HESI NUR 209 MEDICAL CARE SURGICAL
NURSING II 2026/2027 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |CURRENTLY TESTING QUESTIONS
AND SOLUTIONS|ALREADY GRADED
A+|NEWEST |BRAND NEW VERSION!!| |JUST
RELEASED
When caring for an obtunded client admitted with shock of unknown origin, which action
does the nurse take first?
A. Obtain IV access and hang prescribed fluid infusions.
B. Apply the automatic blood pressure cuff.
C. Assess level of consciousness and pupil reaction to light.
D. Check the airway and respiratory status.
D. Check the airway and respiratory status.
When caring for any client, determining airway and respiratory status is the priority.
The airway takes priority over obtaining IV access, applying the blood pressure cuff,
and assessing for changes in the client's mental status.
Which clinical symptoms in a postoperative client indicate early sepsis with an excellent
recovery rate if treated?
A. Localized erythema and edema
B. Low-grade fever and mild hypotension
C. Low oxygen saturation rate and decreased cognition
D. Reduced urinary output and increased respiratory rate
B. Low-grade fever and mild hypotension
Low-grade fever and mild hypotension indicate very early sepsis, but with treatment,
1|Page
,the probability of recovery is high. Localized erythema and edema indicate local
infection. A low oxygen saturation rate and decreased cognition indicate active (not
early) sepsis. Reduced urinary output and increased respiratory rate indicate severe
sepsis.
A client recovering from an open reduction of the femur suddenly feels light-headed, with
increased anxiety and agitation. Which key vital sign differentiates a pulmonary embolism
from early sepsis?
A. Temperature
B. Pulse
C. Respiration
D. Blood pressure
A. Temperature
A sign of early sepsis is low-grade fever. Both early sepsis and thrombus may cause
tachycardia, tachypnea, and hypotension.
The client in shock has the following vital signs: T 99.8° F, P 132 beats/min, R 32
breaths/min, and BP 80/58 mm Hg. Calculate the pulse pressure.
1.22 mmHg
Pulse pressure is the difference between the systolic and diastolic pressures: 80
(systolic) - 58 (diastolic) = 22 (pulse pressure)
A client is exhibiting signs and symptoms of early shock. What is important for the nurse to
do to support the psychosocial integrity of the client? (Select all that apply.)
A. Ask family members to stay with the client.
B. Call the health care provider.
C. Increase IV and oxygen rates.
D. Remain with the client.
E. Reassure the client that everything is being done for him or her.
2|Page
,A. Ask family members to stay with the client.
D. Remain with the client.
E. Reassure the client that everything is being done for him or her.
Having a familiar person nearby may provide comfort to the client. The nurse should
remain with the client who is demonstrating physiologic deterioration. Offering
genuine reassurance supports the client who is anxious. The health care provider
should be notified, and increasing IV and oxygen rates may be needed, but these
actions do not support the client's psychosocial integrity.
Which clients are at immediate risk for hypovolemic shock? (Select all that apply.)
A. Unrestrained client in motor vehicle accident
B. Construction worker
C. Athlete
D. Surgical intensive care client
E. 85-year-old with gastrointestinal virus
A. Unrestrained client in motor vehicle accident
D. Surgical intensive care client
E. 85-year-old with gastrointestinal virus
The client who is unrestrained in a motor vehicle accident is prone to multiple trauma
and bleeding. Surgical clients are at high risk for hypovolemic shock owing to fluid
loss and hemorrhage. Older adult clients are prone to shock; a gastrointestinal virus
results in fluid losses. Unless injured or working in excessive heat, the construction
worker and the athlete are not at risk for hypovolemic shock; they may be at risk for
dehydration.
A client with unstable angina has received education about acute coronary syndrome.
Which statement indicates that the client has understood the teaching?
A. "This is a big warning; I must modify my lifestyle or risk having a heart attack in the next
3|Page
, year."
B. "Angina is just a temporary interruption of blood flow to my heart."
C. "I need to tell my wife I've had a heart attack."
D. "Because this was temporary, I will not need to take any medications for my heart."
A. "This is a big warning; I must modify my lifestyle or risk having a heart attack in the next
year."
Among people who have unstable angina, 10% to 30% have a myocardial infarction
within 1 year. Although anginal pain is temporary, it reflects underlying coronary artery
disease (CAD), which requires attention, including lifestyle modifications. Unstable
angina reflects tissue ischemia, but infarction represents tissue necrosis. Clients with
underlying CAD may need medications such as aspirin, lipid-lowering agents, anti-
anginals, or antihypertensives.
The nurse is teaching a group of teens about prevention of heart disease. Which point
should the nurse emphasize?
A. Reduce abdominal fat.
B. Avoid stress.
C. Do not smoke or chew tobacco.
D. Avoid alcoholic beverages.
C. Do not smoke or chew tobacco.
Tobacco exposure, including secondhand smoke, reduces coronary blood flow;
causes vasoconstriction, endothelial dysfunction, and thickening of the vessel walls;
increases carbon monoxide; and decreases oxygen. Because it is highly addicting,
beginning smoking in the teen years may lead to decades of exposure. Teens are not
likely to experience metabolic syndrome from obesity, but are very likely to use
tobacco. Avoiding stress is a less modifiable risk factor, which is less likely to cause
heart disease in teens. The risk of smoking outweighs the risk of alcohol use.
4|Page
NURSING II 2026/2027 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |CURRENTLY TESTING QUESTIONS
AND SOLUTIONS|ALREADY GRADED
A+|NEWEST |BRAND NEW VERSION!!| |JUST
RELEASED
When caring for an obtunded client admitted with shock of unknown origin, which action
does the nurse take first?
A. Obtain IV access and hang prescribed fluid infusions.
B. Apply the automatic blood pressure cuff.
C. Assess level of consciousness and pupil reaction to light.
D. Check the airway and respiratory status.
D. Check the airway and respiratory status.
When caring for any client, determining airway and respiratory status is the priority.
The airway takes priority over obtaining IV access, applying the blood pressure cuff,
and assessing for changes in the client's mental status.
Which clinical symptoms in a postoperative client indicate early sepsis with an excellent
recovery rate if treated?
A. Localized erythema and edema
B. Low-grade fever and mild hypotension
C. Low oxygen saturation rate and decreased cognition
D. Reduced urinary output and increased respiratory rate
B. Low-grade fever and mild hypotension
Low-grade fever and mild hypotension indicate very early sepsis, but with treatment,
1|Page
,the probability of recovery is high. Localized erythema and edema indicate local
infection. A low oxygen saturation rate and decreased cognition indicate active (not
early) sepsis. Reduced urinary output and increased respiratory rate indicate severe
sepsis.
A client recovering from an open reduction of the femur suddenly feels light-headed, with
increased anxiety and agitation. Which key vital sign differentiates a pulmonary embolism
from early sepsis?
A. Temperature
B. Pulse
C. Respiration
D. Blood pressure
A. Temperature
A sign of early sepsis is low-grade fever. Both early sepsis and thrombus may cause
tachycardia, tachypnea, and hypotension.
The client in shock has the following vital signs: T 99.8° F, P 132 beats/min, R 32
breaths/min, and BP 80/58 mm Hg. Calculate the pulse pressure.
1.22 mmHg
Pulse pressure is the difference between the systolic and diastolic pressures: 80
(systolic) - 58 (diastolic) = 22 (pulse pressure)
A client is exhibiting signs and symptoms of early shock. What is important for the nurse to
do to support the psychosocial integrity of the client? (Select all that apply.)
A. Ask family members to stay with the client.
B. Call the health care provider.
C. Increase IV and oxygen rates.
D. Remain with the client.
E. Reassure the client that everything is being done for him or her.
2|Page
,A. Ask family members to stay with the client.
D. Remain with the client.
E. Reassure the client that everything is being done for him or her.
Having a familiar person nearby may provide comfort to the client. The nurse should
remain with the client who is demonstrating physiologic deterioration. Offering
genuine reassurance supports the client who is anxious. The health care provider
should be notified, and increasing IV and oxygen rates may be needed, but these
actions do not support the client's psychosocial integrity.
Which clients are at immediate risk for hypovolemic shock? (Select all that apply.)
A. Unrestrained client in motor vehicle accident
B. Construction worker
C. Athlete
D. Surgical intensive care client
E. 85-year-old with gastrointestinal virus
A. Unrestrained client in motor vehicle accident
D. Surgical intensive care client
E. 85-year-old with gastrointestinal virus
The client who is unrestrained in a motor vehicle accident is prone to multiple trauma
and bleeding. Surgical clients are at high risk for hypovolemic shock owing to fluid
loss and hemorrhage. Older adult clients are prone to shock; a gastrointestinal virus
results in fluid losses. Unless injured or working in excessive heat, the construction
worker and the athlete are not at risk for hypovolemic shock; they may be at risk for
dehydration.
A client with unstable angina has received education about acute coronary syndrome.
Which statement indicates that the client has understood the teaching?
A. "This is a big warning; I must modify my lifestyle or risk having a heart attack in the next
3|Page
, year."
B. "Angina is just a temporary interruption of blood flow to my heart."
C. "I need to tell my wife I've had a heart attack."
D. "Because this was temporary, I will not need to take any medications for my heart."
A. "This is a big warning; I must modify my lifestyle or risk having a heart attack in the next
year."
Among people who have unstable angina, 10% to 30% have a myocardial infarction
within 1 year. Although anginal pain is temporary, it reflects underlying coronary artery
disease (CAD), which requires attention, including lifestyle modifications. Unstable
angina reflects tissue ischemia, but infarction represents tissue necrosis. Clients with
underlying CAD may need medications such as aspirin, lipid-lowering agents, anti-
anginals, or antihypertensives.
The nurse is teaching a group of teens about prevention of heart disease. Which point
should the nurse emphasize?
A. Reduce abdominal fat.
B. Avoid stress.
C. Do not smoke or chew tobacco.
D. Avoid alcoholic beverages.
C. Do not smoke or chew tobacco.
Tobacco exposure, including secondhand smoke, reduces coronary blood flow;
causes vasoconstriction, endothelial dysfunction, and thickening of the vessel walls;
increases carbon monoxide; and decreases oxygen. Because it is highly addicting,
beginning smoking in the teen years may lead to decades of exposure. Teens are not
likely to experience metabolic syndrome from obesity, but are very likely to use
tobacco. Avoiding stress is a less modifiable risk factor, which is less likely to cause
heart disease in teens. The risk of smoking outweighs the risk of alcohol use.
4|Page
