MED-SURG II HESI STUDY EXAMS GUIDE QUESTIONS
AND ANSWERS SURE A+
✔✔A child with a congenital heart defect has a cardiac catheterization. What is an
essential element of nursing care after this procedure? - ✔✔Monitoring the extremity
distal to the insertion site
✔✔A nurse is caring for a client with a history of chronic obstructive pulmonary disease
(COPD) who develops a pneumothorax and has a chest tube inserted. What is the
primary purpose of the chest tube? - ✔✔Restores negative pressure in the pleural
space
✔✔Potassium supplements are prescribed for a client receiving diuretic therapy. What
client statement indicates that the teaching about potassium supplements is
understood? - ✔✔I will report any abdominal distress."
✔✔A client is hospitalized with a diagnosis of emphysema. The nurse provides teaching
and should begin with which aspect of care? - ✔✔The disease process and breathing
exercises
✔✔A nurse is reviewing the laboratory results of and collecting a health history from a
client with a diagnosis of colitis. Which common clinical manifestation of colitis should
the nurse expect? - ✔✔Weight loss
✔✔A nurse is caring for a client with a hiatal hernia. Which risk factor is associated
most commonly with this diagnosis? - ✔✔Obesity
✔✔A client with rheumatoid arthritis is scheduled to participate in an exercise program
that is established at the extended care facility where the client resides. The nurse
evaluates that the client understands the purpose of the program when the client states:
- ✔✔After I eat breakfast, I do one set of exercises slowly, and then I space the rest of
them throughout the day."
, ✔✔Six hours after major abdominal surgery, a client complains of severe abdominal
pain and feeling faint. The nurse identifies a thready, rapid pulse. The nurse checks the
Physiological Aspects of Care record and determines that the client can receive another
injection of pain medication in an hour. What is the most appropriate action by the
nurse? - ✔✔Call the health care provider and report the client's symptoms.
✔✔A client with a history of seizures is admitted with a partial occlusion of the left
common carotid artery. The client has been taking phenytoin (Dilantin) for 10 years.
When planning care for this client, what should the nurse do first? - ✔✔Obtain a history
of seizure type and incidence.
✔✔A nurse is providing discharge instructions for a client with angina who has a
prescription for sublingual nitroglycerin tablets. The nurse should teach the client that
the nitroglycerin sublingual tablets have lost their potency when: - ✔✔The tablets are
more than three months old.
✔✔A nurse is preparing a teaching plan for a client with a history of cholelithiasis.
Which information about why the ingestion of fatty foods will cause discomfort should
the nurse include in the teaching plan? - ✔✔Bile flow into the intestine is obstructed.
✔✔Some clients self-prescribe over-the-counter glucosamine to help relieve joint pain
and stiffness. Which condition should the nurse identify as a reason for a client to
reconsider taking this medication? - ✔✔Diabetes mellitus
✔✔A health care provider prescribes a sigmoidoscopy for one client and a barium
enema for another client. What is a nursing responsibility common to preparing both of
these clients for these procedures? - ✔✔Ensuring an understanding of the procedure
✔✔The health care provider prescribes isosorbide dinitrate (Isordil) 10 mg as needed
three times a day and a nitroglycerin transdermal disk once a day for a client with
chronic angina pectoris. The client asks the nurse why the isosorbide dinitrate is
prescribed. The nurse's best response is, "The isosorbide dinitrate: - ✔✔Allows more
oxygen to get to heart tissue.
✔✔Which statement by a client who is scheduled for bariatric surgery indicates to the
nurse that further preoperative teaching is necessary? - ✔✔I'm going to have a figure
like a model in about a year."
✔✔A client who is complaining of severe midsternal pain is brought to the emergency
department. The client is diagnosed with a myocardial infarction. Which drug can the
nurse expect to be prescribed to control this client's pain? - ✔✔Morphine sulfate (MS
Contin)
AND ANSWERS SURE A+
✔✔A child with a congenital heart defect has a cardiac catheterization. What is an
essential element of nursing care after this procedure? - ✔✔Monitoring the extremity
distal to the insertion site
✔✔A nurse is caring for a client with a history of chronic obstructive pulmonary disease
(COPD) who develops a pneumothorax and has a chest tube inserted. What is the
primary purpose of the chest tube? - ✔✔Restores negative pressure in the pleural
space
✔✔Potassium supplements are prescribed for a client receiving diuretic therapy. What
client statement indicates that the teaching about potassium supplements is
understood? - ✔✔I will report any abdominal distress."
✔✔A client is hospitalized with a diagnosis of emphysema. The nurse provides teaching
and should begin with which aspect of care? - ✔✔The disease process and breathing
exercises
✔✔A nurse is reviewing the laboratory results of and collecting a health history from a
client with a diagnosis of colitis. Which common clinical manifestation of colitis should
the nurse expect? - ✔✔Weight loss
✔✔A nurse is caring for a client with a hiatal hernia. Which risk factor is associated
most commonly with this diagnosis? - ✔✔Obesity
✔✔A client with rheumatoid arthritis is scheduled to participate in an exercise program
that is established at the extended care facility where the client resides. The nurse
evaluates that the client understands the purpose of the program when the client states:
- ✔✔After I eat breakfast, I do one set of exercises slowly, and then I space the rest of
them throughout the day."
, ✔✔Six hours after major abdominal surgery, a client complains of severe abdominal
pain and feeling faint. The nurse identifies a thready, rapid pulse. The nurse checks the
Physiological Aspects of Care record and determines that the client can receive another
injection of pain medication in an hour. What is the most appropriate action by the
nurse? - ✔✔Call the health care provider and report the client's symptoms.
✔✔A client with a history of seizures is admitted with a partial occlusion of the left
common carotid artery. The client has been taking phenytoin (Dilantin) for 10 years.
When planning care for this client, what should the nurse do first? - ✔✔Obtain a history
of seizure type and incidence.
✔✔A nurse is providing discharge instructions for a client with angina who has a
prescription for sublingual nitroglycerin tablets. The nurse should teach the client that
the nitroglycerin sublingual tablets have lost their potency when: - ✔✔The tablets are
more than three months old.
✔✔A nurse is preparing a teaching plan for a client with a history of cholelithiasis.
Which information about why the ingestion of fatty foods will cause discomfort should
the nurse include in the teaching plan? - ✔✔Bile flow into the intestine is obstructed.
✔✔Some clients self-prescribe over-the-counter glucosamine to help relieve joint pain
and stiffness. Which condition should the nurse identify as a reason for a client to
reconsider taking this medication? - ✔✔Diabetes mellitus
✔✔A health care provider prescribes a sigmoidoscopy for one client and a barium
enema for another client. What is a nursing responsibility common to preparing both of
these clients for these procedures? - ✔✔Ensuring an understanding of the procedure
✔✔The health care provider prescribes isosorbide dinitrate (Isordil) 10 mg as needed
three times a day and a nitroglycerin transdermal disk once a day for a client with
chronic angina pectoris. The client asks the nurse why the isosorbide dinitrate is
prescribed. The nurse's best response is, "The isosorbide dinitrate: - ✔✔Allows more
oxygen to get to heart tissue.
✔✔Which statement by a client who is scheduled for bariatric surgery indicates to the
nurse that further preoperative teaching is necessary? - ✔✔I'm going to have a figure
like a model in about a year."
✔✔A client who is complaining of severe midsternal pain is brought to the emergency
department. The client is diagnosed with a myocardial infarction. Which drug can the
nurse expect to be prescribed to control this client's pain? - ✔✔Morphine sulfate (MS
Contin)
