1 | Page
MED SURG HESI V2 2025 UPDATED ACTUAL
EXAM WITH CORRECT SOLUTIONS.
What Information should the nurse include in the teaching plan
of a client diagnosed with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose, comfortable clothing
D. Avoid Participation in any aerobic exercise program - correct
answer- C. Minimize symptoms by wearing loose, comfortable
clothing
After a hospitalization for SIADH, a client develops pontine
myelinolysis. Which Intervention should the nurse implement
first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate clients ability to swallow
D. Perform range of motion exercises - correct answer- A.
Reorient client to room
,2 | Page
A male client with heart failure calls the clinic and reports that
he cannot put his shoes on because they are too tight. Which
additional information should the nurse obtain?
A. What time did he take his medication?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night? - correct answer-
B. Has his weight changed over the last several days?
An older adult woman with a long history of COPD is admitted
with progressive shortness of breath and a persistent cough, is
anxious, and is complaining of dry mouth. Which intervention
should the nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high flow venturi mask
D. Assist her to an upright position - correct answer- D. Assist
her to an upright position
A client with a history of asthma and bronchitis arrives at the
clinic with shortness of breath, productive cough with thickening
mucous and the inability to walk up a flight of stairs without
experiencing breathlessness. Which action is most important
for the nurse to instruct the client about self care?
, 3 | Page
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogen exposure
C. Call the clinic if undesirable side effects or medications
occur
D. Teach anxiety reduction methods for feelings of suffocation -
correct answer- A. Increase the daily intake of oral fluids to
liquify secretions
A cardiac catheterization of a client with heart disease indicates
the following blockages: 95% proximal left anterior descending
(LAD), 99% proximal circumflex, and 95% proximal right
coronary artery( RCA). The client later asks the nurse "What
does all of that mean for me?" What information should the
nurse provide?
A. Blood supply to the heart is diminished by atherosclerotic
lesions which necessitate life style changes.
B. Blood vessels supplying the pumping chamber have
blockages indicating a past heart attack.
C. Three main arteries have major blockages, with only 1-5% of
the blood flow getting through to the heart muscle
D. The heart is not receiving enough blood, so there is a risk of
heart failure and fluid retention - correct answer- C. Three main
arteries have major blockages with only 1-5% of the blood flow
getting through to the heart muscle
MED SURG HESI V2 2025 UPDATED ACTUAL
EXAM WITH CORRECT SOLUTIONS.
What Information should the nurse include in the teaching plan
of a client diagnosed with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose, comfortable clothing
D. Avoid Participation in any aerobic exercise program - correct
answer- C. Minimize symptoms by wearing loose, comfortable
clothing
After a hospitalization for SIADH, a client develops pontine
myelinolysis. Which Intervention should the nurse implement
first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate clients ability to swallow
D. Perform range of motion exercises - correct answer- A.
Reorient client to room
,2 | Page
A male client with heart failure calls the clinic and reports that
he cannot put his shoes on because they are too tight. Which
additional information should the nurse obtain?
A. What time did he take his medication?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night? - correct answer-
B. Has his weight changed over the last several days?
An older adult woman with a long history of COPD is admitted
with progressive shortness of breath and a persistent cough, is
anxious, and is complaining of dry mouth. Which intervention
should the nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high flow venturi mask
D. Assist her to an upright position - correct answer- D. Assist
her to an upright position
A client with a history of asthma and bronchitis arrives at the
clinic with shortness of breath, productive cough with thickening
mucous and the inability to walk up a flight of stairs without
experiencing breathlessness. Which action is most important
for the nurse to instruct the client about self care?
, 3 | Page
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogen exposure
C. Call the clinic if undesirable side effects or medications
occur
D. Teach anxiety reduction methods for feelings of suffocation -
correct answer- A. Increase the daily intake of oral fluids to
liquify secretions
A cardiac catheterization of a client with heart disease indicates
the following blockages: 95% proximal left anterior descending
(LAD), 99% proximal circumflex, and 95% proximal right
coronary artery( RCA). The client later asks the nurse "What
does all of that mean for me?" What information should the
nurse provide?
A. Blood supply to the heart is diminished by atherosclerotic
lesions which necessitate life style changes.
B. Blood vessels supplying the pumping chamber have
blockages indicating a past heart attack.
C. Three main arteries have major blockages, with only 1-5% of
the blood flow getting through to the heart muscle
D. The heart is not receiving enough blood, so there is a risk of
heart failure and fluid retention - correct answer- C. Three main
arteries have major blockages with only 1-5% of the blood flow
getting through to the heart muscle
