MED SURG II HESI (ELSEVIER) EXAM
2026 ACTUAL QUESTIONS AND
CORRECT ANSWERS
A client is admitted for dehydration, and an intravenous (IV) infusion of normal sali
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ne at 125 mL/hr has been started. One hour after the IV initiation the client begins
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screaming, "I can't breathe!" The nursing priority action is:
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1. Discontinue the IV site and contact the primary health care provider
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2. Elevate the head of the bed and obtain vital signs
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3. Contact the primary health care provider to obtain a prescription for a sedative
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4. Assess for allergies and change the IV to an intermittent infusion device -
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ANSWERS-Elevate the head of the bed and obtain vital signs
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A nurse is assessing a client with a diagnosis of early left ventricular heart failure.
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Specific to this type of heart failure, the nurse expects the client to state:
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1. "My ankles are swollen."
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2. "I am tired at the end of the day."
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3. "When I eat a large meal, I feel bloated."
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4. "I have trouble breathing when I walk rapidly - ANSWERS-
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4. "I have trouble breathing when I walk rapidly
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A client who had a myocardial infarction asks the nurse, "What's the chance of my
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having another heart attack if I carefully watch my diet and stress levels?" What is
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the nurse's most appropriate initial response?
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1. Focus on the client's feelings by exploring the reason why the question was ask
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ed.
2. Explain that it is all right to be frightened and refer the client to the psychiatric n
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urse.
3. Provide information that the client is correct in being especially careful in these
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areas.
4. Suggest that the client discuss follow-
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up care with the health care provider and the dietitian. - ANSWERS-
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2026 ACTUAL QUESTIONS AND
CORRECT ANSWERS
A client is admitted for dehydration, and an intravenous (IV) infusion of normal sali
gv gv gv gv gv gv gv gv gv gv gv gv gv
ne at 125 mL/hr has been started. One hour after the IV initiation the client begins
gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv
screaming, "I can't breathe!" The nursing priority action is:
gv gv gv gv gv gv gv gv
1. Discontinue the IV site and contact the primary health care provider
gv gv gv gv gv gv gv gv gv gv gv
2. Elevate the head of the bed and obtain vital signs
gv gv gv gv gv gv gv gv gv gv
3. Contact the primary health care provider to obtain a prescription for a sedative
gv gv gv gv gv gv gv gv gv gv gv gv gv
4. Assess for allergies and change the IV to an intermittent infusion device -
gv gv gv gv gv gv gv gv gv gv gv gv gv
ANSWERS-Elevate the head of the bed and obtain vital signs
gv gv gv gv gv gv gv gv gv gv
A nurse is assessing a client with a diagnosis of early left ventricular heart failure.
gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv
Specific to this type of heart failure, the nurse expects the client to state:
gv gv gv gv gv gv gv gv gv gv gv gv gv
1. "My ankles are swollen."
gv gv gv gv
2. "I am tired at the end of the day."
gv gv gv gv gv gv gv gv gv
3. "When I eat a large meal, I feel bloated."
gv gv gv gv gv gv gv gv gv
4. "I have trouble breathing when I walk rapidly - ANSWERS-
gv gv gv gv gv gv gv gv gv gv
4. "I have trouble breathing when I walk rapidly
gv gv gv gv gv gv gv gv
A client who had a myocardial infarction asks the nurse, "What's the chance of my
gv gv gv gv gv gv gv gv gv gv gv gv gv gv g
having another heart attack if I carefully watch my diet and stress levels?" What is
v gv gv gv gv gv gv gv gv gv gv gv gv gv gv g
the nurse's most appropriate initial response?
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1. Focus on the client's feelings by exploring the reason why the question was ask
gv gv gv gv gv gv gv gv gv gv gv gv gv gv
ed.
2. Explain that it is all right to be frightened and refer the client to the psychiatric n
gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv gv
urse.
3. Provide information that the client is correct in being especially careful in these
gv gv gv gv gv gv gv gv gv gv gv gv gv gv
areas.
4. Suggest that the client discuss follow-
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up care with the health care provider and the dietitian. - ANSWERS-
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