HESI Med Surg II Exam Questions and Answers 2023
(Verified Answers)
1. Angiotensin-converting enzyme (ACE) inhibitors may be prescribed for the
client with diabetes mellitus to reduce vascular changes and posterm-3sibly
prevent or delay
development of:
1. Chronic obstructive pulmonary disease (COPD).
2. Pancreatic cancer.
3. Renal failure.
4. Cerebrovascular accident ANS 3
2. The nurse should teach the diabetic client that which of the following is the
most common symptom of hypoglycemia?
1. Nervousness.
2. Anorexia.
3. Kussmaul's respirations.
4. Bradycardia ANS 1
,3. 53. The nurse is assessing the client's use of medications. Which of the
following
medications may cause a complication with the treatment plan of a client with
diabetes?
1. Aspirin.
2. Steroids.
3. Sulfonylureas.
4. Angiotensin-converting enzyme (ACE) inhibitors ANS 2
4. A client with type 1 diabetes mellitus has influenza. The nurse should
instruct
the client to:
1. Increase the frequency of self-monitoring (blood glucose testing).
2. Reduce food intake to diminish nausea.
3. Discontinue that dose of insulin if unable to eat.
4. Take half of the normal dose of insulin ANS 1
5. Which of the following is a priority goal for the diabetic client who is taking
insulin and has nausea and vomiting from a viral illness or influenza?
1. Obtaining adequate food intake.
2. Managing own health.
, 3. Relieving pain.
4. Increasing activity ANS 1
6. A client with diabetes begins to cry and says, "I just cannot stand the
thought of
having to give myself a shot every day." Which of the following would be the
best
response by the nurse?
1. "If you do not give yourself your insulin shots, you will die."
2. "We can teach your daughter to give the shots so you will not have to do
it."
3. "I can arrange to have a home care nurse give you the shots every day."
4. "What is it about giving yourself the insulin shots that bothers you? ANS 4
7. A client is to have a transsphenoidal hypophysectomy to remove a large,
invasive pituitary tumor. The nurse should instruct the client that the surgery
will be
performed through an incision in the:
1. Back of the mouth.
2. Nose.
3. Sinus channel below the right eye.
4. Upper gingival mucosa in the space between the upper gums and lip ANS
4
8. To help minimize the risk of postoperative respiratory complications after a
(Verified Answers)
1. Angiotensin-converting enzyme (ACE) inhibitors may be prescribed for the
client with diabetes mellitus to reduce vascular changes and posterm-3sibly
prevent or delay
development of:
1. Chronic obstructive pulmonary disease (COPD).
2. Pancreatic cancer.
3. Renal failure.
4. Cerebrovascular accident ANS 3
2. The nurse should teach the diabetic client that which of the following is the
most common symptom of hypoglycemia?
1. Nervousness.
2. Anorexia.
3. Kussmaul's respirations.
4. Bradycardia ANS 1
,3. 53. The nurse is assessing the client's use of medications. Which of the
following
medications may cause a complication with the treatment plan of a client with
diabetes?
1. Aspirin.
2. Steroids.
3. Sulfonylureas.
4. Angiotensin-converting enzyme (ACE) inhibitors ANS 2
4. A client with type 1 diabetes mellitus has influenza. The nurse should
instruct
the client to:
1. Increase the frequency of self-monitoring (blood glucose testing).
2. Reduce food intake to diminish nausea.
3. Discontinue that dose of insulin if unable to eat.
4. Take half of the normal dose of insulin ANS 1
5. Which of the following is a priority goal for the diabetic client who is taking
insulin and has nausea and vomiting from a viral illness or influenza?
1. Obtaining adequate food intake.
2. Managing own health.
, 3. Relieving pain.
4. Increasing activity ANS 1
6. A client with diabetes begins to cry and says, "I just cannot stand the
thought of
having to give myself a shot every day." Which of the following would be the
best
response by the nurse?
1. "If you do not give yourself your insulin shots, you will die."
2. "We can teach your daughter to give the shots so you will not have to do
it."
3. "I can arrange to have a home care nurse give you the shots every day."
4. "What is it about giving yourself the insulin shots that bothers you? ANS 4
7. A client is to have a transsphenoidal hypophysectomy to remove a large,
invasive pituitary tumor. The nurse should instruct the client that the surgery
will be
performed through an incision in the:
1. Back of the mouth.
2. Nose.
3. Sinus channel below the right eye.
4. Upper gingival mucosa in the space between the upper gums and lip ANS
4
8. To help minimize the risk of postoperative respiratory complications after a
