MED SURG HESI V2 QUESTIONS
AND ANSWERS
What Information should the nurse include in the teaching plan of a client diagnosed with GERD?
n n n n n n n n n n n n n n n
A. Sleep without pillows
n n n
B. Adjust food intake to three full meals per day with no snacks
n n n n n n n n n n n n
C. Minimize symptoms by wearing loose, comfortable clothing
n n n n n n n
D. Avoid Participation in any aerobic exercise program - Correct Answer - C. Minimize symptoms by
n n n n n n n n n nn n n n n n
wearing loose, comfortable clothing
n n n n
After a hospitalization for SIADH, a client develops pontine myelinolysis. Which Intervention should the
n n n n n n n n n n n n n
nurse implement first?
n n n
A. Reorient client to room
n n n n
B. Place a patch on one eye
n n n n n n n
C. Evaluate clients ability to swallow
n n n n n
D. Perform range of motion exercises - Correct Answer - A. Reorient client to room
n n n n n n n nn n n n n n n
A male client with heart failure calls the clinic and reports that he cannot put his shoes on because they
n n n n n n n n n n n n n n n n n n n
are too tight. Which additional information should the nurse obtain?
n n n n n n n n n n
A. What time did he take his medication?
n n n n n n n
B. Has his weight changed in the last several days?
n n n n n n n n n
C. Is he still able to tighten his belt buckle?
n n n n n n n n n
D. How many hours did he sleep last night? - Correct Answer - B. Has his weight changed over the last
n n n n n n n n n n nn n n n n n n n n n
several days?
n n
An older adult woman with a long history of COPD is admitted with progressive shortness of breath and a
n n n n n n n n n n n n n n n n n n
persistent cough, is anxious, and is complaining of dry mouth. Which intervention should the nurse
n n n n n n n n n n n n n n n
implement?
n
,A. Administer a prescribed sedative
n n n n
B. Encourage client to drink water
n n n n n
C. Apply a high flow venturi mask
n n n n n n
D. Assist her to an upright position - Correct Answer - D. Assist her to an upright position
n n n n n n n n nn n n n n n n n n
A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath, productive
n n n n n n n n n n n n n n n n n
cough with thickening mucous and the inability to walk up a flight of stairs without experiencing
n n n n n n n n n n n n n n n n
breathlessness. Which action is most important for the nurse to instruct the client about self care?
n n n n n n n n n n n n n n n n
A. Increase the daily intake of oral fluids to liquify secretions
n n n n n n n n n n
B. Avoid crowded enclosed areas to reduce pathogen exposure
n n n n n n n n
C. Call the clinic if undesirable side effects or medications occur
n n n n n n n n n n
D. Teach anxiety reduction methods for feelings of suffocation - Correct Answer - A. Increase the daily
n n n n n n n n n n nn n n n n n
intake of oral fluids to liquify secretions
n n n n n n n
A cardiac catheterization of a client with heart disease indicates the following blockages: 95% proximal
n n n n n n n n n n n n n n
left anterior descending (LAD), 99% proximal circumflex, and 95% proximal right coronary artery( RCA).
n n n n n n n n n n n n n n
The client later asks the nurse "What does all of that mean for me?" What information should the nurse
n n n n n n n n n n n n n n n n n n n
provide?
n
A. Blood supply to the heart is diminished by atherosclerotic lesions which necessitate life style changes.
n n n n n n n n n n n n n n n
B. Blood vessels supplying the pumping chamber have blockages indicating a past heart attack.
n n n n n n n n n n n n n
C. Three main arteries have major blockages, with only 1-5% of the blood flow getting through to the
n n n n n n n n n n n n n n n n n
heart muscle
n n
D. The heart is not receiving enough blood, so there is a risk of heart failure and fluid retention - Correct
n n n n n n n n n n n n n n n n n n n n n
Answer - C. Three main arteries have major blockages with only 1-5% of the blood flow getting through
n n n n n n n n n n n n n n n n n n
to the heart muscle
n n n n
A client who weighs 175 lbs is receiving an IV bolus dose of Heparin 80 units/kg. The Heparin is available
n n n n n n n n n n n n n n n n n n n
in a 2 ml vial, labeled 10,000 units/ml. How many ml should the nurse administer? (enter numeric value
n n n n n n n n n n n n n n n n n n
only. If rounding is permitted, round to the nearest tenth) - Correct Answer - 0.6ml
n n n n n n n n n n n n nn n n
, The nurse is caring for a client with a lower left lobe pulmonary abscess. What position should the nurse
n n n n n n n n n n n n n n n n n n
instruct the client to maintain?
n n n n n
A. Left lateral
n n
B. Supine, knees flexed.
n n n
C. Dorsal recumbent
n n n
D. Knee-chest - Correct Answer - A. Left Lateral
n n n nn n n n n
A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink
n n n n n n n n n n n n n n n n n n n
without becoming nauseous and vomiting. Which finding should the nurse report to the healthcare
n n n n n n n n n n n n n n
provider?
n
A. Belching
n
B. Amber urine
n n
C. Yellow sclera
n n
D. Flatulence - Correct Answer - C. Yellow Sclera
n n n nn n n n n
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), a nurse performs a neurological
n n n n n n n n n n n n n n
assessment every 4 hours. Which assessment finding warrants immediate intervention by the nurse?
n n n n n n n n n n n n n
A. Inappropriate laughter
n n
B. Increasing anxiety
n n
C. Weakened cough effort
n n n
D. Asymmetrical weakness - Correct Answer - D. Asymmetrical weakness
n n n n nn n n n n
The nurse is providing preoperative education for a Jewish client scheduled to receive a xenograft to
n n n n n n n n n n n n n n n
promote burn healing. Which information should the nurse provide this client?
n n n n n n n n n n n
A. Grafting icreases the risk for bacterial infections
n n n n n n n
B. The xenograft is taken from a non-human source.
n n n n n n n n
AND ANSWERS
What Information should the nurse include in the teaching plan of a client diagnosed with GERD?
n n n n n n n n n n n n n n n
A. Sleep without pillows
n n n
B. Adjust food intake to three full meals per day with no snacks
n n n n n n n n n n n n
C. Minimize symptoms by wearing loose, comfortable clothing
n n n n n n n
D. Avoid Participation in any aerobic exercise program - Correct Answer - C. Minimize symptoms by
n n n n n n n n n nn n n n n n
wearing loose, comfortable clothing
n n n n
After a hospitalization for SIADH, a client develops pontine myelinolysis. Which Intervention should the
n n n n n n n n n n n n n
nurse implement first?
n n n
A. Reorient client to room
n n n n
B. Place a patch on one eye
n n n n n n n
C. Evaluate clients ability to swallow
n n n n n
D. Perform range of motion exercises - Correct Answer - A. Reorient client to room
n n n n n n n nn n n n n n n
A male client with heart failure calls the clinic and reports that he cannot put his shoes on because they
n n n n n n n n n n n n n n n n n n n
are too tight. Which additional information should the nurse obtain?
n n n n n n n n n n
A. What time did he take his medication?
n n n n n n n
B. Has his weight changed in the last several days?
n n n n n n n n n
C. Is he still able to tighten his belt buckle?
n n n n n n n n n
D. How many hours did he sleep last night? - Correct Answer - B. Has his weight changed over the last
n n n n n n n n n n nn n n n n n n n n n
several days?
n n
An older adult woman with a long history of COPD is admitted with progressive shortness of breath and a
n n n n n n n n n n n n n n n n n n
persistent cough, is anxious, and is complaining of dry mouth. Which intervention should the nurse
n n n n n n n n n n n n n n n
implement?
n
,A. Administer a prescribed sedative
n n n n
B. Encourage client to drink water
n n n n n
C. Apply a high flow venturi mask
n n n n n n
D. Assist her to an upright position - Correct Answer - D. Assist her to an upright position
n n n n n n n n nn n n n n n n n n
A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath, productive
n n n n n n n n n n n n n n n n n
cough with thickening mucous and the inability to walk up a flight of stairs without experiencing
n n n n n n n n n n n n n n n n
breathlessness. Which action is most important for the nurse to instruct the client about self care?
n n n n n n n n n n n n n n n n
A. Increase the daily intake of oral fluids to liquify secretions
n n n n n n n n n n
B. Avoid crowded enclosed areas to reduce pathogen exposure
n n n n n n n n
C. Call the clinic if undesirable side effects or medications occur
n n n n n n n n n n
D. Teach anxiety reduction methods for feelings of suffocation - Correct Answer - A. Increase the daily
n n n n n n n n n n nn n n n n n
intake of oral fluids to liquify secretions
n n n n n n n
A cardiac catheterization of a client with heart disease indicates the following blockages: 95% proximal
n n n n n n n n n n n n n n
left anterior descending (LAD), 99% proximal circumflex, and 95% proximal right coronary artery( RCA).
n n n n n n n n n n n n n n
The client later asks the nurse "What does all of that mean for me?" What information should the nurse
n n n n n n n n n n n n n n n n n n n
provide?
n
A. Blood supply to the heart is diminished by atherosclerotic lesions which necessitate life style changes.
n n n n n n n n n n n n n n n
B. Blood vessels supplying the pumping chamber have blockages indicating a past heart attack.
n n n n n n n n n n n n n
C. Three main arteries have major blockages, with only 1-5% of the blood flow getting through to the
n n n n n n n n n n n n n n n n n
heart muscle
n n
D. The heart is not receiving enough blood, so there is a risk of heart failure and fluid retention - Correct
n n n n n n n n n n n n n n n n n n n n n
Answer - C. Three main arteries have major blockages with only 1-5% of the blood flow getting through
n n n n n n n n n n n n n n n n n n
to the heart muscle
n n n n
A client who weighs 175 lbs is receiving an IV bolus dose of Heparin 80 units/kg. The Heparin is available
n n n n n n n n n n n n n n n n n n n
in a 2 ml vial, labeled 10,000 units/ml. How many ml should the nurse administer? (enter numeric value
n n n n n n n n n n n n n n n n n n
only. If rounding is permitted, round to the nearest tenth) - Correct Answer - 0.6ml
n n n n n n n n n n n n nn n n
, The nurse is caring for a client with a lower left lobe pulmonary abscess. What position should the nurse
n n n n n n n n n n n n n n n n n n
instruct the client to maintain?
n n n n n
A. Left lateral
n n
B. Supine, knees flexed.
n n n
C. Dorsal recumbent
n n n
D. Knee-chest - Correct Answer - A. Left Lateral
n n n nn n n n n
A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink
n n n n n n n n n n n n n n n n n n n
without becoming nauseous and vomiting. Which finding should the nurse report to the healthcare
n n n n n n n n n n n n n n
provider?
n
A. Belching
n
B. Amber urine
n n
C. Yellow sclera
n n
D. Flatulence - Correct Answer - C. Yellow Sclera
n n n nn n n n n
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), a nurse performs a neurological
n n n n n n n n n n n n n n
assessment every 4 hours. Which assessment finding warrants immediate intervention by the nurse?
n n n n n n n n n n n n n
A. Inappropriate laughter
n n
B. Increasing anxiety
n n
C. Weakened cough effort
n n n
D. Asymmetrical weakness - Correct Answer - D. Asymmetrical weakness
n n n n nn n n n n
The nurse is providing preoperative education for a Jewish client scheduled to receive a xenograft to
n n n n n n n n n n n n n n n
promote burn healing. Which information should the nurse provide this client?
n n n n n n n n n n n
A. Grafting icreases the risk for bacterial infections
n n n n n n n
B. The xenograft is taken from a non-human source.
n n n n n n n n
