the
nurse should use the following formula: 100 mL/60 minutes × 15 gtts/1 mL = 25 gtt/min.
✔✔Following a gastrectomy, the nurse should position the client in which of the
following positions?
1. Prone.
2. Supine.
3. Low Fowler's.
4. Right or left Sims. - ✔✔3. Low Fowler's
✔✔After a subtotal gastrectomy, the nurse is developing a plan with the client to assist
the client to gain weight. To help the client meet nutritional goals at home, the nurse
should:
1. Instruct the client to increase the amount eaten at each meal.
2. Encourage the client to eat smaller amounts more frequently.
3. Explain that if vomiting occurs after a meal, nothing more should be eaten that day.
4. Inform the client that bland foods are typically less nutritional and should be used
minimally. - ✔✔2. Encourage the client to eat smaller amounts more frequently.
✔✔To reduce the risk of dumping syndrome, the nurse should teach the client to do
which of the following?
,1. Sit upright for 30 minutes after meals.
2. Drink liquids with meals, avoiding caffeine.
3. Avoid milk and other dairy products.
4. Decrease the carbohydrate content of meals. - ✔✔4. Decrease the carbohydrate
content of meals.
✔✔A client who is recovering from a subtotal gastrectomy experiences dumping
syndrome. The client asks the nurse, "When will I be able to eat three meals a day
again like I used to?" Which of the following responses by the nurse is most
appropriate?
1. "Eating six meals a day is time-consuming, isn't it?"
2. "You will have to eat six small meals a day for the rest of your life."
3. "You will be able to tolerate three meals a day before you are discharged."
4. "Most clients can resume their normal meal patterns in about 6 to 12 months." - ✔✔4.
"Most clients can resume their normal meal patterns in about 6 to 12 months."
✔✔What should the nurse teach a client about how to avoid the dumping syndrome?
Select all that apply.
1. Consume three regularly spaced meals per day.
2. Eat a diet with high-carbohydrate foods with each meal.
3. Reduce fluids with meals, but take them between meals.
4. Obtain adequate amounts of protein and fat in each meal.
5. Eat in a relaxing environment. - ✔✔3. Reduce fluids with meals, but take them
between meals.
4. Obtain adequate amounts of protein and fat in each meal.
5. Eat in a relaxing environment.
✔✔After surgery for gastric cancer, a client is scheduled to undergo radiation
therapy. It will be most important for the nurse to include information about which of the
following in the client's teaching plan?
1. Nutritional intake.
2. Management of alopecia.
3. Exercise and activity levels.
4. Access to community resources. - ✔✔1. Nutritional intake.
✔✔The nurse should instruct the client with a platelet count of 31,000/μL (31 ×
109/L) to:
1. Pad sharp surfaces to avoid minor trauma when walking.
2. Assess for spontaneous petechiae in the extremities.
3. Keep the room darkened.
, 4. Check for blood in the urine. - ✔✔1. Pad sharp surfaces to avoid minor trauma when
walking.
✔✔A client with a history of systemic lupus erythematosus was admitted with a severe
viral respiratory tract infection and diffuse petechiae. Based on these data, it is most
important that the nurse further evaluate the client's recent:
1. Quality and quantity of food intake.
2. Type and amount of fluid intake.
3. Weakness, fatigue, and ability to get around.
4. Length and amount of menstrual flow. - ✔✔4. Length and amount of menstrual flow.
✔✔When a client with thrombocytopenia has a severe headache, the nurse
interprets that this may indicate which of the following?
1. Stress of the disease.
2. Cerebral bleeding.
3. Migraine headache.
4. Sinus congestion. - ✔✔2. Cerebral bleeding.
✔✔The nurse evaluates that the client correctly understands how to report signs and
symptoms of bleeding when the client makes which of the following statements?
1. "Petechiae are large, red skin bruises."
2. "Ecchymoses are large, purple skin bruises."
3. "Purpura is an open cut on the skin."
4. "Abrasions are small pinpoint red dots on the skin." - ✔✔2. "Ecchymoses are large,
purple skin bruises."
✔✔The nurse should instruct the client with a platelet count of less than 150,000/μL
(150 × 109/L) to avoid which of the following activities?
1. Ambulation.
2. Valsalva's maneuver.
3. Visiting with children.
4. Semi-Fowler's position. - ✔✔2. Valsalva's maneuver.
✔✔A client who is taking acetylsalicylic acid (ASA) caplets develops prolonged bleeding
from a superficial skin injury on the forearm. The nurse should tell the client to do which
of the following first?
1. Place the forearm under a running stream of lukewarm water.
2. Pat the injury with a dry washcloth.
3. Wrap the entire forearm from the wrist to the elbow.
4. Apply an ice pack for 20 minutes - ✔✔4. Apply an ice pack for 20 minutes
AND ANSWERS SURE A+
✔✔A client who is recovering from gastric surgery is receiving IV fluids to be infused at
100 mL/h. The IV tubing delivers 15 gtt/mL. The nurse should infuse the solution at a
flow rate of how many drops per minute to ensure that the client receives 100 mL/h?
____________ gtt/min. - ✔✔25 gtt/min
To administer IV fluids at 100 mL/h using tubing that has a drip factor of 15 gtt/mL, the
nurse should use the following formula: 100 mL/60 minutes × 15 gtts/1 mL = 25 gtt/min.
✔✔Following a gastrectomy, the nurse should position the client in which of the
following positions?
1. Prone.
2. Supine.
3. Low Fowler's.
4. Right or left Sims. - ✔✔3. Low Fowler's
✔✔After a subtotal gastrectomy, the nurse is developing a plan with the client to assist
the client to gain weight. To help the client meet nutritional goals at home, the nurse
should:
1. Instruct the client to increase the amount eaten at each meal.
2. Encourage the client to eat smaller amounts more frequently.
3. Explain that if vomiting occurs after a meal, nothing more should be eaten that day.
4. Inform the client that bland foods are typically less nutritional and should be used
minimally. - ✔✔2. Encourage the client to eat smaller amounts more frequently.
✔✔To reduce the risk of dumping syndrome, the nurse should teach the client to do
which of the following?
,1. Sit upright for 30 minutes after meals.
2. Drink liquids with meals, avoiding caffeine.
3. Avoid milk and other dairy products.
4. Decrease the carbohydrate content of meals. - ✔✔4. Decrease the carbohydrate
content of meals.
✔✔A client who is recovering from a subtotal gastrectomy experiences dumping
syndrome. The client asks the nurse, "When will I be able to eat three meals a day
again like I used to?" Which of the following responses by the nurse is most
appropriate?
1. "Eating six meals a day is time-consuming, isn't it?"
2. "You will have to eat six small meals a day for the rest of your life."
3. "You will be able to tolerate three meals a day before you are discharged."
4. "Most clients can resume their normal meal patterns in about 6 to 12 months." - ✔✔4.
"Most clients can resume their normal meal patterns in about 6 to 12 months."
✔✔What should the nurse teach a client about how to avoid the dumping syndrome?
Select all that apply.
1. Consume three regularly spaced meals per day.
2. Eat a diet with high-carbohydrate foods with each meal.
3. Reduce fluids with meals, but take them between meals.
4. Obtain adequate amounts of protein and fat in each meal.
5. Eat in a relaxing environment. - ✔✔3. Reduce fluids with meals, but take them
between meals.
4. Obtain adequate amounts of protein and fat in each meal.
5. Eat in a relaxing environment.
✔✔After surgery for gastric cancer, a client is scheduled to undergo radiation
therapy. It will be most important for the nurse to include information about which of the
following in the client's teaching plan?
1. Nutritional intake.
2. Management of alopecia.
3. Exercise and activity levels.
4. Access to community resources. - ✔✔1. Nutritional intake.
✔✔The nurse should instruct the client with a platelet count of 31,000/μL (31 ×
109/L) to:
1. Pad sharp surfaces to avoid minor trauma when walking.
2. Assess for spontaneous petechiae in the extremities.
3. Keep the room darkened.
, 4. Check for blood in the urine. - ✔✔1. Pad sharp surfaces to avoid minor trauma when
walking.
✔✔A client with a history of systemic lupus erythematosus was admitted with a severe
viral respiratory tract infection and diffuse petechiae. Based on these data, it is most
important that the nurse further evaluate the client's recent:
1. Quality and quantity of food intake.
2. Type and amount of fluid intake.
3. Weakness, fatigue, and ability to get around.
4. Length and amount of menstrual flow. - ✔✔4. Length and amount of menstrual flow.
✔✔When a client with thrombocytopenia has a severe headache, the nurse
interprets that this may indicate which of the following?
1. Stress of the disease.
2. Cerebral bleeding.
3. Migraine headache.
4. Sinus congestion. - ✔✔2. Cerebral bleeding.
✔✔The nurse evaluates that the client correctly understands how to report signs and
symptoms of bleeding when the client makes which of the following statements?
1. "Petechiae are large, red skin bruises."
2. "Ecchymoses are large, purple skin bruises."
3. "Purpura is an open cut on the skin."
4. "Abrasions are small pinpoint red dots on the skin." - ✔✔2. "Ecchymoses are large,
purple skin bruises."
✔✔The nurse should instruct the client with a platelet count of less than 150,000/μL
(150 × 109/L) to avoid which of the following activities?
1. Ambulation.
2. Valsalva's maneuver.
3. Visiting with children.
4. Semi-Fowler's position. - ✔✔2. Valsalva's maneuver.
✔✔A client who is taking acetylsalicylic acid (ASA) caplets develops prolonged bleeding
from a superficial skin injury on the forearm. The nurse should tell the client to do which
of the following first?
1. Place the forearm under a running stream of lukewarm water.
2. Pat the injury with a dry washcloth.
3. Wrap the entire forearm from the wrist to the elbow.
4. Apply an ice pack for 20 minutes - ✔✔4. Apply an ice pack for 20 minutes
