MED SURG HESI V2 - 2024/2025
What68information68should68the68nurse68include68in68the68teaching68plan68of68a68client68
diagnosed68with68GERD?68
A.68Sleep68without68pillows68
B.68Adjust68food68intake68to68three68full68meals68per68day68with68no68snacks68
C.68Minimize68symptoms68by68wearing68loose68comfortable68clothing68
D.68Avoid68participation68in68any68aerobic68exercise68program68-68answer--
Minimize68symptoms68by68wearing68loose68comfortable68clothing
After68hospitalization68for68SIADH,68a68client68develops68pontine68myelinolysis.68Which68
intervention68should68the68nurse68implement68first?68
A.68Reorient68client68to68room68
B.68Place68a68patch68on68one68eye68
C.68Evaluate68clients68ability68to68swallow68
D.68Perform68range68of68motion68exercises68-68answer--Reorient68client68to68room
A68male68client68with68heart68failure68calls68the68clinic68and68reports68that68he68cannot68
put68his68shoes68on68because68they68are68too68tight.68Which68additional68information68s
hould68the68nurse68obtain?68
A.68What68time68did68he68take68his68medication?68
B.68Has68his68weight68changed68in68the68last68several68days?68
C.68Is68he68still68able68to68tighten68his68belt68buckle?68
D.68How68many68hours68did68he68sleep68last68night?68-68answer--
Has68his68weight68changed68in68the68last68several68days?
An68older68adult68woman68with68a68long68history68of68COPD68is68admitted68with68progre
ssive68shortness68of68breath68and68a68persistent68cough,68is68anxious,68and68is68compla
ining68of68dry68mouth.68which68intervention68should68the68nurse68implement?68
A.68Administer68a68prescribed68sedative68
B.68Encourage68client68to68drink68water68
C.68Apply68a68high68flow68Venturi68mask68
D.68Assist68her68to68an68upright68position68-68answer--
Assist68her68to68an68upright68position
, A68client68with68a68history68of68asthma68and68bronchitis68arrives68at68the68clinic68with68s
hortness68of68breath,68productive68cough68with68thickening68mucous68and68the68inability
68to68walk68up68a68flight68of68stairs68without68experiencing68breathlessness.68Which68acti
on68is68most68important68for68the68nurse68to68instruct68the68client68about68self68care?68
A.68Increase68the68daily68intake68of68oral68fluids68to68liquify68secretions68
B.68Avoid68crowded68enclosed68areas68to68reduce68pathogens68exposure68
C.68Call68the68clinic68if68undesirable68side68effects68or68medications68-68answer--
Increase68the68daily68intake68of68oral68fluids68to68liquify68secretions
A68cardiac68catherization68of68a68client68with68heart68disease68indicates68the68following68
blockages:6895%68proximal68left68anterior68descending68(LAD),6899%68proximal68circumf
lex,68and6895%68proximal68right68coronary68artery68(RCA)68the68client68later68asks68the68
nurse68"What68does68all68of68that68mean68for68me?"68What68information68should68the68n
urse68provide.68
B.68Three68main68arteries68have68major68blockages,68with68only681-
5%68of68the68blood68flow68getting68through68to68the68heart68muscles68-68answer--
Three68main68arteries68have68major68blockages,68with68only681-
5%68of68the68blood68flow68getting68through68to68the68heart68muscles
The68nurse68is68caring68for68a68client68with68a68lower68left68lobe68pulmonary68abscess.68
what68position68should68the68nurse68instruct68the68client68to68maintain?68
A.68Left68lateral
B.68Supine,68knees68flexed.68
C.68Dorsal68recumbent68
D.68Knee-chest68-68answer--Left68lateral
A68client68with68Cholelithiasis68has68a68gallstone68lodged68in68the68common68bile68duct68
and68is68unable68to68eat68or68drink68without68becoming68nauseous68and68vomiting.68Whi
ch68finding68should68the68nurse68report68to68the68healthcare68provider?68
A.68Belching68
B.68Amber68urine68
C.68Yellow68sclera68
D.68Flatulence68-68answer--Yellow68sclera
While68caring68for68a68client68with68Amyotrophic68lateral68sclerosis68(ALS)68a68nurse68pe
rforms68a68neurological68assessment68every68468hours.68Which68assessment68finding68
warrants68immediate68intervention68by68the68nurse?68
A.68Inappropriate68laughter68
B.68Increasing68anxiety68
C.68Weakened68cough68effort68
D.68Asymmetrical68weakness68-68answer--Asymmetrical68weakness
What68information68should68the68nurse68include68in68the68teaching68plan68of68a68client68
diagnosed68with68GERD?68
A.68Sleep68without68pillows68
B.68Adjust68food68intake68to68three68full68meals68per68day68with68no68snacks68
C.68Minimize68symptoms68by68wearing68loose68comfortable68clothing68
D.68Avoid68participation68in68any68aerobic68exercise68program68-68answer--
Minimize68symptoms68by68wearing68loose68comfortable68clothing
After68hospitalization68for68SIADH,68a68client68develops68pontine68myelinolysis.68Which68
intervention68should68the68nurse68implement68first?68
A.68Reorient68client68to68room68
B.68Place68a68patch68on68one68eye68
C.68Evaluate68clients68ability68to68swallow68
D.68Perform68range68of68motion68exercises68-68answer--Reorient68client68to68room
A68male68client68with68heart68failure68calls68the68clinic68and68reports68that68he68cannot68
put68his68shoes68on68because68they68are68too68tight.68Which68additional68information68s
hould68the68nurse68obtain?68
A.68What68time68did68he68take68his68medication?68
B.68Has68his68weight68changed68in68the68last68several68days?68
C.68Is68he68still68able68to68tighten68his68belt68buckle?68
D.68How68many68hours68did68he68sleep68last68night?68-68answer--
Has68his68weight68changed68in68the68last68several68days?
An68older68adult68woman68with68a68long68history68of68COPD68is68admitted68with68progre
ssive68shortness68of68breath68and68a68persistent68cough,68is68anxious,68and68is68compla
ining68of68dry68mouth.68which68intervention68should68the68nurse68implement?68
A.68Administer68a68prescribed68sedative68
B.68Encourage68client68to68drink68water68
C.68Apply68a68high68flow68Venturi68mask68
D.68Assist68her68to68an68upright68position68-68answer--
Assist68her68to68an68upright68position
, A68client68with68a68history68of68asthma68and68bronchitis68arrives68at68the68clinic68with68s
hortness68of68breath,68productive68cough68with68thickening68mucous68and68the68inability
68to68walk68up68a68flight68of68stairs68without68experiencing68breathlessness.68Which68acti
on68is68most68important68for68the68nurse68to68instruct68the68client68about68self68care?68
A.68Increase68the68daily68intake68of68oral68fluids68to68liquify68secretions68
B.68Avoid68crowded68enclosed68areas68to68reduce68pathogens68exposure68
C.68Call68the68clinic68if68undesirable68side68effects68or68medications68-68answer--
Increase68the68daily68intake68of68oral68fluids68to68liquify68secretions
A68cardiac68catherization68of68a68client68with68heart68disease68indicates68the68following68
blockages:6895%68proximal68left68anterior68descending68(LAD),6899%68proximal68circumf
lex,68and6895%68proximal68right68coronary68artery68(RCA)68the68client68later68asks68the68
nurse68"What68does68all68of68that68mean68for68me?"68What68information68should68the68n
urse68provide.68
B.68Three68main68arteries68have68major68blockages,68with68only681-
5%68of68the68blood68flow68getting68through68to68the68heart68muscles68-68answer--
Three68main68arteries68have68major68blockages,68with68only681-
5%68of68the68blood68flow68getting68through68to68the68heart68muscles
The68nurse68is68caring68for68a68client68with68a68lower68left68lobe68pulmonary68abscess.68
what68position68should68the68nurse68instruct68the68client68to68maintain?68
A.68Left68lateral
B.68Supine,68knees68flexed.68
C.68Dorsal68recumbent68
D.68Knee-chest68-68answer--Left68lateral
A68client68with68Cholelithiasis68has68a68gallstone68lodged68in68the68common68bile68duct68
and68is68unable68to68eat68or68drink68without68becoming68nauseous68and68vomiting.68Whi
ch68finding68should68the68nurse68report68to68the68healthcare68provider?68
A.68Belching68
B.68Amber68urine68
C.68Yellow68sclera68
D.68Flatulence68-68answer--Yellow68sclera
While68caring68for68a68client68with68Amyotrophic68lateral68sclerosis68(ALS)68a68nurse68pe
rforms68a68neurological68assessment68every68468hours.68Which68assessment68finding68
warrants68immediate68intervention68by68the68nurse?68
A.68Inappropriate68laughter68
B.68Increasing68anxiety68
C.68Weakened68cough68effort68
D.68Asymmetrical68weakness68-68answer--Asymmetrical68weakness
