MED-SURG II HESI TEST BANK QUESTIONS
AND WITH VERIFIED ANSWERS GRADE A+
A nurse is reinforcing teaching with a client who has HIV and is being
discharged to home. Which of the following instructions should the
nurse include in the teaching?
A. Take temperature once a day.
B. Wash the armpits and genitals with a gentle cleanser daily.
C. Change the litter boxes while wearing gloves.
,D. Wash dishes in warm water. - ANSWER - A.
A nurse is caring for a client who is postoperative following a
tracheostomy, and has copious and tenacious secretions. Which of the
following is an acceptable method for the nurse to use to thin this
client's secretions?
A. Provide humidified oxygen.
B. Perform chest physiotherapy prior to suctioning.
C. Prelubricate the suction catheter tip with sterile saline when
suctioning the airway.
D. Hyperventilate the client with 100% oxygen before suctioning the
airway.. - ANSWER - A.
Following admission, a client with a vascular occlusion of the right lower
extremity calls the nurse and reports difficulty sleeping because of cold
feet. Which of the following nursing actions should the nurse take to
promote the client's comfort?
A. Rub the client's feet briskly for several minutes.
B. Obtain a pair of slipper socks for the client.
C. Increase the client's oral fluid intake.
D. Place a moist heating pad under the client's feet. - ANSWER - B.
,A nurse is caring for a client is who is 4 hr postoperative following a
transurethral resection of the prostate (TURP). Which of the following is
the priority finding for the nurse report to the provider?
A. Emesis of 100 mL
B. Oral temperature of 37.5° C (99.5° F)
C. Thick, red-colored urine
D. Pain level of 4 on a 0 to 10 rating scale - ANSWER - C.
A nurse is caring for a client who has a temperature of 39.7° C (103.5° F)
and has a prescription for a hypothermia blanket. The nurse should
monitor the client for which of the following adverse effects of the
hypothermia blanket?
A. Shivering
B. Infection
C. Burns
D. Hypervolemia - ANSWER - A.
A nurse is reinforcing teaching about exercise with a client who has type
1 diabetes mellitus. Which of the following statements by the client
indicates an understanding of the teaching?
A. "I will carry a complex carbohydrate snack with me when I exercise."
B. "I should exercise first thing in the morning before eating breakfast."
, C. "I should avoid injecting insulin into my thigh if I am going to go
running."
D. "I will not exercise if my urine is positive for ketones." - ANSWER - D.
A nurse notes a small section of bowel protruding from the abdominal
incision of a client who
is postoperative. After calling for assistance, which of the following
actions should the nurse take first?
A. Cover the client's wound with a moist, sterile dressing.
B. Have the client lie supine with knees flexed.
C. Check the client's vital signs.
D. Inform the client about the need to return to surgery. - ANSWER - A.
A nurse is collecting data from a client who has alcohol use disorder and
is experiencing metabolic acidosis. Which of the following
manifestations should the nurse expect?
A. Cool, clammy skin.
B. Hyperventilation
C. Increased blood pressure
D. Bradycardia - ANSWER - B.
A nurse is caring for a client who is difficult to arouse and very sleepy
for several hours following a generalized tonic-clonic seizure. Which of
AND WITH VERIFIED ANSWERS GRADE A+
A nurse is reinforcing teaching with a client who has HIV and is being
discharged to home. Which of the following instructions should the
nurse include in the teaching?
A. Take temperature once a day.
B. Wash the armpits and genitals with a gentle cleanser daily.
C. Change the litter boxes while wearing gloves.
,D. Wash dishes in warm water. - ANSWER - A.
A nurse is caring for a client who is postoperative following a
tracheostomy, and has copious and tenacious secretions. Which of the
following is an acceptable method for the nurse to use to thin this
client's secretions?
A. Provide humidified oxygen.
B. Perform chest physiotherapy prior to suctioning.
C. Prelubricate the suction catheter tip with sterile saline when
suctioning the airway.
D. Hyperventilate the client with 100% oxygen before suctioning the
airway.. - ANSWER - A.
Following admission, a client with a vascular occlusion of the right lower
extremity calls the nurse and reports difficulty sleeping because of cold
feet. Which of the following nursing actions should the nurse take to
promote the client's comfort?
A. Rub the client's feet briskly for several minutes.
B. Obtain a pair of slipper socks for the client.
C. Increase the client's oral fluid intake.
D. Place a moist heating pad under the client's feet. - ANSWER - B.
,A nurse is caring for a client is who is 4 hr postoperative following a
transurethral resection of the prostate (TURP). Which of the following is
the priority finding for the nurse report to the provider?
A. Emesis of 100 mL
B. Oral temperature of 37.5° C (99.5° F)
C. Thick, red-colored urine
D. Pain level of 4 on a 0 to 10 rating scale - ANSWER - C.
A nurse is caring for a client who has a temperature of 39.7° C (103.5° F)
and has a prescription for a hypothermia blanket. The nurse should
monitor the client for which of the following adverse effects of the
hypothermia blanket?
A. Shivering
B. Infection
C. Burns
D. Hypervolemia - ANSWER - A.
A nurse is reinforcing teaching about exercise with a client who has type
1 diabetes mellitus. Which of the following statements by the client
indicates an understanding of the teaching?
A. "I will carry a complex carbohydrate snack with me when I exercise."
B. "I should exercise first thing in the morning before eating breakfast."
, C. "I should avoid injecting insulin into my thigh if I am going to go
running."
D. "I will not exercise if my urine is positive for ketones." - ANSWER - D.
A nurse notes a small section of bowel protruding from the abdominal
incision of a client who
is postoperative. After calling for assistance, which of the following
actions should the nurse take first?
A. Cover the client's wound with a moist, sterile dressing.
B. Have the client lie supine with knees flexed.
C. Check the client's vital signs.
D. Inform the client about the need to return to surgery. - ANSWER - A.
A nurse is collecting data from a client who has alcohol use disorder and
is experiencing metabolic acidosis. Which of the following
manifestations should the nurse expect?
A. Cool, clammy skin.
B. Hyperventilation
C. Increased blood pressure
D. Bradycardia - ANSWER - B.
A nurse is caring for a client who is difficult to arouse and very sleepy
for several hours following a generalized tonic-clonic seizure. Which of
