MED- SURG II HESI LATEST 2025 TEST BANK| 3 VERSIONS
(VERSION A, B & C) WITH 450 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+| HESI MED-SURG II TEST BANK|| BRAND NEW!!
Peri-operative, Hematology, Endocrine, Musculoskeletal,
Cardiovascular, Respiratory, GI, Renal, Neuro, Burns/Trauma, Cancer
MED- SURG II HESI VERSION A.
A nurse is caring for a client following an open reduction and internal
fixation of a fractured femur. Which of the following findings is the
nurse's priority?
1) Altered level of consciousness
2) Oral temperature of 37.7° C (100° C)
3) Muscle spasms
4) Headache - Correct Answer - A.
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 - Correct Answer - A.
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A nurse is reinforcing discharge teaching with a client about how to care
for a newly created ileal conduit. Which of the following instructions
should the nurse include in the teaching?
1) Change the ostomy pouch daily.
2) Empty the ostomy pouch when it is 2/3 full.
3) Trim the opening of the ostomy seal to be 1/2 in. wider than the
stoma.
4) Apply lotion to the peristomal skin when changing the ostomy pouch.
- Correct Answer - A.
A nurse is assisting in the plan of care for a client who had a removal of
the pituitary gland. Which of the following actions should the nurse
include in the plan?
1) Position the client supine while in bed.
2) Change the nasal drip pad as needed.
3) Encourage frequent brushing of teeth.
4) Encourage the client to cough every 2 hr following surgery. - Correct
Answer - B.
A nurse is caring for a client who asks why she is being prescribed
aspirin 325 mg daily following a myocardial infarction. The nurse
should instruct the client that aspirin is prescribed for clients who have
coronary artery disease for which of the following effects?
1) To provide analgesia
2) To reduce inflammation
3) To prevent blood clotting
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4) To prevent fever - Correct Answer - C.
A nurse is collecting data from a client who has open-angle glaucoma.
Which of the following findings should the nurse expect?
1) Loss of peripheral vision
2) Headache
3) Halos around lights
4) Discomfort in the eyes - Correct Answer - A.
A nurse is collecting data from a client who has acute gastroenteritis.
Which of the following data collection findings should the nurse identify
as the priority?
1) Weight loss of 3% of total body weight.
2) Blood glucose 150 mg/dL.
3) Potassium 2.5 mEq/L
4) Urine specific gravity 1.035 - Correct Answer - C.
A nurse is reinforcing teaching with a client who is postoperative after
having an ileostomy established. Which of the following instructions
should the nurse include in the teaching?
1) Empty the pouch immediately after meals.
2) Change the entire appliance once a day.
3) Limit fluid intake.
4) Avoid medications in capsule or enteric form. - Correct Answer - D.
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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
the following descriptions should the nurse use when documenting this
finding in the medical record?
1) Aura phase
2) Presence of automatisms
3) Postictal phase
4) Presence of absence seizures - Correct Answer - C.
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 - Correct Answer - A
A nurse is contributing to the plan of care for an older adult client who is
postoperative following a right hip arthroplasty. Which of the following
interventions should the nurse include in the plan?
1) Perform the client's personal care activities for her.
2) Limit the client's fluid intake.
3) Monitor the Homan's sign.
4) Maintain abduction of the right hip. - Correct Answer - D.
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