MED SURG HESI V2
Question 1:
A cardiac catheterization of a client with heart disease indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal circumflex,
and 95% proximal right coronary artery (RCA). The client later asks the nurse "What
does all of that mean for me?" What information should the nurse provide?
A. You will need emergency surgery
B. Three main arteries have major blockages, with only 1-5% of the blood flow
getting through to the heart muscles
C. The blockages are minor and can be treated with medication
D. You will need a pacemaker
Answer: B
Question 2:
A client being admitted to a surgical unit is being evaluated for an intestinal
obstruction. The HCP prescribes a NG tube to be inserted and placed to intermittent
low wall suction. Which intervention should the nurse implement to facilitate proper
tube placement?
A. Soak NG tube in warm water
B. Insert tube with client's head tilted back
C. Apply suction while inserting tube
D. Elevate head of bed to 60 to 90 degrees
Answer: D
Question 3:
A client who has a history of hyperthyroidism was initially admitted with lethargy and
confusion. Which additional finding warrants the most immediate action by the
nurse?
A. Facial puffiness and periorbital edema
B. Hematocrit of 30%
,C. Cold and dry skin
D. Further decline in LOC
Answer: D
Question 4:
A client who is newly diagnosed with emphysema is being prepared for discharge.
Which instruction is best for the nurse to provide the client to assist them with
dyspnea self-management?
A. Allow additional time to complete physical activities to reduce oxygen demand
B. Practice inhaling through the nose and exhaling slowly through pursed lips
C. Use a humidifier to increase air quality between 30-50%
D. Strengthen abdominal muscles by alternating leg raises during exhalation
Answer: B
Question 5:
A client who took a camping vacation 2 weeks ago in a country with tropical climate
comes to the clinic describing vague symptoms and diarrhea for the past week.
Which finding is most important for the nurse to report to the HCP?
A. Weakness and fatigue
B. Intestinal cramping
C. Weight loss
D. Jaundiced sclera
Answer: D
Question 6:
A client who was discharged 8 months ago with cirrhosis and ascites is admitted with
anorexia and recent hemoptysis. The client is drowsy but responds to verbal stimuli.
The nurse programs a blood pressure monitor to take readings every 15 minutes.
Which assessment should the nurse implement first?
A. Evaluate distal capillary refill for delayed perfusion
B. Check the extremities for bruising and petechiae
, C. Examine the pretibial regions for pitting edema
D. Palpate the abdomen for tenderness/rigidity
Answer: D
Question 7:
A client with a history of asthma and bronchitis arrives at the clinic with shortness of
breath, productive cough with thickening mucous and the inability to walk up a flight
of stairs without experiencing breathlessness. Which action is most important for the
nurse to instruct the client about self care?
A. Increase the daily intake of oral fluids to liquefy secretions
B. Avoid crowded enclosed areas to reduce pathogens exposure
C. Call the clinic if undesirable side effects of medications occur
Answer: A
Question 8:
A client with Addison's disease taking hydrocortisone in a divided daily dose last
week. It is most important for the nurse to monitor which serum lab value?
A. Osmolarity
B. Glucose
C. Albumin
D. Platelets
Answer: B
Question 9:
A client with AIDS has impaired gas exchange from a respiratory infection. Which
assessment finding warrants immediate intervention by the nurse?
A. Elevated temperature
B. Generalized weakness
C. Diminished lung sounds
D. Pain when swallowing
Question 1:
A cardiac catheterization of a client with heart disease indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal circumflex,
and 95% proximal right coronary artery (RCA). The client later asks the nurse "What
does all of that mean for me?" What information should the nurse provide?
A. You will need emergency surgery
B. Three main arteries have major blockages, with only 1-5% of the blood flow
getting through to the heart muscles
C. The blockages are minor and can be treated with medication
D. You will need a pacemaker
Answer: B
Question 2:
A client being admitted to a surgical unit is being evaluated for an intestinal
obstruction. The HCP prescribes a NG tube to be inserted and placed to intermittent
low wall suction. Which intervention should the nurse implement to facilitate proper
tube placement?
A. Soak NG tube in warm water
B. Insert tube with client's head tilted back
C. Apply suction while inserting tube
D. Elevate head of bed to 60 to 90 degrees
Answer: D
Question 3:
A client who has a history of hyperthyroidism was initially admitted with lethargy and
confusion. Which additional finding warrants the most immediate action by the
nurse?
A. Facial puffiness and periorbital edema
B. Hematocrit of 30%
,C. Cold and dry skin
D. Further decline in LOC
Answer: D
Question 4:
A client who is newly diagnosed with emphysema is being prepared for discharge.
Which instruction is best for the nurse to provide the client to assist them with
dyspnea self-management?
A. Allow additional time to complete physical activities to reduce oxygen demand
B. Practice inhaling through the nose and exhaling slowly through pursed lips
C. Use a humidifier to increase air quality between 30-50%
D. Strengthen abdominal muscles by alternating leg raises during exhalation
Answer: B
Question 5:
A client who took a camping vacation 2 weeks ago in a country with tropical climate
comes to the clinic describing vague symptoms and diarrhea for the past week.
Which finding is most important for the nurse to report to the HCP?
A. Weakness and fatigue
B. Intestinal cramping
C. Weight loss
D. Jaundiced sclera
Answer: D
Question 6:
A client who was discharged 8 months ago with cirrhosis and ascites is admitted with
anorexia and recent hemoptysis. The client is drowsy but responds to verbal stimuli.
The nurse programs a blood pressure monitor to take readings every 15 minutes.
Which assessment should the nurse implement first?
A. Evaluate distal capillary refill for delayed perfusion
B. Check the extremities for bruising and petechiae
, C. Examine the pretibial regions for pitting edema
D. Palpate the abdomen for tenderness/rigidity
Answer: D
Question 7:
A client with a history of asthma and bronchitis arrives at the clinic with shortness of
breath, productive cough with thickening mucous and the inability to walk up a flight
of stairs without experiencing breathlessness. Which action is most important for the
nurse to instruct the client about self care?
A. Increase the daily intake of oral fluids to liquefy secretions
B. Avoid crowded enclosed areas to reduce pathogens exposure
C. Call the clinic if undesirable side effects of medications occur
Answer: A
Question 8:
A client with Addison's disease taking hydrocortisone in a divided daily dose last
week. It is most important for the nurse to monitor which serum lab value?
A. Osmolarity
B. Glucose
C. Albumin
D. Platelets
Answer: B
Question 9:
A client with AIDS has impaired gas exchange from a respiratory infection. Which
assessment finding warrants immediate intervention by the nurse?
A. Elevated temperature
B. Generalized weakness
C. Diminished lung sounds
D. Pain when swallowing
