MED SURG 2 HESI TEST BANK REAL EXAM 100+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|AGRADE 2026

MED SURG 2 HESI TEST BANK
REAL EXAM 100+ QUESTIONS
AND CORRECT ANSWERS WITH
RATIONALES|AGRADE 2026
2.BABclientBwithBlungBcancerBwhoBwearsBaBsubcutaneousBmorphineBsulfateBpatchBfor
BpainBisBshortBofBbreathBandBisBdifficultBtoBarouse.BWhenBperformingBaBheadBtoBtoe
Bassessment,BtheBnurseBdiscoversBfourBanalgesicBpatchesBonBtheBclientsBbody.BWhich
BinterventionBshouldBtheBnurseBimplementBfirst?



a.BRemoveBallBofBtheBmorphineBpatches

b.BAdministerBaBnarcoticBantagonist

c.BApplyBoxygenBperBfaceBmask

d.BMeasureBtheBclient'sBbloodBpressureB-BAnswerBb.BAdministerBaBnarcoticBantagonist



3.BABclientBreceivesBprescriptionsBforBaBmultidrugBregimenBforBtheBtreatmentBofBtube
rculosis.BWhichBinformationBshouldBtheBnurseBprioritize?



a.BAdherenceBtoBtheBregimenBisBimperative

b.BMedicationsBshouldBbeBtakenBwithBfood

c.BSerumBliverBpanelsBareBcollectedBregularly

d.BEnhancedBsunBprotectionBmeasuresBwillBbeBneededB-
BAnswerBa.BAdherenceBtoBtheBregimenBisBimperative



4.BTheBnurseBisBpreparingBaBclientBforBsurgeryBwhoBwasBadmittedBtoBtheBemergency
BcenterBfollowingBaBmotorBvehicleBcollision.BTheBclientBhasBanBopenBfractureBofBtheB
femurBandBisBbleedingBmoderatelyBfromBtheBboneBprotrusionBsite.BDuringBtheBprescri
ptiveBassessment,BtheBnurseBdeterminesBthatBtheBclientBcurrentlyBreceivesBheparinBso
diumB5,000BunitsBsubcutaneouslyBdaily.BWhatBisBtheBpriorityBnursingBaction?



a.BNotifyBtheBhealthcareBproviderBofBtheBclient'sBmedicationBhistory

,b.BObserveBtheBheparinBinjectionsBsitesBforBsignsBofBbruising

c.BHaveBtheBclientBsignBtheBsurgicalBandBtransfusionBpermits

d.BEnsureBthatBtheBpotentialBforBbleedingBisBexplainedBtoBtheBclientB-
BAnswerBa.BNotifyBtheBhealthcareBproviderBofBtheBclient'sBmedicationBhistory



5.BABclientBwithBorthopneaBexpressesBconcernBaboutBtheBabilityBtoB"getBenoughBair"
BduringBaBscheduledBthoracentesis.BOnBwhichBinformationBshouldBtheBnurse'sBrespons
eBbeBbased?



a.BABthoracentesisBisBaBbriefBprocessBthatBhasBminimalBdiscomfort

b.BOrthopneaBisBfrequentlyBcausedBbyBaBclient'sBuncontrolledBanxiety

c.BTheBprocedureBisBperformedBwithBtheBclientBinBanBuprightBposition

d.BExtraBpillowsBcanBbeBusedBifBneededBtoBelevateBtheBclient'sBheadB-
BAnswerBc.BTheBprocedureBisBperformedBwithBtheBclientBinBanBuprightBposition



6.BWhatBinformationBshouldBtheBnurseBincludeBinBtheBteachingBplanBofBaBclientBdiag
nosedBwithBgastroesophagealBrefluxBdiseaseB(GERD)?



a.BSleepBwithoutBpillowsBatBnightBtoBmaintainBneckBalignment

b.BAdjustBfoodBintakeBtoBthreeBfullBmealsBperBdayBandBnoBsnacks

c.BMinimizeBsymptomsBbyBwearingBloose,BcomfortableBclothing

d.BAvoidBparticipationBinBanyBaerobicBexerciseBprogramsB-
BAnswerBc.BMinimizeBsymptomsBbyBwearingBloose,BcomfortableBclothing



7.BTheBnurseBisBprovidingBteachingBtoBaBclientBwithBTypeB2BdiabetesBmellitusBandBpe
ripheralBneuropathy.BWhichBinformationBshouldBtheBnurseBprovide?



a.BFamilyBmembersBcanBhelpBwithBregularBfootBexams

b.BHeatingBpadsBareBusefulBifBonBtheBlowBsetting

c.BAchingBfeetBmayBbeBsoakedBinBlukewarmBwaterBforBoneBhourBorBmore

,d.BShoesBshouldBbeBwornBoutsideBtheBhouse,BbutBitBisBfineBtoBbeBbarefootBinsideB-
BAnswerBa.BFamilyBmembersBcanBhelpBwithBregularBfootBexams



8.BABclientBinBtheBoperatingBroomBreceivedBsuccinylcholine.BTheBclientBisBexperiencin
gBmuscleBrigidityBandBhasBanBextremelyBhighBtemperature.BWhatBactionBshouldBtheB
nurseBimplement?



a.BHoldBaBprescriptionBforBdantroleneBuntilBfeverBisBreduced

b.BPrepareBiceBpacksBforBplacementBinBtheBclientsBaxillaryBarea

c.BCallBtheBPACUBnurseBtoBprepareBforBprolongedBventilatorBsupport

d.BDetermineBifBprescribedBantibioticsBwereBadministeredBpreoperativelyB-
BAnswerBb.BPrepareBiceBpacksBforBplacementBinBtheBclientsBaxillaryBarea



9.BTheBnurseBisBdevelopingBaBplanBofBcareBforBaBclientBwhoBreportsBblurredBvisionBa
ndBwhoBisBnewlyBdiagnosedBwithBcardiovascularBdisease.BWhichBoutcomeBshouldBthe
BnurseBincludeBinBtheBplanBofBcareBforBthisBclient?



a.BTheBnurseBwillBencourageBtheBclientBtoBwalkBthirtyBminutesBeveryBday

b.BTheBclientsBfamilyBwillBstateBsignsBandBsymptomsBaboutBtheBdisease

c.BTheBclientsBdailyBbloodBpressureBwillBbeBlessBthanB140/80BthisBmonth

d.BTheBclientBbloodBpressureBreadingsBwillBbeBlessBthanB160/90B-
BAnswerBc.BTheBclientsBdailyBbloodBpressureBwillBbeBlessBthanB140/80BthisBmonth



10.BTheBfamilyBsuspectsBthatBacquiredBimmuneBdeficiencyBsyndromeB(AIDS)Bdementia
BisBoccuringBinBtheirBsonBwhoBisBhumanBimmunodeficiencyBvirusB(HIV)Bpositive.BWhic
hBsymptomsBconfirmBtheirBsuspicions?



a.BHeBhasBbegunBtoBsleepB18BoutBofB24Bhours

b.BABchangeBhasBrecentlyBoccurredBinBhisBhandwriting

c.BHeBrefusesBtoBseeBanyBofBhisBfriendsBorBtoBreturnBtheirBphoneBcalls

, d.BHeBexhibitsBangryBoutburstBwhenBtheBsubjectBofBdyingBisBapproachedB-
BAnswerBb.BABchangeBhasBrecentlyBoccurredBinBhisBhandwriting



11.BABhospitalizedBclientBwithBperipheralBarterialBdiseaseB(PAD)BisBinstructedBregardin
gBlegBandBfootBcare.BWhichBstatementBbyBtheBclientBindicatesBtoBtheBnurseBthatBlear
ningBhasBoccurred?



a.B"WheneverBIBamBsittingBinBaBchairBIBwillBkeepBmyBlegsBupBtoBreduceBswelling"

b.B"IBcanBuseBaBmirrorBtoBcheckBtheBbottomsBofBmyBfeetBforBanyBsignsBofBbreakdow
n"

c.B"IBwillBtryBtoBkeepBmovingBifBlegBpainBoccursBtoBhelpBpromoteBgoodBcirculation"

d.B"IBwillBuseBmyBswimmingBpoolBearlyBinBtheBdayBwhileBtheBwaterBisBstillBveryBcool
"B-
BAnswerBb.B"IBcanBuseBaBmirrorBtoBcheckBtheBbottomsBofBmyBfeetBforBanyBsignsBof
Bbreakdown"



12.BWhileBcompletingBaBhealthBassessmentBforBaBclientBwithBmigraineBheadaches,Bth
eBnurseBassessesBbilateralBweaknessBinBtheBclient'sBhandBgrips.BTheBclientBreportsBjoi
ntBpainBandBtroubleBtwistingBaBdoorBknobBdueBtoBweakness.BWhichBactionBshouldBt
heBnurseBtakeBinBresponseBtoBtheseBfindings?



a.BExplainBthatBreliefBofBtheBmigraineBpainBwillBreduceBrelatedBsymptoms

b.BGatherBadditionalBassessmentBdataBaboutBtheBpainBandBweakness

c.BImplementBfallBprecautionsBtoBreduceBtheBclient'sBriskBforBinjury

d.BConsultBwithBtheBoccupationalBtherapistBforBaBfunctionalBassessmentB-
BAnswerBd.BConsultBwithBtheBoccupationalBtherapistBforBaBfunctionalBassessment



13.BTheBnurseBisBcaringBforBaBclientBinBtheBpostBanesthesiaBcareBunitB(PACU)BwhoBu
nderwentBaBthoracotomyBtwoBhoursBago.BTheBnurseBobservesBtheBfollowingBvitalBsign
s:BheartBrateB140Bbpm,BrespirationsB26Bbreaths/minuteBandBbloodBpressureB140/90.B
WhichBinterventionBisBmostBimportantBforBtheBnurseBtoBimplement?