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Med Surg 1 HESI Final Exam 2 Questions with Correct Solutions, Exams of Nursing

Cambridge Technical Institute Nursing

Med Surg 1 HESI Final Exam 2 Questions with Correct Solutions

Typology: Exams

2024/2025

Available from 06/28/2025

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Med Surg 1 HESI Final Exam 2 Questions with Correct

Solutions

1. 1. A nurse is visiting a client who is receiving home health care, focusing

on medication and dietary instructions and management of heart failure.

The nurse should reinforce which instruction?

A.) If you feel tired and short of breath, lie down flat and prop up your feet.

B.) Eating liver several times a week will help build up your strength.

C.) Your daily dose of furosemide should be taken first thing in the morning.

D.) The dose of enalapril will help prevent vasodilation from occurring.:

An- swer: C

2. 2. A nurse planning care for a client who has undergone transurethral

resection of the prostate (TURP) remembers that the most common cause

of postoperative pain is which factor?

A.) Bladder spasms

B.) Bleeding within the bladder

C.) The location of the incision

D.) Tension on the Foley catheter: Answer: A

3. 3. A nurse assessing the skin of a client who is immobile notes this

change in appearance of the skin in the sacral area:

The nurse documents this finding in which way?

A.) Stage I pressure ulcer

B.) Stage II pressure ulcer

C.) Stage III pressure ulcer

D.) Stage IV pressure ulcer: Answer: A

4. 4. A nurse reinforces teaching given to a client with gastroesophageal

Partial preview of the text

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Med Surg 1 HESI Final Exam 2 Questions with Correct

Solutions

1. A nurse is visiting a client who is receiving home health care, focusing on medication and dietary instructions and management of heart failure. The nurse should reinforce which instruction? A.) If you feel tired and short of breath, lie down flat and prop up your feet. B.) Eating liver several times a week will help build up your strength. C.) Your daily dose of furosemide should be taken first thing in the morning. D.) The dose of enalapril will help prevent vasodilation from occurring.: An- swer: C
1. A nurse planning care for a client who has undergone transurethral resection of the prostate (TURP) remembers that the most common cause of postoperative pain is which factor? A.) Bladder spasms B.) Bleeding within the bladder C.) The location of the incision D.) Tension on the Foley catheter: Answer: A
1. A nurse assessing the skin of a client who is immobile notes this change in appearance of the skin in the sacral area: The nurse documents this finding in which way? A.) Stage I pressure ulcer B.) Stage II pressure ulcer C.) Stage III pressure ulcer D.) Stage IV pressure ulcer: Answer: A
1. A nurse reinforces teaching given to a client with gastroesophageal

reflux disease (GERD) about measures to manage the disease. What does the nurse encourage the client to do to obtain relief of the symptoms? A.) Limit intake of coffee and tea. B.) Eat three large, well-balanced meals per day. C.) Rest in a supine position for 30 minutes after each meal. D.) Elevate the head of the bed at least 6 to 8 inches for sleep.: Answer: D

1. A nurse provides instructions to a client who is taking allopurinol for the treatment of gout. Which statements by the client indicate an understanding of the medication? A.) "I need to take the medication 1 hour before I eat." B.) "I need to drink at least 8 glasses of fluid every day." C. "I'll start taking a vitamin C supplement each morning." D.) "I can use an antihistamine lotion if I get an itchy rash.": Answer: B
1. A client with phantom limb pain has decided to use transcutaneous electrical nerve stimulation (TENS) as prescribed by the health care provider. The nurse reinforces instructions regarding the use of the TENS unit. Which statements by the client indicate a need for further instruction regarding this pain-relief measure? A.) "I'm so glad this will help relieve the pain." B.) "Now I won't need to take so many pain medications." C.) "I need to put the electrodes on the areas that you marked." D.) "I'm not sure I'm going to like having those electrodes attached to my skin.": Answer: C
1. A hospitalized client has just been found to have acute renal failure (ARF). The laboratory calls the nursing unit and reports that the client has a serum potassium level of 6.4 mEq/L. On the basis of this laboratory finding, the nurse should first take which action?

B.) Check the client's sodium level C.) Encourage the client to increase fluid intake D.) Have the client decrease intake of potassium-rich foods: Answer: A

1. A nurse is caring for a client who has just had a plaster leg cast applied. Which measure does the nurse implement to prevent the development of compartment syndrome? A.) Elevating the limb and applying ice to the affected leg B.) Elevating the limb and covering the limb with bath blankets C.) Keeping the leg horizontal and applying ice to the affected leg D.) Placing the leg in a slightly dependent position and applying ice to the affected leg: Answer: A
1. On the first day after undergoing total knee arthroplasty, the client tells the nurse that he is experiencing pain when he extends his leg. The nurse should take which action? A.) Notify the health care provider immediately B.) Administer an analgesic and evaluate the response C.) Immobilize the knee temporarily and contact the health care provider to report pain D.) Put the client's knee through full passive range of motion to assess tolerance: Answer: B
1. A nurse in the emergency department is assisting with data collection from a client who sustained an open leg fracture in a fall from a ladder. Which question is most important for the nurse to ask the client? A.) "When was your last tetanus vaccine?" B.) "Have you ever had a tuberculin test?" C.) "Have you had a chest x-ray recently?"

D.) "When was your last physical examination?": Answer: A

1. A client who sustained an extensive full-thickness burn injury is being admitted to the nursing unit. Which prescription by the health care provider would the nurse question? A.) Insert Foley catheter and check urine output each hour. B.) Maintain nasogastric tube with low intermittent suction. C.) Assess vital signs, oxygen saturation, and level of consciousness each hour. D. Administer morphine sulfate 6 mg intramuscularly every 3 hours as need- ed.: Answer: D
1. A nurse reinforces dietary instructions to a client with viral hepatitis whose laboratory results indicate liver impairment. The nurse provides the client with which information? A.) To increase intake of foods high in protein to promote healing B.) To consume mainly high-fat foods because they are better tolerated C.) That most calorie intake should consist of foods high in carbohydrates D.) That snacks, particularly those that are salty, are an important part of the diet: Answer: C
1. A nurse is checking a client's closed chest drainage system and notes rapid bubbling in the water seal chamber. The nurse checks the system for an air leak but does not find one. The nurse interprets this in which way? A.) The pneumothorax is resolving. B.) The degree of suction needs to be decreased. C.) There is an incision or tear in the pulmonary pleura. D.) The suction applied to the system is not working correctly.: Answer: C

A.) Stable angina

B.) Variant angina C.) Unstable angina D.) Nonanginal pain: Answer: A

1. A client who was exposed to cold for a prolonged period is brought to the emergency department. The nurse, conducting an assessment of the client, notes acute frostbite of the fingers of the left hand. Which action should the nurse take immediately? A.) Placing the client's fingers in cold water for 15 to 20 minutes B.) Placing the client's fingers in warm water for 15 to 20 minutes C.) Placing the client's fingers in warm water for 5 minutes, then debriding any obvious blisters D.) Placing the client's fingers in cold water for 10 minutes and then warm water for 10 minutes and continuing this pattern for 1 hour: Answer: B
1. A client who is experiencing chest pain is brought to the emergency department by a family member. Assessing the client, the nurse obtains a description of the client's chest pain. Which information from the client causes the nurse to determine that the client's pain is most likely angina? A.) The pain is unrelieved by rest. B.) The pain is unrelieved by nitroglycerin. C.) The pain was precipitated by a stressful event. D.) The pain is accompanied by nausea, vomiting, diaphoresis, and dyspnea- : Answer: C
1. A nurse provides home care instructions to a client with bacterial infective endocarditis. Which statement by the client indicates a need for further instruction?

10 / 21 B.) "I need to take antibiotics before I have any invasive procedures." C.) "I should check my temperature every day and call the doctor if I have a fever." D.) "I need to be sure to floss my teeth and use an electric toothbrush.": An- swer: D

1. The nurse provides discharge instructions to a client who has under- gone mechanical valve replacement. Which statement by the client indicates an understanding of the instructions? A.) "I'll have to take a blood thinner for the rest of my life." B.) "If I hear a clicking sound I need to call the surgeon immediately." C.) "I need to avoid lifting anything heavier than 30 lb for at least 6 weeks." D.) "I shouldn't worry if I see redness at the incision site or clear drainage, because it's normal: Answer: A
1. A nurse provides self-care instructions to a client with hypertension who will be taking an antihypertensive medication daily. Which statement by the client indicates a need for further instruction? A.) "I need to cut down on my smoking." B.) "I'm going to have to take this medicine for the rest of my life." C.) "I can use relaxation techniques to help control my blood pressure." D.) "I need to check food labels for the sodium content when I'm shopping."- : Answer: A
1. A client undergoes transplantation of a kidney from her brother. Which information should the nurse, in home care instructions to the client about graft rejection, provide to the client? A.) Rejection always occurs during the 48 hours after surgery. B.) Rejection is not a problem when the donor is a direct family member.

11 / 21 C.) The client should contact the healthcare provider if she notices weight gain or edema. D.) The client should not be concerned about rejection, because immunosup- pressive medications prevent its occurrence.: Answer: C

1. The nurse provides information to a client treated for cystitis about measures to prevent its recurrence. Which statement by the client indicates a need for further instruction? A.) "I should wear cotton underpants." B.) "I should urinate and drink a glass of water after sex." C.) "I need to wipe from front to back when I use the bathroom." D.) "I can soak in a bathtub to relieve the pain and prevent infections in the future.": Answer: D
1. A client is brought to the emergency department after sustaining a fall, complaining of severe pain in the right arm. The nurse carefully cuts off the clothing that is covering the arm and notes an open wound with bone protruding from it. Which action should the nurse take immediately? A.) Covering the open area with a sterile dressing B.) Obtaining a prescription for pain medication C.) Placing the cut-off shirt sleeve over the open area D.) Irrigating the open area with half strength hydrogen peroxide: Answer: A
1. Which action would the nurse take when caring for a client who just returned from a cardiac catheterization and reports that the pressure bandage on the right groin is tight? A.) Loosen the dressing slightly. B.) Notify the health care provider. C.) Assess the pulses distal to the dressing.

A.) Apply a thoracic binder for support.

B.) Encourage coughing and deep breathing. C.) Defer pain medication the first day after injury. D.) Position the client face down on a soft mattress.: Answer: B

1. Which action would the nurse determine is needed for a client who has undergone gastric bypass surgery? A.) Ensure that the client eats three large meals a day. B.) Teach the client how to avoid dumping syndrome. C.) Weigh the client twice daily. D.) Encourage a full glass of water with every meal.: Answer: B
1. Which definition relates to steatorrhea? A.) Fatty stools B.) Loose, watery stools C.) Hard, formed stools D.) Stools that are red in color: Answer: A
1. Which symptom would the nurse observe on a client who sustained a superficial partial-thickness burn? A.) Painful, pink to red skin B.) Large blisters and exposed dermis C.) Blistered, weepy, pale to red skin D.) Dry, leathery, and red, brown, or black patches: Answer: C
1. A hospitalized client develops an infection at a catheter insertion site. The nurse uses the term iatrogenic when describing this infection because it resulted from what?

A.) Restricting fluid intake B.) Offering the urinal regularly . C.) Applying incontinence pants D.) Inserting an indwelling urinary catheter: Answer: B

1. Which statement would cause the nurse to conclude that teaching was effective after providing discharge instructions to a client who received a prescription for digoxin after a myocardial infarction? A.) "I should avoid foods high in potassium." B.) "I should check my radial pulse rate daily." C.) "I should increase my intake of vitamin K." D.) "I should adjust the dosage according to my activities.": Answer: B
1. Which blood type is considered a universal blood recipient? A.) A B.) B C.) AB D.) O: Answer: C
1. Which explanation about the mechanism of action would the nurse give to a client who is prescribed enoxaparin 40 mg subcutaneously daily after abdominal surgery? A.) "It controls expected postoperative fever." B.) "It provides a constant source of mild analgesia." C.) "It limits the inflammatory response associated with surgery." D.) "It provides prophylaxis against postoperative thrombus formation.": An- swer: D

1. Who is experiencing a loss of appetite and complains of feeling "too full to eat." What does the nurse encourage the client to do? Select all that apply. A.) Avoid drinking fluids before and during meals. B.) Eat a variety of dark-green vegetables, such as broccoli. C.) Have snacks, such as crackers and cheese, between meals. D.) Select foods that are easy to chew and are not gas forming.: Answer: A, D
1. A client who sustained a major burn injury is beginning to take an oral diet again. Which between-meal menu selections meet the client's needs for wound healing and tissue repair? Select all that apply. A.) Apple slices and skim milk B.) Whole-milk shake and granola C.) Baked potato topped with cheese D.) Cheese and whole-wheat crackers E.) Cauliflower with low-fat ranch dip: Answer: B, C, D
1. A nurse is preparing a list of instructions regarding stoma and laryn- gectomy care to a client who has undergone laryngectomy. Which instructions should be included in the list? Select all that apply. A.) Keep humidity in the home low. B.) Avoid wearing high-collared clothing. C.) Prevent debris from entering the stoma. D.) Avoid swimming and use care when showering.: Answer: C, D
1. Which of the following risk factors for MI are modifiable? Select all that apply. A.) The client smokes four or five cigarettes a day

A.) "I need to order a MedicAlert bracelet." B.) "I should watch my legs and ankles for swelling." C.) "I can massage my leg gently when it's sore." D.) "I can put pillows under my knees if it's more comfortable." E.) "I should elevate my legs above the level of my heart when I'm in bed.": - Answer: C, D

1. A nurse is preparing a list of home care instructions for a client with peripheral artery disease (PAD). Which instructions should the nurse include on the list? Select all that apply. A.) Avoid crossing the legs. B.) Report signs of skin breakdown. C.) Avoid ambulation to help prevent pain. D.) Inspect the skin of the extremities daily. E.) Elevate the legs above the level of the heart when in bed or in a chair. F.) Avoid exposure to cold and place a heating pad on the legs to improve blood flow.: Answer: A, B, D
1. A client with sepsis has been receiving intravenous antibiotics, and acute kidney injury has developed as a result. The nurse assesses the client and reviews the laboratory results. Which findings should the nurse expect to note during the oliguric stage of acute kidney injury? Select all that apply. A.) A calcium level of 8.0 mg/dL B.) A creatinine level of 2.0 mg/dL C.) A serum sodium level of 159 mEq/L D.) A serum potassium level of 3.1 mEq/L: Answer: A, B

1. The nurse is educating a group of older adults regarding osteoporosis. The nurse should mention which factors that increase the risk of osteoporo- sis? Select all that apply. A.) Obesity B. Late menopause C.) Cigarette smoking D.) Sedentary lifestyle E.) African heritage F.) Family history of osteoporosis: Answer: C, D, F
1. Which assessment finding would the nurse assess for that could sug- gest a pulmonary embolus? Select all that apply. One, some, or all responses may be correct. A.) Apathy B.) Dyspnea C.) Hemoptysis D.) Bronchial wheezes E.) Feeling of impending doom: Answer: B, C, E
1. Which sign or symptom is expected with advanced cirrhosis? Select all that apply. One, some, or all responses may be correct A.) Ascites B.) Jaundice C.) Esophageal varices D.) Decreased consciousness

Med Surg 1 HESI Final Exam 2 Questions with Correct Solutions, Exams of Nursing

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Partial preview of the text

Download Med Surg 1 HESI Final Exam 2 Questions with Correct Solutions and more Exams Nursing in PDF only on Docsity!

Med Surg 1 HESI Final Exam 2 Questions with Correct

Solutions