Med-Surg II HESI Test
Bank.Question and Answers
for A+ Qualifications
A-CORRECT ANSWERS-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-CORRECT ANSWERS-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-CORRECT ANSWERS-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-CORRECT ANSWERS-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-CORRECT ANSWERS-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-CORRECT ANSWERS-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-CORRECT ANSWERS-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.-CORRECT ANSWERS-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.-CORRECT ANSWERS-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.-CORRECT ANSWERS-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.-CORRECT ANSWERS-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
A.-CORRECT ANSWERS-A nurse is assisting with the care of a client who is postoperative and has a
closed-wound drainage system in place. Which of the following actions should the nurse take?
1) Fully recollapse the reservoir after emptying it.
2) Empty the reservoir once per day.
3) Replace the drainage plug after releasing hand pressure on the device.
4) Irrigate the tubing with sterile normal saline solution at least once every 8 hr.
A.-CORRECT ANSWERS-A nurse is caring for a client during the immediate postoperative period
following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain
that the medication should have which of the following effects?
1) Reducing anxiety
2) Increasing blood pressure
Bank.Question and Answers
for A+ Qualifications
A-CORRECT ANSWERS-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-CORRECT ANSWERS-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-CORRECT ANSWERS-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-CORRECT ANSWERS-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-CORRECT ANSWERS-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-CORRECT ANSWERS-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-CORRECT ANSWERS-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.-CORRECT ANSWERS-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.-CORRECT ANSWERS-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.-CORRECT ANSWERS-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.-CORRECT ANSWERS-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
A.-CORRECT ANSWERS-A nurse is assisting with the care of a client who is postoperative and has a
closed-wound drainage system in place. Which of the following actions should the nurse take?
1) Fully recollapse the reservoir after emptying it.
2) Empty the reservoir once per day.
3) Replace the drainage plug after releasing hand pressure on the device.
4) Irrigate the tubing with sterile normal saline solution at least once every 8 hr.
A.-CORRECT ANSWERS-A nurse is caring for a client during the immediate postoperative period
following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain
that the medication should have which of the following effects?
1) Reducing anxiety
2) Increasing blood pressure
