MED SURG 2 HESI TEST BANK REAL
EXAM 2026/2027 UPDATED QUESTION
AND CORRECT VERIFIED ANSWERS
ALREADY GRANDED A+
1. A client with Cushing's syndrome is recovering from an elective laparoscopic
procedure. Which assessment finding warrant's immediate intervention by the nurse?
a. Purple marks on skin of the abdomen
b. Irregular apical pulse
c. Quarter size blood spot on dressing
d. Pitting ankle edema - ans-b. Irregular apical pulse
3. A client receives prescriptions for a multidrug regimen for the treatment of
tuberculosis. Which information should the nurse prioritize?
a. Adherence to the regimen is imperative
b. Medications should be taken with food
c. Serum liver panels are collected regularly
d. Enhanced sun protection measures will be needed - ans-a. Adherence to the regimen
is imperative
4. The nurse is preparing a client for surgery who was admitted to the emergency center
following a motor vehicle collision. The client has an open fracture of the femur and is
bleeding moderately from the bone protrusion site. During the prescriptive assessment,
the nurse determines that the client currently receives heparin sodium 5,000 units
subcutaneously daily. What is the priority nursing action?
,a. Notify the healthcare provider of the client's medication history
b. Observe the heparin injections sites for signs of bruising
c. Have the client sign the surgical and transfusion permits
d. Ensure that the potential for bleeding is explained to the client - ans-a. Notify the
healthcare provider of the client's medication history
6. What information should the nurse include in the teaching plan of a client diagnosed
with gastroesophageal reflux disease (GERD)?
a. Sleep without pillows at night to maintain neck alignment
b. Adjust food intake to three full meals per day and no snacks
c. Minimize symptoms by wearing loose, comfortable clothing
d. Avoid participation in any aerobic exercise programs - ans-c. Minimize symptoms by
wearing loose, comfortable clothing
9. The nurse is developing a plan of care for a client who reports blurred vision and who
is newly diagnosed with cardiovascular disease. Which outcome should the nurse
include in the plan of care for this client?
a. The nurse will encourage the client to walk thirty minutes every day
b. The clients family will state signs and symptoms about the disease
c. The clients daily blood pressure will be less than 140/80 this month
d. The client blood pressure readings will be less than 160/90 - ans-c. The clients daily
blood pressure will be less than 140/80 this month
10. The family suspects that acquired immune deficiency syndrome (AIDS) dementia is
occuring in their son who is human immunodeficiency virus (HIV) positive. Which
symptoms confirm their suspicions?
,a. He has begun to sleep 18 out of 24 hours
b. A change has recently occurred in his handwriting
c. He refuses to see any of his friends or to return their phone calls
d. He exhibits angry outburst when the subject of dying is approached - ans-b. A change
has recently occurred in his handwriting
11. A hospitalized client with peripheral arterial disease (PAD) is instructed regarding leg
and foot care. Which statement by the client indicates to the nurse that learning has
occurred?
a. "Whenever I am sitting in a chair I will keep my legs up to reduce swelling"
b. "I can use a mirror to check the bottoms of my feet for any signs of breakdown"
c. "I will try to keep moving if leg pain occurs to help promote good circulation"
d. "I will use my swimming pool early in the day while the water is still very cool" - ans-b.
"I can use a mirror to check the bottoms of my feet for any signs of breakdown"
12. While completing a health assessment for a client with migraine headaches, the
nurse assesses bilateral weakness in the client's hand grips. The client reports joint pain
and trouble twisting a door knob due to weakness. Which action should the nurse take
in response to these findings?
a. Explain that relief of the migraine pain will reduce related symptoms
b. Gather additional assessment data about the pain and weakness
c. Implement fall precautions to reduce the client's risk for injury
d. Consult with the occupational therapist for a functional assessment - ans-d. Consult
with the occupational therapist for a functional assessment
13. The nurse is caring for a client in the post anesthesia care unit (PACU) who
underwent a thoracotomy two hours ago. The nurse observes the following vital signs:
heart rate 140 bpm, respirations 26 breaths/minute and blood pressure 140/90. Which
intervention is most important for the nurse to implement?
, a. Medicate for pain and monitor vital signs according to protocol
b. Adminsted intravenous fluid bolus as prescribed by the HCP
c. Apply oxygen at 10 L via non-rebreather mask and monitor pulse oximeter.
d. Encourage the client to splint the incision with a pillow to cough and deep breathe -
ans-a. Medicate for pain and monitor vital signs
14. An adult is diagnosed with restless leg syndrome and is referred to the sleep clinic.
The HCP prescribed ferrous sulfate 325 PO daily. Which laboratory values should the
nurse monitor ?
a. Platelet count and hematocrit
b. Serum electrolytes
c. Serum iron and ferritin
d. Neutrophils and eosinophils - ans-c. Serum iron and ferritin
15. While caring for a client with a full thickness burn covering 40% of the body, the
nurse observes purulent drainage at the wound. Before reporting this finding to the HCP
, the nurse should review which of the client's laboratory values?
a. White blood cell count
b. Platelet count
c. Blood pH level
d. Hematocrit - ans-a. White blood cell count
16. A client with a history of type 1 diabetes mellitus (DM) and asthma is readmitted to
the unit for the third time in two months with a current fasting blood sugar of 325 mg/dl.
The client describes to the nurse of not understanding why the blood glucose level
continues to be out of control. Which interventions should the nurse implement? Select
all that apply.
EXAM 2026/2027 UPDATED QUESTION
AND CORRECT VERIFIED ANSWERS
ALREADY GRANDED A+
1. A client with Cushing's syndrome is recovering from an elective laparoscopic
procedure. Which assessment finding warrant's immediate intervention by the nurse?
a. Purple marks on skin of the abdomen
b. Irregular apical pulse
c. Quarter size blood spot on dressing
d. Pitting ankle edema - ans-b. Irregular apical pulse
3. A client receives prescriptions for a multidrug regimen for the treatment of
tuberculosis. Which information should the nurse prioritize?
a. Adherence to the regimen is imperative
b. Medications should be taken with food
c. Serum liver panels are collected regularly
d. Enhanced sun protection measures will be needed - ans-a. Adherence to the regimen
is imperative
4. The nurse is preparing a client for surgery who was admitted to the emergency center
following a motor vehicle collision. The client has an open fracture of the femur and is
bleeding moderately from the bone protrusion site. During the prescriptive assessment,
the nurse determines that the client currently receives heparin sodium 5,000 units
subcutaneously daily. What is the priority nursing action?
,a. Notify the healthcare provider of the client's medication history
b. Observe the heparin injections sites for signs of bruising
c. Have the client sign the surgical and transfusion permits
d. Ensure that the potential for bleeding is explained to the client - ans-a. Notify the
healthcare provider of the client's medication history
6. What information should the nurse include in the teaching plan of a client diagnosed
with gastroesophageal reflux disease (GERD)?
a. Sleep without pillows at night to maintain neck alignment
b. Adjust food intake to three full meals per day and no snacks
c. Minimize symptoms by wearing loose, comfortable clothing
d. Avoid participation in any aerobic exercise programs - ans-c. Minimize symptoms by
wearing loose, comfortable clothing
9. The nurse is developing a plan of care for a client who reports blurred vision and who
is newly diagnosed with cardiovascular disease. Which outcome should the nurse
include in the plan of care for this client?
a. The nurse will encourage the client to walk thirty minutes every day
b. The clients family will state signs and symptoms about the disease
c. The clients daily blood pressure will be less than 140/80 this month
d. The client blood pressure readings will be less than 160/90 - ans-c. The clients daily
blood pressure will be less than 140/80 this month
10. The family suspects that acquired immune deficiency syndrome (AIDS) dementia is
occuring in their son who is human immunodeficiency virus (HIV) positive. Which
symptoms confirm their suspicions?
,a. He has begun to sleep 18 out of 24 hours
b. A change has recently occurred in his handwriting
c. He refuses to see any of his friends or to return their phone calls
d. He exhibits angry outburst when the subject of dying is approached - ans-b. A change
has recently occurred in his handwriting
11. A hospitalized client with peripheral arterial disease (PAD) is instructed regarding leg
and foot care. Which statement by the client indicates to the nurse that learning has
occurred?
a. "Whenever I am sitting in a chair I will keep my legs up to reduce swelling"
b. "I can use a mirror to check the bottoms of my feet for any signs of breakdown"
c. "I will try to keep moving if leg pain occurs to help promote good circulation"
d. "I will use my swimming pool early in the day while the water is still very cool" - ans-b.
"I can use a mirror to check the bottoms of my feet for any signs of breakdown"
12. While completing a health assessment for a client with migraine headaches, the
nurse assesses bilateral weakness in the client's hand grips. The client reports joint pain
and trouble twisting a door knob due to weakness. Which action should the nurse take
in response to these findings?
a. Explain that relief of the migraine pain will reduce related symptoms
b. Gather additional assessment data about the pain and weakness
c. Implement fall precautions to reduce the client's risk for injury
d. Consult with the occupational therapist for a functional assessment - ans-d. Consult
with the occupational therapist for a functional assessment
13. The nurse is caring for a client in the post anesthesia care unit (PACU) who
underwent a thoracotomy two hours ago. The nurse observes the following vital signs:
heart rate 140 bpm, respirations 26 breaths/minute and blood pressure 140/90. Which
intervention is most important for the nurse to implement?
, a. Medicate for pain and monitor vital signs according to protocol
b. Adminsted intravenous fluid bolus as prescribed by the HCP
c. Apply oxygen at 10 L via non-rebreather mask and monitor pulse oximeter.
d. Encourage the client to splint the incision with a pillow to cough and deep breathe -
ans-a. Medicate for pain and monitor vital signs
14. An adult is diagnosed with restless leg syndrome and is referred to the sleep clinic.
The HCP prescribed ferrous sulfate 325 PO daily. Which laboratory values should the
nurse monitor ?
a. Platelet count and hematocrit
b. Serum electrolytes
c. Serum iron and ferritin
d. Neutrophils and eosinophils - ans-c. Serum iron and ferritin
15. While caring for a client with a full thickness burn covering 40% of the body, the
nurse observes purulent drainage at the wound. Before reporting this finding to the HCP
, the nurse should review which of the client's laboratory values?
a. White blood cell count
b. Platelet count
c. Blood pH level
d. Hematocrit - ans-a. White blood cell count
16. A client with a history of type 1 diabetes mellitus (DM) and asthma is readmitted to
the unit for the third time in two months with a current fasting blood sugar of 325 mg/dl.
The client describes to the nurse of not understanding why the blood glucose level
continues to be out of control. Which interventions should the nurse implement? Select
all that apply.
