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HESI Med-Surg 1 Exam 2 Material [2026/2027] Updated Version | Verified Questions & Detailed Rationales

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Prepare for HESI Med-Surg 1 Exam 2 [2026/2027] with this updated study guide featuring verified questions, correct answers, and detailed rationales. Covers adult health nursing topics, disease management, pharmacology, clinical interventions, and exam-focused strategies designed to maximize understanding, retention, and top performance. Ideal for achieving A+ results.

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Uploaded on
December 15, 2025
Number of pages
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Written in
2025/2026
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HESI: Med-Surg 1: Exam 2 Material


D5W is _______ in the bag, but ________ in the isotonic; hypotonic
body

hematocrit in decreases with over hydration and anemia

hematocrit in increases with dehydration

how can we assess nitrogen balance of 24 hour urine nitrogen collection
PN?

how can we treat respiratory acidosis? administer O2/ fix hypo-ventilation

how does hyperkalemia affect the GI? diarrhea and hyperactive BS

ST elevation
peaked T waves
how does hyperkalemia affect the heart?
hypotension
bradycardia

how does hyperkalemia affect the extreme paralysis, profound muscle weakness, increased DTR
neuromuscular system?

how does hypermagnesium affect the GI? hypoactive BS

how does hypermagnesium affect the heart block, prolonged PR interval, bradycardia, hypotension, decreased sh
heart/ lungs? repsirations

,HESI: Med-Surg 1: Exam 2 Material

how does hypermagnesium affect the hyporeflexia
neuromuscular system?

how does hypokalemia affect the GI? hypoactive BS and *paralytic ileus

ST depression
how does hypokalemia affect the heart? flat T wave
U wave

how does hypokalemia affect the hyporeflexia and muscle cramping
neuromuscular system?

how does hypomagnesium affect the GI? diarrhea

how does hypomagnesium affect the torsades de pointes, ST depression, T wave inversion, Vfib
heart/ lungs?

how does hypomagnesium affect the hyperreflexia, trousseaus, chovesteks
neuromuscular system?

how is hypernatremia treated? they should be raised gradually to prevent cerebral edema

how is the calcium level controlled? by PTH and caclitonin

how often do you change blood tubing? every 24 hours

how often do you change IVF tubing? every 72 hours

how often do you change lipid tubing? every 24 hours

, HESI: Med-Surg 1: Exam 2 Material

how often do you change propofol every 6-12 hours
tubing?

how often do you check a patient's vital every 15 minutes for the first 2 hours
signs after they have been administered
TPA?

how often is IVFE given and how much of 1-3 times a week; 30%
the total daily caloric intake does it
provide?

if a patient begins to feel pain, nausea, or stop the irrigation!
dizziness while irrigating the ear, what is
the priority intervention?

if a patient can see far away, but not up hyperopia
close, they are considered to have...

if a patient can see up close, but not far myopia
away, they are considered to have...

if a patient comes in with a piece of glass place a cup over the eye to prevent any further injury
in their eye, what is the priority
intervention?

if a patient comes in with hyphema, in high fowlers
what position would you place the bed?
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