MED-SURG II HESI TEST BANK 2024-2025
ACTUAL EXAM 150 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |AGRADE
Terms in this set (133)
A nurse is reinforcing A.
teaching with a client who
has HIV and is being
discharged to home. Which
of the following instructions
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 nurse is caring for a client A.
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..
,Following admission, a B.
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.
A nurse is caring for a client C.
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 nurse is caring for a client A.
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
A nurse is reinforcing D.
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."
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."
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