HESI Med Surg II Exam Questions and Answers 2023

1 / 11

HESI Med Surg II Exam Questions and Answers 2023 (Verified Answers)

• Angiotensin-converting enzyme (ACE) inhibitors may be prescribed for the

client with diabetes mellitus to reduce vascular changes and posterm-3sibly prevent or delay

development of:

• Chronic obstructive pulmonary disease (COPD).
• Pancreatic cancer.
• Renal failure.
• Cerebrovascular accident ANS 3

• The nurse should teach the diabetic client that which of the following is the

most common symptom of hypoglycemia?

• Nervousness.
• Anorexia.
• Kussmaul's respirations.
• Bradycardia ANS 1

• / 3

2 / 11

• The nurse is assessing the client's use of medications. Which of the

following medications may cause a complication with the treatment plan of a client with diabetes?

• Aspirin.
• Steroids.
• Sulfonylureas.
• Angiotensin-converting enzyme (ACE) inhibitors ANS 2

• A client with type 1 diabetes mellitus has influenza. The nurse should

instruct

the client to:

• Increase the frequency of self-monitoring (blood glucose testing).
• Reduce food intake to diminish nausea.
• Discontinue that dose of insulin if unable to eat.
• Take half of the normal dose of insulin ANS 1

• Which of the following is a priority goal for the diabetic client who is taking

insulin and has nausea and vomiting from a viral illness or influenza?

• Obtaining adequate food intake.
• Managing own health. 2 / 3

3 / 11

• Relieving pain.
• Increasing activity ANS 1
• A client with diabetes begins to cry and says, "I just cannot stand the

thought of having to give myself a shot every day." Which of the following would be the best response by the nurse?

• "If you do not give yourself your insulin shots, you will die."
• "We can teach your daughter to give the shots so you will not have to do

it."

• "I can arrange to have a home care nurse give you the shots every day."
• "What is it about giving yourself the insulin shots that bothers you? ANS 4

• A client is to have a transsphenoidal hypophysectomy to remove a large,

invasive pituitary tumor. The nurse should instruct the client that the surgery will be

performed through an incision in the:

• Back of the mouth.
• Nose.
• Sinus channel below the right eye.
• Upper gingival mucosa in the space between the upper gums and lip ANS

4

• To help minimize the risk of postoperative respiratory complications after a
• / 3