5/1/25, 10:43 AM MED SURG HESI
MED SURG HESI COMPREHENSIVE TEST BANK ACTUAL
EXAM COMPLETE VERSION WITH UPDATED QUESTIONS
AND ACCURATE DETAILED ANSWERS \\VERIFIED
ANSWERS \\GRADED A+
A client with a 20-year A client's vital signs, especially the pulse and
history of excessive alcohol temperature, will increase before the client
use is admitted to the demonstrates any of the more severe symptoms of
hospital with jaundice and withdrawal from alcohol. Increasing intake is
ascites. What is the priority contraindicated initially because it may cause cerebral
nursing action during the edema.
first 48 hours after the Improving nutritional status becomes a priority after the
client's admission? problems of the withdrawal period have subsided.
Correct1 Determining the client's reasons for drinking is not a
Monitor the client's
priority until after the detoxification process.
vital signs. 2
Increase the client's
fluid intake. 3
Improve the client's
nutritional status. 4
Determine the client's reasons
for drinking
/ 1/36
,5/1/25, 10:43 AM MED SURG HESI
Which clinical findings The inflammatory process can promote a fever and tends to
would the nurse expect a increase peristalsis,
causing intestinal spasms and diarrhea. As ulceration
client diagnosed with
occurs, the loss of blood leads to anemia. The client
ulcerative colitis to report?
will lose weight (not gain it) because of anorexia and
Select all that apply.
malabsorption. Also, hemoptysis (coughing up blood
Corre
from the respiratory tract) is not a related sign.
ct1
Fever
Corre
ct2
Diarr
hea 3
Gain in
weight 4
Spitting up
blood
Correct5
Abdominal cramps
A client is admitted to the Patency of the tube should be maintained to ensure
surgical unit from the continued suction. Use of normal saline minimizes fluid
postanesthesia care unit and electrolyte disturbances during irrigation. The
with a Salem stomach is not considered a sterile body cavity, so
sump nasogastric tube that is medical asepsis is indicated. Care must be taken to
to be
attached to wall suction. avoid traumatizing the mucosa. Ice chips and water
Which nursing action should represent fluid intake, which must be approved by the
the nurse implement when healthcare provider; being hypotonic in
nature, such intake may lower the level of serum electrolytes.
caring for this client?
Correct1
Use normal saline to
irrigate the tube. 2
Employ sterile technique
when irrigating the tube.
3
Withdraw the tube quickly
when decompression is
terminated.
4
/ 2/36
,5/1/25, 10:43 AM MED SURG HESI
Allow the client to have small
sips of ice water unless
nauseated
A client has a suspected Peptic ulcer pain is usually described as a gnawing
peptic ulcer in the sensation and often caused by H. pylori and NSAIDS.
duodenum. What should the An ache radiating to the left side is not specific to
nurse expect the client to duodenal
report when describing the ulcers. An intermittent colicky flank pain may indicate
pain associated with this renal colic. A generalized abdominal pain intensified by
disease? moving is not specific to duodenal ulcers.
1
An ache radiating to
the left side 2
An intermittent
colicky flank pain
Correct3
A gnawing sensation often
caused by H. pylori
4
A generalized abdominal
pain intensified by moving
/ 3/36
, 5/1/25, 10:43 AM MED SURG HESI
An exploratory laparotomy Containing some blood and clots is an expected
is performed on a client response during the first 24 hours after a gastric
with melena, and gastric resection because of oozing of blood and blood
cancer is discovered. A coagulation. There will be a moderate amount of
partial gastrectomy is drainage, not minimal or no drainage. Green and viscid
performed, and a are normal characteristics of gastric contents, which
jejunostomy tube is are unexpected after gastric
surgically implanted. A surgery. Containing large amounts of frank blood
nasogastric tube to suction indicates hemorrhage, which is unexpected. Coffee
is in place. What should ground material results from blood that has been
the nurse expect regarding digested by the gastric acid; gastric bleeding with a
the client's nasogastric nasogastric tube in place will be red because gastric
tube drainage during the first acids will not have time to act on the blood.
24 hours after surgery?
1
Minimal to no
drainage Correct2
Contains some
blood and clots 3
Contains large amounts
of frank blood 4
Similar to coffee grounds in
color and consistency
Six weeks after discharge, a When ingested food rapidly enters the jejunum without having
client with a jejunoileal gone through the
usual mixing and digestive process, the hypertonic bolus
bypass for morbid obesity
causes rapid movement of extracellular fluid into the
returns to the outpatient
bowel; this rapid shift decreases the circulating blood
clinic reporting
volume. Decreased peripheral vascular resistance,
palpitations, abdominal
visceral pooling of blood, and reactive hypoglycemia
cramps, diarrhea, and
also are implicated. Also, the distended jejunum
dizziness 30 minutes after
increases intestinal peristalsis and motility. Backward
meals. What complication
flow of gastric contents into the
should the nurse consider
esophagus, or gastric reflux, causes heartburn, dysphagia, water
that the client is most likely brash, acid
experiencing? 1 regurgitation, or belching (eructation). Reflux gastritis is a
Gastric chronic inflammation of the lining of the stomach caused
reflux 2 by reflux of duodenal contents; epigastric pain, nausea,
vomiting, and hematemesis are common clinical
/ 4/36
MED SURG HESI COMPREHENSIVE TEST BANK ACTUAL
EXAM COMPLETE VERSION WITH UPDATED QUESTIONS
AND ACCURATE DETAILED ANSWERS \\VERIFIED
ANSWERS \\GRADED A+
A client with a 20-year A client's vital signs, especially the pulse and
history of excessive alcohol temperature, will increase before the client
use is admitted to the demonstrates any of the more severe symptoms of
hospital with jaundice and withdrawal from alcohol. Increasing intake is
ascites. What is the priority contraindicated initially because it may cause cerebral
nursing action during the edema.
first 48 hours after the Improving nutritional status becomes a priority after the
client's admission? problems of the withdrawal period have subsided.
Correct1 Determining the client's reasons for drinking is not a
Monitor the client's
priority until after the detoxification process.
vital signs. 2
Increase the client's
fluid intake. 3
Improve the client's
nutritional status. 4
Determine the client's reasons
for drinking
/ 1/36
,5/1/25, 10:43 AM MED SURG HESI
Which clinical findings The inflammatory process can promote a fever and tends to
would the nurse expect a increase peristalsis,
causing intestinal spasms and diarrhea. As ulceration
client diagnosed with
occurs, the loss of blood leads to anemia. The client
ulcerative colitis to report?
will lose weight (not gain it) because of anorexia and
Select all that apply.
malabsorption. Also, hemoptysis (coughing up blood
Corre
from the respiratory tract) is not a related sign.
ct1
Fever
Corre
ct2
Diarr
hea 3
Gain in
weight 4
Spitting up
blood
Correct5
Abdominal cramps
A client is admitted to the Patency of the tube should be maintained to ensure
surgical unit from the continued suction. Use of normal saline minimizes fluid
postanesthesia care unit and electrolyte disturbances during irrigation. The
with a Salem stomach is not considered a sterile body cavity, so
sump nasogastric tube that is medical asepsis is indicated. Care must be taken to
to be
attached to wall suction. avoid traumatizing the mucosa. Ice chips and water
Which nursing action should represent fluid intake, which must be approved by the
the nurse implement when healthcare provider; being hypotonic in
nature, such intake may lower the level of serum electrolytes.
caring for this client?
Correct1
Use normal saline to
irrigate the tube. 2
Employ sterile technique
when irrigating the tube.
3
Withdraw the tube quickly
when decompression is
terminated.
4
/ 2/36
,5/1/25, 10:43 AM MED SURG HESI
Allow the client to have small
sips of ice water unless
nauseated
A client has a suspected Peptic ulcer pain is usually described as a gnawing
peptic ulcer in the sensation and often caused by H. pylori and NSAIDS.
duodenum. What should the An ache radiating to the left side is not specific to
nurse expect the client to duodenal
report when describing the ulcers. An intermittent colicky flank pain may indicate
pain associated with this renal colic. A generalized abdominal pain intensified by
disease? moving is not specific to duodenal ulcers.
1
An ache radiating to
the left side 2
An intermittent
colicky flank pain
Correct3
A gnawing sensation often
caused by H. pylori
4
A generalized abdominal
pain intensified by moving
/ 3/36
, 5/1/25, 10:43 AM MED SURG HESI
An exploratory laparotomy Containing some blood and clots is an expected
is performed on a client response during the first 24 hours after a gastric
with melena, and gastric resection because of oozing of blood and blood
cancer is discovered. A coagulation. There will be a moderate amount of
partial gastrectomy is drainage, not minimal or no drainage. Green and viscid
performed, and a are normal characteristics of gastric contents, which
jejunostomy tube is are unexpected after gastric
surgically implanted. A surgery. Containing large amounts of frank blood
nasogastric tube to suction indicates hemorrhage, which is unexpected. Coffee
is in place. What should ground material results from blood that has been
the nurse expect regarding digested by the gastric acid; gastric bleeding with a
the client's nasogastric nasogastric tube in place will be red because gastric
tube drainage during the first acids will not have time to act on the blood.
24 hours after surgery?
1
Minimal to no
drainage Correct2
Contains some
blood and clots 3
Contains large amounts
of frank blood 4
Similar to coffee grounds in
color and consistency
Six weeks after discharge, a When ingested food rapidly enters the jejunum without having
client with a jejunoileal gone through the
usual mixing and digestive process, the hypertonic bolus
bypass for morbid obesity
causes rapid movement of extracellular fluid into the
returns to the outpatient
bowel; this rapid shift decreases the circulating blood
clinic reporting
volume. Decreased peripheral vascular resistance,
palpitations, abdominal
visceral pooling of blood, and reactive hypoglycemia
cramps, diarrhea, and
also are implicated. Also, the distended jejunum
dizziness 30 minutes after
increases intestinal peristalsis and motility. Backward
meals. What complication
flow of gastric contents into the
should the nurse consider
esophagus, or gastric reflux, causes heartburn, dysphagia, water
that the client is most likely brash, acid
experiencing? 1 regurgitation, or belching (eructation). Reflux gastritis is a
Gastric chronic inflammation of the lining of the stomach caused
reflux 2 by reflux of duodenal contents; epigastric pain, nausea,
vomiting, and hematemesis are common clinical
/ 4/36
