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MED-SURG II HESI TEST BANK 2026/2027 ACTUAL
EXAM 350 QUESTIONS AND 100%CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse is caring for an older adult client who has
dysphagia and left-sided weakness following a stroke.
Which of the following actions should the nurse take?
1) Instruct the client to tilt her head back when she
swallows.
2) Place food on the left side of the client's mouth.
3) Add thickener to fluids.
4) Serve food at room temperature. - ANSWER-Add
thickener to fluids.
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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 - ANSWER-3) Postictal
phase
A nurse is reinforcing teaching with a client who reports
right shoulder pain following a laparoscopic
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cholecystectomy. Which of the following statements
should the nurse make?
1) "The pain results from lying in one position too long
during surgery."
2) "The pain occurs as a residual pain from cholecystitis."
3) "The pain will dissipate if you ambulate frequently."
4) "The pain is caused from the nitrous dioxide injected
into the abdomen." - ANSWER-3) "The pain will dissipate
if you ambulate frequently."
A nurse is checking the suction control chamber of a
client's chest tube and notes that there is no bubbling
in the suction control chamber. Which of the following
actions should the nurse take?
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1) Notify the provider.
2) Verify that the suction regulator is on.
3) Continue to monitor the client because this is an
expected finding.
4) Milk the chest tube to dislodge any clots in the tubing
that may be occluding it. - ANSWER-2) Verify that the
suction regulator is on.
A nurse is assisting with the care of a client immediately
following a lumbar puncture. Which of the
following actions should the nurse take? (Select all that
apply.)
1) Encourage fluid intake.
2) Monitor the puncture site for hematoma.
MED-SURG II HESI TEST BANK 2026/2027 ACTUAL
EXAM 350 QUESTIONS AND 100%CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse is caring for an older adult client who has
dysphagia and left-sided weakness following a stroke.
Which of the following actions should the nurse take?
1) Instruct the client to tilt her head back when she
swallows.
2) Place food on the left side of the client's mouth.
3) Add thickener to fluids.
4) Serve food at room temperature. - ANSWER-Add
thickener to fluids.
,2|Page
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 - ANSWER-3) Postictal
phase
A nurse is reinforcing teaching with a client who reports
right shoulder pain following a laparoscopic
,3|Page
cholecystectomy. Which of the following statements
should the nurse make?
1) "The pain results from lying in one position too long
during surgery."
2) "The pain occurs as a residual pain from cholecystitis."
3) "The pain will dissipate if you ambulate frequently."
4) "The pain is caused from the nitrous dioxide injected
into the abdomen." - ANSWER-3) "The pain will dissipate
if you ambulate frequently."
A nurse is checking the suction control chamber of a
client's chest tube and notes that there is no bubbling
in the suction control chamber. Which of the following
actions should the nurse take?
, 4|Page
1) Notify the provider.
2) Verify that the suction regulator is on.
3) Continue to monitor the client because this is an
expected finding.
4) Milk the chest tube to dislodge any clots in the tubing
that may be occluding it. - ANSWER-2) Verify that the
suction regulator is on.
A nurse is assisting with the care of a client immediately
following a lumbar puncture. Which of the
following actions should the nurse take? (Select all that
apply.)
1) Encourage fluid intake.
2) Monitor the puncture site for hematoma.
