A. - CORRECT ANSWER A nurse is reinforcing teaching with a client who has HIV
and is being discharged to home. Which of the following instructions
... [Show More] should the nurse
include in the teaching?
A. Take temperature once a day.
B. Wash the armpits and genitals with a gentle cleanser daily.
C. Change the litter boxes while wearing gloves.
D. Wash dishes in warm water.
A. - CORRECT ANSWER A nurse is caring for a client who is postoperative following
a tracheostomy, and has copious and tenacious secretions. Which of the following is an
acceptable method for the nurse to use to thin this client's secretions?
A. Provide humidified oxygen.
B. Perform chest physiotherapy prior to suctioning.
C. Prelubricate the suction catheter tip with sterile saline when suctioning the airway.
D. Hyperventilate the client with 100% oxygen before suctioning the airway..
B. - CORRECT ANSWER Following admission, a client with a vascular occlusion of
the right lower extremity calls the nurse and reports difficulty sleeping because of cold
feet. Which of the following nursing actions should the nurse take to promote the client's
comfort?
A. Rub the client's feet briskly for several minutes.
B. Obtain a pair of slipper socks for the client.
C. Increase the client's oral fluid intake.
D. Place a moist heating pad under the client's feet.
C. - CORRECT ANSWER A nurse is caring for a client is who is 4 hr postoperative
following a transurethral resection of the prostate (TURP). Which of the following is the
priority finding for the nurse report to the provider?
A. Emesis of 100 mL
B. Oral temperature of 37.5° C (99.5° F)
C. Thick, red-colored urine
D. Pain level of 4 on a 0 to 10 rating scale
A. - CORRECT ANSWER A nurse is caring for a client who has a temperature of 39.7°
C (103.5° F) and has a prescription for a hypothermia blanket. The nurse should
monitor the client for which of the following adverse effects of the hypothermia blanket?
A. Shivering
B. Infection
C. Burns
D. Hypervolemia
D. - CORRECT ANSWER A nurse is reinforcing teaching about exercise with a client
who has type 1 diabetes mellitus. Which of the following statements by the client
indicates an understanding of the teaching?
A. "I will carry a complex carbohydrate snack with me when I exercise."
MED-SURG 2 HESI TEST BANK QUESTIONS AND
ANSWERS 2022.
B. "I should exercise first thing in the morning before eating breakfast."
C. "I should avoid injecting insulin into my thigh if I am going to go running."
D. "I will not exercise if my urine is positive for ketones."
A. - CORRECT ANSWER A nurse notes a small section of bowel protruding from the
abdominal incision of a client who
is postoperative. After calling for assistance, which of the following actions should the
nurse take first?
A. Cover the client's wound with a moist, sterile dressing.
B. Have the client lie supine with knees flexed.
C. Check the client's vital signs.
D. Inform the client about the need to return to surgery.
B. - CORRECT ANSWER A nurse is collecting data from a client who has alcohol use
disorder and is experiencing metabolic acidosis. Which of the following manifestations
should the nurse expect?
A. Cool, clammy skin.
B. Hyperventilation
C. Increased blood pressure
D. Bradycardia
A. - CORRECT ANSWER A nurse is reinforcing discharge teaching with a client
following a cataract extraction. Which of the following should the nurse include in the
teaching?
A. Avoid bending at the waist.
B. Remove the eye shield at bedtime.
C. Limit the use of laxatives if constipated.
D. Seeing flashes of light is an expected finding following extraction.
C - CORRECT ANSWER A nurse is caring for a client who has heart failure and has
been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea.
Which of the following actions should the nurse take first?
1) Suggest that the client rests before eating the meal.
2) Request a dietary consult.
3) Check the client's vital signs.
4) Request an order for an antiemetic.
D. - CORRECT ANSWER A nurse is caring for a client who is 3 days postoperative
following a cholecystectomy. The nurse suspects the client's wound is infected because
the drainage from the dressing is yellow and thick. Which of the following findings
should the nurse report as the type of drainage found?
1) Sanguineous
2) Serous
3) Serosanguineous
4) Purulent
MED-SURG 2 HESI TEST BANK QUESTIONS AND
ANSWERS 2022.
A. - CORRECT ANSWER A nurse is reinforcing discharge teaching to a client
following arthroscopic surgery. To prevent postoperative complications which of the
following actions should be reinforced during the teaching?
1) Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises.
2) Place the client's affected leg into the CPM machine with the machine in the flexed
position.
3) Place the client into a high Fowler's position when initiating the CPM exercises.
4) Align the joints of the CPM machine with the knee gatch in the client's bed.
A, B, C, D - CORRECT ANSWER A nurse is collecting data from a client who has
emphysema. Which of the following findings should the nurse expect? (Select all that
apply.)
1) Dyspnea
2) Barrel chest
3) Clubbing of the fingers
4) Shallow respirations
5) Bradycardia
D. - CORRECT ANSWER A nurse is caring for a client who sustained a basal skull
fracture. When performing morning hygiene care, the nurse notices a thin stream of
clear drainage coming from out of the client's right nostril.
Which of the following actions should the nurse take first?
1) Take the client's temperature.
2) Place a dressing under the client's nose.
3) Notify the charge nurse.
4) Test the drainage for glucose.
C. - CORRECT ANSWER A nurse is caring for a client who has a spinal cord injury at
T-4. The nurse should recognize that the client is at risk for autonomic dysreflexia.
Which of the following interventions should the nurse take to prevent autonomic
dysreflexia?
1) Monitor for elevated blood pressure.
2) Provide analgesia for headaches.
3) Prevent bladder distention.
4) Elevate the client's head.
D. - CORRECT ANSWER A nurse is caring for a client who is being evaluated for
endometrial cancer. Which of the following findings should the nurse expect the client to
report?
1) Hot flashes
2) Recurrent urinary tract infections
3) Blood in the stool
4) Abnormal vaginal bleeding [Show Less]