HESI Med Surg II Final Exam Questions and Answers
2023 (Verified Answers)
1. A nurse is caring for a client who is learning how to take care of a newly
created colostomy. When observing a return demonstration of the colostomy
irrigation, the nurse evaluates that more teaching is required when the client
ANS
: Hangs the irrigation bag on the door clothes hook during fluid insertion
2. Following surgery, a client asks the nurse if he or she can help measure
intake and output. What is the best nursing response
ANS Assess the client's abilityto measure the intake and output
3. A client with cancer of the pancreas has a pancreaticoduodenectomy (Whip-
ple procedure). The nurse expects that the client will have which tube after
surgery
ANS Nasogastric
4. A nurse is assessing a client with a diagnosis of early left ventricular heart
failure. Specific to this type of heart failure, the nurse expects the client to
state ANS "I have trouble breathing when I walk rapidly."
1/8
,5. A client with a spontaneous pneumothorax asks, "Why did they put this
tube into my chest?" The nurse explains that the purpose of the chest tube is
to
ANS Remove air from the pleural space
6. Following surgery in the inguinal area, the client complains of pain on the
right side of the chest, becomes dyspneic, and begins to cough violently. The
nurse suspects that a pulmonary embolus has occurred. What is the priority
nursing action
ANS Elevate the head of the bed
7. As an acute episode of rheumatoid arthritis subsides, active and passive
range-of-motion exercises are taught to the client's spouse. The nurse should
teach that direct pressure should not be applied to the client's joints because
this may precipitate
ANS Pain
8. A client is admitted to the hospital with the diagnosis of cancer of the thyroid
and a thyroidectomy is scheduled. What is important for the nurse to consider
when caring for this client during the postoperative period
ANS Hoarseness andairway obstruction may result from laryngeal nerve damage.
2/8
, 9. A client is scheduled to have a cardiac catheterization via the femoral
approach. The nurse teaches the client about post-procedure interventions
that protect the catheter insertion site. The nurse instructs the client that the
leg used for catheter insertion will be
ANS Kept extended while on bed rest
10. A female client who has recurrent urinary tract infections (UTIs) is inquir-
ing about the prevention of future UTIs. What information should the nurse
include when teaching the client? (Select all that apply.)
: -Drink 8 to 10 glassesof water each day
-Urinate immediately after sexual intercourse
3/8
2023 (Verified Answers)
1. A nurse is caring for a client who is learning how to take care of a newly
created colostomy. When observing a return demonstration of the colostomy
irrigation, the nurse evaluates that more teaching is required when the client
ANS
: Hangs the irrigation bag on the door clothes hook during fluid insertion
2. Following surgery, a client asks the nurse if he or she can help measure
intake and output. What is the best nursing response
ANS Assess the client's abilityto measure the intake and output
3. A client with cancer of the pancreas has a pancreaticoduodenectomy (Whip-
ple procedure). The nurse expects that the client will have which tube after
surgery
ANS Nasogastric
4. A nurse is assessing a client with a diagnosis of early left ventricular heart
failure. Specific to this type of heart failure, the nurse expects the client to
state ANS "I have trouble breathing when I walk rapidly."
1/8
,5. A client with a spontaneous pneumothorax asks, "Why did they put this
tube into my chest?" The nurse explains that the purpose of the chest tube is
to
ANS Remove air from the pleural space
6. Following surgery in the inguinal area, the client complains of pain on the
right side of the chest, becomes dyspneic, and begins to cough violently. The
nurse suspects that a pulmonary embolus has occurred. What is the priority
nursing action
ANS Elevate the head of the bed
7. As an acute episode of rheumatoid arthritis subsides, active and passive
range-of-motion exercises are taught to the client's spouse. The nurse should
teach that direct pressure should not be applied to the client's joints because
this may precipitate
ANS Pain
8. A client is admitted to the hospital with the diagnosis of cancer of the thyroid
and a thyroidectomy is scheduled. What is important for the nurse to consider
when caring for this client during the postoperative period
ANS Hoarseness andairway obstruction may result from laryngeal nerve damage.
2/8
, 9. A client is scheduled to have a cardiac catheterization via the femoral
approach. The nurse teaches the client about post-procedure interventions
that protect the catheter insertion site. The nurse instructs the client that the
leg used for catheter insertion will be
ANS Kept extended while on bed rest
10. A female client who has recurrent urinary tract infections (UTIs) is inquir-
ing about the prevention of future UTIs. What information should the nurse
include when teaching the client? (Select all that apply.)
: -Drink 8 to 10 glassesof water each day
-Urinate immediately after sexual intercourse
3/8
