MED SURG HESI NUR 311 2026/2027 | NUR 311 MED SURG HESI
QUESTIONS, STUDY GUIDE & COMPREHENSIVE REVIEW
Willingness of the client to learn the injection sites - ANS✔✔ The nurse is planning care for a
client with newly diagnosed diabetes mellitus that requires insulin. Which assessment should
the nurse identify before beginning the teaching session?
Present knowledge related to the skill of injection.
Intelligence and developmental level of the client.
Willingness of the client to learn the injection sites.Financial resources available for the
equipment.
Elimination of hazards to home safety.!!! - ANS✔✔ When providing discharge teaching for a
client with osteoporosis, the nurse should reinforce which home care activity?
A diet low in phosphates.
Skin inspection for bruising.
Exercise regimen, including swimming.
Elimination of hazards to home safety
Episodes of vaginal bleeding.!!!! - ANS✔✔ Which postmenopausal client's complaint should the
nurse refer to the healthcare provider?
Breasts feel lumpy when palpated.
History of white nipple discharge.
Episodes of vaginal bleeding .Excessive diaphoresis occurs at night.
,Give an antihypertensive medication.!!!! - ANS✔✔ A client with a completed ischemic stroke
has a blood pressure of 180/90 mm Hg. Which action should the nurse implement?
Position the head of the bed (HOB) flat.
Withhold intravenous fluids.
Administer a bolus of IV fluids.
Give an antihypertensive medication.
"AIDS is diagnosed when a specific opportunistic infection is found in an otherwise healthy
individual.!!! - ANS✔✔ A client who is HIV positive asks the nurse, "How will I know when I have
AIDS?" Which response is best for the nurse to provide?
"Diagnosis of AIDS is made when you have 2 positive ELISA test results."
"Diagnosis is made when both the ELISA and the Western Blot tests are positive."
"I can tell that you are afraid of being diagnosed with AIDS. Would you like for me to call your
minister?"
"AIDS is diagnosed when a specific opportunistic infection is found in an otherwise healthy
individual
.
Medium yellow.!!! - ANS✔✔ Despite several eye surgeries, a 78-year-old client who lives alone
has persistent vision problems. The visiting nurse is discussing home safety hazards with the
client. The nurse suggests that the edges of the steps be painted which color?
Black.
White.
Light green.
Medium yellow.
,serum potassium level is 3.!!! - ANS✔✔ The nurse would be correct in withholding a dose of
digoxin in a client with congestive heart failure without specific instruction from the healthcare
provider if the client's
serum digoxin level is 1.5.
blood pressure is 104/68.
serum potassium level is 3.
apical pulse is 68/min.
Place a small book or magazine on the abdomen and make it rise while inhaling deeply.!!!! -
ANS✔✔ When teaching diaphragmatic breathing to a client with chronic obstructive pulmonary
disease (COPD), which information should the nurse provide?
Place a small book or magazine on the abdomen and make it rise while inhaling deeply.
Purse the lips while inhaling as deeply as possible and then exhale through the nose.
Wrap a towel around the abdomen and push against the towel while forcefully exhaling.
Place one hand on the chest, one hand the abdomen and make both hands move outward.
Evaluate his blood pressure, pulse, and respiratory status.!!! - ANS✔✔ A male client receives a
local anesthetic during surgery. During the post-operative assessment, the nurse notices the
client is slurring his speech. Which action should the nurse take?
Determine the client is anxious and allow him to sleep.
Evaluate his blood pressure, pulse, and respiratory status.
Review the client's pre-operative history for alcohol abuse.
Continue to monitor the client for reactivity to anesthesia.
, Submit
Prevention of deformities.!!! - ANS✔✔ A splint is prescribed for nighttime use by a client with
rheumatoid arthritis. Which statement by the nurse provides the most accurate explanation for
use of the splints?
Prevention of deformities
Avoidance of joint trauma.
Relief of joint inflammation.
Improvement in joint strength.
Submit
The usual activity patterns of each member of the group. - ANS✔✔ The nurse is planning to
initiate a socialization group for older residents of a long-term facility. Which information would
be most useful to the nurse when planning activities for the group?
he length of time each group member has resided at the nursing home.
A brief description of each resident's family life.
The age of each group member.
The usual activity patterns of each member of the group.
Productive cough with grayish-white sputum. - ANS✔✔ During a health fair, a 72-year-old male
client tells the nurse that he is experiencing shortness of breath. Auscultation reveals crackles
and wheezing in both lungs. Suspecting that the client might have chronic bronchitis, which
classic symptom would the nurse expect this client to have?
Racing pulse with exertion.
QUESTIONS, STUDY GUIDE & COMPREHENSIVE REVIEW
Willingness of the client to learn the injection sites - ANS✔✔ The nurse is planning care for a
client with newly diagnosed diabetes mellitus that requires insulin. Which assessment should
the nurse identify before beginning the teaching session?
Present knowledge related to the skill of injection.
Intelligence and developmental level of the client.
Willingness of the client to learn the injection sites.Financial resources available for the
equipment.
Elimination of hazards to home safety.!!! - ANS✔✔ When providing discharge teaching for a
client with osteoporosis, the nurse should reinforce which home care activity?
A diet low in phosphates.
Skin inspection for bruising.
Exercise regimen, including swimming.
Elimination of hazards to home safety
Episodes of vaginal bleeding.!!!! - ANS✔✔ Which postmenopausal client's complaint should the
nurse refer to the healthcare provider?
Breasts feel lumpy when palpated.
History of white nipple discharge.
Episodes of vaginal bleeding .Excessive diaphoresis occurs at night.
,Give an antihypertensive medication.!!!! - ANS✔✔ A client with a completed ischemic stroke
has a blood pressure of 180/90 mm Hg. Which action should the nurse implement?
Position the head of the bed (HOB) flat.
Withhold intravenous fluids.
Administer a bolus of IV fluids.
Give an antihypertensive medication.
"AIDS is diagnosed when a specific opportunistic infection is found in an otherwise healthy
individual.!!! - ANS✔✔ A client who is HIV positive asks the nurse, "How will I know when I have
AIDS?" Which response is best for the nurse to provide?
"Diagnosis of AIDS is made when you have 2 positive ELISA test results."
"Diagnosis is made when both the ELISA and the Western Blot tests are positive."
"I can tell that you are afraid of being diagnosed with AIDS. Would you like for me to call your
minister?"
"AIDS is diagnosed when a specific opportunistic infection is found in an otherwise healthy
individual
.
Medium yellow.!!! - ANS✔✔ Despite several eye surgeries, a 78-year-old client who lives alone
has persistent vision problems. The visiting nurse is discussing home safety hazards with the
client. The nurse suggests that the edges of the steps be painted which color?
Black.
White.
Light green.
Medium yellow.
,serum potassium level is 3.!!! - ANS✔✔ The nurse would be correct in withholding a dose of
digoxin in a client with congestive heart failure without specific instruction from the healthcare
provider if the client's
serum digoxin level is 1.5.
blood pressure is 104/68.
serum potassium level is 3.
apical pulse is 68/min.
Place a small book or magazine on the abdomen and make it rise while inhaling deeply.!!!! -
ANS✔✔ When teaching diaphragmatic breathing to a client with chronic obstructive pulmonary
disease (COPD), which information should the nurse provide?
Place a small book or magazine on the abdomen and make it rise while inhaling deeply.
Purse the lips while inhaling as deeply as possible and then exhale through the nose.
Wrap a towel around the abdomen and push against the towel while forcefully exhaling.
Place one hand on the chest, one hand the abdomen and make both hands move outward.
Evaluate his blood pressure, pulse, and respiratory status.!!! - ANS✔✔ A male client receives a
local anesthetic during surgery. During the post-operative assessment, the nurse notices the
client is slurring his speech. Which action should the nurse take?
Determine the client is anxious and allow him to sleep.
Evaluate his blood pressure, pulse, and respiratory status.
Review the client's pre-operative history for alcohol abuse.
Continue to monitor the client for reactivity to anesthesia.
, Submit
Prevention of deformities.!!! - ANS✔✔ A splint is prescribed for nighttime use by a client with
rheumatoid arthritis. Which statement by the nurse provides the most accurate explanation for
use of the splints?
Prevention of deformities
Avoidance of joint trauma.
Relief of joint inflammation.
Improvement in joint strength.
Submit
The usual activity patterns of each member of the group. - ANS✔✔ The nurse is planning to
initiate a socialization group for older residents of a long-term facility. Which information would
be most useful to the nurse when planning activities for the group?
he length of time each group member has resided at the nursing home.
A brief description of each resident's family life.
The age of each group member.
The usual activity patterns of each member of the group.
Productive cough with grayish-white sputum. - ANS✔✔ During a health fair, a 72-year-old male
client tells the nurse that he is experiencing shortness of breath. Auscultation reveals crackles
and wheezing in both lungs. Suspecting that the client might have chronic bronchitis, which
classic symptom would the nurse expect this client to have?
Racing pulse with exertion.
