Med-Surg II HESI Exam Exam Questions and Answers |Fall
2026/2027 Update | 100% Correct
Question 1
Good dental care is an important measure in reducing the risk of endocarditis. A teaching plan to promote good dental
care in a client with mitral stenosis should include instructing the client to do which of the following? Select all that apply.
1. Brush the teeth at least twice a day.
2. Avoid use of an electric toothbrush.
3. Take an antibiotic prior to oral surgery.
4. Floss the teeth at least once a day.
5. Have regular dental checkups.
6. Rinse the mouth with an antibiotic mouthwash once a day.
Correct Answer
1. Brush the teeth at least twice a day.
4. Floss the teeth at least once a day.
5. Have regular dental checkups.
Page 1 of 111
,Question 2
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.
Correct Answer
1. Checking urine for bright blood and a dark smoky color.
2. Walking daily as a good exercise.
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.
Page 2 of 111
,Question 3
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?
1. dysmenorrhea
2. metrorrhagia
3. oligomenorrhea
4. menorrhagia
Correct Answer
3. 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
Page 3 of 111
, Question 4
The nurse should instruct the client with a platelet count of less than 150,000/μL (150 × 109/L) to avoid which of the
following activities?
1. Ambulation.
2. Valsalva's maneuver.
3. Visiting with children.
4. Semi-Fowler's position.
Correct Answer
2. Valsalva's maneuver.
Question 5
A client with suspected gastric cancer undergoes an endoscopy of the stomach. Which of the following assessments made
after the procedure would indicate the development of a potential complication?
1. The client has a sore throat.
2. The client displays signs of sedation.
3. The client experiences a sudden increase in temperature.
4. The client demonstrates a lack of appetite.
Correct Answer
3. The client experiences a sudden increase in temperature.
Page 4 of 111
2026/2027 Update | 100% Correct
Question 1
Good dental care is an important measure in reducing the risk of endocarditis. A teaching plan to promote good dental
care in a client with mitral stenosis should include instructing the client to do which of the following? Select all that apply.
1. Brush the teeth at least twice a day.
2. Avoid use of an electric toothbrush.
3. Take an antibiotic prior to oral surgery.
4. Floss the teeth at least once a day.
5. Have regular dental checkups.
6. Rinse the mouth with an antibiotic mouthwash once a day.
Correct Answer
1. Brush the teeth at least twice a day.
4. Floss the teeth at least once a day.
5. Have regular dental checkups.
Page 1 of 111
,Question 2
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.
Correct Answer
1. Checking urine for bright blood and a dark smoky color.
2. Walking daily as a good exercise.
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.
Page 2 of 111
,Question 3
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?
1. dysmenorrhea
2. metrorrhagia
3. oligomenorrhea
4. menorrhagia
Correct Answer
3. 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
Page 3 of 111
, Question 4
The nurse should instruct the client with a platelet count of less than 150,000/μL (150 × 109/L) to avoid which of the
following activities?
1. Ambulation.
2. Valsalva's maneuver.
3. Visiting with children.
4. Semi-Fowler's position.
Correct Answer
2. Valsalva's maneuver.
Question 5
A client with suspected gastric cancer undergoes an endoscopy of the stomach. Which of the following assessments made
after the procedure would indicate the development of a potential complication?
1. The client has a sore throat.
2. The client displays signs of sedation.
3. The client experiences a sudden increase in temperature.
4. The client demonstrates a lack of appetite.
Correct Answer
3. The client experiences a sudden increase in temperature.
Page 4 of 111
