MED SURG 2 HESI TEST BANK
REAL EXAM 100+ QUESTIONS
AND CORRECT ANSWERS WITH
RATIONALES|AGRADE 2026
2.BABclientBwithBlungBcancerBwhoBwearsBaBsubcutaneousBmorphineBsulfateBpatchBfor
BpainBisBshortBofBbreathBandBisBdifficultBtoBarouse.BWhenBperformingBaBheadBtoBtoe
Bassessment,BtheBnurseBdiscoversBfourBanalgesicBpatchesBonBtheBclientsBbody.BWhich
BinterventionBshouldBtheBnurseBimplementBfirst?
a.BRemoveBallBofBtheBmorphineBpatches
b.BAdministerBaBnarcoticBantagonist
c.BApplyBoxygenBperBfaceBmask
d.BMeasureBtheBclient'sBbloodBpressureB-BAnswerBb.BAdministerBaBnarcoticBantagonist
3.BABclientBreceivesBprescriptionsBforBaBmultidrugBregimenBforBtheBtreatmentBofBtube
rculosis.BWhichBinformationBshouldBtheBnurseBprioritize?
a.BAdherenceBtoBtheBregimenBisBimperative
b.BMedicationsBshouldBbeBtakenBwithBfood
c.BSerumBliverBpanelsBareBcollectedBregularly
d.BEnhancedBsunBprotectionBmeasuresBwillBbeBneededB-
BAnswerBa.BAdherenceBtoBtheBregimenBisBimperative
4.BTheBnurseBisBpreparingBaBclientBforBsurgeryBwhoBwasBadmittedBtoBtheBemergency
BcenterBfollowingBaBmotorBvehicleBcollision.BTheBclientBhasBanBopenBfractureBofBtheB
femurBandBisBbleedingBmoderatelyBfromBtheBboneBprotrusionBsite.BDuringBtheBprescri
ptiveBassessment,BtheBnurseBdeterminesBthatBtheBclientBcurrentlyBreceivesBheparinBso
diumB5,000BunitsBsubcutaneouslyBdaily.BWhatBisBtheBpriorityBnursingBaction?
a.BNotifyBtheBhealthcareBproviderBofBtheBclient'sBmedicationBhistory
,b.BObserveBtheBheparinBinjectionsBsitesBforBsignsBofBbruising
c.BHaveBtheBclientBsignBtheBsurgicalBandBtransfusionBpermits
d.BEnsureBthatBtheBpotentialBforBbleedingBisBexplainedBtoBtheBclientB-
BAnswerBa.BNotifyBtheBhealthcareBproviderBofBtheBclient'sBmedicationBhistory
5.BABclientBwithBorthopneaBexpressesBconcernBaboutBtheBabilityBtoB"getBenoughBair"
BduringBaBscheduledBthoracentesis.BOnBwhichBinformationBshouldBtheBnurse'sBrespons
eBbeBbased?
a.BABthoracentesisBisBaBbriefBprocessBthatBhasBminimalBdiscomfort
b.BOrthopneaBisBfrequentlyBcausedBbyBaBclient'sBuncontrolledBanxiety
c.BTheBprocedureBisBperformedBwithBtheBclientBinBanBuprightBposition
d.BExtraBpillowsBcanBbeBusedBifBneededBtoBelevateBtheBclient'sBheadB-
BAnswerBc.BTheBprocedureBisBperformedBwithBtheBclientBinBanBuprightBposition
6.BWhatBinformationBshouldBtheBnurseBincludeBinBtheBteachingBplanBofBaBclientBdiag
nosedBwithBgastroesophagealBrefluxBdiseaseB(GERD)?
a.BSleepBwithoutBpillowsBatBnightBtoBmaintainBneckBalignment
b.BAdjustBfoodBintakeBtoBthreeBfullBmealsBperBdayBandBnoBsnacks
c.BMinimizeBsymptomsBbyBwearingBloose,BcomfortableBclothing
d.BAvoidBparticipationBinBanyBaerobicBexerciseBprogramsB-
BAnswerBc.BMinimizeBsymptomsBbyBwearingBloose,BcomfortableBclothing
7.BTheBnurseBisBprovidingBteachingBtoBaBclientBwithBTypeB2BdiabetesBmellitusBandBpe
ripheralBneuropathy.BWhichBinformationBshouldBtheBnurseBprovide?
a.BFamilyBmembersBcanBhelpBwithBregularBfootBexams
b.BHeatingBpadsBareBusefulBifBonBtheBlowBsetting
c.BAchingBfeetBmayBbeBsoakedBinBlukewarmBwaterBforBoneBhourBorBmore
,d.BShoesBshouldBbeBwornBoutsideBtheBhouse,BbutBitBisBfineBtoBbeBbarefootBinsideB-
BAnswerBa.BFamilyBmembersBcanBhelpBwithBregularBfootBexams
8.BABclientBinBtheBoperatingBroomBreceivedBsuccinylcholine.BTheBclientBisBexperiencin
gBmuscleBrigidityBandBhasBanBextremelyBhighBtemperature.BWhatBactionBshouldBtheB
nurseBimplement?
a.BHoldBaBprescriptionBforBdantroleneBuntilBfeverBisBreduced
b.BPrepareBiceBpacksBforBplacementBinBtheBclientsBaxillaryBarea
c.BCallBtheBPACUBnurseBtoBprepareBforBprolongedBventilatorBsupport
d.BDetermineBifBprescribedBantibioticsBwereBadministeredBpreoperativelyB-
BAnswerBb.BPrepareBiceBpacksBforBplacementBinBtheBclientsBaxillaryBarea
9.BTheBnurseBisBdevelopingBaBplanBofBcareBforBaBclientBwhoBreportsBblurredBvisionBa
ndBwhoBisBnewlyBdiagnosedBwithBcardiovascularBdisease.BWhichBoutcomeBshouldBthe
BnurseBincludeBinBtheBplanBofBcareBforBthisBclient?
a.BTheBnurseBwillBencourageBtheBclientBtoBwalkBthirtyBminutesBeveryBday
b.BTheBclientsBfamilyBwillBstateBsignsBandBsymptomsBaboutBtheBdisease
c.BTheBclientsBdailyBbloodBpressureBwillBbeBlessBthanB140/80BthisBmonth
d.BTheBclientBbloodBpressureBreadingsBwillBbeBlessBthanB160/90B-
BAnswerBc.BTheBclientsBdailyBbloodBpressureBwillBbeBlessBthanB140/80BthisBmonth
10.BTheBfamilyBsuspectsBthatBacquiredBimmuneBdeficiencyBsyndromeB(AIDS)Bdementia
BisBoccuringBinBtheirBsonBwhoBisBhumanBimmunodeficiencyBvirusB(HIV)Bpositive.BWhic
hBsymptomsBconfirmBtheirBsuspicions?
a.BHeBhasBbegunBtoBsleepB18BoutBofB24Bhours
b.BABchangeBhasBrecentlyBoccurredBinBhisBhandwriting
c.BHeBrefusesBtoBseeBanyBofBhisBfriendsBorBtoBreturnBtheirBphoneBcalls
, d.BHeBexhibitsBangryBoutburstBwhenBtheBsubjectBofBdyingBisBapproachedB-
BAnswerBb.BABchangeBhasBrecentlyBoccurredBinBhisBhandwriting
11.BABhospitalizedBclientBwithBperipheralBarterialBdiseaseB(PAD)BisBinstructedBregardin
gBlegBandBfootBcare.BWhichBstatementBbyBtheBclientBindicatesBtoBtheBnurseBthatBlear
ningBhasBoccurred?
a.B"WheneverBIBamBsittingBinBaBchairBIBwillBkeepBmyBlegsBupBtoBreduceBswelling"
b.B"IBcanBuseBaBmirrorBtoBcheckBtheBbottomsBofBmyBfeetBforBanyBsignsBofBbreakdow
n"
c.B"IBwillBtryBtoBkeepBmovingBifBlegBpainBoccursBtoBhelpBpromoteBgoodBcirculation"
d.B"IBwillBuseBmyBswimmingBpoolBearlyBinBtheBdayBwhileBtheBwaterBisBstillBveryBcool
"B-
BAnswerBb.B"IBcanBuseBaBmirrorBtoBcheckBtheBbottomsBofBmyBfeetBforBanyBsignsBof
Bbreakdown"
12.BWhileBcompletingBaBhealthBassessmentBforBaBclientBwithBmigraineBheadaches,Bth
eBnurseBassessesBbilateralBweaknessBinBtheBclient'sBhandBgrips.BTheBclientBreportsBjoi
ntBpainBandBtroubleBtwistingBaBdoorBknobBdueBtoBweakness.BWhichBactionBshouldBt
heBnurseBtakeBinBresponseBtoBtheseBfindings?
a.BExplainBthatBreliefBofBtheBmigraineBpainBwillBreduceBrelatedBsymptoms
b.BGatherBadditionalBassessmentBdataBaboutBtheBpainBandBweakness
c.BImplementBfallBprecautionsBtoBreduceBtheBclient'sBriskBforBinjury
d.BConsultBwithBtheBoccupationalBtherapistBforBaBfunctionalBassessmentB-
BAnswerBd.BConsultBwithBtheBoccupationalBtherapistBforBaBfunctionalBassessment
13.BTheBnurseBisBcaringBforBaBclientBinBtheBpostBanesthesiaBcareBunitB(PACU)BwhoBu
nderwentBaBthoracotomyBtwoBhoursBago.BTheBnurseBobservesBtheBfollowingBvitalBsign
s:BheartBrateB140Bbpm,BrespirationsB26Bbreaths/minuteBandBbloodBpressureB140/90.B
WhichBinterventionBisBmostBimportantBforBtheBnurseBtoBimplement?
REAL EXAM 100+ QUESTIONS
AND CORRECT ANSWERS WITH
RATIONALES|AGRADE 2026
2.BABclientBwithBlungBcancerBwhoBwearsBaBsubcutaneousBmorphineBsulfateBpatchBfor
BpainBisBshortBofBbreathBandBisBdifficultBtoBarouse.BWhenBperformingBaBheadBtoBtoe
Bassessment,BtheBnurseBdiscoversBfourBanalgesicBpatchesBonBtheBclientsBbody.BWhich
BinterventionBshouldBtheBnurseBimplementBfirst?
a.BRemoveBallBofBtheBmorphineBpatches
b.BAdministerBaBnarcoticBantagonist
c.BApplyBoxygenBperBfaceBmask
d.BMeasureBtheBclient'sBbloodBpressureB-BAnswerBb.BAdministerBaBnarcoticBantagonist
3.BABclientBreceivesBprescriptionsBforBaBmultidrugBregimenBforBtheBtreatmentBofBtube
rculosis.BWhichBinformationBshouldBtheBnurseBprioritize?
a.BAdherenceBtoBtheBregimenBisBimperative
b.BMedicationsBshouldBbeBtakenBwithBfood
c.BSerumBliverBpanelsBareBcollectedBregularly
d.BEnhancedBsunBprotectionBmeasuresBwillBbeBneededB-
BAnswerBa.BAdherenceBtoBtheBregimenBisBimperative
4.BTheBnurseBisBpreparingBaBclientBforBsurgeryBwhoBwasBadmittedBtoBtheBemergency
BcenterBfollowingBaBmotorBvehicleBcollision.BTheBclientBhasBanBopenBfractureBofBtheB
femurBandBisBbleedingBmoderatelyBfromBtheBboneBprotrusionBsite.BDuringBtheBprescri
ptiveBassessment,BtheBnurseBdeterminesBthatBtheBclientBcurrentlyBreceivesBheparinBso
diumB5,000BunitsBsubcutaneouslyBdaily.BWhatBisBtheBpriorityBnursingBaction?
a.BNotifyBtheBhealthcareBproviderBofBtheBclient'sBmedicationBhistory
,b.BObserveBtheBheparinBinjectionsBsitesBforBsignsBofBbruising
c.BHaveBtheBclientBsignBtheBsurgicalBandBtransfusionBpermits
d.BEnsureBthatBtheBpotentialBforBbleedingBisBexplainedBtoBtheBclientB-
BAnswerBa.BNotifyBtheBhealthcareBproviderBofBtheBclient'sBmedicationBhistory
5.BABclientBwithBorthopneaBexpressesBconcernBaboutBtheBabilityBtoB"getBenoughBair"
BduringBaBscheduledBthoracentesis.BOnBwhichBinformationBshouldBtheBnurse'sBrespons
eBbeBbased?
a.BABthoracentesisBisBaBbriefBprocessBthatBhasBminimalBdiscomfort
b.BOrthopneaBisBfrequentlyBcausedBbyBaBclient'sBuncontrolledBanxiety
c.BTheBprocedureBisBperformedBwithBtheBclientBinBanBuprightBposition
d.BExtraBpillowsBcanBbeBusedBifBneededBtoBelevateBtheBclient'sBheadB-
BAnswerBc.BTheBprocedureBisBperformedBwithBtheBclientBinBanBuprightBposition
6.BWhatBinformationBshouldBtheBnurseBincludeBinBtheBteachingBplanBofBaBclientBdiag
nosedBwithBgastroesophagealBrefluxBdiseaseB(GERD)?
a.BSleepBwithoutBpillowsBatBnightBtoBmaintainBneckBalignment
b.BAdjustBfoodBintakeBtoBthreeBfullBmealsBperBdayBandBnoBsnacks
c.BMinimizeBsymptomsBbyBwearingBloose,BcomfortableBclothing
d.BAvoidBparticipationBinBanyBaerobicBexerciseBprogramsB-
BAnswerBc.BMinimizeBsymptomsBbyBwearingBloose,BcomfortableBclothing
7.BTheBnurseBisBprovidingBteachingBtoBaBclientBwithBTypeB2BdiabetesBmellitusBandBpe
ripheralBneuropathy.BWhichBinformationBshouldBtheBnurseBprovide?
a.BFamilyBmembersBcanBhelpBwithBregularBfootBexams
b.BHeatingBpadsBareBusefulBifBonBtheBlowBsetting
c.BAchingBfeetBmayBbeBsoakedBinBlukewarmBwaterBforBoneBhourBorBmore
,d.BShoesBshouldBbeBwornBoutsideBtheBhouse,BbutBitBisBfineBtoBbeBbarefootBinsideB-
BAnswerBa.BFamilyBmembersBcanBhelpBwithBregularBfootBexams
8.BABclientBinBtheBoperatingBroomBreceivedBsuccinylcholine.BTheBclientBisBexperiencin
gBmuscleBrigidityBandBhasBanBextremelyBhighBtemperature.BWhatBactionBshouldBtheB
nurseBimplement?
a.BHoldBaBprescriptionBforBdantroleneBuntilBfeverBisBreduced
b.BPrepareBiceBpacksBforBplacementBinBtheBclientsBaxillaryBarea
c.BCallBtheBPACUBnurseBtoBprepareBforBprolongedBventilatorBsupport
d.BDetermineBifBprescribedBantibioticsBwereBadministeredBpreoperativelyB-
BAnswerBb.BPrepareBiceBpacksBforBplacementBinBtheBclientsBaxillaryBarea
9.BTheBnurseBisBdevelopingBaBplanBofBcareBforBaBclientBwhoBreportsBblurredBvisionBa
ndBwhoBisBnewlyBdiagnosedBwithBcardiovascularBdisease.BWhichBoutcomeBshouldBthe
BnurseBincludeBinBtheBplanBofBcareBforBthisBclient?
a.BTheBnurseBwillBencourageBtheBclientBtoBwalkBthirtyBminutesBeveryBday
b.BTheBclientsBfamilyBwillBstateBsignsBandBsymptomsBaboutBtheBdisease
c.BTheBclientsBdailyBbloodBpressureBwillBbeBlessBthanB140/80BthisBmonth
d.BTheBclientBbloodBpressureBreadingsBwillBbeBlessBthanB160/90B-
BAnswerBc.BTheBclientsBdailyBbloodBpressureBwillBbeBlessBthanB140/80BthisBmonth
10.BTheBfamilyBsuspectsBthatBacquiredBimmuneBdeficiencyBsyndromeB(AIDS)Bdementia
BisBoccuringBinBtheirBsonBwhoBisBhumanBimmunodeficiencyBvirusB(HIV)Bpositive.BWhic
hBsymptomsBconfirmBtheirBsuspicions?
a.BHeBhasBbegunBtoBsleepB18BoutBofB24Bhours
b.BABchangeBhasBrecentlyBoccurredBinBhisBhandwriting
c.BHeBrefusesBtoBseeBanyBofBhisBfriendsBorBtoBreturnBtheirBphoneBcalls
, d.BHeBexhibitsBangryBoutburstBwhenBtheBsubjectBofBdyingBisBapproachedB-
BAnswerBb.BABchangeBhasBrecentlyBoccurredBinBhisBhandwriting
11.BABhospitalizedBclientBwithBperipheralBarterialBdiseaseB(PAD)BisBinstructedBregardin
gBlegBandBfootBcare.BWhichBstatementBbyBtheBclientBindicatesBtoBtheBnurseBthatBlear
ningBhasBoccurred?
a.B"WheneverBIBamBsittingBinBaBchairBIBwillBkeepBmyBlegsBupBtoBreduceBswelling"
b.B"IBcanBuseBaBmirrorBtoBcheckBtheBbottomsBofBmyBfeetBforBanyBsignsBofBbreakdow
n"
c.B"IBwillBtryBtoBkeepBmovingBifBlegBpainBoccursBtoBhelpBpromoteBgoodBcirculation"
d.B"IBwillBuseBmyBswimmingBpoolBearlyBinBtheBdayBwhileBtheBwaterBisBstillBveryBcool
"B-
BAnswerBb.B"IBcanBuseBaBmirrorBtoBcheckBtheBbottomsBofBmyBfeetBforBanyBsignsBof
Bbreakdown"
12.BWhileBcompletingBaBhealthBassessmentBforBaBclientBwithBmigraineBheadaches,Bth
eBnurseBassessesBbilateralBweaknessBinBtheBclient'sBhandBgrips.BTheBclientBreportsBjoi
ntBpainBandBtroubleBtwistingBaBdoorBknobBdueBtoBweakness.BWhichBactionBshouldBt
heBnurseBtakeBinBresponseBtoBtheseBfindings?
a.BExplainBthatBreliefBofBtheBmigraineBpainBwillBreduceBrelatedBsymptoms
b.BGatherBadditionalBassessmentBdataBaboutBtheBpainBandBweakness
c.BImplementBfallBprecautionsBtoBreduceBtheBclient'sBriskBforBinjury
d.BConsultBwithBtheBoccupationalBtherapistBforBaBfunctionalBassessmentB-
BAnswerBd.BConsultBwithBtheBoccupationalBtherapistBforBaBfunctionalBassessment
13.BTheBnurseBisBcaringBforBaBclientBinBtheBpostBanesthesiaBcareBunitB(PACU)BwhoBu
nderwentBaBthoracotomyBtwoBhoursBago.BTheBnurseBobservesBtheBfollowingBvitalBsign
s:BheartBrateB140Bbpm,BrespirationsB26Bbreaths/minuteBandBbloodBpressureB140/90.B
WhichBinterventionBisBmostBimportantBforBtheBnurseBtoBimplement?
