MED SURG II HESI ELSEVIER MASTERY 2026
AND 2027 COMPLETE QUESTIONS AND
ANSWERS 100% CORRECT EDITION.
◎ The nurse is taking a history of a newly diagnosed Type 2 diabetic who is beginning
treatment. Which subjective information is most important for the nurse to note?
ANSWER:- An allergy to sulfa drugs.
◎ An 81-year-old male client has emphysema. He lives at home with his cat and
manages self-care with no difficulty. When making a home visit, the nurse notices that
his tongue is somewhat cracked and his eyeballs are sunken into his head. What
nursing intervention is indicated? ANSWER:- Help the client to determine ways to
increase his fluid intake.
◎ A client has a staging procedure for cancer of the breast and ask the nurse which
type of breast cancer has the poorest prognosis. Which information should the nurse
offer the client? ANSWER:- Inflammatory with peau d'orange.
◎ Small bowel obstruction is a condition characterized by which finding? ANSWER:-
Severe fluid and electrolyte imbalances.
◎ A client is admitted to the medical intensive care unit with a diagnosis of myocardial
infarction. The client's history indicates the infarction occurred ten hours ago. Which
laboratory test result would the nurse expect this client to exhibit? ANSWER:- Elevated
CK-MB.
◎ The nurse is planning care for a client with newly diagnosed diabetes mellitus that
requires insulin. Which assessment should the nurse identify before beginning the
teaching session? ANSWER:- Willingness of the client to learn the injection sites.
◎ What is the correct procedure for performing an opthalmoscopic examination on a
client's right retina? ANSWER:- From a distance of 12 to 15 inches and slightly to the
side, shine the light into the client's pupil.
◎ The nurse assesses a client with advanced cirrhosis of the liver for signs of hepatic
encephalopathy. Which finding would the nurse consider an indication of progressive
hepatic encephalopathy? ANSWER:- Difficulty in handwriting.
◎ Which symptoms should the nurse expect a client to exhibit who is diagnosed with a
pheochromocytoma? ANSWER:- Headache, diaphoresis, and palpitations.
, ◎ A client's susceptibility to ulcerative colitis is most likely due to which aspect in the
client's history? ANSWER:- Jewish European ancestry.
◎ During assessment of a client with amyotrophic lateral sclerosis (ALS), which finding
should the nurse identify when planning care for this client? ANSWER:- Muscle
weakness.
◎ A client is placed on a mechanical ventilator following a cerebral hemorrhage, and
vecuronium bromide (Norcuron) 0.04 mg/kg q12 hours IV is prescribed. What is the
priority nursing diagnosis for this client? ANSWER:- Impaired communication related to
paralysis of skeletal muscles.
◎ The nurse is assessing a client who has a history of Parkinson's disease for the past
5 years. What symptoms would this client most likely exhibit? ANSWER:- Shuffling gait,
masklike facial expression, and tremors of the head.
◎ Which intervention should the nurse plan to implement when caring for a client who
has just undergone a right above-the-knee amputation? ANSWER:- Place a large
tourniquet at the client's bedside.
◎ A client has taken steroids for 12 years to help manage chronic obstructive
pulmonary disease (COPD). When making a home visit, which nursing function is of
greatest importance to this client? Assess the client's ANSWER:- temperature.
◎ Two days postoperative, a male client reports aching pain in his left leg. The nurse
assesses redness and warmth on the lower left calf. What intervention would be most
helpful to this client? ANSWER:- Advise the client to remain in bed with the leg
elevated.
◎ An adult client is admitted to the hospital burn unit with partial-thickness and full-
thickness burns over 40% of the body surface area. In assessing the potential for skin
regeneration, what should the nurse remember about full-thickness burns? ANSWER:-
regenerative function of the skin is absent because the dermal layer has been
destroyed.
◎ A client taking a thiazide diuretic for the past six months has a serum potassium level
of 3. The nurse anticipates which change in prescription for the client? ANSWER:- A
potassium supplement will be prescribed.
◎ A client with heart disease is on a continuous telemetry monitor and has developed
sinus bradycardia. In determining the possible cause of the bradycardia, the nurse
assesses the client's medication record. Which medication is most likely the cause of
the bradycardia? ANSWER:- Propanolol (Inderal).
AND 2027 COMPLETE QUESTIONS AND
ANSWERS 100% CORRECT EDITION.
◎ The nurse is taking a history of a newly diagnosed Type 2 diabetic who is beginning
treatment. Which subjective information is most important for the nurse to note?
ANSWER:- An allergy to sulfa drugs.
◎ An 81-year-old male client has emphysema. He lives at home with his cat and
manages self-care with no difficulty. When making a home visit, the nurse notices that
his tongue is somewhat cracked and his eyeballs are sunken into his head. What
nursing intervention is indicated? ANSWER:- Help the client to determine ways to
increase his fluid intake.
◎ A client has a staging procedure for cancer of the breast and ask the nurse which
type of breast cancer has the poorest prognosis. Which information should the nurse
offer the client? ANSWER:- Inflammatory with peau d'orange.
◎ Small bowel obstruction is a condition characterized by which finding? ANSWER:-
Severe fluid and electrolyte imbalances.
◎ A client is admitted to the medical intensive care unit with a diagnosis of myocardial
infarction. The client's history indicates the infarction occurred ten hours ago. Which
laboratory test result would the nurse expect this client to exhibit? ANSWER:- Elevated
CK-MB.
◎ The nurse is planning care for a client with newly diagnosed diabetes mellitus that
requires insulin. Which assessment should the nurse identify before beginning the
teaching session? ANSWER:- Willingness of the client to learn the injection sites.
◎ What is the correct procedure for performing an opthalmoscopic examination on a
client's right retina? ANSWER:- From a distance of 12 to 15 inches and slightly to the
side, shine the light into the client's pupil.
◎ The nurse assesses a client with advanced cirrhosis of the liver for signs of hepatic
encephalopathy. Which finding would the nurse consider an indication of progressive
hepatic encephalopathy? ANSWER:- Difficulty in handwriting.
◎ Which symptoms should the nurse expect a client to exhibit who is diagnosed with a
pheochromocytoma? ANSWER:- Headache, diaphoresis, and palpitations.
, ◎ A client's susceptibility to ulcerative colitis is most likely due to which aspect in the
client's history? ANSWER:- Jewish European ancestry.
◎ During assessment of a client with amyotrophic lateral sclerosis (ALS), which finding
should the nurse identify when planning care for this client? ANSWER:- Muscle
weakness.
◎ A client is placed on a mechanical ventilator following a cerebral hemorrhage, and
vecuronium bromide (Norcuron) 0.04 mg/kg q12 hours IV is prescribed. What is the
priority nursing diagnosis for this client? ANSWER:- Impaired communication related to
paralysis of skeletal muscles.
◎ The nurse is assessing a client who has a history of Parkinson's disease for the past
5 years. What symptoms would this client most likely exhibit? ANSWER:- Shuffling gait,
masklike facial expression, and tremors of the head.
◎ Which intervention should the nurse plan to implement when caring for a client who
has just undergone a right above-the-knee amputation? ANSWER:- Place a large
tourniquet at the client's bedside.
◎ A client has taken steroids for 12 years to help manage chronic obstructive
pulmonary disease (COPD). When making a home visit, which nursing function is of
greatest importance to this client? Assess the client's ANSWER:- temperature.
◎ Two days postoperative, a male client reports aching pain in his left leg. The nurse
assesses redness and warmth on the lower left calf. What intervention would be most
helpful to this client? ANSWER:- Advise the client to remain in bed with the leg
elevated.
◎ An adult client is admitted to the hospital burn unit with partial-thickness and full-
thickness burns over 40% of the body surface area. In assessing the potential for skin
regeneration, what should the nurse remember about full-thickness burns? ANSWER:-
regenerative function of the skin is absent because the dermal layer has been
destroyed.
◎ A client taking a thiazide diuretic for the past six months has a serum potassium level
of 3. The nurse anticipates which change in prescription for the client? ANSWER:- A
potassium supplement will be prescribed.
◎ A client with heart disease is on a continuous telemetry monitor and has developed
sinus bradycardia. In determining the possible cause of the bradycardia, the nurse
assesses the client's medication record. Which medication is most likely the cause of
the bradycardia? ANSWER:- Propanolol (Inderal).
