MED SURG 2 HESI CERTIFICATION PAPER
2026 FULL SOLUTION GRADED A+
● 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 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.
● 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:
2026 FULL SOLUTION GRADED A+
● 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 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.
● 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:
