MED SURG HESI V2 - 2024/2025
QUESTIONS AND ANSWERS
1. A cardiac catherization of a patron with heart sickness shows the following blockages:
95% proximal left anterior descending (LAD), ninety nine% proximal circumflex, and
ninety five% proximal right coronary artery (RCA) the consumer later asks the nurse
"What does all of that mean for me?" What information have to the nurse offer.
B. Three important arteries have predominant blockages, with best 1-5% of the blood
drift getting thru to the heart muscle tissue - ANS -Three main arteries have foremost
blockages, with most effective 1-five% of the blood drift getting thru to the heart muscle
mass
2. A client being admitted to a surgical unit is being evaluated for an intestinal obstruction.
The HCP prescribes a NG tube to be inserted and placed to intermittent low wall suction.
Which intervention have to the nurse put into effect to facilitate proper tube placement.
A. Soak NG tube in heat water
B. Insert tube with clients head tilted again
C. Apply suction whilst putting tube
D. Elevate head of mattress to 60 to ninety degrees - ANS -Elevate head of bed to 60 to
90 stages
3. A consumer who has a history of hyperthyroidism become to begin with admitted with
lethargy and confusion. Which extra locating warrants the maximum immediate action
via the nurse?
A. Facial puffiness and periorbital edema
B. Hematocrit of 30%
C. Bloodless and dry pores and skin
D. Further decline in LOC - ANS -Further decline in LOC
4. A purchaser who's newly recognized with emphysema is being organized for discharge.
Which practise is satisfactory for the nurse to offer the consumer to assist them with
dyspnea self-management?
A. Allow additional time to complete bodily activities to reduce oxygen call for
B. Practice breathing in thru the nose and exhaling slowly thru pursed lips
C. Use a humidifier to increase air pleasant between 30-50%
D. Strengthen abdominal muscle mass through alternating leg raises during exhalation -
ANS -Practice breathing in thru the nostril and exhaling slowly thru pursed lips
5. A client who took a camping excursion 2 weeks ago in a rustic with tropical climate
involves the health facility describing vague signs and symptoms and diarrhea for the
past week. Which locating is most critical for the nurse to file to the HCP.
A. Weakness and fatigue
B. Intestinal cramping
C. Weight loss
, D. Jaundiced sclera - ANS -Jaundiced sclera
6. A consumer who changed into discharged 8 months in the past with cirrhosis and ascites
is admitted with anorexia and current hemoptysis. The customer is drowsy but responds
to verbal stimuli. The nurse packages a blood pressure reveal to take readings each 15
minutes. Which evaluation must put in force first?
A. Evaluate distal capillary fill up for relayed perfusion
B. Check the extremities for bruising and petechiae
C. Examine the pertibial regions for pitting edema
D. Palpate the abdomen for tenderness/rigid - ANS -Palpate the abdomen for
tenderness/inflexible
7. A consumer with a records of allergies and bronchitis arrives on the health facility with
shortness of breath, effective cough with thickening mucous and the incapacity to walk
up a flight of stairs with out experiencing breathlessness. Which motion is maximum
essential for the nurse to teach the purchaser about self care?
A. Increase the every day intake of oral fluids to liquify secretions
B. Avoid crowded enclosed regions to lessen pathogens publicity
C. Call the sanatorium if unwanted facet outcomes or medicinal drugs - ANS -Increase
the daily consumption of oral fluids to liquify secretions
8. A client with Addison's disease taking hydrocortisone in a divided day by day dose
remaining week. It is maximum essential for the nurse to screen which serum lab value?
A. Osmolarity
B. Glucose
C. Albumin
D. Platelets - ANS -glucose
9. A purchaser with AIDS has impaired gas trade from a respiratory infection. Which
assessment locating warrants immediate intervention with the aid of the nurse?
A. Elevated temperature
B. Generalized weak spot
C. Diminished lung sounds
D. Pain whilst swallowing - ANS -Pain whilst swallowing
10.A customer with most cancers is receiving chemotherapy with a recognized vesicant.
The customers IV has been in location for 72hrs. The nurse determines that a new IV
website cannot be acquired and leaves gift IV in location. What is best clinical threat?
A. Impaired pores and skin integrity
B. Fluid volume extra
C. Acute pain and tension
D. Peripheral neuron vascular dysfunction - ANS -Impaired pores and skin integrity
11.A customer with carcinoma of the lung is complaining of weakness and has a serum
sodium degree of 117/meq. Which nursing trouble ought to the nurse include within the
customers plan of care.
A. Altered urinary elimination
B. Impaired gas alternate
C. Fluid quantity excess
D. Decreased cardiac output - ANS -Fluid quantity excess
QUESTIONS AND ANSWERS
1. A cardiac catherization of a patron with heart sickness shows the following blockages:
95% proximal left anterior descending (LAD), ninety nine% proximal circumflex, and
ninety five% proximal right coronary artery (RCA) the consumer later asks the nurse
"What does all of that mean for me?" What information have to the nurse offer.
B. Three important arteries have predominant blockages, with best 1-5% of the blood
drift getting thru to the heart muscle tissue - ANS -Three main arteries have foremost
blockages, with most effective 1-five% of the blood drift getting thru to the heart muscle
mass
2. A client being admitted to a surgical unit is being evaluated for an intestinal obstruction.
The HCP prescribes a NG tube to be inserted and placed to intermittent low wall suction.
Which intervention have to the nurse put into effect to facilitate proper tube placement.
A. Soak NG tube in heat water
B. Insert tube with clients head tilted again
C. Apply suction whilst putting tube
D. Elevate head of mattress to 60 to ninety degrees - ANS -Elevate head of bed to 60 to
90 stages
3. A consumer who has a history of hyperthyroidism become to begin with admitted with
lethargy and confusion. Which extra locating warrants the maximum immediate action
via the nurse?
A. Facial puffiness and periorbital edema
B. Hematocrit of 30%
C. Bloodless and dry pores and skin
D. Further decline in LOC - ANS -Further decline in LOC
4. A purchaser who's newly recognized with emphysema is being organized for discharge.
Which practise is satisfactory for the nurse to offer the consumer to assist them with
dyspnea self-management?
A. Allow additional time to complete bodily activities to reduce oxygen call for
B. Practice breathing in thru the nose and exhaling slowly thru pursed lips
C. Use a humidifier to increase air pleasant between 30-50%
D. Strengthen abdominal muscle mass through alternating leg raises during exhalation -
ANS -Practice breathing in thru the nostril and exhaling slowly thru pursed lips
5. A client who took a camping excursion 2 weeks ago in a rustic with tropical climate
involves the health facility describing vague signs and symptoms and diarrhea for the
past week. Which locating is most critical for the nurse to file to the HCP.
A. Weakness and fatigue
B. Intestinal cramping
C. Weight loss
, D. Jaundiced sclera - ANS -Jaundiced sclera
6. A consumer who changed into discharged 8 months in the past with cirrhosis and ascites
is admitted with anorexia and current hemoptysis. The customer is drowsy but responds
to verbal stimuli. The nurse packages a blood pressure reveal to take readings each 15
minutes. Which evaluation must put in force first?
A. Evaluate distal capillary fill up for relayed perfusion
B. Check the extremities for bruising and petechiae
C. Examine the pertibial regions for pitting edema
D. Palpate the abdomen for tenderness/rigid - ANS -Palpate the abdomen for
tenderness/inflexible
7. A consumer with a records of allergies and bronchitis arrives on the health facility with
shortness of breath, effective cough with thickening mucous and the incapacity to walk
up a flight of stairs with out experiencing breathlessness. Which motion is maximum
essential for the nurse to teach the purchaser about self care?
A. Increase the every day intake of oral fluids to liquify secretions
B. Avoid crowded enclosed regions to lessen pathogens publicity
C. Call the sanatorium if unwanted facet outcomes or medicinal drugs - ANS -Increase
the daily consumption of oral fluids to liquify secretions
8. A client with Addison's disease taking hydrocortisone in a divided day by day dose
remaining week. It is maximum essential for the nurse to screen which serum lab value?
A. Osmolarity
B. Glucose
C. Albumin
D. Platelets - ANS -glucose
9. A purchaser with AIDS has impaired gas trade from a respiratory infection. Which
assessment locating warrants immediate intervention with the aid of the nurse?
A. Elevated temperature
B. Generalized weak spot
C. Diminished lung sounds
D. Pain whilst swallowing - ANS -Pain whilst swallowing
10.A customer with most cancers is receiving chemotherapy with a recognized vesicant.
The customers IV has been in location for 72hrs. The nurse determines that a new IV
website cannot be acquired and leaves gift IV in location. What is best clinical threat?
A. Impaired pores and skin integrity
B. Fluid volume extra
C. Acute pain and tension
D. Peripheral neuron vascular dysfunction - ANS -Impaired pores and skin integrity
11.A customer with carcinoma of the lung is complaining of weakness and has a serum
sodium degree of 117/meq. Which nursing trouble ought to the nurse include within the
customers plan of care.
A. Altered urinary elimination
B. Impaired gas alternate
C. Fluid quantity excess
D. Decreased cardiac output - ANS -Fluid quantity excess
