med_surg_ii_hesi_test_bank

Med-SurgII
HESI
TESTBANK
Q&A
2022/23

, Med-SurgII HESITestBank
A.=Answer
AHnurseHisHreinforcingHteachingHwithHaHclientHwhoHhasHHIVHandHisHbeingHdischargedHtoHhome.HW
hichHofHtheHfollowingHinstructionsHshouldHtheHnurseHincludeHinHtheHteaching?
A.HTakeHtemperatureHonceHaHday.
B.HWashHtheHarmpitsHandHgenitalsHwithHaHgentleHcleanserHdaily.
C.HChangeHtheHlitterHboxesHwhileHwearingHgloves.
D.HWashHdishesHinHwarmHwater.

A.=Answer
AHnurseHisHcaringHforHaHclientHwhoHisHpostoperativeHfollowingHaHtracheostomy,HandHhasHcopiousHa
ndHtenaciousHsecretions.HWhichHofHtheHfollowingHisHanHacceptableHmethodHforHtheHnurseHtoHuseHto
HthinHthisHclient'sHsecretions?

A.HProvideHhumidifiedHoxygen.
B.HPerformHchestHphysiotherapyHpriorHtoHsuctioning.
C.HPrelubricateHtheHsuctionHcatheterHtipHwithHsterileHsalineHwhenHsuctioningHtheHairway.
D.HHyperventilateHtheHclientHwithH100%HoxygenHbeforeHsuctioningHtheHairway..

B.=Answer
FollowingHadmission,HaHclientHwithHaHvascularHocclusionHofHtheHrightHlowerHextremityHcallsHtheHn
urseHandHreportsHdifficultyHsleepingHbecauseHofHcoldHfeet.HWhichHofHtheHfollowingHnursingHactions
HshouldHtheHnurseHtakeHtoHpromoteHtheHclient'sHcomfort?

A.HRubHtheHclient'sHfeetHbrisklyHforHseveralHminutes.
B.HObtainHaHpairHofHslipperHsocksHforHtheHclient.
C.HIncreaseHtheHclient'sHoralHfluidHintake.
D.HPlaceHaHmoistHheatingHpadHunderHtheHclient'sHfeet.

C.=Answer
AHnurseHisHcaringHforHaHclientHisHwhoHisH4HhrHpostoperativeHfollowingHaHtransurethralHresectionHof
HtheHprostateH(TURP).HWhichHofHtheHfollowingHisHtheHpriorityHfindingHforHtheHnurseHreportHtoHthe

Hprovider?

A.HEmesisHofH100HmL
B.HOralHtemperatureHofH37.5°HCH(99.5°HF)
C.HThick,Hred-coloredHurine
D.HPainHlevelHofH4HonHaH0HtoH10HratingHscale

A.=Answer
AHnurseHisHcaringHforHaHclientHwhoHhasHaHtemperatureHofH39.7°HCH(103.5°HF)HandHhasHaHprescriptio
nHforHaHhypothermiaHblanket.HTheHnurseHshouldHmonitorHtheHclientHforHwhichHofHtheHfollowingHad
verseHeffectsHofHtheHhypothermiaHblanket?
A.HShivering
B.HInfection
C.HBurns
D.HHypervolemia


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, D.=Answer
AHnurseHisHreinforcingHteachingHaboutHexerciseHwithHaHclientHwhoHhasHtypeH1HdiabetesHmellitus.H
WhichHofHtheHfollowingHstatementsHbyHtheHclientHindicatesHanHunderstandingHofHtheHteaching?
A. "IHwillHcarryHaHcomplexHcarbohydrateHsnackHwithHmeHwhenHIHexercise."
B. "IHshouldHexerciseHfirstHthingHinHtheHmorningHbeforeHeatingHbreakfast."
C. "IHshouldHavoidHinjectingHinsulinHintoHmyHthighHifHIHamHgoingHtoHgoHrunning."
D. "IHwillHnotHexerciseHifHmyHurineHisHpositiveHforHketones."

A. =Answer
AHnurseHnotesHaHsmallHsectionHofHbowelHprotrudingHfromHtheHabdominalHincisionHofHaHclientHwho
isHpostoperative.HAfterHcallingHforHassistance,HwhichHofHtheHfollowingHactionsHshouldHtheHnurseHtak
eHfirst?
A. CoverHtheHclient'sHwoundHwithHaHmoist,HsterileHdressing.
B. HaveHtheHclientHlieHsupineHwithHkneesHflexed.
C. CheckHtheHclient'sHvitalHsigns.
D. InformHtheHclientHaboutHtheHneedHtoHreturnHtoHsurgery.

B. =Answer
AHnurseHisHcollectingHdataHfromHaHclientHwhoHhasHalcoholHuseHdisorderHandHisHexperiencingHmetab
olicHacidosis.HWhichHofHtheHfollowingHmanifestationsHshouldHtheHnurseHexpect?
A.HCool,HclammyHskin.
B.HHyperventilation
C.HIncreasedHbloodHpressure
D.HBradycardia

A.=Answer
AHnurseHisHreinforcingHdischargeHteachingHwithHaHclientHfollowingHaHcataractHextraction.HWhichHof
HtheHfollowingHshouldHtheHnurseHincludeHinHtheHteaching?

A.HAvoidHbendingHatHtheHwaist.
B.HRemoveHtheHeyeHshieldHatHbedtime.
C.HLimitHtheHuseHofHlaxativesHifHconstipated.
D.HSeeingHflashesHofHlightHisHanHexpectedHfindingHfollowingHextraction.

C=Answer
AHnurseHisHcaringHforHaHclientHwhoHhasHheartHfailureHandHhasHbeenHtakingHdigoxinH0.25HmgHdaily.H
TheHclientHrefusesHbreakfastHandHreportsHnausea.HWhichHofHtheHfollowingHactionsHshouldHtheHnurs
eHtakeHfirst?
1) SuggestHthatHtheHclientHrestsHbeforeHeatingHtheHmeal.
2) RequestHaHdietaryHconsult.
3) CheckHtheHclient'sHvitalHsigns.
4) RequestHanHorderHforHanHantiemetic.

D.=Answer
AHnurseHisHcaringHforHaHclientHwhoHisH3HdaysHpostoperativeHfollowingHaHcholecystectomy.HTheHnu
rseHsuspectsHtheHclient'sHwoundHisHinfectedHbecauseHtheHdrainageHfromHtheHdressingHisHyellowHand
Hthick.HWhichHofHtheHfollowingHfindingsHshouldHtheHnurseHreportHasHtheHtypeHofHdrainageHfound?




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