MED SURG HESI V2 - 2024/2025 ACTUAL EXAMi
1. What information should the nurse include in the teaching plan of a client
diagnosed with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose comfortable clothing
D. Avoid participation in any aerobic exercise program: Minimize symptoms by
wearing loose comfortable clothing
2. After hospitalization for SIADH, a client develops pontine myelinolysis.
Which intervention should the nurse implement first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate clients ability to swallow
D. Perform range of motion exercises: Reorient client to room
3. A male client with heart failure calls the clinic and reports that he cannot
put his shoes on because they are too tight. Which additional information
should the nurse obtain?
A. What time did he take his medication?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night?: Has his weight changed in the last
several days?
4. An older adult woman with a long history of COPD is admitted with
progressive shortness of breath and a persistent cough, is anxious, and is
complaining of dry mouth. which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high flow Venturi mask
D. Assist her to an upright position: Assist her to an upright position
5. A client with a history of asthma and bronchitis arrives at the clinic with
shortness of breath, productive cough with thickening mucous and the
inability to walk up a flight of stairs without experiencing breathlessness.
, Which action is most important for the nurse to instruct the client about self
care?
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogens exposure
C. Call the clinic if undesirable side effects or medications: Increase the daily
intake of oral fluids to liquify secretions
6. A cardiac catherization of a client with heart disease indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal
circumflex, and 95% proximal right coronary artery (RCA) the client later asks
the nurse "What does all of that mean for me?" What information should the
nurse provide.
B. Three main arteries have major blockages, with only 1-5% of the blood flow
getting through to the heart muscles: Three main arteries have major blockages,
with only 1-5% of the blood flow getting through to the heart muscles
7. The nurse is caring for a client with a lower left lobe pulmonary abscess.
what position should the nurse instruct the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest: Left lateral
8. A client with Cholelithiasis has a gallstone lodged in the common bile duct
and is unable to eat or drink without becoming nauseous and vomiting. Which
finding should the nurse report to the healthcare provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence: Yellow sclera
9. While caring for a client with Amyotrophic lateral sclerosis (ALS) a nurse
performs a neurological assessment every 4 hours. Which assessment
finding warrants immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
1. What information should the nurse include in the teaching plan of a client
diagnosed with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose comfortable clothing
D. Avoid participation in any aerobic exercise program: Minimize symptoms by
wearing loose comfortable clothing
2. After hospitalization for SIADH, a client develops pontine myelinolysis.
Which intervention should the nurse implement first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate clients ability to swallow
D. Perform range of motion exercises: Reorient client to room
3. A male client with heart failure calls the clinic and reports that he cannot
put his shoes on because they are too tight. Which additional information
should the nurse obtain?
A. What time did he take his medication?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night?: Has his weight changed in the last
several days?
4. An older adult woman with a long history of COPD is admitted with
progressive shortness of breath and a persistent cough, is anxious, and is
complaining of dry mouth. which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high flow Venturi mask
D. Assist her to an upright position: Assist her to an upright position
5. A client with a history of asthma and bronchitis arrives at the clinic with
shortness of breath, productive cough with thickening mucous and the
inability to walk up a flight of stairs without experiencing breathlessness.
, Which action is most important for the nurse to instruct the client about self
care?
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogens exposure
C. Call the clinic if undesirable side effects or medications: Increase the daily
intake of oral fluids to liquify secretions
6. A cardiac catherization of a client with heart disease indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal
circumflex, and 95% proximal right coronary artery (RCA) the client later asks
the nurse "What does all of that mean for me?" What information should the
nurse provide.
B. Three main arteries have major blockages, with only 1-5% of the blood flow
getting through to the heart muscles: Three main arteries have major blockages,
with only 1-5% of the blood flow getting through to the heart muscles
7. The nurse is caring for a client with a lower left lobe pulmonary abscess.
what position should the nurse instruct the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest: Left lateral
8. A client with Cholelithiasis has a gallstone lodged in the common bile duct
and is unable to eat or drink without becoming nauseous and vomiting. Which
finding should the nurse report to the healthcare provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence: Yellow sclera
9. While caring for a client with Amyotrophic lateral sclerosis (ALS) a nurse
performs a neurological assessment every 4 hours. Which assessment
finding warrants immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
