Medical Surgical II HESI Actual Exam
Question With Verified Answers
2026/2027
Which of the following lipid abnormalities is a risk factor for the development
of atherosclerosis and peripheral vascular disease?
a. Low concentration of triglycerides.
b. High levels of high-density lipid (HDL) cholesterol.
c. High levels of low-density lipid (LDL) cholesterol.
d. Low levels of LDL cholesterol.
c
When assessing an individual with peripheral vascular disease, which clinical
manifestation would indicate complete arterial obstruction in the lower left leg?
a. Aching pain in the left calf.
b. Burning pain in the left calf.
c. Numbness and tingling in the left leg.
d. Coldness of the left foot and ankle.
d
A client with peripheral vascular disease returns to the surgical care unit after
having femoral-popliteal bypass grafting. Indicate in which order the nurse should
conduct assessment of this client.
a. Postoperative pain.
b. Peripheral pulses.
,c. Urine output.
d. Incision site.
b, d, c, a
. A client with heart failure has bilateral +d edema of the right ankle that extends
up to midcalf. The client is sitting in a chair with the legs in a dependent position.
Which of the following goals is the priority?
a. Decrease venous congestion.
b. Maintain normal respirations.
c. Maintain body temperature.
d. Prevent injury to lower extremities.
a
. The nurse is assessing an older Caucasian male who has a history of peripheral
vascular disease. The nurse observes that the man's left great toe is black. The
discoloration is probably a result of:
a. Atrophy.
b. Contraction.
c. Gangrene.
d. Rubor.
c
A client has peripheral vascular disease (PVD) of the lower extremities. The
client tells the nurse, "I've really tried to manage my condition well." Which of the
following routines should the nurse evaluate as having been appropriate for this client?
a. Resting with the legs elevated above the level of the heart.
, b. Walking slowly but steadily for c0 minutes twice a day.
c. Minimizing activity.
d. Wearing antiembolism stockings at all times when out of bed.
b
A client is scheduled for an arteriogram. The nurse should explain to the client
that the arteriogram will confirm the diagnosis of occlusive arterial disease by:
a. Showing the location of the obstruction and the collateral circulation.
b. Scanning the affected extremity and identifying the areas of volume changes.
c. Using ultrasound to estimate the velocity changes in the blood vessels.
d. Determining how long the client can walk.
a
. A client is scheduled to have an arteriogram. During the arteriogram, the client
reports having nausea, tingling, and dyspnea. The nurse's immediate action should be
to:
a. Administer epinephrine.
b. Inform the physician.
c. Administer oxygen.
d. Inform the client that the procedure is almost over.
b
Which of the following is an expected outcome when a client is receiving an IV
administration of furosemide?
a. Increased blood pressure.
b. Increased urine output.
Question With Verified Answers
2026/2027
Which of the following lipid abnormalities is a risk factor for the development
of atherosclerosis and peripheral vascular disease?
a. Low concentration of triglycerides.
b. High levels of high-density lipid (HDL) cholesterol.
c. High levels of low-density lipid (LDL) cholesterol.
d. Low levels of LDL cholesterol.
c
When assessing an individual with peripheral vascular disease, which clinical
manifestation would indicate complete arterial obstruction in the lower left leg?
a. Aching pain in the left calf.
b. Burning pain in the left calf.
c. Numbness and tingling in the left leg.
d. Coldness of the left foot and ankle.
d
A client with peripheral vascular disease returns to the surgical care unit after
having femoral-popliteal bypass grafting. Indicate in which order the nurse should
conduct assessment of this client.
a. Postoperative pain.
b. Peripheral pulses.
,c. Urine output.
d. Incision site.
b, d, c, a
. A client with heart failure has bilateral +d edema of the right ankle that extends
up to midcalf. The client is sitting in a chair with the legs in a dependent position.
Which of the following goals is the priority?
a. Decrease venous congestion.
b. Maintain normal respirations.
c. Maintain body temperature.
d. Prevent injury to lower extremities.
a
. The nurse is assessing an older Caucasian male who has a history of peripheral
vascular disease. The nurse observes that the man's left great toe is black. The
discoloration is probably a result of:
a. Atrophy.
b. Contraction.
c. Gangrene.
d. Rubor.
c
A client has peripheral vascular disease (PVD) of the lower extremities. The
client tells the nurse, "I've really tried to manage my condition well." Which of the
following routines should the nurse evaluate as having been appropriate for this client?
a. Resting with the legs elevated above the level of the heart.
, b. Walking slowly but steadily for c0 minutes twice a day.
c. Minimizing activity.
d. Wearing antiembolism stockings at all times when out of bed.
b
A client is scheduled for an arteriogram. The nurse should explain to the client
that the arteriogram will confirm the diagnosis of occlusive arterial disease by:
a. Showing the location of the obstruction and the collateral circulation.
b. Scanning the affected extremity and identifying the areas of volume changes.
c. Using ultrasound to estimate the velocity changes in the blood vessels.
d. Determining how long the client can walk.
a
. A client is scheduled to have an arteriogram. During the arteriogram, the client
reports having nausea, tingling, and dyspnea. The nurse's immediate action should be
to:
a. Administer epinephrine.
b. Inform the physician.
c. Administer oxygen.
d. Inform the client that the procedure is almost over.
b
Which of the following is an expected outcome when a client is receiving an IV
administration of furosemide?
a. Increased blood pressure.
b. Increased urine output.
