Hesi Final Study Questions: Med Surg II
Exam Questions and Answers Graded A+
A nurse is caring for a client who is learning how to take care of a newly created
colostomy. When observing a return demonstration of the colostomy irrigation, the
nurse evaluates that more teaching is required when the client: - Correct answer-
Hangs the irrigation bag on the door clothes hook during fluid insertion
Following surgery, a client asks the nurse if he or she can help measure intake and
output. What is the best nursing response? - Correct answer-Assess the client's
ability to measure the intake and output
A client with cancer of the pancreas has a pancreaticoduodenectomy (Whipple
procedure). The nurse expects that the client will have which tube after surgery? -
Correct answer-Nasogastric
A nurse is assessing a client with a diagnosis of early left ventricular heart failure.
Specific to this type of heart failure, the nurse expects the client to state: - Correct
answer-"I have trouble breathing when I walk rapidly."
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,A client with a spontaneous pneumothorax asks, "Why did they put this tube into
my chest?" The nurse explains that the purpose of the chest tube is to: - Correct
answer-Remove air from the pleural space
Following surgery in the inguinal area, the client complains of pain on the right
side of the chest, becomes dyspneic, and begins to cough violently. The nurse
suspects that a pulmonary embolus has occurred. What is the priority nursing
action? - Correct answer-Elevate the head of the bed
As an acute episode of rheumatoid arthritis subsides, active and passive range-of-
motion exercises are taught to the client's spouse. The nurse should teach that
direct pressure should not be applied to the client's joints because this may
precipitate: - Correct answer-Pain
A client is admitted to the hospital with the diagnosis of cancer of the thyroid and a
thyroidectomy is scheduled. What is important for the nurse to consider when
caring for this client during the postoperative period? - Correct answer-Hoarseness
and airway obstruction may result from laryngeal nerve damage.
A client is scheduled to have a cardiac catheterization via the femoral approach.
The nurse teaches the client about post-procedure interventions that protect the
catheter insertion site. The nurse instructs the client that the leg used for catheter
insertion will be: - Correct answer-Kept extended while on bed rest
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, A female client who has recurrent urinary tract infections (UTIs) is inquiring about
the prevention of future UTIs. What information should the nurse include when
teaching the client? (Select all that apply.) - Correct answer--Drink 8 to 10 glasses
of water each day
-Urinate immediately after sexual intercourse
A client is diagnosed with Cushing syndrome. Which clinical manifestation does
the nurse expect to increase in a client with Cushing syndrome? - Correct answer-
Glucose level
A client with hepatic cirrhosis begins to develop slurred speech, confusion,
drowsiness, and a flapping tremor. With this evidence of impending hepatic coma,
which diet can the nurse expect will be prescribed for this client? - Correct answer-
20 g of protein, 2000 calories
A nurse concludes that the anemia that accompanies chronic kidney disease should
be treated because it contributes to: - Correct answer-Chronic fatigue
A client is scheduled to receive general anesthesia during an upcoming surgery.
The nurse provides education about common side effects of general anesthesia.
The nurse concludes that the teaching has been effective when the client states,
"Immediately after surgery I may experience: - Correct answer-A sore throat."
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
Exam Questions and Answers Graded A+
A nurse is caring for a client who is learning how to take care of a newly created
colostomy. When observing a return demonstration of the colostomy irrigation, the
nurse evaluates that more teaching is required when the client: - Correct answer-
Hangs the irrigation bag on the door clothes hook during fluid insertion
Following surgery, a client asks the nurse if he or she can help measure intake and
output. What is the best nursing response? - Correct answer-Assess the client's
ability to measure the intake and output
A client with cancer of the pancreas has a pancreaticoduodenectomy (Whipple
procedure). The nurse expects that the client will have which tube after surgery? -
Correct answer-Nasogastric
A nurse is assessing a client with a diagnosis of early left ventricular heart failure.
Specific to this type of heart failure, the nurse expects the client to state: - Correct
answer-"I have trouble breathing when I walk rapidly."
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,A client with a spontaneous pneumothorax asks, "Why did they put this tube into
my chest?" The nurse explains that the purpose of the chest tube is to: - Correct
answer-Remove air from the pleural space
Following surgery in the inguinal area, the client complains of pain on the right
side of the chest, becomes dyspneic, and begins to cough violently. The nurse
suspects that a pulmonary embolus has occurred. What is the priority nursing
action? - Correct answer-Elevate the head of the bed
As an acute episode of rheumatoid arthritis subsides, active and passive range-of-
motion exercises are taught to the client's spouse. The nurse should teach that
direct pressure should not be applied to the client's joints because this may
precipitate: - Correct answer-Pain
A client is admitted to the hospital with the diagnosis of cancer of the thyroid and a
thyroidectomy is scheduled. What is important for the nurse to consider when
caring for this client during the postoperative period? - Correct answer-Hoarseness
and airway obstruction may result from laryngeal nerve damage.
A client is scheduled to have a cardiac catheterization via the femoral approach.
The nurse teaches the client about post-procedure interventions that protect the
catheter insertion site. The nurse instructs the client that the leg used for catheter
insertion will be: - Correct answer-Kept extended while on bed rest
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, A female client who has recurrent urinary tract infections (UTIs) is inquiring about
the prevention of future UTIs. What information should the nurse include when
teaching the client? (Select all that apply.) - Correct answer--Drink 8 to 10 glasses
of water each day
-Urinate immediately after sexual intercourse
A client is diagnosed with Cushing syndrome. Which clinical manifestation does
the nurse expect to increase in a client with Cushing syndrome? - Correct answer-
Glucose level
A client with hepatic cirrhosis begins to develop slurred speech, confusion,
drowsiness, and a flapping tremor. With this evidence of impending hepatic coma,
which diet can the nurse expect will be prescribed for this client? - Correct answer-
20 g of protein, 2000 calories
A nurse concludes that the anemia that accompanies chronic kidney disease should
be treated because it contributes to: - Correct answer-Chronic fatigue
A client is scheduled to receive general anesthesia during an upcoming surgery.
The nurse provides education about common side effects of general anesthesia.
The nurse concludes that the teaching has been effective when the client states,
"Immediately after surgery I may experience: - Correct answer-A sore throat."
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
