MED SURG HESI V2 2025/2026 TEST EXAM STUDY QUESTIONS WITH
CORRECT ANSWERS GUARANTEED PASS | RATED A+
An adult woman with primary Raynaud phenomenon develops pallor and then cyanosis of her
fingers. After warming her hands, the fingers turn red and the client reports a burning sensation.
What action should the nurse take?
A. Apply a cool compress to the affected fingers for 20 minutes
B. Secure a pulse oximeter to monitor the client's oxygen saturation
C. Report the finding to the healthcare provider as soon as possible
D. Continue to monitor the fingers until color returns to normal - Answer>>> Continue to
monitor the fingers until color returns to normal
A female client enters the clinic and insists on being seen. She is weak, nervous and reports a
racing heart beat and recent weight loss of 15 pounds. After ruling out substance withdrawal, the
MD suspects hyperthyroidisms and admits her for testing. which action should the nurse do?
A. Begin preparing the client for thyroidectomy procedure
B. Space the clients care to provide periods of rest
C. Assess the client for hyperactive bowel sounds
D. Provide warm blanket to prevent heat loss - Answer>>> Assess the client for hyperactive
bowel sounds
A male client with muscular dystrophy fell in his home and is admitted with a right hip fracture.
His right foot is cool, with palpable pedal pulses. lung are coarse with diminished bibasilar
breath sounds. Vital signs are T: 101 degrees, HR: 128, RR: 28, B/P: 122/82. Which
interventions is most important for the nurse to implement first?
A. Obtain oxygen saturation level.
B. Encourage incentivize spirometry
C. Assess lower extremity circulation
,D. Administer oral PRN antipyretic - Answer>>> Administer oral PRN antipyretic
Following surgical repair of the bladder, a female client is being discharged from the hospital to
home with an indwelling urinary catheter. Which instruction is most important for the nurse to
provide to this client?
A. Avoid coiling the tubing and keep if free of kinks
B. Cleanse the perineal area with soap and water twice daily
C. Keep the drainage bag lower than the level of the bladder
D. Drink 1,000 ml of fluids daily to irrigate catheter - Answer>>> Keep the drainage back lower
than the level of the bladder
A cardiac catherization 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.
B. Three main arteries have major blockages, with only 1-5% of the blood flow getting through
to the heart muscles - Answer>>> Three main arteries have major blockages, with only 1-5% of
the blood flow getting through to the heart muscles
Ten hours following thrombolysis for an ST elevation myocardial infarction (STEMI) a client is
receiving a lidocaine infusion for isolated runs of ventricular tachycardia. Which findings should
the nurse document in the EMR as therapeutic response to the lidocaine?
A. Stabilization of BP ranges
B. Cessation of chest pain
C. Reduce heart rate
D. Decreased frequency of episodes of VT - Answer>>> Decreased frequency of episodes of VT
After a CT scan with intravenous contrast medium, a client returns to the room complaining of
shortness of breath and itching. Which intervention should the nurse implement?
, A. Call respiratory therapy to give a breathing treatment.
B. Send another nurse for emergency tracheostomy set
C. Prepare a dose of epinephrine
D. Review the clients complete list of allergies - Answer>>> Prepare a dose of epinephrine
The nurse reports that a client is at risk for a brain attack (stroke) based on which assessment
finding
A. Unchallenged rigidity
B. Carotid bruit
C. Jugular vein distention
D. Palpable cervical lymph node - Answer>>> Carotid bruit
The nurse is caring for a client with a lower left lobe pulmonary abscess. what position should
the nurse instruct the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest - Answer>>> Left lateral
A client with Cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat
or drink without becoming nauseous and vomiting. Which finding should the nurse report to the
healthcare provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence - Answer>>> Yellow sclera
CORRECT ANSWERS GUARANTEED PASS | RATED A+
An adult woman with primary Raynaud phenomenon develops pallor and then cyanosis of her
fingers. After warming her hands, the fingers turn red and the client reports a burning sensation.
What action should the nurse take?
A. Apply a cool compress to the affected fingers for 20 minutes
B. Secure a pulse oximeter to monitor the client's oxygen saturation
C. Report the finding to the healthcare provider as soon as possible
D. Continue to monitor the fingers until color returns to normal - Answer>>> Continue to
monitor the fingers until color returns to normal
A female client enters the clinic and insists on being seen. She is weak, nervous and reports a
racing heart beat and recent weight loss of 15 pounds. After ruling out substance withdrawal, the
MD suspects hyperthyroidisms and admits her for testing. which action should the nurse do?
A. Begin preparing the client for thyroidectomy procedure
B. Space the clients care to provide periods of rest
C. Assess the client for hyperactive bowel sounds
D. Provide warm blanket to prevent heat loss - Answer>>> Assess the client for hyperactive
bowel sounds
A male client with muscular dystrophy fell in his home and is admitted with a right hip fracture.
His right foot is cool, with palpable pedal pulses. lung are coarse with diminished bibasilar
breath sounds. Vital signs are T: 101 degrees, HR: 128, RR: 28, B/P: 122/82. Which
interventions is most important for the nurse to implement first?
A. Obtain oxygen saturation level.
B. Encourage incentivize spirometry
C. Assess lower extremity circulation
,D. Administer oral PRN antipyretic - Answer>>> Administer oral PRN antipyretic
Following surgical repair of the bladder, a female client is being discharged from the hospital to
home with an indwelling urinary catheter. Which instruction is most important for the nurse to
provide to this client?
A. Avoid coiling the tubing and keep if free of kinks
B. Cleanse the perineal area with soap and water twice daily
C. Keep the drainage bag lower than the level of the bladder
D. Drink 1,000 ml of fluids daily to irrigate catheter - Answer>>> Keep the drainage back lower
than the level of the bladder
A cardiac catherization 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.
B. Three main arteries have major blockages, with only 1-5% of the blood flow getting through
to the heart muscles - Answer>>> Three main arteries have major blockages, with only 1-5% of
the blood flow getting through to the heart muscles
Ten hours following thrombolysis for an ST elevation myocardial infarction (STEMI) a client is
receiving a lidocaine infusion for isolated runs of ventricular tachycardia. Which findings should
the nurse document in the EMR as therapeutic response to the lidocaine?
A. Stabilization of BP ranges
B. Cessation of chest pain
C. Reduce heart rate
D. Decreased frequency of episodes of VT - Answer>>> Decreased frequency of episodes of VT
After a CT scan with intravenous contrast medium, a client returns to the room complaining of
shortness of breath and itching. Which intervention should the nurse implement?
, A. Call respiratory therapy to give a breathing treatment.
B. Send another nurse for emergency tracheostomy set
C. Prepare a dose of epinephrine
D. Review the clients complete list of allergies - Answer>>> Prepare a dose of epinephrine
The nurse reports that a client is at risk for a brain attack (stroke) based on which assessment
finding
A. Unchallenged rigidity
B. Carotid bruit
C. Jugular vein distention
D. Palpable cervical lymph node - Answer>>> Carotid bruit
The nurse is caring for a client with a lower left lobe pulmonary abscess. what position should
the nurse instruct the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest - Answer>>> Left lateral
A client with Cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat
or drink without becoming nauseous and vomiting. Which finding should the nurse report to the
healthcare provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence - Answer>>> Yellow sclera
