Med Surg II HESI
Test Bank 2023,
All Answers
Verified {100%
Correct}
A - A nurse is collecting data from a client who has a possible cataract.
Which of the following manifestations should the nurse expect the client
to report?
1) Decreased color
perception 2) Loss of
peripheral vision 3) Bright
flashes of light
4) Eyestrain
A, B - A nurse is assisting with the care of a client immediately following a
lumbar puncture. Which of the following actions should the nurse take?
(Select all that apply.) 1) Encourage fluid intake.
2) Monitor the puncture site for
hematoma. 3) Insert a urinary
catheter.
4) Elevate the client's head of
bed. 5) Apply a cervical collar to
the client.
A, B, C - A nurse is caring for a client who has Cushing's syndrome.
Which of the following clinical manifestations should the nurse expect to
observe? (Select all that apply.)
1) Buffalo hump
2) Purple striations
3) Moon face
4) Tremors
5) Obese extremities
A, B, C, D - A nurse is collecting data from a client who has an
exacerbation of gout. Which of the following findings should the nurse
expect? (Select all that apply.)
1) Edema
2) Erythema
,3) Tophi
4) Tight skin
5) Symmetrical joint pain
A, B, C, D - A nurse is collecting data from a client who has emphysema.
Which of the following findings should the nurse expect? (Select all that
apply.)
1) Dyspnea
2) Barrel chest
3) Clubbing of the
fingers 4) Shallow
respirations
5) Bradycardia
A, B, E - A nurse is reinforcing pre-operative teaching for a client who is
scheduled for surgery and is to take hydroxyzine preoperatively. Which of
the following effects of the medication should the nurse include in the
teaching? (Select all that apply.)
, 1) Decreasing anxiety 2) Controlling
emesis 3) Relaxing skeletal muscles
4) Preventing surgical site infections
5) Reducing the amount of narcotics needed for pain relief
A, D - A nurse is caring for a client who is 12 hours postoperative following
a transurethral resection of the prostate (TURP) and has a 3-way urinary
catheter with continuous irrigation. The nurse notes there has not been any
urinary output in the last hour. Which of the following actions should the
nurse perform first?
1) Notify the provider.
2) Administer a prescribed
analgesic. 3) Offer oral fluids.
4) Determine the patency of the tubing.
A. - A nurse in a provider's office is reinforcing teaching with a client who
has anemia and has been taking ferrous gluconate for several weeks.
Which of the following instructions should the nurse include?
1) Take this medication between meals.
2) Limit intake of Vitamin C while taking this
medication. 3) Take this medication with milk.
4) Limit intake of whole grains while taking this medication.
A. - A nurse in a provider's office is reinforcing teaching with a client who
has anemia and has been taking ferrous gluconate for several weeks.
Which of the following instructions should the nurse include?
1) Take this medication between meals.
2) Limit intake of Vitamin C while taking this
medication. 3) Take this medication with milk.
4) Limit intake of whole grains while taking this medication.
A. - A nurse is assisting in the care of a client who is 2 hours postoperative
following a wedge resection of the left lung and has a chest tube to suction.
Which of the following is the priority finding the nurse should report to the
provider?
1) Abdomen is distended
2) Chest tube drainage of 70 mL in the last hour
3) Subcutaneous emphysema is noted to the left
chest wall 4) Pain level of 6 on a 0 to 10 scale
A. - A nurse is assisting with the care of a client who has diabetes insipidus.
The nurse should monitor the client for which of the following
manifestations?
1) Hypotension
2) Polyphagia
3) Hyperglycemia
4) Bradycardia
Test Bank 2023,
All Answers
Verified {100%
Correct}
A - A nurse is collecting data from a client who has a possible cataract.
Which of the following manifestations should the nurse expect the client
to report?
1) Decreased color
perception 2) Loss of
peripheral vision 3) Bright
flashes of light
4) Eyestrain
A, B - A nurse is assisting with the care of a client immediately following a
lumbar puncture. Which of the following actions should the nurse take?
(Select all that apply.) 1) Encourage fluid intake.
2) Monitor the puncture site for
hematoma. 3) Insert a urinary
catheter.
4) Elevate the client's head of
bed. 5) Apply a cervical collar to
the client.
A, B, C - A nurse is caring for a client who has Cushing's syndrome.
Which of the following clinical manifestations should the nurse expect to
observe? (Select all that apply.)
1) Buffalo hump
2) Purple striations
3) Moon face
4) Tremors
5) Obese extremities
A, B, C, D - A nurse is collecting data from a client who has an
exacerbation of gout. Which of the following findings should the nurse
expect? (Select all that apply.)
1) Edema
2) Erythema
,3) Tophi
4) Tight skin
5) Symmetrical joint pain
A, B, C, D - A nurse is collecting data from a client who has emphysema.
Which of the following findings should the nurse expect? (Select all that
apply.)
1) Dyspnea
2) Barrel chest
3) Clubbing of the
fingers 4) Shallow
respirations
5) Bradycardia
A, B, E - A nurse is reinforcing pre-operative teaching for a client who is
scheduled for surgery and is to take hydroxyzine preoperatively. Which of
the following effects of the medication should the nurse include in the
teaching? (Select all that apply.)
, 1) Decreasing anxiety 2) Controlling
emesis 3) Relaxing skeletal muscles
4) Preventing surgical site infections
5) Reducing the amount of narcotics needed for pain relief
A, D - A nurse is caring for a client who is 12 hours postoperative following
a transurethral resection of the prostate (TURP) and has a 3-way urinary
catheter with continuous irrigation. The nurse notes there has not been any
urinary output in the last hour. Which of the following actions should the
nurse perform first?
1) Notify the provider.
2) Administer a prescribed
analgesic. 3) Offer oral fluids.
4) Determine the patency of the tubing.
A. - A nurse in a provider's office is reinforcing teaching with a client who
has anemia and has been taking ferrous gluconate for several weeks.
Which of the following instructions should the nurse include?
1) Take this medication between meals.
2) Limit intake of Vitamin C while taking this
medication. 3) Take this medication with milk.
4) Limit intake of whole grains while taking this medication.
A. - A nurse in a provider's office is reinforcing teaching with a client who
has anemia and has been taking ferrous gluconate for several weeks.
Which of the following instructions should the nurse include?
1) Take this medication between meals.
2) Limit intake of Vitamin C while taking this
medication. 3) Take this medication with milk.
4) Limit intake of whole grains while taking this medication.
A. - A nurse is assisting in the care of a client who is 2 hours postoperative
following a wedge resection of the left lung and has a chest tube to suction.
Which of the following is the priority finding the nurse should report to the
provider?
1) Abdomen is distended
2) Chest tube drainage of 70 mL in the last hour
3) Subcutaneous emphysema is noted to the left
chest wall 4) Pain level of 6 on a 0 to 10 scale
A. - A nurse is assisting with the care of a client who has diabetes insipidus.
The nurse should monitor the client for which of the following
manifestations?
1) Hypotension
2) Polyphagia
3) Hyperglycemia
4) Bradycardia
