MED SURG II HESI (Elsevier) Exam 2026/2027 | Actual
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Exam!!!
A client who had a myocardial infarction asks the nurse,
"What's the chance of my having another heart attack if I
carefully watch my diet and stress levels?" What is the
nurse's most appropriate initial response?
1. Focus on the client's feelings by exploring the reason
why the question was asked.
2. Explain that it is all right to be frightened and refer the
client to the psychiatric nurse.
3. Provide information that the client is correct in being
especially careful in these areas.
4. Suggest that the client discuss follow-up care with the
health care provider and the dietitian. - Answer-1. Focus
on the client's feelings by exploring the reason why the
question was asked.
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The nurse is assessing a client for signs of right ventricular
failure. What should the nurse expect if this occurs?
1. Slowed pulse rate
2. Pleural friction rub
3. Neck vein distention
4. Increasing hypotension - Answer-3. Neck vein distention
A client with bilateral varicose veins of the lower
extremities questions the nurse about the brownish
discoloration of the lower legs. The best response by the
nurse is, "This is probably the result of:
1. Inadequate arterial blood supply."
2. Delayed healing of tissues after an injury."
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3. Increased production of melanin in the area."
4. Leakage of red blood cells through the vascular wall." -
Answer-4. Leakage of red blood cells through the vascular
wall."
A client is admitted for dehydration, and an intravenous
(IV) infusion of normal saline at 125 mL/hr has been
started. One hour after the IV initiation the client begins
screaming, "I can't breathe!" The nursing priority action is:
1. Discontinue the IV site and contact the primary health
care provider
2. Elevate the head of the bed and obtain vital signs
3. Contact the primary health care provider to obtain a
prescription for a sedative
4. Assess for allergies and change the IV to an intermittent
infusion device - Answer-Elevate the head of the bed and
obtain vital signs
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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:
1. "My ankles are swollen."
2. "I am tired at the end of the day."
3. "When I eat a large meal, I feel bloated."
4. "I have trouble breathing when I walk rapidly - Answer-
4. "I have trouble breathing when I walk rapidly
A client with arterial insufficiency of both lower extremities
is visited by the home health care nurse. An essential
nursing intervention is to teach the client to:
1. Maintain elevation of both legs
2. Massage the legs when painful