MED SURG II HESI EXAM NEWEST 2026 ACTUAL EXAM
TEST BANK| 3 VERSIONS (V1, V2 & V3) WITH COMPLETE
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+|
ELSEVIER HESI MED SURG II EXAM (MOST RECENT!!)
ELSEVIER HESI MED SURG II EXAM V1
The nurse is providing discharge instructions to a client who is receiving
prednisone 5 mg PO daily for a rash due to contact with poison ivy.
Which symptoms should the nurse tell the client to report to the HCP?
a. Rapid weight gain
b. Abdominal striae
c. Moon faces
d. Gastric irritation - Correct Answer - a. Rapid weight gain
A client with chronic kidney disease is started on hemodialysis. During
the first dialysis treatment, the client's blood pressure drops from 150/90
to 80/30. Which action should the nurse take first?
a. Stop the dialysis treatment
b. Administer 5% albumin IV
c. Monitor blood pressure Q45M
d. Lower the head of the chair and elevate feet - Correct Answer - a.
Stop the dialysis treatment
A client with a history of peptic ulcer disease (PUD) is admitted after
vomiting bright red blood several times over the course of 2 hours. In
reviewing the laboratory results, the nurse finds the clients hemoglobin
pg. 1
,is 12 g/dL and the hematocrit is 35%. Which action should the nurse
prepare to take?
a. Continue to monitor for blood loss
b. Administer 1,000 mL normal saline
c. Transfuse 2 units of platelets
d. Prepare for client for emergency surgery - Correct Answer - b.
Administer 1,000 mL normal saline
An obese client with emphysema who smokes at least a pack of
cigarettes daily is admitted after experiencing a sudden increase in
dyspnea and activity intolerance. Oxygen therapy is initiated and it is
determined that the client will be discharged with oxygen. Which
information is most important for the nurse to emphasize in the
discharge teaching plan?
a. Methods for weight loss
b. Guidelines for oxygen use
c. Approaches to conserve energy
d. Strategies for smoking cessation - Correct Answer - b. Guidelines for
oxygen use
A client arrives at the medical-surgical unit 4 hours after a transurethral
resection of the prostate. A triple-lumen catheter for a continuous
bladder irrigation with normal saline is infused and the nurse observes
dark, pink tinged outflow with blood clots in the tubing and collection
bag. Which action should the nurse take?
a. Monitoring catheter drainage
b. Decreasing the flow rate
c. Irrigating the catheter manually
pg. 2
,d. Discounting infusing solution - Correct Answer - a. Monitoring
catheter drainage
After three days of persistent epigastric pain, a female client presents to
the clinic. She has been taking oral antacids without relief. Her visit
signs are heart rate 122 beats/minute, respirations 16 breaths/minute,
oxygen saturation 96%, and blood pressure 116/70. The nurse obtains a
12-lead electrocardiogram (ECG). Which assessment finding is most
critical?
a. Irregular pulse rate
b. Bile colored emesis
c. ST elevation in three leads
d. Complaint of radiating jaw pain - Correct Answer - c. ST elevation in
three leads
A client with acute renal injury (AKI) weighs 50kg and has a potassium
level of 6.7 is admitted to the hospital. Which prescribed medication
should the nurse administer first?
a. Calcium acetate one tablet by mouth
b. Sodium polystyrene sulfonate 15 grams by mouth
c. Epostein alfa, recombinant 2,500 units subcutaneously
d. Sevelamer one tablet by mouth - Correct Answer - b. Sodium
polystyrene sulfonate 15 grams by mouth
The nurse observes an increased number of blood clots in the drainage
tubing of a client with continuous bladder irrigation following a trans-
rethral resection of the prostate (TURP). What is the best initial nursing
action?
pg. 3
, a. Provide additional oral fluid intake
b. Measure the client's intake and output
c. Increase the flow of the bladder irrigation
d. Administer a PRN dose of an antispasmodics agent - Correct Answer -
c. Increase the flow of the bladder irrigation
The healthcare provider prescribes diagnostic tests for a client whose
chest x-ray indicates pneumonia. Which diagnostic test should the nurse
review for implementation in the most therapeutic treatment of
pneumonia?
a. Sputum culture and sensitivity
b. Blood cultures
c. Arterial blood gasses (ABG)
d. Computerized tomography (CT) of the chest - Correct Answer - a.
Sputum culture and sensitivity
A client is hospitalized with heart failure (HF). Which intervention
should the nurse implement to improve ventilation and reduce venous
return?
a. Perform passive range of motion exercise
b. Place the client in high Fowler position
c. Administer oxygen per nasal cannula
d. Increase the client's activity level - Correct Answer - b. Place the
client in high Fowler position
A nurse is caring for a client with diabetes insipidus (DI). Which data
warrants the most immediate intervention by the nurse?
pg. 4
TEST BANK| 3 VERSIONS (V1, V2 & V3) WITH COMPLETE
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+|
ELSEVIER HESI MED SURG II EXAM (MOST RECENT!!)
ELSEVIER HESI MED SURG II EXAM V1
The nurse is providing discharge instructions to a client who is receiving
prednisone 5 mg PO daily for a rash due to contact with poison ivy.
Which symptoms should the nurse tell the client to report to the HCP?
a. Rapid weight gain
b. Abdominal striae
c. Moon faces
d. Gastric irritation - Correct Answer - a. Rapid weight gain
A client with chronic kidney disease is started on hemodialysis. During
the first dialysis treatment, the client's blood pressure drops from 150/90
to 80/30. Which action should the nurse take first?
a. Stop the dialysis treatment
b. Administer 5% albumin IV
c. Monitor blood pressure Q45M
d. Lower the head of the chair and elevate feet - Correct Answer - a.
Stop the dialysis treatment
A client with a history of peptic ulcer disease (PUD) is admitted after
vomiting bright red blood several times over the course of 2 hours. In
reviewing the laboratory results, the nurse finds the clients hemoglobin
pg. 1
,is 12 g/dL and the hematocrit is 35%. Which action should the nurse
prepare to take?
a. Continue to monitor for blood loss
b. Administer 1,000 mL normal saline
c. Transfuse 2 units of platelets
d. Prepare for client for emergency surgery - Correct Answer - b.
Administer 1,000 mL normal saline
An obese client with emphysema who smokes at least a pack of
cigarettes daily is admitted after experiencing a sudden increase in
dyspnea and activity intolerance. Oxygen therapy is initiated and it is
determined that the client will be discharged with oxygen. Which
information is most important for the nurse to emphasize in the
discharge teaching plan?
a. Methods for weight loss
b. Guidelines for oxygen use
c. Approaches to conserve energy
d. Strategies for smoking cessation - Correct Answer - b. Guidelines for
oxygen use
A client arrives at the medical-surgical unit 4 hours after a transurethral
resection of the prostate. A triple-lumen catheter for a continuous
bladder irrigation with normal saline is infused and the nurse observes
dark, pink tinged outflow with blood clots in the tubing and collection
bag. Which action should the nurse take?
a. Monitoring catheter drainage
b. Decreasing the flow rate
c. Irrigating the catheter manually
pg. 2
,d. Discounting infusing solution - Correct Answer - a. Monitoring
catheter drainage
After three days of persistent epigastric pain, a female client presents to
the clinic. She has been taking oral antacids without relief. Her visit
signs are heart rate 122 beats/minute, respirations 16 breaths/minute,
oxygen saturation 96%, and blood pressure 116/70. The nurse obtains a
12-lead electrocardiogram (ECG). Which assessment finding is most
critical?
a. Irregular pulse rate
b. Bile colored emesis
c. ST elevation in three leads
d. Complaint of radiating jaw pain - Correct Answer - c. ST elevation in
three leads
A client with acute renal injury (AKI) weighs 50kg and has a potassium
level of 6.7 is admitted to the hospital. Which prescribed medication
should the nurse administer first?
a. Calcium acetate one tablet by mouth
b. Sodium polystyrene sulfonate 15 grams by mouth
c. Epostein alfa, recombinant 2,500 units subcutaneously
d. Sevelamer one tablet by mouth - Correct Answer - b. Sodium
polystyrene sulfonate 15 grams by mouth
The nurse observes an increased number of blood clots in the drainage
tubing of a client with continuous bladder irrigation following a trans-
rethral resection of the prostate (TURP). What is the best initial nursing
action?
pg. 3
, a. Provide additional oral fluid intake
b. Measure the client's intake and output
c. Increase the flow of the bladder irrigation
d. Administer a PRN dose of an antispasmodics agent - Correct Answer -
c. Increase the flow of the bladder irrigation
The healthcare provider prescribes diagnostic tests for a client whose
chest x-ray indicates pneumonia. Which diagnostic test should the nurse
review for implementation in the most therapeutic treatment of
pneumonia?
a. Sputum culture and sensitivity
b. Blood cultures
c. Arterial blood gasses (ABG)
d. Computerized tomography (CT) of the chest - Correct Answer - a.
Sputum culture and sensitivity
A client is hospitalized with heart failure (HF). Which intervention
should the nurse implement to improve ventilation and reduce venous
return?
a. Perform passive range of motion exercise
b. Place the client in high Fowler position
c. Administer oxygen per nasal cannula
d. Increase the client's activity level - Correct Answer - b. Place the
client in high Fowler position
A nurse is caring for a client with diabetes insipidus (DI). Which data
warrants the most immediate intervention by the nurse?
pg. 4
