Med Surg HESI Exams V1 and V2 – 2026/2027
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1. A client with heart failure is prescribed furosemide. Which
assessment finding indicates the medication is effective?
A. Weight gain of 2 pounds
B. Decreased peripheral edema
C. Increased blood pressure
D. Decreased urine output
2. The nurse is caring for a client with acute myocardial infarction.
Which finding requires immediate intervention?
A. Chest pain rated 4/10
B. ST-segment elevation on ECG
C. Heart rate of 88 bpm
D. Blood pressure 140/90 mmHg
3. A client with hypertension is prescribed lisinopril. Which side effect
should the nurse monitor?
A. Hyperkalemia
B. Angioedema
C. Hyperglycemia
D. Tachycardia
4. The nurse is assessing a client with peripheral artery disease. Which
finding is expected?
,A. Bounding pulses
B. Intermittent claudication
C. Warm extremities
D. Edema
5. A client with heart failure has an ejection fraction of 35%. The nurse
understands this indicates:
A. Normal cardiac function
B. Reduced cardiac function
C. Improved cardiac function
D. No change in cardiac function
6. Which position is most appropriate for a client with heart failure
experiencing dyspnea?
A. Supine
B. High Fowler's
C. Left lateral
D. Trendelenburg
7. The nurse is monitoring a client receiving IV heparin. Which
laboratory value is most important?
A. PT
B. aPTT
C. INR
D. Platelet count
8. A client with atrial fibrillation is prescribed warfarin. Which
instruction should the nurse include?
A. Avoid green leafy vegetables
B. Take with grapefruit juice
,C. Discontinue if bleeding occurs
D. Take on an empty stomach
9. Which finding indicates a client with heart failure is experiencing fluid
overload?
A. Jugular venous distention
B. Decreased blood pressure
C. Dry cough
D. Weight loss
10. The nurse is caring for a client with a pacemaker. Which finding
requires immediate intervention?
A. Heart rate of 72 bpm
B. Dizziness and chest pain
C. Small incision site
D. Mild discomfort
11. A client with angina is prescribed nitroglycerin sublingual. The nurse
instructs the client to:
A. Take at onset of chest pain
B. Take with food
C. Swallow the tablet
D. Take every 5 minutes up to 5 doses
12. Which medication is a beta-blocker used for heart failure?
A. Lisinopril
B. Carvedilol
C. Digoxin
D. Furosemide
, 13. The nurse is assessing a client with pericarditis. Which finding is
expected?
A. Pericardial friction rub
B. Pleural friction rub
C. Crackles
D. Wheezes
14. A client with heart failure is on a low-sodium diet. Which food should
the client avoid?
A. Fresh vegetables
B. Canned soup
C. Rice
D. Pasta
15. Which ECG finding is characteristic of a myocardial infarction?
A. ST-segment elevation
B. T-wave inversion only
C. Prolonged PR interval
D. Wide QRS complex
16. The nurse is caring for a client with a pulmonary embolism. Which
finding is most concerning?
A. Oxygen saturation of 88%
B. Respiratory rate of 22
C. Heart rate of 100
D. Blood pressure 130/85
17. A client is receiving thrombolytic therapy for a stroke. Which finding
indicates a complication?
Update | Actual Exam Questions with Verified
Answers | A+ Graded | 100% Guaranteed Pass
1. A client with heart failure is prescribed furosemide. Which
assessment finding indicates the medication is effective?
A. Weight gain of 2 pounds
B. Decreased peripheral edema
C. Increased blood pressure
D. Decreased urine output
2. The nurse is caring for a client with acute myocardial infarction.
Which finding requires immediate intervention?
A. Chest pain rated 4/10
B. ST-segment elevation on ECG
C. Heart rate of 88 bpm
D. Blood pressure 140/90 mmHg
3. A client with hypertension is prescribed lisinopril. Which side effect
should the nurse monitor?
A. Hyperkalemia
B. Angioedema
C. Hyperglycemia
D. Tachycardia
4. The nurse is assessing a client with peripheral artery disease. Which
finding is expected?
,A. Bounding pulses
B. Intermittent claudication
C. Warm extremities
D. Edema
5. A client with heart failure has an ejection fraction of 35%. The nurse
understands this indicates:
A. Normal cardiac function
B. Reduced cardiac function
C. Improved cardiac function
D. No change in cardiac function
6. Which position is most appropriate for a client with heart failure
experiencing dyspnea?
A. Supine
B. High Fowler's
C. Left lateral
D. Trendelenburg
7. The nurse is monitoring a client receiving IV heparin. Which
laboratory value is most important?
A. PT
B. aPTT
C. INR
D. Platelet count
8. A client with atrial fibrillation is prescribed warfarin. Which
instruction should the nurse include?
A. Avoid green leafy vegetables
B. Take with grapefruit juice
,C. Discontinue if bleeding occurs
D. Take on an empty stomach
9. Which finding indicates a client with heart failure is experiencing fluid
overload?
A. Jugular venous distention
B. Decreased blood pressure
C. Dry cough
D. Weight loss
10. The nurse is caring for a client with a pacemaker. Which finding
requires immediate intervention?
A. Heart rate of 72 bpm
B. Dizziness and chest pain
C. Small incision site
D. Mild discomfort
11. A client with angina is prescribed nitroglycerin sublingual. The nurse
instructs the client to:
A. Take at onset of chest pain
B. Take with food
C. Swallow the tablet
D. Take every 5 minutes up to 5 doses
12. Which medication is a beta-blocker used for heart failure?
A. Lisinopril
B. Carvedilol
C. Digoxin
D. Furosemide
, 13. The nurse is assessing a client with pericarditis. Which finding is
expected?
A. Pericardial friction rub
B. Pleural friction rub
C. Crackles
D. Wheezes
14. A client with heart failure is on a low-sodium diet. Which food should
the client avoid?
A. Fresh vegetables
B. Canned soup
C. Rice
D. Pasta
15. Which ECG finding is characteristic of a myocardial infarction?
A. ST-segment elevation
B. T-wave inversion only
C. Prolonged PR interval
D. Wide QRS complex
16. The nurse is caring for a client with a pulmonary embolism. Which
finding is most concerning?
A. Oxygen saturation of 88%
B. Respiratory rate of 22
C. Heart rate of 100
D. Blood pressure 130/85
17. A client is receiving thrombolytic therapy for a stroke. Which finding
indicates a complication?
