Medical Surgical Hesi V2 - 2024/2025 Actual Exam Questions And Answers

MEDICAL SURGICAL HESI V2 -
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2024/2025 ACTUAL EXAM QUESTIONS
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AND ANSWERSET




WhatETinformationETshouldETtheETnurseETincludeETinETtheETteachingETplanETofETaETclientETdiagno
sedETwithETGERD?ET

A.ETSleepETwithoutETpillowsET
B.ETAdjustETfoodETintakeETtoETthreeETfullETmealsETperETdayETwithETnoETsnacksET
C.ETMinimizeETsymptomsETbyETwearingETlooseETcomfortableETclothingET
D.ETAvoidETparticipationETinETanyETaerobicETexerciseETprogramET-ETcorrectETans-
MinimizeETsymptomsETbyETwearingETlooseETcomfortableETclothing
AfterEThospitalizationETforETSIADH,ETaETclientETdevelopsETpontineETmyelinolysis.ETWhichETinter
ventionETshouldETtheETnurseETimplementETfirst?ET

A.ETReorientETclientETtoETroomET
B.ETPlaceETaETpatchETonEToneETeyeET
C.ETEvaluateETclientsETabilityETtoETswallowET
D.ETPerformETrangeETofETmotionETexercisesET-ETcorrectETans-ReorientETclientETtoETroom
AETmaleETclientETwithETheartETfailureETcallsETtheETclinicETandETreportsETthatETheETcannotETputEThis
ETshoesETonETbecauseETtheyETareETtooETtight.ETWhichETadditionalETinformationETshouldETtheETnu

rseETobtain?ET

A.ETWhatETtimeETdidETheETtakeEThisETmedication?ET
B.ETHasEThisETweightETchangedETinETtheETlastETseveralETdays?ET
C.ETIsETheETstillETableETtoETtightenEThisETbeltETbuckle?ET
D.ETHowETmanyEThoursETdidETheETsleepETlastETnight?ET-ETcorrectETans-
HasEThisETweightETchangedETinETtheETlastETseveralETdays?
AnETolderETadultETwomanETwithETaETlongEThistoryETofETCOPDETisETadmittedETwithETprogressiveET
shortnessETofETbreathETandETaETpersistentETcough,ETisETanxious,ETandETisETcomplainingETofETdry
ETmouth.ETwhichETinterventionETshouldETtheETnurseETimplement?ET




A.ETAdministerETaETprescribedETsedativeET
B.ETEncourageETclientETtoETdrinkETwaterET
C.ETApplyETaEThighETflowETVenturiETmaskET
D.ETAssistETherETtoETanETuprightETpositionET-ETcorrectETans-AssistETherETtoETanETuprightETposition
AETclientETwithETaEThistoryETofETasthmaETandETbronchitisETarrivesETatETtheETclinicETwithETshortnes
sETofETbreath,ETproductiveETcoughETwithETthickeningETmucousETandETtheETinabilityETtoETwalkETup
ETaETflightETofETstairsETwithoutETexperiencingETbreathlessness.ETWhichETactionETisETmostETimpor

tantETforETtheETnurseETtoETinstructETtheETclientETaboutETselfETcare?ET
A.ETIncreaseETtheETdailyETintakeETofEToralETfluidsETtoETliquifyETsecretionsET
B.ETAvoidETcrowdedETenclosedETareasETtoETreduceETpathogensETexposureET

, C.ETCallETtheETclinicETifETundesirableETsideETeffectsETorETmedicationsET-ETcorrectETans-
IncreaseETtheETdailyETintakeETofEToralETfluidsETtoETliquifyETsecretions
AETcardiacETcatherizationETofETaETclientETwithETheartETdiseaseETindicatesETtheETfollowingETblock
ages:ET95%ETproximalETleftETanteriorETdescendingET(LAD),ET99%ETproximalETcircumflex,ETandE
T95%ETproximalETrightETcoronaryETarteryET(RCA)ETtheETclientETlaterETasksETtheETnurseET"WhatETd

oesETallETofETthatETmeanETforETme?"ETWhatETinformationETshouldETtheETnurseETprovide.ET

B.ETThreeETmainETarteriesEThaveETmajorETblockages,ETwithETonlyET1-
5%ETofETtheETbloodETflowETgettingETthroughETtoETtheETheartETmusclesET-ETcorrectETans-
ThreeETmainETarteriesEThaveETmajorETblockages,ETwithETonlyET1-
5%ETofETtheETbloodETflowETgettingETthroughETtoETtheETheartETmuscles
TheETnurseETisETcaringETforETaETclientETwithETaETlowerETleftETlobeETpulmonaryETabscess.ETwhatETp
ositionETshouldETtheETnurseETinstructETtheETclientETtoETmaintain?ET
A.ETLeftETlateral
B.ETSupine,ETkneesETflexed.ET
C.ETDorsalETrecumbentET
D.ETKnee-chestET-ETcorrectETans-LeftETlateral
AETclientETwithETCholelithiasisEThasETaETgallstoneETlodgedETinETtheETcommonETbileETductETandETi
sETunableETtoETeatETorETdrinkETwithoutETbecomingETnauseousETandETvomiting.ETWhichETfindingET
shouldETtheETnurseETreportETtoETtheEThealthcareETprovider?ET
A.ETBelchingET
B.ETAmberETurineET
C.ETYellowETscleraET
D.ETFlatulenceET-ETcorrectETans-YellowETsclera
WhileETcaringETforETaETclientETwithETAmyotrophicETlateralETsclerosisET(ALS)ETaETnurseETperform
sETaETneurologicalETassessmentETeveryET4EThours.ETWhichETassessmentETfindingETwarrantsETi
mmediateETinterventionETbyETtheETnurse?ET
A.ETInappropriateETlaughterET
B.ETIncreasingETanxietyET
C.ETWeakenedETcoughETeffortET
D.ETAsymmetricalETweaknessET-ETcorrectETans-AsymmetricalETweakness
TheETnurseETisETprovidingETpreoperativeETeducationETforETaETJewishETclientETscheduledETtoETre
ceiveETaETxenograftETtoETpromoteETburnEThealing.ETWhichETinformationETshouldETtheETproviderE
TthisETclient?ET

A.ETGraftingETincreaseETtheETriskETforETbacterialETinfectionsET
B.ETTheETxenograftETisETtakenETfromETaETnon-humanETsource.ET
C.ETGraftsETareETlaterETremovedETbyETaETdebridingETprocedureET
D.ETAsETtheETburnsETheals,ETtheETgraftETpermanentlyET-ETcorrectETans-
TheETxenograftETisETtakenETfromETaETnon-humanETsource
AETmaleETclientETwhoEThadETcolonETsurgeryET3ETdaysETagoETisETanxiousETandETrequestingETassis
tanceETtoETreposition.ETWhileETtheETnurseETisETturningEThim,ETtheETwoundETdehiscencesETandETu
lcerates.ETTheETnurseETmoistensETanETavailableETsterileETdressingETandETplacesETitEToverETtheET
wound.ETWhichETinterventionETshouldETtheETnurseETimplementETnext.ET
A.ETBringETadditionalETsterileETdressingETsuppliesETtoETtheETroom.ET
B.ETPrepareETtheETclientETtoETreturnETtoETtheETORET
C.ETObtainETaETsampleETofETtheETdrainageETtoETsendETtoETtheETlab