Med-Surg II HESI Exam Test Questions And Answers
Verified 100% Correct
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.
4. Potassium.
5. Calcium.
6. Vitamin D. - ...ANSWER✓✓✓2. Protein.
4. Potassium.
5. Calcium.
6. Vitamin D.
A client has been taking aluminum hydroxide 30 mL six times per day at
home to treat a peptic ulcer. The client has been unable to have a bowel
movement for 3 days. Based on this information, the nurse would
determine that which of the following is the most likely cause of the
client's constipation?
1. The client has not been including enough fiber in the diet.
,2. The client needs to increase the daily exercise.
3. The client is experiencing an adverse effect of the aluminum
hydroxide.
4. The client has developed a gastrointestinal obstruction. -
...ANSWER✓✓✓3. The client is experiencing an adverse effect of
the aluminum hydroxide.
A client is admitted with a 6.5-cm thoracic aneurysm. The nurse records
findings from the initial assessment in the client's chart, as shown below.
At 10:30 AM, the client has sharp mid-chest pain after having a bowel
movement. What should the nurse do first?
1. Assess the client's vital signs.
2. Administer a bolus of lactated Ringer's solution.
3. Assess the client's neurologic status.
4. Contact the physician. - ...ANSWER✓✓✓1. Assess the client's vital
signs.
A client is admitted with a diagnosis of thrombophlebitis and deep vein
thrombosis of the right leg. A loading dose of heparin has been given in
the emergency room, and IV heparin will be continued for the next
several days. The nurse should develop a plan of care for this client that
will involve:
,1. Administering aspirin as prescribed.
2. Encouraging green leafy vegetables in the diet.
3. Monitoring the client's prothrombin time (PT).
4. Monitoring the client's activated partial thromboplastin time (aPTT)
and
International Normalized Ratio (INR). - ...ANSWER✓✓✓4. Monitoring
the client's activated partial thromboplastin time (aPTT) and
International Normalized Ratio (INR).
A client is admitted with an acute onset of shortness of breath. A
diagnosis of pulmonary embolism is made. One common cause of
pulmonary embolism is:
1. Arteriosclerosis.
2. Aneurysm formation.
3. Deep vein thrombosis (DVT).
4. Varicose veins. - ...ANSWER✓✓✓3. Deep vein thrombosis (DVT).
A client is on complete bed rest. The nurse should assess the client for
risk for developing which of the following complications?
1. Air embolus.
, 2. Fat embolus.
3. Stress fractures.
4. Thrombophlebitis. - ...ANSWER✓✓✓4. Thrombophlebitis.
A client is receiving an IV infusion of 5% dextrose in water (D5W). The
skin around the IV insertion site is red, warm to touch, and painful. The
nurse should first:
1. Administer acetaminophen (Tylenol).
2. Change the D5W to normal saline.
3. Discontinue the IV.
4. Place a warm compress on the area. - ...ANSWER✓✓✓3.
Discontinue the IV.
A client is scheduled for an elective splenectomy. Immediately before
the client goes to surgery, the nurse should determine that the client has:
1. Voided completely.
2. Signed the consent.
3. Vital signs recorded.
4. Name band on wrist - ...ANSWER✓✓✓3. Vital signs recorded.
Verified 100% Correct
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.
4. Potassium.
5. Calcium.
6. Vitamin D. - ...ANSWER✓✓✓2. Protein.
4. Potassium.
5. Calcium.
6. Vitamin D.
A client has been taking aluminum hydroxide 30 mL six times per day at
home to treat a peptic ulcer. The client has been unable to have a bowel
movement for 3 days. Based on this information, the nurse would
determine that which of the following is the most likely cause of the
client's constipation?
1. The client has not been including enough fiber in the diet.
,2. The client needs to increase the daily exercise.
3. The client is experiencing an adverse effect of the aluminum
hydroxide.
4. The client has developed a gastrointestinal obstruction. -
...ANSWER✓✓✓3. The client is experiencing an adverse effect of
the aluminum hydroxide.
A client is admitted with a 6.5-cm thoracic aneurysm. The nurse records
findings from the initial assessment in the client's chart, as shown below.
At 10:30 AM, the client has sharp mid-chest pain after having a bowel
movement. What should the nurse do first?
1. Assess the client's vital signs.
2. Administer a bolus of lactated Ringer's solution.
3. Assess the client's neurologic status.
4. Contact the physician. - ...ANSWER✓✓✓1. Assess the client's vital
signs.
A client is admitted with a diagnosis of thrombophlebitis and deep vein
thrombosis of the right leg. A loading dose of heparin has been given in
the emergency room, and IV heparin will be continued for the next
several days. The nurse should develop a plan of care for this client that
will involve:
,1. Administering aspirin as prescribed.
2. Encouraging green leafy vegetables in the diet.
3. Monitoring the client's prothrombin time (PT).
4. Monitoring the client's activated partial thromboplastin time (aPTT)
and
International Normalized Ratio (INR). - ...ANSWER✓✓✓4. Monitoring
the client's activated partial thromboplastin time (aPTT) and
International Normalized Ratio (INR).
A client is admitted with an acute onset of shortness of breath. A
diagnosis of pulmonary embolism is made. One common cause of
pulmonary embolism is:
1. Arteriosclerosis.
2. Aneurysm formation.
3. Deep vein thrombosis (DVT).
4. Varicose veins. - ...ANSWER✓✓✓3. Deep vein thrombosis (DVT).
A client is on complete bed rest. The nurse should assess the client for
risk for developing which of the following complications?
1. Air embolus.
, 2. Fat embolus.
3. Stress fractures.
4. Thrombophlebitis. - ...ANSWER✓✓✓4. Thrombophlebitis.
A client is receiving an IV infusion of 5% dextrose in water (D5W). The
skin around the IV insertion site is red, warm to touch, and painful. The
nurse should first:
1. Administer acetaminophen (Tylenol).
2. Change the D5W to normal saline.
3. Discontinue the IV.
4. Place a warm compress on the area. - ...ANSWER✓✓✓3.
Discontinue the IV.
A client is scheduled for an elective splenectomy. Immediately before
the client goes to surgery, the nurse should determine that the client has:
1. Voided completely.
2. Signed the consent.
3. Vital signs recorded.
4. Name band on wrist - ...ANSWER✓✓✓3. Vital signs recorded.
