MED SURG HESI V2 QUESTIONS AND
ANSWERS
1. A cardiac catheterization of a client with coronary heart ailment indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal circumflex, and
ninety five% proximal right coronary artery( RCA). The consumer later asks the nurse
"What does all of that mean for me?" What statistics need to the nurse provide?
A. Blood supply to the heart is diminished by using atherosclerotic lesions which
necessitate life style changes.
B. Blood vessels offering the pumping chamber have blockages indicating a beyond
coronary heart attack.
C. Three principal arteries have primary blockages, with only 1-five% of the blood flow
getting thru to the heart muscle
D. The coronary heart is not receiving enough blood, so there may be a hazard of
coronary heart failure and fluid retention - ANSWER-C. Three major arteries have
primary blockages with best 1-5% of the blood waft getting through to the heart
muscle
2. A purchaser admitted to a surgical unit is being evaluated for an intestinal obstruction.
The HCP prescribes a NG tube to be inserted and located to intermittent low wall
suction. Which interventuon need to the nurse enforce to facilitate right tube placement?
A. Soak NG tube in warm water
B. Insert tube with clients head tilted again
C. Apply suction while putting tube
D. Elevate head of mattress 60 to ninety degrees. - ANSWER-D. Elevate head of bed
60 to 90 ranges.
3. A consumer who has a history of hyperthyroidism become first of all admitted with
lethargy and confusion. Which extra finding warrants the most immediate movement by
using the nurse?
A. Facial puffiness and periorbital edema.
B. Hematocrit of 30%
C. Cold and dry skin
D. Further decline in LOC - ANSWER-D. Further decline in LOC
4. A customer who is newly recognized with emphysema is being prepared for discharge.
Which guidance is exceptional for the nurse to provide the patron to help them with
dyspnea self-control?
, A. Allow time beyond regulation to finish bodily sports to lessen oxygen call for.
B. Practice breathing in through the nostril and exhaling slowly through pursed lips.
C. Use a humidifier to increase home air first-class humidity between 30-50%.
D. Strengthen abdominal muscle mass by alternating leg raises for the duration of
exhalation. - ANSWER-B. Practice breathing in via the nostril and exhaling slowly
via pursed lips.
5. A patron who took a tenting vacation weeks ago in a rustic with a tropical weather
involves the clinic describing indistinct signs and diarrhea for the beyond week. Which
locating is maximum critical for the nurse to document to the HCP?
A. Weakness and fatigue
B. Intestinal cramping
C. Weight loss
D. Jaundiced sclera - ANSWER-D. Jaundiced sclera
6. A consumer who was discharged eight months ago with cirrhosis and ascites is admitted
with anorexia and latest hemoptysis. The patron is drowsy however responds to verbal
stimuli. The nurse applications a blood strain monitor to take readings every 15 minutes.
Which evaluation ought to the nurse implement first?
A. Evaluate distal capillary replenish for behind schedule perfusion
B. Check the extremities for bruising and petechiae
C. Examine the pertibial areas for pitting edema
D. Palpate the stomach for tenderness and rigidity - ANSWER-D. Palpate the stomach
for tenderness and tension.
7. A patron who weighs a hundred seventy five lbs is receiving an IV bolus dose of Heparin
eighty units/kg. The Heparin is available in a 2 ml vial, classified 10,000 devices/ml. How
many ml must the nurse administer? (input numeric fee simplest. If rounding is
permitted, round to the nearest tenth) - ANSWER-zero.6ml
8. A customer with a history of bronchial asthma and bronchitis arrives on the medical
institution with shortness of breath, productive cough with thickening mucous and the
lack of ability to walk up a flight of stairs without experiencing breathlessness. Which
motion is most essential for the nurse to teach the client about self care?
A. Increase the day by day intake of oral fluids to liquify secretions
B. Avoid crowded enclosed regions to reduce pathogen exposure
C. Call the clinic if undesirable facet results or medicinal drugs arise
D. Teach anxiety reduction strategies for emotions of suffocation - ANSWER-A.
Increase the every day consumption of oral fluids to liquify secretions
9. A customer with Addison's disease commenced taking hydrocortisone in a divided day
by day dose ultimate week. It is maximum essential for the nurse to reveal which serum
laboratory fee?
A. Osmolarity
B. Glucose
ANSWERS
1. A cardiac catheterization of a client with coronary heart ailment indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal circumflex, and
ninety five% proximal right coronary artery( RCA). The consumer later asks the nurse
"What does all of that mean for me?" What statistics need to the nurse provide?
A. Blood supply to the heart is diminished by using atherosclerotic lesions which
necessitate life style changes.
B. Blood vessels offering the pumping chamber have blockages indicating a beyond
coronary heart attack.
C. Three principal arteries have primary blockages, with only 1-five% of the blood flow
getting thru to the heart muscle
D. The coronary heart is not receiving enough blood, so there may be a hazard of
coronary heart failure and fluid retention - ANSWER-C. Three major arteries have
primary blockages with best 1-5% of the blood waft getting through to the heart
muscle
2. A purchaser admitted to a surgical unit is being evaluated for an intestinal obstruction.
The HCP prescribes a NG tube to be inserted and located to intermittent low wall
suction. Which interventuon need to the nurse enforce to facilitate right tube placement?
A. Soak NG tube in warm water
B. Insert tube with clients head tilted again
C. Apply suction while putting tube
D. Elevate head of mattress 60 to ninety degrees. - ANSWER-D. Elevate head of bed
60 to 90 ranges.
3. A consumer who has a history of hyperthyroidism become first of all admitted with
lethargy and confusion. Which extra finding warrants the most immediate movement by
using the nurse?
A. Facial puffiness and periorbital edema.
B. Hematocrit of 30%
C. Cold and dry skin
D. Further decline in LOC - ANSWER-D. Further decline in LOC
4. A customer who is newly recognized with emphysema is being prepared for discharge.
Which guidance is exceptional for the nurse to provide the patron to help them with
dyspnea self-control?
, A. Allow time beyond regulation to finish bodily sports to lessen oxygen call for.
B. Practice breathing in through the nostril and exhaling slowly through pursed lips.
C. Use a humidifier to increase home air first-class humidity between 30-50%.
D. Strengthen abdominal muscle mass by alternating leg raises for the duration of
exhalation. - ANSWER-B. Practice breathing in via the nostril and exhaling slowly
via pursed lips.
5. A patron who took a tenting vacation weeks ago in a rustic with a tropical weather
involves the clinic describing indistinct signs and diarrhea for the beyond week. Which
locating is maximum critical for the nurse to document to the HCP?
A. Weakness and fatigue
B. Intestinal cramping
C. Weight loss
D. Jaundiced sclera - ANSWER-D. Jaundiced sclera
6. A consumer who was discharged eight months ago with cirrhosis and ascites is admitted
with anorexia and latest hemoptysis. The patron is drowsy however responds to verbal
stimuli. The nurse applications a blood strain monitor to take readings every 15 minutes.
Which evaluation ought to the nurse implement first?
A. Evaluate distal capillary replenish for behind schedule perfusion
B. Check the extremities for bruising and petechiae
C. Examine the pertibial areas for pitting edema
D. Palpate the stomach for tenderness and rigidity - ANSWER-D. Palpate the stomach
for tenderness and tension.
7. A patron who weighs a hundred seventy five lbs is receiving an IV bolus dose of Heparin
eighty units/kg. The Heparin is available in a 2 ml vial, classified 10,000 devices/ml. How
many ml must the nurse administer? (input numeric fee simplest. If rounding is
permitted, round to the nearest tenth) - ANSWER-zero.6ml
8. A customer with a history of bronchial asthma and bronchitis arrives on the medical
institution with shortness of breath, productive cough with thickening mucous and the
lack of ability to walk up a flight of stairs without experiencing breathlessness. Which
motion is most essential for the nurse to teach the client about self care?
A. Increase the day by day intake of oral fluids to liquify secretions
B. Avoid crowded enclosed regions to reduce pathogen exposure
C. Call the clinic if undesirable facet results or medicinal drugs arise
D. Teach anxiety reduction strategies for emotions of suffocation - ANSWER-A.
Increase the every day consumption of oral fluids to liquify secretions
9. A customer with Addison's disease commenced taking hydrocortisone in a divided day
by day dose ultimate week. It is maximum essential for the nurse to reveal which serum
laboratory fee?
A. Osmolarity
B. Glucose
