MED SURG II HESI EXAM FINAL PAPER 2026
TESTED QUESTIONS WITH FULL SOLUTION
GRADED A+
◉ Following surgery, a client asks the nurse if he or she can help
measure intake and output. What is the best nursing response?
Answer: Assess the client's ability to measure the intake and output
◉ A client with cancer of the pancreas has a
pancreaticoduodenectomy (Whipple procedure). The nurse expects
that the client will have which tube after surgery? Answer:
Nasogastric
◉ A nurse is assessing a client with a diagnosis of early left
ventricular heart failure. Specific to this type of heart failure, the
nurse expects the client to state: Answer: "I have trouble breathing
when I walk rapidly."
◉ A client with a spontaneous pneumothorax asks, "Why did they
put this tube into my chest?" The nurse explains that the purpose of
the chest tube is to: Answer: Remove air from the pleural space
◉ Following surgery in the inguinal area, the client complains of
pain on the right side of the chest, becomes dyspneic, and begins to
,cough violently. The nurse suspects that a pulmonary embolus has
occurred. What is the priority nursing action? Answer: Elevate the
head of the bed
◉ As an acute episode of rheumatoid arthritis subsides, active and
passive range-of-motion exercises are taught to the client's spouse.
The nurse should teach that direct pressure should not be applied to
the client's joints because this may precipitate: Answer: Pain
◉ A client is admitted to the hospital with the diagnosis of cancer of
the thyroid and a thyroidectomy is scheduled. What is important for
the nurse to consider when caring for this client during the
postoperative period? Answer: Hoarseness and airway obstruction
may result from laryngeal nerve damage.
◉ A client is scheduled to have a cardiac catheterization via the
femoral approach. The nurse teaches the client about post-
procedure interventions that protect the catheter insertion site. The
nurse instructs the client that the leg used for catheter insertion will
be: Answer: Kept extended while on bed rest
◉ A female client who has recurrent urinary tract infections (UTIs)
is inquiring about the prevention of future UTIs. What information
should the nurse include when teaching the client? (Select all that
apply.) Answer: -Drink 8 to 10 glasses of water each day
-Urinate immediately after sexual intercourse
, ◉ A client is diagnosed with Cushing syndrome. Which clinical
manifestation does the nurse expect to increase in a client with
Cushing syndrome? Answer: Glucose level
◉ A client with hepatic cirrhosis begins to develop slurred speech,
confusion, drowsiness, and a flapping tremor. With this evidence of
impending hepatic coma, which diet can the nurse expect will be
prescribed for this client? Answer: 20 g of protein, 2000 calories
◉ A nurse concludes that the anemia that accompanies chronic
kidney disease should be treated because it contributes to: Answer:
Chronic fatigue
◉ A client is scheduled to receive general anesthesia during an
upcoming surgery. The nurse provides education about common
side effects of general anesthesia. The nurse concludes that the
teaching has been effective when the client states, "Immediately
after surgery I may experience: Answer: A sore throat."
◉ A client has surgery for the creation of burr holes after sustaining
head trauma. An early clinical manifestation of meningeal irritation
for which the nurse assesses the client is: Answer: Kernig's sign
TESTED QUESTIONS WITH FULL SOLUTION
GRADED A+
◉ Following surgery, a client asks the nurse if he or she can help
measure intake and output. What is the best nursing response?
Answer: Assess the client's ability to measure the intake and output
◉ A client with cancer of the pancreas has a
pancreaticoduodenectomy (Whipple procedure). The nurse expects
that the client will have which tube after surgery? Answer:
Nasogastric
◉ A nurse is assessing a client with a diagnosis of early left
ventricular heart failure. Specific to this type of heart failure, the
nurse expects the client to state: Answer: "I have trouble breathing
when I walk rapidly."
◉ A client with a spontaneous pneumothorax asks, "Why did they
put this tube into my chest?" The nurse explains that the purpose of
the chest tube is to: Answer: Remove air from the pleural space
◉ Following surgery in the inguinal area, the client complains of
pain on the right side of the chest, becomes dyspneic, and begins to
,cough violently. The nurse suspects that a pulmonary embolus has
occurred. What is the priority nursing action? Answer: Elevate the
head of the bed
◉ As an acute episode of rheumatoid arthritis subsides, active and
passive range-of-motion exercises are taught to the client's spouse.
The nurse should teach that direct pressure should not be applied to
the client's joints because this may precipitate: Answer: Pain
◉ A client is admitted to the hospital with the diagnosis of cancer of
the thyroid and a thyroidectomy is scheduled. What is important for
the nurse to consider when caring for this client during the
postoperative period? Answer: Hoarseness and airway obstruction
may result from laryngeal nerve damage.
◉ A client is scheduled to have a cardiac catheterization via the
femoral approach. The nurse teaches the client about post-
procedure interventions that protect the catheter insertion site. The
nurse instructs the client that the leg used for catheter insertion will
be: Answer: Kept extended while on bed rest
◉ A female client who has recurrent urinary tract infections (UTIs)
is inquiring about the prevention of future UTIs. What information
should the nurse include when teaching the client? (Select all that
apply.) Answer: -Drink 8 to 10 glasses of water each day
-Urinate immediately after sexual intercourse
, ◉ A client is diagnosed with Cushing syndrome. Which clinical
manifestation does the nurse expect to increase in a client with
Cushing syndrome? Answer: Glucose level
◉ A client with hepatic cirrhosis begins to develop slurred speech,
confusion, drowsiness, and a flapping tremor. With this evidence of
impending hepatic coma, which diet can the nurse expect will be
prescribed for this client? Answer: 20 g of protein, 2000 calories
◉ A nurse concludes that the anemia that accompanies chronic
kidney disease should be treated because it contributes to: Answer:
Chronic fatigue
◉ A client is scheduled to receive general anesthesia during an
upcoming surgery. The nurse provides education about common
side effects of general anesthesia. The nurse concludes that the
teaching has been effective when the client states, "Immediately
after surgery I may experience: Answer: A sore throat."
◉ A client has surgery for the creation of burr holes after sustaining
head trauma. An early clinical manifestation of meningeal irritation
for which the nurse assesses the client is: Answer: Kernig's sign
