Med Surg 1 HESI Final T2 Questions
and Answers | Latest Version |
2025/2026 | Correct & Verified
A postoperative client suddenly develops shortness of breath and chest pain. What should the
nurse do first?
A. Apply ice packs
B. Administer pain medication
✔✔C. Elevate the head of the bed and apply oxygen
D. Increase IV fluids
A client with type 2 diabetes reports shakiness, sweating, and blurred vision. What is the best
initial intervention?
A. Give a high-protein snack
B. Provide peanut butter on crackers
✔✔C. Give 4 oz of orange juice
D. Call the healthcare provider
A client with COPD has an oxygen saturation of 88% on room air. What should the nurse do
first?
1
,A. Increase oxygen to 6 L/min via nasal cannula
✔✔B. Encourage pursed-lip breathing
C. Place the client in the supine position
D. Reduce physical activity for the day
A client with cirrhosis develops confusion and lethargy. Which lab result is most important for
the nurse to review?
A. Sodium level
✔✔B. Ammonia level
C. Potassium level
D. Albumin level
A client receiving digoxin has an apical pulse of 54 beats/min. What is the nurse’s best action?
✔✔A. Hold the dose and notify the healthcare provider
B. Give the medication with food
C. Recheck the pulse in 10 minutes
D. Encourage fluid intake
2
,A nurse is caring for a client post-thyroidectomy who has noisy breathing and difficulty
speaking. What is the priority?
A. Offer ice chips
B. Reassure the client
✔✔C. Notify the healthcare provider immediately
D. Encourage coughing and deep breathing
A client is admitted with a diagnosis of deep vein thrombosis in the left leg. Which nursing
intervention is most important?
A. Apply warm compresses to the affected leg
✔✔B. Maintain bed rest and elevate the leg
C. Massage the affected calf
D. Encourage walking every hour
A client with a chest tube has gentle tidaling in the water-seal chamber. What should the nurse
do?
A. Clamp the tube immediately
✔✔B. Document the finding as normal
C. Notify the provider
3
, D. Increase suction
A client with a stroke has difficulty swallowing. Which action is most important for the nurse?
A. Provide thin liquids with a straw
B. Encourage rapid eating
✔✔C. Place food on the unaffected side of the mouth
D. Offer large bites of food
A client undergoing blood transfusion develops chills, fever, and back pain. What is the nurse’s
first action?
A. Slow the transfusion rate
✔✔B. Stop the transfusion
C. Notify the laboratory
D. Administer antihistamines
A client with pneumonia has thick, tenacious sputum. Which action should the nurse encourage?
A. Restrict fluids
✔✔B. Increase oral fluid intake
4
and Answers | Latest Version |
2025/2026 | Correct & Verified
A postoperative client suddenly develops shortness of breath and chest pain. What should the
nurse do first?
A. Apply ice packs
B. Administer pain medication
✔✔C. Elevate the head of the bed and apply oxygen
D. Increase IV fluids
A client with type 2 diabetes reports shakiness, sweating, and blurred vision. What is the best
initial intervention?
A. Give a high-protein snack
B. Provide peanut butter on crackers
✔✔C. Give 4 oz of orange juice
D. Call the healthcare provider
A client with COPD has an oxygen saturation of 88% on room air. What should the nurse do
first?
1
,A. Increase oxygen to 6 L/min via nasal cannula
✔✔B. Encourage pursed-lip breathing
C. Place the client in the supine position
D. Reduce physical activity for the day
A client with cirrhosis develops confusion and lethargy. Which lab result is most important for
the nurse to review?
A. Sodium level
✔✔B. Ammonia level
C. Potassium level
D. Albumin level
A client receiving digoxin has an apical pulse of 54 beats/min. What is the nurse’s best action?
✔✔A. Hold the dose and notify the healthcare provider
B. Give the medication with food
C. Recheck the pulse in 10 minutes
D. Encourage fluid intake
2
,A nurse is caring for a client post-thyroidectomy who has noisy breathing and difficulty
speaking. What is the priority?
A. Offer ice chips
B. Reassure the client
✔✔C. Notify the healthcare provider immediately
D. Encourage coughing and deep breathing
A client is admitted with a diagnosis of deep vein thrombosis in the left leg. Which nursing
intervention is most important?
A. Apply warm compresses to the affected leg
✔✔B. Maintain bed rest and elevate the leg
C. Massage the affected calf
D. Encourage walking every hour
A client with a chest tube has gentle tidaling in the water-seal chamber. What should the nurse
do?
A. Clamp the tube immediately
✔✔B. Document the finding as normal
C. Notify the provider
3
, D. Increase suction
A client with a stroke has difficulty swallowing. Which action is most important for the nurse?
A. Provide thin liquids with a straw
B. Encourage rapid eating
✔✔C. Place food on the unaffected side of the mouth
D. Offer large bites of food
A client undergoing blood transfusion develops chills, fever, and back pain. What is the nurse’s
first action?
A. Slow the transfusion rate
✔✔B. Stop the transfusion
C. Notify the laboratory
D. Administer antihistamines
A client with pneumonia has thick, tenacious sputum. Which action should the nurse encourage?
A. Restrict fluids
✔✔B. Increase oral fluid intake
4
