MED-SURG II HESI EXAM Question and
Answer 2026 | Full Practice Test Workbook
with Detailed Explanations | Grade A+
• 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. -✓✓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 -✓✓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."
3. Increased production of melanin in the area."
4. Leakage of red blood cells through the vascular wall." -✓✓4. Leakage of red blood
cells through the vascular wall."
Answer 2026 | Full Practice Test Workbook
with Detailed Explanations | Grade A+
• 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. -✓✓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 -✓✓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."
3. Increased production of melanin in the area."
4. Leakage of red blood cells through the vascular wall." -✓✓4. Leakage of red blood
cells through the vascular wall."
