{"id":113765,"date":"2023-08-16T15:01:10","date_gmt":"2023-08-16T15:01:10","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113765"},"modified":"2023-08-16T15:01:14","modified_gmt":"2023-08-16T15:01:14","slug":"med-surg-i-hesi-and-med-surg-ii-hesi-test-bank-2023-questions-and-answers-verified-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/16\/med-surg-i-hesi-and-med-surg-ii-hesi-test-bank-2023-questions-and-answers-verified-answers\/","title":{"rendered":"Med-Surg I HESI and Med-Surg II HESI TEST BANK 2023 Questions and Answers (Verified Answers)"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">1 \/ 26<br>HESI Med-Surg II Test Bank<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A nurse is reinforcing teaching with a client who has HIV and is being<br>discharged to home.Which of the following instructions should the nurse<br>include in the teaching?<br>A. Take temperature once a day.<br>B.Wash the armpits and genitals with a gentle cleanser daily.<br>C. Change the litter boxes while wearing gloves.<br>D.Wash dishes in warm water. ANS A.<\/li>\n\n\n\n<li>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<br>acceptable method for the nurse to use to thin this client&#8217;s secretions?<br>A. Provide humidified oxygen.<br>B. Perform chest physiotherapy prior to suctioning.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">2 \/ 26<br>C. Prelubricate the suction catheter tip with sterile saline when suctioning theairway.<br>D. Hyperventilate the client with 100% oxygen before suctioning the airway..-ANS A.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"3\">\n<li>Following admission, a client with a vascular occlusion of the right lower<br>extremity calls the nurse and reports difficulty sleeping because of cold feet.Which of the following nursing actions should the nurse take to promote theclient&#8217;s comfort?<br>A. Rub the client&#8217;s feet briskly for several minutes.<br>B. Obtain a pair of slipper socks for the client.<br>C. Increase the client&#8217;s oral fluid intake.<br>D. Place a moist heating pad under the client&#8217;s feet. ANS B.<\/li>\n\n\n\n<li>A nurse is caring for a client is who is 4 hr postoperative following a<br>transurethral resection of the prostate (TURP). Which of the following is the<br>priority finding for the nurse report to the provider?<br>A. Emesis of 100 mL<br>B. Oral temperature of 37.5\u00b0 C (99.5\u00b0 F)<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">3 \/ 26<br>C.Thick, red-colored urine<br>D. Pain level of 4 on a 0 to 10 rating scale ANS C.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"5\">\n<li>A nurse is caring for a client who has a temperature of 39.7\u00b0 C (103.5\u00b0 F) andhas a prescription for a hypothermia blanket. The nurse should monitor the<br>client for which of the following adverse effects of the hypothermia blanket?<br>A. Shivering<br>B. Infection<br>C. Burns<br>D. Hypervolemia ANS A.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">4 \/ 26<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"6\">\n<li>A nurse is reinforcing teaching about exercise with a client who has type 1diabetes mellitus.Which of the following statements by the client indicates anunderstanding of the teaching?<br>A. &#8220;I will carry a complex carbohydrate snack with me when I exercise.&#8221;<br>B. &#8220;I should exercise first thing in the morning before eating breakfast.&#8221;<br>C. &#8220;I should avoid injecting insulin into my thigh if I am going to go running.&#8221;D. &#8220;I will not exercise if my urine is positive for ketones.&#8221; ANS D.<\/li>\n\n\n\n<li>A nurse notes a small section of bowel protruding from the abdominal<br>incision of a client who<br>is postoperative. After calling for assistance, which of the following actions<br>should the nurse take first?<br>A. Cover the client&#8217;s wound with a moist, sterile dressing.<br>B. Have the client lie supine with knees flexed.<br>C. Check the client&#8217;s vital signs.<br>D. Inform the client about the need to return to surgery. ANS A.<\/li>\n\n\n\n<li>A nurse is collecting data from a client who has alcohol use disorder and<br>is experiencing metabolic acidosis. Which of the following manifestations<br><\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">1 \/ 84<br>HESI Med Surg Test bank<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The nurse assesses a patient with shortness of breath for evidence of<br>long-standing hypoxemia by inspecting:<br>A. Chest excursion<br>B. Spinal curvatures<br>C.The respiratory pattern<br>D.The fingernail and its base: D. The fingernail and its base Clubbing, a sign of<br>long-standing hypoxemia, is evidenced by an increase in the angle between the<br>base of the nail and the fingernail to 180 degrees or more, usually accompanied byan increase in the depth, bulk, and sponginess of the end of the finger.<\/li>\n\n\n\n<li>2. The nurse is caring for a patient with COPD and pneumonia who has<br>an order for arterial blood gases to be drawn. Which of the following is<br>the minimum length of time the nurse should plan to hold pressure on the<br>puncture site?<br>A. 2 minutes<br>B. 5 minutes<br>C. 10 minutes<br>D. 15 minutes: B. 5 minutes Following obtaining an arterial blood gas, the nurse<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">2 \/ 84<br>should hold pressure on the puncture site for 5 minutes by the clock to be sure thatbleeding has stopped. An artery is an elastic vessel under higher pressure than<br>veins, and significant blood loss or hematoma formation could occur if the time is<br>insufficient.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"3\">\n<li>3. The nurse notices clear nasal drainage in a patient newly admitted with<br>facial trauma, including a nasal fracture. The nurse should:<br>A. test the drainage for the presence of glucose.<br>B. suction the nose to maintain airway clearance.<br>C. document the findings and continue monitoring.<br>D. apply a drip pad and reassure the patient this is normal.: A. test the drainagefor the presence of glucose. Clear nasal drainage suggests leakage of cerebrospinafluid (CSF).The drainage should be tested for the presence of glucose, which wouldindicate the presence of CSF.<\/li>\n\n\n\n<li>4. When caring for a patient who is 3 hours postoperative laryngectomy, thenurse&#8217;s highest priority assessment would be:<br>A. Airway patency<br>B. Patient comfort<br>C. Incisional drainage<br>D. Blood pressure and heart rate: A. Airway patency Remember ABCs with<br>prioritization. Airway patency is always the highest priority and is essential for a<br>patient undergoing surgery surrounding the upper respiratory system.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">3 \/ 84<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"5\">\n<li>5. When initially teaching a patient the supraglottic swallow following a<br>radical neck dissection, with which of the following foods should the nurse<br>begin?<br>A. Cola<br>B. Applesauce<br>C. French fries<br>D.White grape juice: A. ColaWhen learning the supraglottic swallow, it may be<br>helpful to start with carbonated beverages because the effervescence provides<br>clues about the liquid&#8217;s position. Thin, watery fluids should be avoided because<br>they are difficult to swallow and increase the risk of aspiration. Nonpourable pureedfoods, such as applesauce, would decrease the risk of aspiration, but carbonated<br>beverages are the better choice to start with.<\/li>\n\n\n\n<li>6. The nurse is caring for a patient admitted to the hospital with pneumoniaUpon assessment, the nurse notes a temperature of 101.4\u00b0 F, a productive<br>cough with yellow sputum and a respiratory rate of 20.Which of the followingnursing diagnosis is most appropriate based upon this assessment? A. Hyperthermia related to infectious illness<br>B. Ineffective thermoregulation related to chilling<br>C. Ineffective breathing pattern related to pneumonia<br>D. Ineffective airway clearance related to thick secretions: A. Hyperthermia<br>related to infectious illness Because the patient has spiked a temperature and hasa diagnosis of pneumonia, the logical nursing diagnosis is hyperthermia related to<br>infectious illness. There is no evidence of a chill, and her breathing pattern is withinnormal limits at 20 breaths per minute. There is no evidence of ineffective airway<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">4 \/ 84<br>clearance from the information given because the patient is expectorating sputum.7. 7. Which of the following physical assessment findings in a patient with<br>pneumonia best supports the nursing diagnosis of ineffective airway clearance? A. Oxygen saturation of 85%<br>B. Respiratory rate of 28<br>C. Presence of greenish sputum<br>D.Basilar crackles: D.Basilar crackles The presence of adventitious breath soundsindicates that there is accumulation of secretions in the lower airways. This would<br>be consistent with a nursing diagnosis of ineffective airway clearance because thepatient is retaining secretions.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"8\">\n<li>8. Which of the following clinical manifestations would the nurse expect tofind during assessment of a patient admitted with pneumococcal pneumonia?A. Hyperresonance on percussion<br>B. Fine crackles in all lobes on auscultation<br>C. Increased vocal fremitus on palpation D.Vesicular breath sounds in all<br><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>1 \/ 26HESI Med-Surg II Test Bank 2 \/ 26C. Prelubricate the suction catheter tip with sterile saline when suctioning theairway.D. Hyperventilate the client with 100% oxygen before suctioning the airway..-ANS A. 3 \/ 26C.Thick, red-colored urineD. Pain level of 4 on a 0 to 10 rating scale ANS C. 4 \/ 26 1 \/ [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-113765","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113765","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=113765"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113765\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=113765"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=113765"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=113765"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}