HESI Med-Surg II Exam (Elsevier) | Latest Update 2026 |
Exam Prep | Graded A+
1. Which action would the nurse take when a client on a telemetry unit demonstrates a
sinus rhythm with an occasional premature atrial contraction (PAC)?
ensure that a defibrillator is available close by give
lidocaine IV as per protocol
continue to monitor the client
activate the rapid response team
2. Why is it important for a nurse to interrupt chest physiotherapy if a client shows signs
of fatigue and a significant increase in heart rate?
It ensures that the client receives adequate hydration during therapy.
It allows the client to rest and recover before continuing therapy.
It helps the nurse monitor the client's respiratory rate more effectively.
Interrupting therapy is crucial to prevent further stress on the client's
cardiovascular system.
3. A patient presents with neck vein distention and other signs of right ventricular
failure. What should the nurse prioritize in their care plan?
Encouraging the patient to engage in physical activity
Increasing the patient's fluid intake
Monitoring fluid balance and administering diuretics as prescribed
Providing high-sodium meals to the patient
, 4. If a client with arterial insufficiency reports increased pain and numbness in their legs,
what should the nurse prioritize in their assessment?
Encourage the client to massage the legs to relieve pain.
Advise the client to elevate their legs above heart level.
Assess the pulses in the legs to evaluate blood circulation.
Instruct the client to apply heat to the affected areas.
5. Why is it important for a client on anticoagulants to limit their intake of Vitamin K-
rich foods?
Vitamin K is only found in animal products.
Vitamin K has no effect on anticoagulants.
Vitamin K is essential for blood clotting and should be increased.
Vitamin K can interfere with the effectiveness of anticoagulants.
6. Why is it important for the nurse to instruct the client to remain in bed and notify the
health care provider when numbness is reported?
It is crucial to prevent potential complications and ensure timely medical
evaluation.
The client needs to be encouraged to move to improve circulation.
The nurse should provide comfort measures instead of notifying the provider.
The numbness is likely a normal postoperative symptom that requires no action.
7. A nurse is assessing a patient with lower extremity arterial disease (LEAD) who has
been non-compliant with dietary recommendations. What should the nurse prioritize
in the education plan?
Recommending an increase in refined grains to enhance energy levels.
Exam Prep | Graded A+
1. Which action would the nurse take when a client on a telemetry unit demonstrates a
sinus rhythm with an occasional premature atrial contraction (PAC)?
ensure that a defibrillator is available close by give
lidocaine IV as per protocol
continue to monitor the client
activate the rapid response team
2. Why is it important for a nurse to interrupt chest physiotherapy if a client shows signs
of fatigue and a significant increase in heart rate?
It ensures that the client receives adequate hydration during therapy.
It allows the client to rest and recover before continuing therapy.
It helps the nurse monitor the client's respiratory rate more effectively.
Interrupting therapy is crucial to prevent further stress on the client's
cardiovascular system.
3. A patient presents with neck vein distention and other signs of right ventricular
failure. What should the nurse prioritize in their care plan?
Encouraging the patient to engage in physical activity
Increasing the patient's fluid intake
Monitoring fluid balance and administering diuretics as prescribed
Providing high-sodium meals to the patient
, 4. If a client with arterial insufficiency reports increased pain and numbness in their legs,
what should the nurse prioritize in their assessment?
Encourage the client to massage the legs to relieve pain.
Advise the client to elevate their legs above heart level.
Assess the pulses in the legs to evaluate blood circulation.
Instruct the client to apply heat to the affected areas.
5. Why is it important for a client on anticoagulants to limit their intake of Vitamin K-
rich foods?
Vitamin K is only found in animal products.
Vitamin K has no effect on anticoagulants.
Vitamin K is essential for blood clotting and should be increased.
Vitamin K can interfere with the effectiveness of anticoagulants.
6. Why is it important for the nurse to instruct the client to remain in bed and notify the
health care provider when numbness is reported?
It is crucial to prevent potential complications and ensure timely medical
evaluation.
The client needs to be encouraged to move to improve circulation.
The nurse should provide comfort measures instead of notifying the provider.
The numbness is likely a normal postoperative symptom that requires no action.
7. A nurse is assessing a patient with lower extremity arterial disease (LEAD) who has
been non-compliant with dietary recommendations. What should the nurse prioritize
in the education plan?
Recommending an increase in refined grains to enhance energy levels.
