MED SURG HESI V2 - 2024/2025
QUESTIONS AND ANSWERS
What17information17should17the17nurse17include17in17the17teaching17plan17of17a17client17
diagnosed17with17GERD?17
A.17Sleep17without17pillows17
B.17Adjust17food17intake17to17three17full17meals17per17day17with17no17snacks17
C.17Minimize17symptoms17by17wearing17loose17comfortable17clothing17
D.17Avoid17participation17in17any17aerobic17exercise17program17-17ans-
Minimize17symptoms17by17wearing17loose17comfortable17clothing
After17hospitalization17for17SIADH,17a17client17develops17pontine17myelinolysis.17Which17
intervention17should17the17nurse17implement17first?17
A.17Reorient17client17to17room17
B.17Place17a17patch17on17one17eye17
C.17Evaluate17clients17ability17to17swallow17
D.17Perform17range17of17motion17exercises17-17ans-Reorient17client17to17room
A17male17client17with17heart17failure17calls17the17clinic17and17reports17that17he17cannot17
put17his17shoes17on17because17they17are17too17tight.17Which17additional17information17s
hould17the17nurse17obtain?17
A.17What17time17did17he17take17his17medication?17
B.17Has17his17weight17changed17in17the17last17several17days?17
C.17Is17he17still17able17to17tighten17his17belt17buckle?17
D.17How17many17hours17did17he17sleep17last17night?17-17ans-
Has17his17weight17changed17in17the17last17several17days?
An17older17adult17woman17with17a17long17history17of17COPD17is17admitted17with17progre
ssive17shortness17of17breath17and17a17persistent17cough,17is17anxious,17and17is17compla
ining17of17dry17mouth.17which17intervention17should17the17nurse17implement?17
A.17Administer17a17prescribed17sedative17
B.17Encourage17client17to17drink17water17
C.17Apply17a17high17flow17Venturi17mask17
D.17Assist17her17to17an17upright17position17-17ans-Assist17her17to17an17upright17position
, A17client17with17a17history17of17asthma17and17bronchitis17arrives17at17the17clinic17with17s
hortness17of17breath,17productive17cough17with17thickening17mucous17and17the17inability
17to17walk17up17a17flight17of17stairs17without17experiencing17breathlessness.17Which17acti
on17is17most17important17for17the17nurse17to17instruct17the17client17about17self17care?17
A.17Increase17the17daily17intake17of17oral17fluids17to17liquify17secretions17
B.17Avoid17crowded17enclosed17areas17to17reduce17pathogens17exposure17
C.17Call17the17clinic17if17undesirable17side17effects17or17medications17-17ans-
Increase17the17daily17intake17of17oral17fluids17to17liquify17secretions
A17cardiac17catherization17of17a17client17with17heart17disease17indicates17the17following17
blockages:1795%17proximal17left17anterior17descending17(LAD),1799%17proximal17circumf
lex,17and1795%17proximal17right17coronary17artery17(RCA)17the17client17later17asks17the17
nurse17"What17does17all17of17that17mean17for17me?"17What17information17should17the17n
urse17provide.17
B.17Three17main17arteries17have17major17blockages,17with17only171-
5%17of17the17blood17flow17getting17through17to17the17heart17muscles17-17ans-
Three17main17arteries17have17major17blockages,17with17only171-
5%17of17the17blood17flow17getting17through17to17the17heart17muscles
The17nurse17is17caring17for17a17client17with17a17lower17left17lobe17pulmonary17abscess.17
what17position17should17the17nurse17instruct17the17client17to17maintain?17
A.17Left17lateral
B.17Supine,17knees17flexed.17
C.17Dorsal17recumbent17
D.17Knee-chest17-17ans-Left17lateral
A17client17with17Cholelithiasis17has17a17gallstone17lodged17in17the17common17bile17duct17
and17is17unable17to17eat17or17drink17without17becoming17nauseous17and17vomiting.17Whi
ch17finding17should17the17nurse17report17to17the17healthcare17provider?17
A.17Belching17
B.17Amber17urine17
C.17Yellow17sclera17
D.17Flatulence17-17ans-Yellow17sclera
While17caring17for17a17client17with17Amyotrophic17lateral17sclerosis17(ALS)17a17nurse17pe
rforms17a17neurological17assessment17every17417hours.17Which17assessment17finding17
warrants17immediate17intervention17by17the17nurse?17
A.17Inappropriate17laughter17
B.17Increasing17anxiety17
C.17Weakened17cough17effort17
D.17Asymmetrical17weakness17-17ans-Asymmetrical17weakness
The17nurse17is17providing17preoperative17education17for17a17Jewish17client17scheduled17
to17receive17a17xenograft17to17promote17burn17healing.17Which17information17should17th
e17provider17this17client?17
QUESTIONS AND ANSWERS
What17information17should17the17nurse17include17in17the17teaching17plan17of17a17client17
diagnosed17with17GERD?17
A.17Sleep17without17pillows17
B.17Adjust17food17intake17to17three17full17meals17per17day17with17no17snacks17
C.17Minimize17symptoms17by17wearing17loose17comfortable17clothing17
D.17Avoid17participation17in17any17aerobic17exercise17program17-17ans-
Minimize17symptoms17by17wearing17loose17comfortable17clothing
After17hospitalization17for17SIADH,17a17client17develops17pontine17myelinolysis.17Which17
intervention17should17the17nurse17implement17first?17
A.17Reorient17client17to17room17
B.17Place17a17patch17on17one17eye17
C.17Evaluate17clients17ability17to17swallow17
D.17Perform17range17of17motion17exercises17-17ans-Reorient17client17to17room
A17male17client17with17heart17failure17calls17the17clinic17and17reports17that17he17cannot17
put17his17shoes17on17because17they17are17too17tight.17Which17additional17information17s
hould17the17nurse17obtain?17
A.17What17time17did17he17take17his17medication?17
B.17Has17his17weight17changed17in17the17last17several17days?17
C.17Is17he17still17able17to17tighten17his17belt17buckle?17
D.17How17many17hours17did17he17sleep17last17night?17-17ans-
Has17his17weight17changed17in17the17last17several17days?
An17older17adult17woman17with17a17long17history17of17COPD17is17admitted17with17progre
ssive17shortness17of17breath17and17a17persistent17cough,17is17anxious,17and17is17compla
ining17of17dry17mouth.17which17intervention17should17the17nurse17implement?17
A.17Administer17a17prescribed17sedative17
B.17Encourage17client17to17drink17water17
C.17Apply17a17high17flow17Venturi17mask17
D.17Assist17her17to17an17upright17position17-17ans-Assist17her17to17an17upright17position
, A17client17with17a17history17of17asthma17and17bronchitis17arrives17at17the17clinic17with17s
hortness17of17breath,17productive17cough17with17thickening17mucous17and17the17inability
17to17walk17up17a17flight17of17stairs17without17experiencing17breathlessness.17Which17acti
on17is17most17important17for17the17nurse17to17instruct17the17client17about17self17care?17
A.17Increase17the17daily17intake17of17oral17fluids17to17liquify17secretions17
B.17Avoid17crowded17enclosed17areas17to17reduce17pathogens17exposure17
C.17Call17the17clinic17if17undesirable17side17effects17or17medications17-17ans-
Increase17the17daily17intake17of17oral17fluids17to17liquify17secretions
A17cardiac17catherization17of17a17client17with17heart17disease17indicates17the17following17
blockages:1795%17proximal17left17anterior17descending17(LAD),1799%17proximal17circumf
lex,17and1795%17proximal17right17coronary17artery17(RCA)17the17client17later17asks17the17
nurse17"What17does17all17of17that17mean17for17me?"17What17information17should17the17n
urse17provide.17
B.17Three17main17arteries17have17major17blockages,17with17only171-
5%17of17the17blood17flow17getting17through17to17the17heart17muscles17-17ans-
Three17main17arteries17have17major17blockages,17with17only171-
5%17of17the17blood17flow17getting17through17to17the17heart17muscles
The17nurse17is17caring17for17a17client17with17a17lower17left17lobe17pulmonary17abscess.17
what17position17should17the17nurse17instruct17the17client17to17maintain?17
A.17Left17lateral
B.17Supine,17knees17flexed.17
C.17Dorsal17recumbent17
D.17Knee-chest17-17ans-Left17lateral
A17client17with17Cholelithiasis17has17a17gallstone17lodged17in17the17common17bile17duct17
and17is17unable17to17eat17or17drink17without17becoming17nauseous17and17vomiting.17Whi
ch17finding17should17the17nurse17report17to17the17healthcare17provider?17
A.17Belching17
B.17Amber17urine17
C.17Yellow17sclera17
D.17Flatulence17-17ans-Yellow17sclera
While17caring17for17a17client17with17Amyotrophic17lateral17sclerosis17(ALS)17a17nurse17pe
rforms17a17neurological17assessment17every17417hours.17Which17assessment17finding17
warrants17immediate17intervention17by17the17nurse?17
A.17Inappropriate17laughter17
B.17Increasing17anxiety17
C.17Weakened17cough17effort17
D.17Asymmetrical17weakness17-17ans-Asymmetrical17weakness
The17nurse17is17providing17preoperative17education17for17a17Jewish17client17scheduled17
to17receive17a17xenograft17to17promote17burn17healing.17Which17information17should17th
e17provider17this17client?17
