MED SURG II HESI FINAL PAPER 2026
VERIFIED TOP SCORE MATERIAL
COMPLETE PACK
◉ A client who is taking acetylsalicylic acid (ASA) caplets develops
prolonged bleeding from a superficial skin injury on the forearm.
The nurse should tell the client to do which of the following first?
1. Place the forearm under a running stream of lukewarm water.
2. Pat the injury with a dry washcloth.
3. Wrap the entire forearm from the wrist to the elbow.
4. Apply an ice pack for 20 minutes.
Answer: 4. Apply an ice pack for 20 minutes
◉ 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."
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.".
Answer: 2. "I am glad that my report turned out normal."
◉ 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..
Answer: 1. Tachycardia
◉ The client with idiopathic thrombocytopenic purpura (ITP) asks
the nurse why it is necessary to take steroids. Which is the nurse's
best response?
1. Steroids destroy the antibodies and prolong the life of platelets.
2. Steroids neutralize the antigens and prolong the life of platelets.
3. Steroids increase phagocytosis and increase the life of platelets.
4. Steroids alter the spleen's recognition of platelets and increase the
life of platelets..
, Answer: 4. Steroids alter the spleen's recognition of platelets and
increase the life of platelets.
◉ 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.".
Answer: 3. "I need to wear or carry identification that I am taking
prednisone."
◉ When teaching the client older than age 50 who is receiving long-
term
prednisone therapy, the nurse should recommend which of the
following?
1. Take the prednisone with food.
2. Take over-the-counter drugs as needed.
3. Exercise three to four times a week.
VERIFIED TOP SCORE MATERIAL
COMPLETE PACK
◉ A client who is taking acetylsalicylic acid (ASA) caplets develops
prolonged bleeding from a superficial skin injury on the forearm.
The nurse should tell the client to do which of the following first?
1. Place the forearm under a running stream of lukewarm water.
2. Pat the injury with a dry washcloth.
3. Wrap the entire forearm from the wrist to the elbow.
4. Apply an ice pack for 20 minutes.
Answer: 4. Apply an ice pack for 20 minutes
◉ 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."
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.".
Answer: 2. "I am glad that my report turned out normal."
◉ 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..
Answer: 1. Tachycardia
◉ The client with idiopathic thrombocytopenic purpura (ITP) asks
the nurse why it is necessary to take steroids. Which is the nurse's
best response?
1. Steroids destroy the antibodies and prolong the life of platelets.
2. Steroids neutralize the antigens and prolong the life of platelets.
3. Steroids increase phagocytosis and increase the life of platelets.
4. Steroids alter the spleen's recognition of platelets and increase the
life of platelets..
, Answer: 4. Steroids alter the spleen's recognition of platelets and
increase the life of platelets.
◉ 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.".
Answer: 3. "I need to wear or carry identification that I am taking
prednisone."
◉ When teaching the client older than age 50 who is receiving long-
term
prednisone therapy, the nurse should recommend which of the
following?
1. Take the prednisone with food.
2. Take over-the-counter drugs as needed.
3. Exercise three to four times a week.
