MED SURG HESI EXAM 3 2026 UPDATED EXAM
QUESTIONS & ANSWERS WITH DETAILED RATIONALES |
INSTANT PDF DOWNLOAD
A client has a permanent sigmoid colostomy as a result of cancer of the rectum. the primary
HCP prescribes daily colostomy irrigations. What does the nurse explain is the primary purpose
of these irrigations? - correct answer -Establish a regular elimination schedule
A client's serum potassium level is below the normal range. Which indicators should the nurse
determine are consistent with hypokalemia? - correct answer --Abdominal cramping
- Irregular heart rate
- Muscular weakness
- Decreased bowel sounds
While awaiting surgery, a client with a long history of Crohn disease is receiving total parenteral
nutrition (TPN) on an outpatient basis. The nurse teaches the client that TPN helps to prepare
for surgery by which process? - correct answer -Decreasing fecal bulk
4 days after abdominal surgery a client has not passes flatus and there are no bowel sounds.
Paralytic ileus is suspected. What does the nurse conclude is the most likely cause of the ileus? -
correct answer -Impaired neural functioning
On the 3rd postoperative day after a subtotal gastrectomy, a client reports having severe
abdominal pain. The nurse palpates the client's abdomen and determines rigidity. What should
be the nurse's first action? - correct answer -Obtain the client's vital signs
A client with a diagnosis of incarcerated hernia asks the nurse for an explanation of the
diagnosis. What does the nurse explain is the meaning of an incarcerated hernia? - correct
answer -A piece of the intestine gets stuck in a hole in the abdominal wall
, A client has a history of gastroesophageal reflux disease (GERD). Why should the nurse also
monitor the client for clinical manifestations of heart disease? - correct answer -Esophageal
pain may imitate the symptoms of a heart attack
6 weeks after discharge, a client with a jejunoileal bypass for morbid obesity returns to the
outpatient clinic reporting palpitations, abdominal cramps, diarrhea, and dizziness 30 minutes
after meals. What complication should the nurse consider that the client is most likely
experiencing? - correct answer -Dumping syndrome
A client with colitis has had a hemicolectomy. 3 days after surgery the nurse identifies that the
client has abdominal distention and absent bowel sounds, and has vomited 300 mL of dark
green visual fluid. The nurse contacts the primary HCP and recommends which interventions? -
correct answer -Nasogastric tube for decompression
A client is admitted to the hospital for a laparoscopic cholecystectomy. What should the nurse
encourage the client to add to the diet to help normalize bowel function after surgery? - correct
answer -Whole bran
The nurse is caring for a client who had a hip replacement 2 days prior. After removing a bedpan
from under the client, what is a priority nursing intervention? - correct answer -Provide
perineal care
A nurse is caring for an elderly client who has constipation. Which independent nursing
intervention helps to reestablish a normal pattern? - correct answer -Offer a cup of prune juice
A 6 week old infant has just been found to have gastroesophageal reflux. What teaching is most
important to discuss with the parents at the time? - correct answer -Providing formula
thickened with cereal
QUESTIONS & ANSWERS WITH DETAILED RATIONALES |
INSTANT PDF DOWNLOAD
A client has a permanent sigmoid colostomy as a result of cancer of the rectum. the primary
HCP prescribes daily colostomy irrigations. What does the nurse explain is the primary purpose
of these irrigations? - correct answer -Establish a regular elimination schedule
A client's serum potassium level is below the normal range. Which indicators should the nurse
determine are consistent with hypokalemia? - correct answer --Abdominal cramping
- Irregular heart rate
- Muscular weakness
- Decreased bowel sounds
While awaiting surgery, a client with a long history of Crohn disease is receiving total parenteral
nutrition (TPN) on an outpatient basis. The nurse teaches the client that TPN helps to prepare
for surgery by which process? - correct answer -Decreasing fecal bulk
4 days after abdominal surgery a client has not passes flatus and there are no bowel sounds.
Paralytic ileus is suspected. What does the nurse conclude is the most likely cause of the ileus? -
correct answer -Impaired neural functioning
On the 3rd postoperative day after a subtotal gastrectomy, a client reports having severe
abdominal pain. The nurse palpates the client's abdomen and determines rigidity. What should
be the nurse's first action? - correct answer -Obtain the client's vital signs
A client with a diagnosis of incarcerated hernia asks the nurse for an explanation of the
diagnosis. What does the nurse explain is the meaning of an incarcerated hernia? - correct
answer -A piece of the intestine gets stuck in a hole in the abdominal wall
, A client has a history of gastroesophageal reflux disease (GERD). Why should the nurse also
monitor the client for clinical manifestations of heart disease? - correct answer -Esophageal
pain may imitate the symptoms of a heart attack
6 weeks after discharge, a client with a jejunoileal bypass for morbid obesity returns to the
outpatient clinic reporting palpitations, abdominal cramps, diarrhea, and dizziness 30 minutes
after meals. What complication should the nurse consider that the client is most likely
experiencing? - correct answer -Dumping syndrome
A client with colitis has had a hemicolectomy. 3 days after surgery the nurse identifies that the
client has abdominal distention and absent bowel sounds, and has vomited 300 mL of dark
green visual fluid. The nurse contacts the primary HCP and recommends which interventions? -
correct answer -Nasogastric tube for decompression
A client is admitted to the hospital for a laparoscopic cholecystectomy. What should the nurse
encourage the client to add to the diet to help normalize bowel function after surgery? - correct
answer -Whole bran
The nurse is caring for a client who had a hip replacement 2 days prior. After removing a bedpan
from under the client, what is a priority nursing intervention? - correct answer -Provide
perineal care
A nurse is caring for an elderly client who has constipation. Which independent nursing
intervention helps to reestablish a normal pattern? - correct answer -Offer a cup of prune juice
A 6 week old infant has just been found to have gastroesophageal reflux. What teaching is most
important to discuss with the parents at the time? - correct answer -Providing formula
thickened with cereal
