ATI RN HESI Med-Surg II HESI Test Bank
2022/2023 Exam Questions and Answers
A.65-
65A65nurse65is65reinforcing65teaching65with65a65client65who65has65HIV65and65is65being65disch
arged65to65home.65Which65of65the65following65instructions65should65the65nurse65include65in6
5the65teaching?
A.65Take65temperature65once65a65day.
B.65Wash65the65armpits65and65genitals65with65a65gentle65cleanser65daily.
C.65Change65the65litter65boxes65while65wearing65gloves.
D.65Wash65dishes65in65warm65water.
A.65-
65A65nurse65is65caring65for65a65client65who65is65postoperative65following65a65tracheostom
y,65and65has65copious65and65tenacious65secretions.65Which65of65the65following65is65an65
acceptable65method65for65the65nurse65to65use65to65thin65this65client's65secretions?
A.65Provide65humidified65oxygen.
B.65Perform65chest65physiotherapy65prior65to65suctioning.
C.65Prelubricate65the65suction65catheter65tip65with65sterile65saline65when65suctioning65the65air
way.
D.65Hyperventilate65the65client65with65100%65oxygen65before65suctioning65the65airway..
B.65-
65Following65admission,65a65client65with65a65vascular65occlusion65of65the65right65lower65e
xtremity65calls65the65nurse65and65reports65difficulty65sleeping65because65of65cold65feet.6
5Which65of65the65following65nursing65actions65should65the65nurse65take65to65promote65t
he65client's65comfort?
A.65Rub65the65client's65feet65briskly65for65several65minutes.
B.65Obtain65a65pair65of65slipper65socks65for65the65client.
C.65Increase65the65client's65oral65fluid65intake.
D.65Place65a65moist65heating65pad65under65the65client's65feet.
C.65-
65A65nurse65is65caring65for65a65client65is65who65is65465hr65postoperative65following65a65tra
nsurethral65resection65of65the65prostate65(TURP).65Which65of65the65following65is65the65pr
iority65finding65for65the65nurse65report65to65the65provider?
A.65Emesis65of6510065mL
B.65Oral65temperature65of6537.5°65C65(99.5°65F)
C.65Thick,65red-colored65urine
D.65Pain65level65of65465on65a65065to651065rating65scale
A.65-
65A65nurse65is65caring65for65a65client65who65has65a65temperature65of6539.7°65C65(103.5°65
F)65and65has65a65prescription65for65a65hypothermia65blanket.65The65nurse65should65mon
itor65the65client65for65which65of65the65following65adverse65effects65of65the65hypothermia65
blanket?
A.65Shivering
B.65Infection
C.65Burns
,D.65Hypervolemia
,D.65-
65A65nurse65is65reinforcing65teaching65about65exercise65with65a65client65who65has65type65
165diabetes65mellitus.65Which65of65the65following65statements65by65the65client65indicates
65an65understanding65of65the65teaching?
A. "I65will65carry65a65complex65carbohydrate65snack65with65me65when65I65exercise."
B. "I65should65exercise65first65thing65in65the65morning65before65eating65breakfast."
C. "I65should65avoid65injecting65insulin65into65my65thigh65if65I65am65going65to65go65running."
D. "I65will65not65exercise65if65my65urine65is65positive65for65ketones."
A. -
65A65nurse65notes65a65small65section65of65bowel65protruding65from65the65abdominal65in
cision65of65a65client65who
is65postoperative.65After65calling65for65assistance,65which65of65the65following65actions65sh
ould65the65nurse65take65first?
A. Cover65the65client's65wound65with65a65moist,65sterile65dressing.
B. Have65the65client65lie65supine65with65knees65flexed.
C. Check65the65client's65vital65signs.
D. Inform65the65client65about65the65need65to65return65to65surgery.
B. -
65A65nurse65is65collecting65data65from65a65client65who65has65alcohol65use65disorder65and
65is65experiencing65metabolic65acidosis.65Which65of65the65following65manifestations65sho
uld65the65nurse65expect?
A.65Cool,65clammy65skin.
B.65Hyperventilation
C.65Increased65blood65pressure
D.65Bradycardia
A.65-
65A65nurse65is65reinforcing65discharge65teaching65with65a65client65following65a65cataract6
5extraction.65Which65of65the65following65should65the65nurse65include65in65the65teaching
?
A.65Avoid65bending65at65the65waist.
B.65Remove65the65eye65shield65at65bedtime.
C.65Limit65the65use65of65laxatives65if65constipated.
D.65Seeing65flashes65of65light65is65an65expected65finding65following65extraction.
C65-
65A65nurse65is65caring65for65a65client65who65has65heart65failure65and65has65been65taking6
5digoxin650.2565mg65daily.65The65client65refuses65breakfast65and65reports65nausea.65W
hich65of65the65following65actions65should65the65nurse65take65first?
1) Suggest65that65the65client65rests65before65eating65the65meal.
2) Request65a65dietary65consult.
3) Check65the65client's65vital65signs.
4) Request65an65order65for65an65antiemetic.
D.65-
65A65nurse65is65caring65for65a65client65who65is65365days65postoperative65following65a65ch
olecystectomy.65The65nurse65suspects65the65client's65wound65is65infected65because65th
e65drainage65from65the65dressing65is65yellow65and65thick.65Which65of65the65following65fin
dings65should65the65nurse65report65as65the65type65of65drainage65found?
, 1) Sanguineous
2) Serous
2022/2023 Exam Questions and Answers
A.65-
65A65nurse65is65reinforcing65teaching65with65a65client65who65has65HIV65and65is65being65disch
arged65to65home.65Which65of65the65following65instructions65should65the65nurse65include65in6
5the65teaching?
A.65Take65temperature65once65a65day.
B.65Wash65the65armpits65and65genitals65with65a65gentle65cleanser65daily.
C.65Change65the65litter65boxes65while65wearing65gloves.
D.65Wash65dishes65in65warm65water.
A.65-
65A65nurse65is65caring65for65a65client65who65is65postoperative65following65a65tracheostom
y,65and65has65copious65and65tenacious65secretions.65Which65of65the65following65is65an65
acceptable65method65for65the65nurse65to65use65to65thin65this65client's65secretions?
A.65Provide65humidified65oxygen.
B.65Perform65chest65physiotherapy65prior65to65suctioning.
C.65Prelubricate65the65suction65catheter65tip65with65sterile65saline65when65suctioning65the65air
way.
D.65Hyperventilate65the65client65with65100%65oxygen65before65suctioning65the65airway..
B.65-
65Following65admission,65a65client65with65a65vascular65occlusion65of65the65right65lower65e
xtremity65calls65the65nurse65and65reports65difficulty65sleeping65because65of65cold65feet.6
5Which65of65the65following65nursing65actions65should65the65nurse65take65to65promote65t
he65client's65comfort?
A.65Rub65the65client's65feet65briskly65for65several65minutes.
B.65Obtain65a65pair65of65slipper65socks65for65the65client.
C.65Increase65the65client's65oral65fluid65intake.
D.65Place65a65moist65heating65pad65under65the65client's65feet.
C.65-
65A65nurse65is65caring65for65a65client65is65who65is65465hr65postoperative65following65a65tra
nsurethral65resection65of65the65prostate65(TURP).65Which65of65the65following65is65the65pr
iority65finding65for65the65nurse65report65to65the65provider?
A.65Emesis65of6510065mL
B.65Oral65temperature65of6537.5°65C65(99.5°65F)
C.65Thick,65red-colored65urine
D.65Pain65level65of65465on65a65065to651065rating65scale
A.65-
65A65nurse65is65caring65for65a65client65who65has65a65temperature65of6539.7°65C65(103.5°65
F)65and65has65a65prescription65for65a65hypothermia65blanket.65The65nurse65should65mon
itor65the65client65for65which65of65the65following65adverse65effects65of65the65hypothermia65
blanket?
A.65Shivering
B.65Infection
C.65Burns
,D.65Hypervolemia
,D.65-
65A65nurse65is65reinforcing65teaching65about65exercise65with65a65client65who65has65type65
165diabetes65mellitus.65Which65of65the65following65statements65by65the65client65indicates
65an65understanding65of65the65teaching?
A. "I65will65carry65a65complex65carbohydrate65snack65with65me65when65I65exercise."
B. "I65should65exercise65first65thing65in65the65morning65before65eating65breakfast."
C. "I65should65avoid65injecting65insulin65into65my65thigh65if65I65am65going65to65go65running."
D. "I65will65not65exercise65if65my65urine65is65positive65for65ketones."
A. -
65A65nurse65notes65a65small65section65of65bowel65protruding65from65the65abdominal65in
cision65of65a65client65who
is65postoperative.65After65calling65for65assistance,65which65of65the65following65actions65sh
ould65the65nurse65take65first?
A. Cover65the65client's65wound65with65a65moist,65sterile65dressing.
B. Have65the65client65lie65supine65with65knees65flexed.
C. Check65the65client's65vital65signs.
D. Inform65the65client65about65the65need65to65return65to65surgery.
B. -
65A65nurse65is65collecting65data65from65a65client65who65has65alcohol65use65disorder65and
65is65experiencing65metabolic65acidosis.65Which65of65the65following65manifestations65sho
uld65the65nurse65expect?
A.65Cool,65clammy65skin.
B.65Hyperventilation
C.65Increased65blood65pressure
D.65Bradycardia
A.65-
65A65nurse65is65reinforcing65discharge65teaching65with65a65client65following65a65cataract6
5extraction.65Which65of65the65following65should65the65nurse65include65in65the65teaching
?
A.65Avoid65bending65at65the65waist.
B.65Remove65the65eye65shield65at65bedtime.
C.65Limit65the65use65of65laxatives65if65constipated.
D.65Seeing65flashes65of65light65is65an65expected65finding65following65extraction.
C65-
65A65nurse65is65caring65for65a65client65who65has65heart65failure65and65has65been65taking6
5digoxin650.2565mg65daily.65The65client65refuses65breakfast65and65reports65nausea.65W
hich65of65the65following65actions65should65the65nurse65take65first?
1) Suggest65that65the65client65rests65before65eating65the65meal.
2) Request65a65dietary65consult.
3) Check65the65client's65vital65signs.
4) Request65an65order65for65an65antiemetic.
D.65-
65A65nurse65is65caring65for65a65client65who65is65365days65postoperative65following65a65ch
olecystectomy.65The65nurse65suspects65the65client's65wound65is65infected65because65th
e65drainage65from65the65dressing65is65yellow65and65thick.65Which65of65the65following65fin
dings65should65the65nurse65report65as65the65type65of65drainage65found?
, 1) Sanguineous
2) Serous
