MED-SURG II HESI EXAM
100+ (Updated for 2026) Exam Prep Pack | A+ Questions & Verified
Answers
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 100 Qs
This document, "Med-Surg II HESI Exam," provides a comprehensive review of medical-surgical
nursing concepts, covering topics such as bleeding disorders, platelet management, thyroidectomy
complications, peptic ulcer treatment, dumping syndrome, and diabetes management. Each question
is paired with a correct answer, allowing students to review and understand key concepts in these
areas. By utilizing this document, students can study, review, and reinforce their knowledge, ultimately
preparing them for exams and clinical practice.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
The nurse should instruct the client with a platelet count of 31,000/μL (31 ×
109/L) to:
1. Pad sharp surfaces to avoid minor trauma when walking.
2. Assess for spontaneous petechiae in the extremities.
3. Keep the room darkened.
4. Check for blood in the urine.
CORRECT ANSWER
1. Pad sharp surfaces to avoid minor trauma when walking.
QUESTION 2
A client's bone marrow report reveals normal stem cells and precursors of
platelets (megakaryocytes) in the presence of decreased circulating platelets. The nurse recognizes
a knowledge deficit when the client makes which of the following statements?
1. "I need to stop flossing and throw away my hard toothbrush."
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, 2. "I am glad that my report turned out normal."
3. "Now I know why I have all these bruises."
4. "I shouldn't jump off that last step anymore."
CORRECT ANSWER
2. "I am glad that my report turned out normal."
QUESTION 3
A client is to be discharged on prednisone. Which of the following statements indicates that the
client understands important concepts about the medication therapy?
1. "I need to take the medicine in divided doses at morning and bedtime."
2. "I am to take 40 mg of prednisone for 2 months and then stop."
3. "I need to wear or carry identification that I am taking prednisone."
4. "Prednisone will give me extra protection from colds and flu."
CORRECT ANSWER
3. "I need to wear or carry identification that I am taking prednisone."
QUESTION 4
To reduce the risk of dumping syndrome, the nurse should teach the client to do which of the
following?
1. Sit upright for 30 minutes after meals.
2. Drink liquids with meals, avoiding caffeine.
3. Avoid milk and other dairy products.
4. Decrease the carbohydrate content of meals.
CORRECT ANSWER
4. Decrease the carbohydrate content of meals.
QUESTION 5
A client has an emergency embolectomy for an embolus in the femoral artery. After the client
returns from the recovery room, in what order, from first to last, should the nurse provide care?
1. Administer pain medication.
2. Draw blood for laboratory studies.
3. Regulate the IV infusion.
4. Monitor the pulses.
5. Inspect the dressing.
CORRECT ANSWER
4. Monitor the pulses.
5. Inspect the dressing.
3. Regulate the IV infusion.
1. Administer pain medication.
2. Draw blood for laboratory studies.
The nurse should first monitor the popliteal and the pedal pulses in the affected extremity after arterial
embolectomy. Monitoring peripheral pulses below the site of
Trusted by thousands of students and professionals worldwide Page 2 of 30
, occlusion checks the arterial circulation in the involved extremity. The nurse should next inspect the
dressing to be sure that the client is not bleeding at the surgical site. The
nurse should next regulate the IV infusion to prevent fluid overload. Then the nurse should assess pain
and administer pain medications as prescribed. Last, the nurse can obtain blood for laboratory studies.
QUESTION 6
Before a client's discharge after mitral valve replacement surgery, the nurse should evaluate the
client's understanding of post surgery activity restrictions. Which of the following should the client
not engage in until after the 1-month post discharge appointment with the surgeon?
1. Showering.
2. Lifting anything heavier than 10 lb (4.5 kg).
3. A program of gradually progressive walking.
4. Light housework.
CORRECT ANSWER
2. Lifting anything heavier than 10 lb (4.5 kg).
QUESTION 7
The nurse should assess a client with thrombocytopenia who has developed a hemorrhage for which
of the following?
1. Tachycardia.
2. Bradycardia.
3. Decreased PaCO2.
4. Narrowed pulse pressure.
CORRECT ANSWER
1. Tachycardia
QUESTION 8
A client has a nasogastric (NG) tube following a subtotal gastrectomy. The
nurse should:
1. Irrigate the tube with 30 mL of sterile water every hour, if needed.
2. Reposition the tube if it is not draining well.
3. Monitor the client for nausea, vomiting, and abdominal distention.
4. Turn the machine to high suction if the drainage is sluggish on low suction.
CORRECT ANSWER
3. Monitor the client for nausea, vomiting, and abdominal distention.
QUESTION 9
A client is admitted with a diagnosis of thrombophlebitis and deep vein
thrombosis of the right leg. A loading dose of heparin has been given in the emergency room, and IV
heparin will be continued for the next several days. The nurse should develop a plan of care for this
client that will involve:
Trusted by thousands of students and professionals worldwide Page 3 of 30
100+ (Updated for 2026) Exam Prep Pack | A+ Questions & Verified
Answers
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 100 Qs
This document, "Med-Surg II HESI Exam," provides a comprehensive review of medical-surgical
nursing concepts, covering topics such as bleeding disorders, platelet management, thyroidectomy
complications, peptic ulcer treatment, dumping syndrome, and diabetes management. Each question
is paired with a correct answer, allowing students to review and understand key concepts in these
areas. By utilizing this document, students can study, review, and reinforce their knowledge, ultimately
preparing them for exams and clinical practice.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
The nurse should instruct the client with a platelet count of 31,000/μL (31 ×
109/L) to:
1. Pad sharp surfaces to avoid minor trauma when walking.
2. Assess for spontaneous petechiae in the extremities.
3. Keep the room darkened.
4. Check for blood in the urine.
CORRECT ANSWER
1. Pad sharp surfaces to avoid minor trauma when walking.
QUESTION 2
A client's bone marrow report reveals normal stem cells and precursors of
platelets (megakaryocytes) in the presence of decreased circulating platelets. The nurse recognizes
a knowledge deficit when the client makes which of the following statements?
1. "I need to stop flossing and throw away my hard toothbrush."
Trusted by thousands of students and professionals worldwide Page 1 of 30
, 2. "I am glad that my report turned out normal."
3. "Now I know why I have all these bruises."
4. "I shouldn't jump off that last step anymore."
CORRECT ANSWER
2. "I am glad that my report turned out normal."
QUESTION 3
A client is to be discharged on prednisone. Which of the following statements indicates that the
client understands important concepts about the medication therapy?
1. "I need to take the medicine in divided doses at morning and bedtime."
2. "I am to take 40 mg of prednisone for 2 months and then stop."
3. "I need to wear or carry identification that I am taking prednisone."
4. "Prednisone will give me extra protection from colds and flu."
CORRECT ANSWER
3. "I need to wear or carry identification that I am taking prednisone."
QUESTION 4
To reduce the risk of dumping syndrome, the nurse should teach the client to do which of the
following?
1. Sit upright for 30 minutes after meals.
2. Drink liquids with meals, avoiding caffeine.
3. Avoid milk and other dairy products.
4. Decrease the carbohydrate content of meals.
CORRECT ANSWER
4. Decrease the carbohydrate content of meals.
QUESTION 5
A client has an emergency embolectomy for an embolus in the femoral artery. After the client
returns from the recovery room, in what order, from first to last, should the nurse provide care?
1. Administer pain medication.
2. Draw blood for laboratory studies.
3. Regulate the IV infusion.
4. Monitor the pulses.
5. Inspect the dressing.
CORRECT ANSWER
4. Monitor the pulses.
5. Inspect the dressing.
3. Regulate the IV infusion.
1. Administer pain medication.
2. Draw blood for laboratory studies.
The nurse should first monitor the popliteal and the pedal pulses in the affected extremity after arterial
embolectomy. Monitoring peripheral pulses below the site of
Trusted by thousands of students and professionals worldwide Page 2 of 30
, occlusion checks the arterial circulation in the involved extremity. The nurse should next inspect the
dressing to be sure that the client is not bleeding at the surgical site. The
nurse should next regulate the IV infusion to prevent fluid overload. Then the nurse should assess pain
and administer pain medications as prescribed. Last, the nurse can obtain blood for laboratory studies.
QUESTION 6
Before a client's discharge after mitral valve replacement surgery, the nurse should evaluate the
client's understanding of post surgery activity restrictions. Which of the following should the client
not engage in until after the 1-month post discharge appointment with the surgeon?
1. Showering.
2. Lifting anything heavier than 10 lb (4.5 kg).
3. A program of gradually progressive walking.
4. Light housework.
CORRECT ANSWER
2. Lifting anything heavier than 10 lb (4.5 kg).
QUESTION 7
The nurse should assess a client with thrombocytopenia who has developed a hemorrhage for which
of the following?
1. Tachycardia.
2. Bradycardia.
3. Decreased PaCO2.
4. Narrowed pulse pressure.
CORRECT ANSWER
1. Tachycardia
QUESTION 8
A client has a nasogastric (NG) tube following a subtotal gastrectomy. The
nurse should:
1. Irrigate the tube with 30 mL of sterile water every hour, if needed.
2. Reposition the tube if it is not draining well.
3. Monitor the client for nausea, vomiting, and abdominal distention.
4. Turn the machine to high suction if the drainage is sluggish on low suction.
CORRECT ANSWER
3. Monitor the client for nausea, vomiting, and abdominal distention.
QUESTION 9
A client is admitted with a diagnosis of thrombophlebitis and deep vein
thrombosis of the right leg. A loading dose of heparin has been given in the emergency room, and IV
heparin will be continued for the next several days. The nurse should develop a plan of care for this
client that will involve:
Trusted by thousands of students and professionals worldwide Page 3 of 30
