Med Surg 2 Hesi Practice Questions
and Answers | Latest Version |
2025/2026 | Correct & Verified
A patient with a history of COPD is admitted with worsening shortness of breath. ABGs show
pH 7.30, PaCO₂ 58 mmHg, HCO₃ 25 mEq/L. Which interpretation is correct?
A. Respiratory alkalosis
✔✔B. Respiratory acidosis
C. Metabolic acidosis
D. Metabolic alkalosis
A patient with atrial fibrillation is prescribed warfarin. Which lab result indicates the medication
is therapeutic?
A. INR 1.0
✔✔B. INR 2.5
C. INR 4.5
D. INR 0.8
A patient after a thyroidectomy develops tingling around the mouth and fingertips. Which
electrolyte imbalance is suspected?
1
,A. Hyperkalemia
✔✔B. Hypocalcemia
C. Hypercalcemia
D. Hyponatremia
A patient with heart failure is prescribed furosemide. Which finding requires immediate
intervention?
✔✔A. Potassium 2.9 mEq/L
B. Sodium 138 mEq/L
C. Blood pressure 110/68 mmHg
D. Weight loss of 1 kg in a week
A patient with chronic kidney disease reports muscle twitching. Which lab finding supports this
symptom?
✔✔A. Calcium 6.5 mg/dL
B. Sodium 140 mEq/L
C. Potassium 4.5 mEq/L
D. Chloride 101 mEq/L
2
,A patient with Cushing’s syndrome is at increased risk for which complication?
A. Hypoglycemia
✔✔B. Hypertension
C. Weight loss
D. Bradycardia
A patient receiving vancomycin IV suddenly develops flushing and redness on the face, neck,
and chest. What should the nurse do?
✔✔A. Stop the infusion and notify the provider
B. Apply warm compresses
C. Continue at a slower rate
D. Give an antihistamine first
A patient with type 1 diabetes has blood glucose of 50 mg/dL and is alert. What is the nurse’s
priority?
A. Administer insulin
✔✔B. Give 4 oz of fruit juice
3
, C. Notify the provider
D. Give glucagon injection
A patient post–hip replacement must avoid which movement to prevent dislocation?
A. Keeping the legs abducted
✔✔B. Crossing the legs at the knees
C. Using an abduction pillow
D. Keeping the head of bed less than 60 degrees
A patient with sepsis is started on norepinephrine. Which assessment is most important?
A. Bowel sounds
✔✔B. Urine output
C. Skin color
D. Pupillary response
A patient with acute pancreatitis is admitted. Which intervention takes priority?
✔✔A. Keep the patient NPO
B. Provide a high-fat diet
4
and Answers | Latest Version |
2025/2026 | Correct & Verified
A patient with a history of COPD is admitted with worsening shortness of breath. ABGs show
pH 7.30, PaCO₂ 58 mmHg, HCO₃ 25 mEq/L. Which interpretation is correct?
A. Respiratory alkalosis
✔✔B. Respiratory acidosis
C. Metabolic acidosis
D. Metabolic alkalosis
A patient with atrial fibrillation is prescribed warfarin. Which lab result indicates the medication
is therapeutic?
A. INR 1.0
✔✔B. INR 2.5
C. INR 4.5
D. INR 0.8
A patient after a thyroidectomy develops tingling around the mouth and fingertips. Which
electrolyte imbalance is suspected?
1
,A. Hyperkalemia
✔✔B. Hypocalcemia
C. Hypercalcemia
D. Hyponatremia
A patient with heart failure is prescribed furosemide. Which finding requires immediate
intervention?
✔✔A. Potassium 2.9 mEq/L
B. Sodium 138 mEq/L
C. Blood pressure 110/68 mmHg
D. Weight loss of 1 kg in a week
A patient with chronic kidney disease reports muscle twitching. Which lab finding supports this
symptom?
✔✔A. Calcium 6.5 mg/dL
B. Sodium 140 mEq/L
C. Potassium 4.5 mEq/L
D. Chloride 101 mEq/L
2
,A patient with Cushing’s syndrome is at increased risk for which complication?
A. Hypoglycemia
✔✔B. Hypertension
C. Weight loss
D. Bradycardia
A patient receiving vancomycin IV suddenly develops flushing and redness on the face, neck,
and chest. What should the nurse do?
✔✔A. Stop the infusion and notify the provider
B. Apply warm compresses
C. Continue at a slower rate
D. Give an antihistamine first
A patient with type 1 diabetes has blood glucose of 50 mg/dL and is alert. What is the nurse’s
priority?
A. Administer insulin
✔✔B. Give 4 oz of fruit juice
3
, C. Notify the provider
D. Give glucagon injection
A patient post–hip replacement must avoid which movement to prevent dislocation?
A. Keeping the legs abducted
✔✔B. Crossing the legs at the knees
C. Using an abduction pillow
D. Keeping the head of bed less than 60 degrees
A patient with sepsis is started on norepinephrine. Which assessment is most important?
A. Bowel sounds
✔✔B. Urine output
C. Skin color
D. Pupillary response
A patient with acute pancreatitis is admitted. Which intervention takes priority?
✔✔A. Keep the patient NPO
B. Provide a high-fat diet
4
