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“MED-SURG II HESI EXAM - SET ONE 2025 “ NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED AND HIGHLY RECOMMENDALE 100% GUARANTEE PASS
Med-Surg II HESI Exam - set one
A client is scheduled for an elective splenectomy. Immediately before the
client goes to surgery, the nurse should determine that the client has:
1. Voided completely.
2. Signed the consent.
3. Vital signs recorded.
4. Name band on wrist
3. Vital signs recorded.
When receiving a client from the post anesthesia care unit after a
splenectomy, which should the nurse assess next after obtaining vital signs?
1. Nasogastric drainage.
2. Urinary catheter.
3. Dressing.
4. Need for pain medication.
3. Dressing.
The client's family asks why the client who had a splenectomy has a
nasogastric (NG) tube. An NG tube is used to:
1. Move the stomach away from where the spleen was removed.
2. Irrigate the operative site.
3. Decrease abdominal distention.
4. Assess for the gastric pH as peristalsis returns.
3. Decrease abdominal distention.
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A client is admitted with an acute onset of shortness of breath. A diagnosis of
pulmonary embolism is made. One common cause of pulmonary embolism is:
1. Arteriosclerosis.
2. Aneurysm formation.
3. Deep vein thrombosis (DVT).
4. Varicose veins.
3. Deep vein thrombosis (DVT).
A client with a cerebral embolus is receiving streptokinase. The nurse should
evaluate the client for which of the following expected outcomes of this drug
therapy?
1. Improved cerebral perfusion.
2. Decreased vascular permeability.
3. Dissolved emboli.
4. Prevention of cerebral hemorrhage.
3. Dissolved emboli.
A client who weighs 187 lb (85 kg) has a prescription to receive enoxaparin
(Lovenox) 1 mg/kg. This drug is available in a concentration of 30 mg/0.3 mL.
What dose would the nurse administer in milliliters?
_________________ mL.
0.85 mL
The physician's prescription is for the client to receive enoxaparin (Lovenox) 1
mg/kg. Therefore, the client is to receive 85 mg. The desired dose in milliliters then
can
be calculated by using the formula of desired dose (D) divided by dose or strength of
dose on hand (H) times volume (V).
A client is on complete bed rest. The nurse should assess the client for risk for
developing which of the following complications?
1. Air embolus.
2. Fat embolus.
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3. Stress fractures.
4. Thrombophlebitis.
4. Thrombophlebitis.
Knee-high sequential compression devices have been prescribed for a newly
admitted client. The client reports new pain localized in the right calf area that
is noted to be slightly reddened and warm to touch upon initial assessment.
The nurse should first:
1. Offer analgesics as prescribed and apply the compression devices.
2. Leave the compression devices off and contact the physician to report the
assessment findings.
3. Massage the area of discomfort before applying the compression devices.
4. Leave the compression devices off and report assessment findings to the
oncoming shift.
2. Leave the compression devices off and contact the physician to report the
assessment findings.
A client is receiving an IV infusion of 5% dextrose in water (D5W). The skin
around the IV insertion site is red, warm to touch, and painful. The nurse
should first:
1. Administer acetaminophen (Tylenol).
2. Change the D5W to normal saline.
3. Discontinue the IV.
4. Place a warm compress on the area.
3. Discontinue the IV.
The nurse is planning care for a client on complete bed rest. The plan of care
should include all except which of the following:
1. Turning every 2 hours.
2. Passive and active range-of-motion exercises.
3. Use of thromboembolic disease (TED) support hose.
4. Maintaining the client in the supine position.
4. Maintaining the client in the supine position.
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The client is admitted with left lower leg pain, a positive Homans' sign, and a
temperature of 100.4°F (38°C). The nurse should assess the client further for
signs of:
1. Aortic aneurysm.
2. Deep vein thrombosis (DVT) in the left leg.
3. IV drug abuse.
4. Intermittent claudication.
2. Deep vein thrombosis (DVT) in the left leg.
A client is admitted with a diagnosis of thrombophlebitis and deep vein
thrombosis of the right leg. A loading dose of heparin has been given in the
emergency room, and IV heparin will be continued for the next several days.
The nurse should develop a plan of care for this client that will involve:
1. Administering aspirin as prescribed.
2. Encouraging green leafy vegetables in the diet.
3. Monitoring the client's prothrombin time (PT).
4. Monitoring the client's activated partial thromboplastin time (aPTT) and
International Normalized Ratio (INR).
4. Monitoring the client's activated partial thromboplastin time (aPTT) and
International Normalized Ratio (INR).
In order to prevent deep vein thrombosis (DVT) following abdominal surgery,
the nurse should:
1. Restrict fluids.
2. Encourage deep breathing.
3. Assist the client to remain sedentary.
4. Use pneumatic compression stockings.
4. Use pneumatic compression stockings.
A client diagnosed with a deep vein thrombosis has heparin sodium infusing
at 1,500 units/h. The concentration of heparin is 25,000 units/500 mL. If the
infusion remains at the same rate for a full 12-hour shift, how many milliliters
of fluid will infuse?
“MED-SURG II HESI EXAM - SET ONE 2025 “ NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED AND HIGHLY RECOMMENDALE 100% GUARANTEE PASS
Med-Surg II HESI Exam - set one
A client is scheduled for an elective splenectomy. Immediately before the
client goes to surgery, the nurse should determine that the client has:
1. Voided completely.
2. Signed the consent.
3. Vital signs recorded.
4. Name band on wrist
3. Vital signs recorded.
When receiving a client from the post anesthesia care unit after a
splenectomy, which should the nurse assess next after obtaining vital signs?
1. Nasogastric drainage.
2. Urinary catheter.
3. Dressing.
4. Need for pain medication.
3. Dressing.
The client's family asks why the client who had a splenectomy has a
nasogastric (NG) tube. An NG tube is used to:
1. Move the stomach away from where the spleen was removed.
2. Irrigate the operative site.
3. Decrease abdominal distention.
4. Assess for the gastric pH as peristalsis returns.
3. Decrease abdominal distention.
, Page 2 of 131
A client is admitted with an acute onset of shortness of breath. A diagnosis of
pulmonary embolism is made. One common cause of pulmonary embolism is:
1. Arteriosclerosis.
2. Aneurysm formation.
3. Deep vein thrombosis (DVT).
4. Varicose veins.
3. Deep vein thrombosis (DVT).
A client with a cerebral embolus is receiving streptokinase. The nurse should
evaluate the client for which of the following expected outcomes of this drug
therapy?
1. Improved cerebral perfusion.
2. Decreased vascular permeability.
3. Dissolved emboli.
4. Prevention of cerebral hemorrhage.
3. Dissolved emboli.
A client who weighs 187 lb (85 kg) has a prescription to receive enoxaparin
(Lovenox) 1 mg/kg. This drug is available in a concentration of 30 mg/0.3 mL.
What dose would the nurse administer in milliliters?
_________________ mL.
0.85 mL
The physician's prescription is for the client to receive enoxaparin (Lovenox) 1
mg/kg. Therefore, the client is to receive 85 mg. The desired dose in milliliters then
can
be calculated by using the formula of desired dose (D) divided by dose or strength of
dose on hand (H) times volume (V).
A client is on complete bed rest. The nurse should assess the client for risk for
developing which of the following complications?
1. Air embolus.
2. Fat embolus.
, Page 3 of 131
3. Stress fractures.
4. Thrombophlebitis.
4. Thrombophlebitis.
Knee-high sequential compression devices have been prescribed for a newly
admitted client. The client reports new pain localized in the right calf area that
is noted to be slightly reddened and warm to touch upon initial assessment.
The nurse should first:
1. Offer analgesics as prescribed and apply the compression devices.
2. Leave the compression devices off and contact the physician to report the
assessment findings.
3. Massage the area of discomfort before applying the compression devices.
4. Leave the compression devices off and report assessment findings to the
oncoming shift.
2. Leave the compression devices off and contact the physician to report the
assessment findings.
A client is receiving an IV infusion of 5% dextrose in water (D5W). The skin
around the IV insertion site is red, warm to touch, and painful. The nurse
should first:
1. Administer acetaminophen (Tylenol).
2. Change the D5W to normal saline.
3. Discontinue the IV.
4. Place a warm compress on the area.
3. Discontinue the IV.
The nurse is planning care for a client on complete bed rest. The plan of care
should include all except which of the following:
1. Turning every 2 hours.
2. Passive and active range-of-motion exercises.
3. Use of thromboembolic disease (TED) support hose.
4. Maintaining the client in the supine position.
4. Maintaining the client in the supine position.
, Page 4 of 131
The client is admitted with left lower leg pain, a positive Homans' sign, and a
temperature of 100.4°F (38°C). The nurse should assess the client further for
signs of:
1. Aortic aneurysm.
2. Deep vein thrombosis (DVT) in the left leg.
3. IV drug abuse.
4. Intermittent claudication.
2. Deep vein thrombosis (DVT) in the left leg.
A client is admitted with a diagnosis of thrombophlebitis and deep vein
thrombosis of the right leg. A loading dose of heparin has been given in the
emergency room, and IV heparin will be continued for the next several days.
The nurse should develop a plan of care for this client that will involve:
1. Administering aspirin as prescribed.
2. Encouraging green leafy vegetables in the diet.
3. Monitoring the client's prothrombin time (PT).
4. Monitoring the client's activated partial thromboplastin time (aPTT) and
International Normalized Ratio (INR).
4. Monitoring the client's activated partial thromboplastin time (aPTT) and
International Normalized Ratio (INR).
In order to prevent deep vein thrombosis (DVT) following abdominal surgery,
the nurse should:
1. Restrict fluids.
2. Encourage deep breathing.
3. Assist the client to remain sedentary.
4. Use pneumatic compression stockings.
4. Use pneumatic compression stockings.
A client diagnosed with a deep vein thrombosis has heparin sodium infusing
at 1,500 units/h. The concentration of heparin is 25,000 units/500 mL. If the
infusion remains at the same rate for a full 12-hour shift, how many milliliters
of fluid will infuse?
