MED SURG II HESI (Elsevier) Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

MED SURG II HESI (Elsevier) Questions and Answers | Latest Version | 2025/2026 | Correct & Verified A patient with myasthenia gravis reports difficulty swallowing. Which action should the nurse take before meals? A. Administer anticholinesterase medication B. Provide ice chips C. Increase fluid intake D. Give pain medication A patient with atrial fibrillation is started on warfarin. Which lab value should be monitored to determine therapeutic effect? A. aPTT B. INR C. Platelet count D. Hemoglobin A patient after a thyroidectomy shows signs of positive Chvostek’s sign. Which electrolyte imbalance is suspected? 2 A. Hyperkalemia B. Hypocalcemia C. Hypercalcemia D. Hyponatremia A patient with end-stage renal disease is scheduled for hemodialysis. Which pre-procedure assessment is the priority? A. Assess for bruit and thrill in the fistula B. Measure abdominal girth C. Check blood glucose D. Assess pedal pulses A patient is receiving TPN via central line. Which action is most important to reduce infection risk? A. Use sterile technique for all dressing changes B. Monitor daily weight C. Keep TPN refrigerated D. Change the IV tubing every 72 hours 3 A patient with a chest tube connected to suction has continuous bubbling in the water seal chamber. What should the nurse suspect? A. Normal finding B. Air leak C. Lung re-expansion D. Blockage A patient with Cushing’s syndrome is at risk for which complication? A. Hyperkalemia B. Hypoglycemia C. Hypertension D. Hypotension A patient receiving chemotherapy reports painful mouth ulcers. Which food choice is most appropriate? A. Vanilla pudding B. Fresh orange 4 C. Pretzels D. Tomato soup A patient with Addison’s disease is prescribed hydrocortisone. Which statement by the patient indicates understanding? A. "I will take my medication at the same time each day." B. "I will avoid all salty foods." C. "I will double my dose if I feel stressed." D. "I will stop taking the drug if I feel better."