MED-SURG II HESI 2026 QUESTIONS AND ANSWERS
SURE A+
✔✔A client is admitted with a diagnosis of thrombophlebitis and deep vein
thrombosis of the right leg. A loading dose of heparin has been given in the emergency
room, and IV heparin will be continued for the next several days. The nurse should
develop a plan of care for this client that will involve:
1. Administering aspirin as prescribed.
2. Encouraging green leafy vegetables in the diet.
3. Monitoring the client's prothrombin time (PT).
4. Monitoring the client's activated partial thromboplastin time (aPTT) and
International Normalized Ratio (INR). - ✔✔4. Monitoring the client's activated partial
thromboplastin time (aPTT) and International Normalized Ratio (INR).
✔✔In order to prevent deep vein thrombosis (DVT) following abdominal surgery, the
nurse should:
1. Restrict fluids.
2. Encourage deep breathing.
3. Assist the client to remain sedentary.
4. Use pneumatic compression stockings. - ✔✔4. Use pneumatic compression
stockings.
✔✔A client diagnosed with a deep vein thrombosis has heparin sodium infusing at
1,500 units/h. The concentration of heparin is 25,000 units/500 mL. If the infusion
remains at the same rate for a full 12-hour shift, how many milliliters of fluid will infuse?
__________________________-mL. - ✔✔360 mL
✔✔The nurse interviews a 22-year-old female client who is scheduled for
abdominal surgery the following week. The client is obese and uses estrogen-based
oral contraceptives. This client is at high risk for development of:
, 1. Atherosclerosis.
2. Diabetes.
3. Vasospastic disorder (Raynaud's disease).
4. Thrombophlebitis. - ✔✔4. Thrombophlebitis.
✔✔The nurse observes that an older female has small-to-moderate, distended, and
tortuous veins running along the inner aspect of her lower legs. The nurse should:
1. Apply a half-leg pneumatic compression device.
2. Suggest the client contact her physician.
3. Assess the client for foot ulcers.
4. Encourage the client to avoid standing in one position for long periods of time. - ✔✔4.
Encourage the client to avoid standing in one position for long periods of time.
✔✔Which of the following clients is at risk for varicose veins?
1. A client who has had a cerebrovascular accident.
2. A client who has had anemia.
3. A client who has had thrombophlebitis.
4. A client who has had transient ischemic attacks. - ✔✔3. A client who has had
thrombophlebitis.
✔✔A client weighs 300 lbs (136 kg) and has a history of deep vein thrombosis and
thrombophlebitis. When reviewing a teaching plan with this client, the nurse determines
that the client has understood the nurse's instructions when the client states a
willingness to:
1. Avoid exercise.
2. Lose weight.
3. Perform leg lifts every 4 hours.
4. Wear support hose, using rubber bands to hold the stockings up. - ✔✔2. Lose weight.
✔✔Which instructions should the nurse include when developing a teaching plan for a
client being discharged from the hospital on anticoagulant therapy after having deep
vein thrombosis (DVT)? Select all that apply.
1. Checking urine for bright blood and a dark smoky color.
2. Walking daily as a good exercise.
3. Using garlic and ginger, which may decrease bleeding time.
4. Performing foot/leg exercises and walking around the airplane cabin when on long
flights.
5. Preventing DVT because of risk of pulmonary emboli.
6. Avoiding surface bumps because the skin is prone to injury. - ✔✔1. Checking urine
for bright blood and a dark smoky color.
SURE A+
✔✔A client is admitted with a diagnosis of thrombophlebitis and deep vein
thrombosis of the right leg. A loading dose of heparin has been given in the emergency
room, and IV heparin will be continued for the next several days. The nurse should
develop a plan of care for this client that will involve:
1. Administering aspirin as prescribed.
2. Encouraging green leafy vegetables in the diet.
3. Monitoring the client's prothrombin time (PT).
4. Monitoring the client's activated partial thromboplastin time (aPTT) and
International Normalized Ratio (INR). - ✔✔4. Monitoring the client's activated partial
thromboplastin time (aPTT) and International Normalized Ratio (INR).
✔✔In order to prevent deep vein thrombosis (DVT) following abdominal surgery, the
nurse should:
1. Restrict fluids.
2. Encourage deep breathing.
3. Assist the client to remain sedentary.
4. Use pneumatic compression stockings. - ✔✔4. Use pneumatic compression
stockings.
✔✔A client diagnosed with a deep vein thrombosis has heparin sodium infusing at
1,500 units/h. The concentration of heparin is 25,000 units/500 mL. If the infusion
remains at the same rate for a full 12-hour shift, how many milliliters of fluid will infuse?
__________________________-mL. - ✔✔360 mL
✔✔The nurse interviews a 22-year-old female client who is scheduled for
abdominal surgery the following week. The client is obese and uses estrogen-based
oral contraceptives. This client is at high risk for development of:
, 1. Atherosclerosis.
2. Diabetes.
3. Vasospastic disorder (Raynaud's disease).
4. Thrombophlebitis. - ✔✔4. Thrombophlebitis.
✔✔The nurse observes that an older female has small-to-moderate, distended, and
tortuous veins running along the inner aspect of her lower legs. The nurse should:
1. Apply a half-leg pneumatic compression device.
2. Suggest the client contact her physician.
3. Assess the client for foot ulcers.
4. Encourage the client to avoid standing in one position for long periods of time. - ✔✔4.
Encourage the client to avoid standing in one position for long periods of time.
✔✔Which of the following clients is at risk for varicose veins?
1. A client who has had a cerebrovascular accident.
2. A client who has had anemia.
3. A client who has had thrombophlebitis.
4. A client who has had transient ischemic attacks. - ✔✔3. A client who has had
thrombophlebitis.
✔✔A client weighs 300 lbs (136 kg) and has a history of deep vein thrombosis and
thrombophlebitis. When reviewing a teaching plan with this client, the nurse determines
that the client has understood the nurse's instructions when the client states a
willingness to:
1. Avoid exercise.
2. Lose weight.
3. Perform leg lifts every 4 hours.
4. Wear support hose, using rubber bands to hold the stockings up. - ✔✔2. Lose weight.
✔✔Which instructions should the nurse include when developing a teaching plan for a
client being discharged from the hospital on anticoagulant therapy after having deep
vein thrombosis (DVT)? Select all that apply.
1. Checking urine for bright blood and a dark smoky color.
2. Walking daily as a good exercise.
3. Using garlic and ginger, which may decrease bleeding time.
4. Performing foot/leg exercises and walking around the airplane cabin when on long
flights.
5. Preventing DVT because of risk of pulmonary emboli.
6. Avoiding surface bumps because the skin is prone to injury. - ✔✔1. Checking urine
for bright blood and a dark smoky color.
