MED-SURG II HESI TEST BANK 2023-2024 ACTUAL
EXAM 350 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |AGRADE
A nurse is
... [Show More] caring for a client who is 12 hours postoperative following a transurethral
resection of the prostate (TURP) and has a 3-way urinary catheter with continuous
irrigation. The nurse notes there has not been any urinary output in the last hour. Which
of the following actions should the nurse perform first?
1) Notify the provider.
2) Administer a prescribed analgesic.
3) Offer oral fluids.
4) Determine the patency of the tubing. - ....ANSWERS....A, D
A nurse is caring for a client scheduled for a bone marrow biopsy. The client expresses
fear about the procedure and asks the nurse if the biopsy will hurt. Which of the
following responses should the nurse make?
1) "You must be very worried about what the biopsy will show."
2) "You'll be asleep for the whole biopsy procedure and won't be aware of what's
happening."
3) "Your provider scheduled this, so she will want to know you still have questions about
the procedure."
4) "The biopsy can be uncomfortable, but we will try to keep you as comfortable as
possible." - ....ANSWERS....D.
A nurse is assisting with planning care for a client who is recovering from a lefthemispheric stroke. Which of the following interventions should the nurse include in the
plan?
1) Control impulsive behavior.
2) Compensate for left visual field deficits.
3) Re-establish communication.
4) Improve left-side motor function. - ....ANSWERS....C.
A nurse is assisting with the care of a client who has diabetes insipidus. The nurse
should monitor the client for which of the following manifestations?
1) Hypotension
2) Polyphagia
3) Hyperglycemia
4) Bradycardia - ....ANSWERS....A.
A nurse is reviewing the laboratory results of a client who is postoperative and has a
respiratory rate of 7/min. The arterial blood gas (ABG) values include:
pH 7.22
PaCO2 68 mm Hg Base excess -2 PaO2 78 mm Hg
Oxygen saturation 80%
Bicarbonate 28 mEq/L
Which of the following interpretations of the ABG values should the nurse make?
1) Metabolic acidosis
2) Respiratory acidosis
3) Metabolic alkalosis
4) Respiratory alkalosis - ....ANSWERS....B.
A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD).
The nurse should recognize that which of the following statements by the client
indicates a need for further teaching?
1) "I will avoid crossing my legs at the knees."
2) "I will use a thermometer to check the temperature of my bath water."
3) "I will not go barefoot."
4) "I will wear stockings with elastic tops." - ....ANSWERS....D.
A nurse is preparing to provide morning hygiene care for a client who has Alzheimer's
disease. The client becomes agitated and combative when the nurse approaches him.
Which of the following actions should the nurse plan to take?
1) Turn the water on and ask the client to test the temperature.
2) Obtain assistance to place mitten restraints on t [Show Less]