MED SURG 2 HESI TEST
BANK REAL EXAM 100+
QUESTIONS AND
CORRECT ANSWERS.
[Document subtitle]
,1. A client with Cushing's syndrome is recovering from an elective
laparoscopic procedure. Which assessment finding warrant's immediate
intervention by the nurse?
a. Purple marks on skin of the abdomen
b. Irregular apical pulse
c. Quarter size blood spot on dressing
d. Pitting ankle edema - correct ans:b. Irregular apical pulse
2. A client with lung cancer who wears a subcutaneous morphine sulfate
patch for pain is short of breath and is difficult to arouse. When performing a
head to toe assessment, the nurse discovers four analgesic patches on the
clients body. Which intervention should the nurse implement first?
a. Remove all of the morphine patches
b. Administer a narcotic antagonist
c. Apply oxygen per face mask
d. Measure the client's blood pressure - correct ans:b. Administer a narcotic
antagonist
3. A client receives prescriptions for a multidrug regimen for the treatment of
tuberculosis. Which information should the nurse prioritize?
a. Adherence to the regimen is imperative
b. Medications should be taken with food
c. Serum liver panels are collected regularly
d. Enhanced sun protection measures will be needed - correct ans:a.
Adherence to the regimen is imperative
,4. The nurse is preparing a client for surgery who was admitted to the
emergency center following a motor vehicle collision. The client has an open
fracture of the femur and is bleeding moderately from the bone protrusion
site. During the prescriptive assessment, the nurse determines that the
client currently receives heparin sodium 5,000 units subcutaneously daily.
What is the priority nursing action?
a. Notify the healthcare provider of the client's medication history
b. Observe the heparin injections sites for signs of bruising
c. Have the client sign the surgical and transfusion permits
d. Ensure that the potential for bleeding is explained to the client - correct
ans:a. Notify the healthcare provider of the client's medication history
5. A client with orthopnea expresses concern about the ability to "get enough
air" during a scheduled thoracentesis. On which information should the
nurse's response be based?
a. A thoracentesis is a brief process that has minimal discomfort
b. Orthopnea is frequently caused by a client's uncontrolled anxiety
c. The procedure is performed with the client in an upright position
d. Extra pillows can be used if needed to elevate the client's head - correct
ans:c. The procedure is performed with the client in an upright position
6. What information should the nurse include in the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)?
a. Sleep without pillows at night to maintain neck alignment
b. Adjust food intake to three full meals per day and no snacks
c. Minimize symptoms by wearing loose, comfortable clothing
, d. Avoid participation in any aerobic exercise programs - correct ans:c.
Minimize symptoms by wearing loose, comfortable clothing
7. The nurse is providing teaching to a client with Type 2 diabetes mellitus
and peripheral neuropathy. Which information should the nurse provide?
a. Family members can help with regular foot exams
b. Heating pads are useful if on the low setting
c. Aching feet may be soaked in lukewarm water for one hour or more
d. Shoes should be worn outside the house, but it is fine to be barefoot inside
- correct ans:a. Family members can help with regular foot exams
8. A client in the operating room received succinylcholine. The client is
experiencing muscle rigidity and has an extremely high temperature. What
action should the nurse implement?
a. Hold a prescription for dantrolene until fever is reduced
b. Prepare ice packs for placement in the clients axillary area
c. Call the PACU nurse to prepare for prolonged ventilator support
d. Determine if prescribed antibiotics were administered preoperatively -
correct ans:b. Prepare ice packs for placement in the clients axillary area
9. The nurse is developing a plan of care for a client who reports blurred
vision and who is newly diagnosed with cardiovascular disease. Which
outcome should the nurse include in the plan of care for this client?
a. The nurse will encourage the client to walk thirty minutes every day
b. The clients family will state signs and symptoms about the disease
c. The clients daily blood pressure will be less than 140/80 this month
BANK REAL EXAM 100+
QUESTIONS AND
CORRECT ANSWERS.
[Document subtitle]
,1. A client with Cushing's syndrome is recovering from an elective
laparoscopic procedure. Which assessment finding warrant's immediate
intervention by the nurse?
a. Purple marks on skin of the abdomen
b. Irregular apical pulse
c. Quarter size blood spot on dressing
d. Pitting ankle edema - correct ans:b. Irregular apical pulse
2. A client with lung cancer who wears a subcutaneous morphine sulfate
patch for pain is short of breath and is difficult to arouse. When performing a
head to toe assessment, the nurse discovers four analgesic patches on the
clients body. Which intervention should the nurse implement first?
a. Remove all of the morphine patches
b. Administer a narcotic antagonist
c. Apply oxygen per face mask
d. Measure the client's blood pressure - correct ans:b. Administer a narcotic
antagonist
3. A client receives prescriptions for a multidrug regimen for the treatment of
tuberculosis. Which information should the nurse prioritize?
a. Adherence to the regimen is imperative
b. Medications should be taken with food
c. Serum liver panels are collected regularly
d. Enhanced sun protection measures will be needed - correct ans:a.
Adherence to the regimen is imperative
,4. The nurse is preparing a client for surgery who was admitted to the
emergency center following a motor vehicle collision. The client has an open
fracture of the femur and is bleeding moderately from the bone protrusion
site. During the prescriptive assessment, the nurse determines that the
client currently receives heparin sodium 5,000 units subcutaneously daily.
What is the priority nursing action?
a. Notify the healthcare provider of the client's medication history
b. Observe the heparin injections sites for signs of bruising
c. Have the client sign the surgical and transfusion permits
d. Ensure that the potential for bleeding is explained to the client - correct
ans:a. Notify the healthcare provider of the client's medication history
5. A client with orthopnea expresses concern about the ability to "get enough
air" during a scheduled thoracentesis. On which information should the
nurse's response be based?
a. A thoracentesis is a brief process that has minimal discomfort
b. Orthopnea is frequently caused by a client's uncontrolled anxiety
c. The procedure is performed with the client in an upright position
d. Extra pillows can be used if needed to elevate the client's head - correct
ans:c. The procedure is performed with the client in an upright position
6. What information should the nurse include in the teaching plan of a client
diagnosed with gastroesophageal reflux disease (GERD)?
a. Sleep without pillows at night to maintain neck alignment
b. Adjust food intake to three full meals per day and no snacks
c. Minimize symptoms by wearing loose, comfortable clothing
, d. Avoid participation in any aerobic exercise programs - correct ans:c.
Minimize symptoms by wearing loose, comfortable clothing
7. The nurse is providing teaching to a client with Type 2 diabetes mellitus
and peripheral neuropathy. Which information should the nurse provide?
a. Family members can help with regular foot exams
b. Heating pads are useful if on the low setting
c. Aching feet may be soaked in lukewarm water for one hour or more
d. Shoes should be worn outside the house, but it is fine to be barefoot inside
- correct ans:a. Family members can help with regular foot exams
8. A client in the operating room received succinylcholine. The client is
experiencing muscle rigidity and has an extremely high temperature. What
action should the nurse implement?
a. Hold a prescription for dantrolene until fever is reduced
b. Prepare ice packs for placement in the clients axillary area
c. Call the PACU nurse to prepare for prolonged ventilator support
d. Determine if prescribed antibiotics were administered preoperatively -
correct ans:b. Prepare ice packs for placement in the clients axillary area
9. The nurse is developing a plan of care for a client who reports blurred
vision and who is newly diagnosed with cardiovascular disease. Which
outcome should the nurse include in the plan of care for this client?
a. The nurse will encourage the client to walk thirty minutes every day
b. The clients family will state signs and symptoms about the disease
c. The clients daily blood pressure will be less than 140/80 this month
