HESI MED SURG II EXAM 2023 STUDY BUNDLE PACK SOLUTION (Verified Answers)

1 / 13
HESI Med Surg II Exam Questions and Answers 2023
(Verified Answers)

1. The nurse is assessing a 48-year-old client with a history of smoking duringa routine clinic visit.The client, who exercises regularly, reports having pain inthe calf during exercise that disappears at rest.Which of the following findingsrequires further evaluation?
2. Heart rate 57 bpm.
3. SpO2 of 94% on room air.
4. Blood pressure 134/82.
5. Ankle-brachial index of 0.65 ANS 4
6. A client with peripheral vascular disease has undergone a right
   femoralpopliteal
   bypass graft. The blood pressure has decreased from 124/80 to 94/62. What
   should the nurse assess first?
7. IV fluid solution.
8. Pedal pulses.
9. Nasal cannula flow rate.
10. Capillary refill ANS 2

2 / 13

3. An overweight client taking warfarin (Coumadin) has dry skin due to decreased
   arterial blood flow.What should the nurse instruct the client to do? Select allthat apply.
4. Apply lanolin or petroleum jelly to intact skin.
5. Follow a reduced-calorie, reduced-fat diet.
6. Inspect the involved areas daily for new ulcerations.
7. Instruct the client to limit activities of daily living (ADLs).
8. Use an electric razor to shave ANS 1, 2, 3, 5
9. The nurse is caring for a client with peripheral artery disease who has
   recently
   been prescribed clopidogrel (Plavix).The nurse understands that more teaching is
   necessary when the client states which of the following:
10. “I should not be surprised if I bruise easier or if my gums bleed a little whenbrushing my teeth.”
11. “It doesn’t really matter if I take this medicine with or without food, whateverworks best for my stomach.”
12. “I should stop taking Plavix if it makes me feel weak and dizzy.”

3 / 13

4. “The doctor prescribed this medicine to make my platelets less likely to
   stick
   together and help prevent clots from forming. ANS 3
5. A client is receiving Cilostazol (Pletal) for peripheral arterial disease causing
   intermittent claudication.The nurse determines this medication is effective
   when the
   client reports which of the following?
6. “I am having fewer aches and pains.”
7. “I do not have headaches anymore.”
8. “I am able to walk further without leg pain.”
9. “My toes are turning grayish black in color. ANS 3
10. The client admitted with peripheral vascular disease (PVD) asks the nurse
    why
    her legs hurt when she walks.The nurse bases a response on the knowledgethat the
    main characteristic of PVD is:
11. Decreased blood flow.
12. Increased blood flow.
13. Slow blood flow.
    4.Thrombus formation ANS 1
    

1 / 4
MED SURG II HESI (Elsevier) 2023
(Verified Answers)

1. A client is admitted for dehydration, and an intravenous (IV) infusion of
   normal saline at 125 mL/hr has been started. One hour after the IV initiation
   the client begins screaming, “I can’t breathe!” The nursing priority action is:
2. Discontinue the IV site and contact the primary health care provider
3. Elevate the head of the bed and obtain vital signs
4. Contact the primary health care provider to obtain a prescription for a
   sedative
5. Assess for allergies and change the IV to an intermittent infusion device: –
   ANS Elevate the head of the bed and obtain vital signs
6. A nurse is assessing a client with a diagnosis of early left ventricular heartfailure. Specific to this type of heart failure, the nurse expects the client to
   state:

2 / 4

1. “My ankles are swollen.”
2. “I am tired at the end of the day.”
3. “When I eat a large meal, I feel bloated.”
4. “I have trouble breathing when I walk rapidly: ANS 4.”I have trouble breathing
   whenI walk rapidly
5. A client who had a myocardial infarction asks the nurse, “What’s the chanceof my having another heart attack if I carefully watch my diet and stress
   levels?” What is the nurse’s most appropriate initial response?
6. Focus on the client’s feelings by exploring the reason why the question wasasked.
7. Explain that it is all right to be frightened and refer the client to the psychiatric nurse.
8. Provide information that the client is correct in being especially careful in
   these areas.
9. Suggest that the client discuss follow-up care with the health care provider

1 / 11
HESI Med Surg II Exam Questions and Answers 2023
(Verified Answers)

1. Angiotensin-converting enzyme (ACE) inhibitors may be prescribed for theclient with diabetes mellitus to reduce vascular changes and posterm-3sibly
   prevent or delay
   development of:
2. Chronic obstructive pulmonary disease (COPD).
3. Pancreatic cancer.
4. Renal failure.
5. Cerebrovascular accident ANS 3
6. The nurse should teach the diabetic client that which of the following is themost common symptom of hypoglycemia?
7. Nervousness.
8. Anorexia.
9. Kussmaul’s respirations.
10. Bradycardia ANS 1

2 / 11

53. The nurse is assessing the client’s use of medications.Which of the
    following
    medications may cause a complication with the treatment plan of a client withdiabetes?

3 / 11

3. Relieving pain.
4. Increasing activity ANS 1
5. A client with diabetes begins to cry and says, “I just cannot stand the
   thought of
   having to give myself a shot every day.” Which of the following would be the
   best
   response by the nurse?
6. “If you do not give yourself your insulin shots, you will die.”
7. “We can teach your daughter to give the shots so you will not have to do
   it.”
8. “I can arrange to have a home care nurse give you the shots every day.”
9. “What is it about giving yourself the insulin shots that bothers you? ANS 47. A client is to have a transsphenoidal hypophysectomy to remove a large,
   invasive pituitary tumor.The nurse should instruct the client that the surgerywill be
   performed through an incision in the:
10. Back of the mouth.
11. Nose.
12. Sinus channel below the right eye.
13. Upper gingival mucosa in the space between the upper gums and lip ANS
    4
14. To help minimize the risk of postoperative respiratory complications after

1 / 28
HESI Med Surg II Exam Questions and Answers 2023
(Verified Answers)

1. The nurse is completing a health assessment of a 42-year-old female with
   suspected Graves’ Disease.The nurse should assess this client for:
2. anorexia
3. tachycardia
4. weight gain
5. cold skin ANS. tachycardia
   Graves’ disease, the most common type of thyrotoxicosis, is a state of hypermetabolism. The increased metabolic rate generates heat and produces tachycardia andfine muscle tremors. Anorexia is associated with hypothyroidism. Loss of weight,
   despite a good appetite and adequate caloric intake, is a common feature of
   hyperthyroidism. Cold skin is associated with hypothyroidism.
   CN: Physiological adaptation; CL: Analyze
6. When conducting a health history with a female client with thyrotoxicosis,
   the nurse should ask about which of the following changes in the menstrual
   cycle?

2 / 28

1. dysmenorrhea
2. metrorrhagia
3. oligomenorrhea
4. menorrhagia ANS. oligomenorrhea
   A change in the menstrual interval, diminished menstrual flow (oligomenorrhea),
   or even the absence of menstruation (amenorrhea) may result from the hormonal
   imbalances of thyrotoxicosis. Oligomenorrhea in women and decreased libido and
   impotence in men are common features of thyrotoxicosis. Dysmenorrhea is painful
   menstruation. Metrorrhagia, blood loss between menstrual periods, is a symptom
   of hypothyroidism. Menorrhagia, excessive bleeding during menstrual periods, is a
   symptom of hypothyroidism.
   CN: Physiological adaptation; CL: Analyze
5. A 34-year-old female is diagnosed with hypothyroidism.The nurse should
   assess the client for which of the following? (Select all that apply.)
6. rapid pulse
7. decreased energy and fatigue
8. weight gain of 10 lbs (4.5 kg)

3 / 28

4. fine, thin hair with hair loss
5. constipation
6. menorrhagia. ANS. decreased energy and fatigue, 3. weight gain of 10 lbs (4.5
   kg),
7. constipation, 6. menorrhagia
   Clients with hypothyroidism exhibit symptoms indicating a lack of thyroid hormone.Bradycardia, decreased energy and lethargy, memory problems, weight gain,coarse hair, constipation, and menorrhagia are common signs and
   symptoms of hypothyroidism.
   CN: Physiological adaptation; CL: Analyze
8. Propylthiouracil (PTU) is prescribed for a client with Graves’ disease.The
   nurse should teach the client to immediately report which of the following?
9. sore throat
10. painful, excessive menstruation
11. constipation
12. increased urine output ANS. sore throat
    The most serious adverse effects of PTU are leukopenia and agranulocytosis, whichusually occur within the first 3 months of treatment. The client should be taught to
    promptly report to the health care provider signs and symptoms of infection, such
    as a sore throat and fever. Clients having a sore throat and fever should have an
    immediate white blood cell count and differential performed, and the drug must be

4 / 28
withheld until
the results are obtained. Painful menstruation, constipation, and increased urine
output are not associated with PTU therapy.
CN: Pharmacological and parenteral therapies; CL: Synthesize

5. A client with thyrotoxicosis says to the nurse, “I am so irritable. I am havingproblems at work because I lose my temper very easily.”Which of the followingresponses by the nurse would give the client the most accurate explanation
   of her behavior?
6. “Your behavior is caused by temporary confusion brought on by your
   illness.”
7. “Your behavior is caused by the excess thyroid hormone in your system.”
8. “Your behavior is caused by your worrying about the seriousness of your
   illness.”
   

1 / 8
HESI Med Surg II Final Exam Questions and Answers 2023 (Verified Answers)

1. A nurse is caring for a client who is learning how to take care of a newly
   created colostomy. When observing a return demonstration of the colostomyirrigation, the nurse evaluates that more teaching is required when the client
   ANS
   : Hangs the irrigation bag on the door clothes hook during fluid insertion
2. Following surgery, a client asks the nurse if he or she can help measure
   intake and output.What is the best nursing response
   ANS Assess the client’s abilityto measure the intake and output
3. A client with cancer of the pancreas has a pancreaticoduodenectomy (Whipple procedure). The nurse expects that the client will have which tube after
   surgery
   ANS Nasogastric
4. A nurse is assessing a client with a diagnosis of early left ventricular heartfailure. Specific to this type of heart failure, the nurse expects the client to
   state ANS “I have trouble breathing when I walk rapidly.”

2 / 8

5. A client with a spontaneous pneumothorax asks, “Why did they put this
   tube into my chest?” The nurse explains that the purpose of the chest tube isto
   ANS Remove air from the pleural space
6. Following surgery in the inguinal area, the client complains of pain on the
   right side of the chest, becomes dyspneic, and begins to cough violently.Thenurse suspects that a pulmonary embolus has occurred. What is the priority
   nursing action
   ANS Elevate the head of the bed
7. As an acute episode of rheumatoid arthritis subsides, active and passive
   range-of-motion exercises are taught to the client’s spouse.The nurse shouldteach that direct pressure should not be applied to the client’s joints becausethis may precipitate
   ANS Pain
8. A client is admitted to the hospital with the diagnosis of cancer of the thyroidand a thyroidectomy is scheduled.What is important for the nurse to considerwhen caring for this client during the postoperative period
   ANS Hoarseness andairway obstruction may result from laryngeal nerve damage.
   3 / 8
9. A client is scheduled to have a cardiac catheterization via the femoral
   approach. The nurse teaches the client about post-procedure interventions
   that protect the catheter insertion site.The nurse instructs the client that the
   leg used for catheter insertion will be
   ANS Kept extended while on bed rest
10. A female client who has recurrent urinary tract infections (UTIs) is inquiring about the prevention of future UTIs. What information should the nurse
    include when teaching the client? (Select all that apply.)
    : -Drink 8 to 10 glassesof water each day
    -Urinate immediately after sexual intercourse
    

1 / 6
HESI Med Surg II Final Exam Questions and
Answers 2023 (Verified Answers)

1. Priority action by nurse for client w/ compromised immune system ANS
   Handhygiene
2. Client w/ wound is worried about drainage being present, best response bynurse ANS Some drainage is to be expected & normal inflammatory response, if
   it smells foul or looks like pus that’s a sign of infection
3. Precautions for HIV patient ANS Standard precautions
4. What signifies advancement of HIV to AIDS ANS Opportunistic infections –
   pneu-monistic, C diff etc

2 / 6

5. When ambulating client w/ anemia, what assessments to be done in order
   to check tolerance ANS RR, HR, O2 sat/oxygenation- if any abnormals then not
   beingtolerated well.
6. What does it mean if someone is anemic ANS Low iron & low oxygenation
7. What to ask client w/ lots of bruising ANS Are you taking any
   anticoagulant/antiplatelet drugs?
8. Client w/ platelet count of 30,000 is at risk for what ANS LOW platelet count
   =bleeding risk
9. What patient history info would correlate w/ diagnosis of iron deficient
   anemia ANS Vegetarian- no meat=lack of iron in diet
10. Normal platelet count? & risks associated w/ abnormal values ANS –
    150,000-400,000
    *low= thrombocytopenia/bleeding risk
    

1 / 26
HESI Med-Surg II Test Bank

1. A nurse is reinforcing teaching with a client who has HIV and is being
   discharged to home.Which of the following instructions should the nurse
   include in the teaching?
   A. Take temperature once a day.
   B.Wash the armpits and genitals with a gentle cleanser daily.
   C. Change the litter boxes while wearing gloves.
   D.Wash dishes in warm water. ANS A.
2. A nurse is caring for a client who is postoperative following a tracheostomy,and has copious and tenacious secretions. Which of the following is an
   acceptable method for the nurse to use to thin this client’s secretions?
   A. Provide humidified oxygen.
   B. Perform chest physiotherapy prior to suctioning.

2 / 26
C. Prelubricate the suction catheter tip with sterile saline when suctioning theairway.
D. Hyperventilate the client with 100% oxygen before suctioning the airway..-ANS A.

3. Following admission, a client with a vascular occlusion of the right lower
   extremity calls the nurse and reports difficulty sleeping because of cold feet.Which of the following nursing actions should the nurse take to promote theclient’s comfort?
   A. Rub the client’s feet briskly for several minutes.
   B. Obtain a pair of slipper socks for the client.
   C. Increase the client’s oral fluid intake.
   D. Place a moist heating pad under the client’s feet. ANS B.
4. A nurse is caring for a client is who is 4 hr postoperative following a
   transurethral resection of the prostate (TURP). Which of the following is the
   priority finding for the nurse report to the provider?
   A. Emesis of 100 mL
   B. Oral temperature of 37.5° C (99.5° F)

3 / 26
C.Thick, red-colored urine
D. Pain level of 4 on a 0 to 10 rating scale ANS C.

5. A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) andhas a prescription for a hypothermia blanket. The nurse should monitor the
   client for which of the following adverse effects of the hypothermia blanket?
   A. Shivering
   B. Infection
   C. Burns
   D. Hypervolemia ANS A.

4 / 26

6. A nurse is reinforcing teaching about exercise with a client who has type 1diabetes mellitus.Which of the following statements by the client indicates anunderstanding of the teaching?
   A. “I will carry a complex carbohydrate snack with me when I exercise.”
   B. “I should exercise first thing in the morning before eating breakfast.”
   C. “I should avoid injecting insulin into my thigh if I am going to go running.”D. “I will not exercise if my urine is positive for ketones.” ANS D.
7. A nurse notes a small section of bowel protruding from the abdominal
   incision of a client who
   is postoperative. After calling for assistance, which of the following actions
   should the nurse take first?
   A. Cover the client’s wound with a moist, sterile dressing.
   B. Have the client lie supine with knees flexed.
   C. Check the client’s vital signs.
   D. Inform the client about the need to return to surgery. ANS A.
8. A nurse is collecting data from a client who has alcohol use disorder and
   is experiencing metabolic acidosis. Which of the following manifestations