Hesi Final Study Questions: Med Surg II Questions
And Correct Detailed Answers (Verified Answers) Already Graded A+
- A female client who has recurrent urinary tract infections (UTIs) is inquiring about
the prevention of future UTIs. What information should the nurse include when teaching the client? (Select all that apply.)
Correct Answer:
• Drink 8 to 10 glasses of water each day • Urinate immediately after sexual intercourse
- A client is scheduled to have a cardiac catheterization via the femoral approach.
The nurse teaches the client about post-procedure interventions that protect the catheter insertion site. The nurse instructs the client that the leg used for catheter
insertion will be:
Correct Answer: Kept extended while on bed rest
- A client is admitted to the hospital with the diagnosis of cancer of the thyroid and a
- As an acute episode of rheumatoid arthritis subsides, active and passive range-of-
thyroidectomy is scheduled. What is important for the nurse to consider when caring for this client during the postoperative period?Correct Answer: Hoarseness and airway obstruction may result from laryngeal nerve damage.
motion exercises are taught to the client's spouse. The nurse should teach that direct pressure should not be applied to the client's joints because this may precipitate:
Correct Answer: Pain
- Following surgery in the inguinal area, the client complains of pain on the right side
of the chest, becomes dyspneic, and begins to cough violently. The nurse suspects that a pulmonary embolus has occurred. What is the priority nursing action?
Correct Answer: Elevate the head of the bed
- A client with a spontaneous pneumothorax asks, "Why did they put this tube into my
chest?" The nurse explains that the purpose of the chest tube is to:
Correct Answer: Remove air from the pleural space
- A nurse is assessing a client with a diagnosis of early left ventricular heart failure.
Specific to this type of heart failure, the nurse expects the client to state:
Correct Answer: "I have trouble breathing when I walk rapidly."
- A client with cancer of the pancreas has a pancreaticoduodenectomy (Whipple
procedure). The nurse expects that the client will have which tube after surgery?
Correct Answer: Nasogastric
- Following surgery, a client asks the nurse if he or she can help measure intake and
output. What is the best nursing response?
Correct Answer: Assess the client's ability to measure the intake and output
- A nurse is caring for a client who is learning how to take care of a newly created
colostomy. When observing a return demonstration of the colostomy irrigation, the
nurse evaluates that more teaching is required when the client:
Correct Answer: Hangs the irrigation bag on the door clothes hook during fluid insertion
- A client is diagnosed with Cushing syndrome. Which clinical manifestation does
the nurse expect to increase in a client with Cushing syndrome?
Correct Answer: Glucose level
- A client with hepatic cirrhosis begins to develop slurred speech, confusion,
drowsiness, and a flapping tremor. With this evidence of impending hepatic coma, which diet can the nurse expect will be prescribed for this client?
Correct Answer: 20 g of protein, 2000 calories
- A nurse concludes that the anemia that accompanies chronic kidney disease
should be treated because it contributes to:
Correct Answer: Chronic fatigue
- A client is scheduled to receive general anesthesia during an upcoming surgery.
The nurse provides education about common side effects of general anesthesia. The nurse concludes that the teaching has been effective when the client states,
"Immediately after surgery I may experience:
Correct Answer: A sore throat."
- A client has surgery for the creation of burr holes after sustaining head trauma. An
early clinical manifestation of meningeal irritation for which the nurse assesses the
client is:
Correct Answer: Kernig's sign
- What therapeutic effect should the nurse identify as the reason for administration
of neomycin sulfate to a client before colon surgery?
Correct Answer: Destroy intestinal bacteria
- A client newly diagnosed with myasthenia gravis is concerned about fluctuations
in physical condition and generalized weakness. When caring for this client it is most
important for the nurse to plan to:
Correct Answer: Space activities throughout the day
- A client is diagnosed with myasthenia gravis, and the anticholinesterase
medication pyridostigmine (Mestinon) is prescribed. When teaching the client about
this medication, the nurse explains that the desired effect is to increase:
Correct Answer: Contraction of skeletal muscles
- A client with a history of a pulmonary embolus is to receive 3 mg of warfarin
(Coumadin) daily. The client has blood drawn twice weekly to ascertain that the international normalized ratio (INR) stays within a therapeutic range. The nurse provides dietary teaching. Which food selected by the client indicates that further teaching is necessary?
Correct Answer: Spinach salad
- A client with advanced bone cancer is experiencing cachexia. The nurse discusses
the nutritional aspect of palliative care with the family. Why is it important to explain these nutritional interventions to the family?
Correct Answer: Enhance the quality of the client's life
- When providing discharge teaching to a client who had a total hip replacement, the
nurse should instruct the client to avoid:
Correct Answer: Sitting in a low chair
- A client comes to the clinic for a physical and asks to be tested for acquired
immunodeficiency syndrome (AIDS). Which test should the nurse explain will be used for the initial screening for AIDS?
Correct Answer: Enzyme-linked immunosorbent assay (ELISA)
- A nurse is caring for a client who is receiving total parenteral nutrition. Which
responses indicate that the client is experiencing hyperglycemia? (Select all that apply.)
Correct Answer:
• Polyuria • Polydipsia
- Tuberculosis is confirmed and isoniazid (INH), rifampin (Rifadin), and pyridoxine
(vitamin B6) are prescribed for a client. The client says, "I've never had to take so many medicines for an infection before." What is the nurse's best reply?
Correct Answer: "This type of organism is difficult to destroy."
- A nurse in a rehabilitation center teaches clients with quadriplegia to use an
adaptive wheelchair. Why is it important that the nurse provide this instruction?
Correct Answer: It is unlikely that the client will regain the ability to walk.
- A male client has discharge from his penis. Gonorrhea is suspected. To obtain a
specimen for a culture, the nurse should:
Correct Answer: Swab the drainage directly from the urethra to obtain a specimen
- A nurse teaches the signs of organ rejection to a client who had a kidney
transplant. What should be included in the education?
Correct Answer: Elevated blood pressure
- Which relationship does the nurse consider reflective of the relationship of
naloxone (Narcan) to morphine sulfate?
Correct Answer: Protamine sulfate to parenteral heparin
- On the first postoperative day following a thyroidectomy, a client tolerates a full-
fluid diet. This is changed to a soft diet on the second postoperative day. The client reports having a sore throat when swallowing. What should the nurse do first?
