MED SURG II HESI (ELSEVIER)
(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Amclientmismadmittedmformdehydration,mandmanmintravenousm(IV)minfusionmofmnormalmsalinematm125
mmL/hrmhasmbeenmstarted.mOnemhourmaftermthemIVminitiationmthemclientmbeginsmscreaming,m"Imcan't
mbreathe!"mThemnursingmprioritymactionmis:
1.mDiscontinuemthemIVmsitemandmcontactmthemprimarymhealthmcaremprovider
2.mElevatemthemheadmofmthembedmandmobtainmvitalmsigns
3.mContactmthemprimarymhealthmcaremprovidermtomobtainmamprescriptionmformamsedative
4.mAssessmformallergiesmandmchangemthemIVmtomanmintermittentminfusionmdevicem-
mCORRECTmANSWERmElevatemthemheadmofmthembedmandmobtainmvitalmsigns
Amnursemismassessingmamclientmwithmamdiagnosismofmearlymleftmventricularmheartmfailure.mSpecificmto
mthismtypemofmheartmfailure,mthemnursemexpectsmthemclientmtomstate:
1.m"Mymanklesmaremswollen."
2.m"Imammtiredmatmthemendmofmthemday."
3.m"WhenmImeatmamlargemmeal,mImfeelmbloated."
, 4.m"ImhavemtroublembreathingmwhenmImwalkmrapidlym-
mCORRECTmANSWERm4.m"ImhavemtroublembreathingmwhenmImwalkmrapidly
Amclientmwhomhadmammyocardialminfarctionmasksmthemnurse,m"What'smthemchancemofmmymhavingma
nothermheartmattackmifmImcarefullymwatchmmymdietmandmstressmlevels?"mWhatmismthemnurse'smmostm
appropriateminitialmresponse?
1.mFocusmonmthemclient'smfeelingsmbymexploringmthemreasonmwhymthemquestionmwasmasked.
2.mExplainmthatmitmismallmrightmtombemfrightenedmandmrefermthemclientmtomthempsychiatricmnurse.
3.mProvideminformationmthatmthemclientmismcorrectminmbeingmespeciallymcarefulminmthesemareas.
4.mSuggestmthatmthemclientmdiscussmfollow-
upmcaremwithmthemhealthmcaremprovidermandmthemdietitian.m-
mCORRECTmANSWERm1.mFocusmonmthemclient'smfeelingsmbymexploringmthemreasonmwhymthemquestio
nmwasmasked.
Themnursemismassessingmamclientmformsignsmofmrightmventricularmfailure.mWhatmshouldmthemnursemex
pectmifmthismoccurs?
1.mSlowedmpulsemrate
2.mPleuralmfrictionmrub
3.mNeckmveinmdistention
4.mIncreasingmhypotensionm-mCORRECTmANSWERm3.mNeckmveinmdistention
(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Amclientmismadmittedmformdehydration,mandmanmintravenousm(IV)minfusionmofmnormalmsalinematm125
mmL/hrmhasmbeenmstarted.mOnemhourmaftermthemIVminitiationmthemclientmbeginsmscreaming,m"Imcan't
mbreathe!"mThemnursingmprioritymactionmis:
1.mDiscontinuemthemIVmsitemandmcontactmthemprimarymhealthmcaremprovider
2.mElevatemthemheadmofmthembedmandmobtainmvitalmsigns
3.mContactmthemprimarymhealthmcaremprovidermtomobtainmamprescriptionmformamsedative
4.mAssessmformallergiesmandmchangemthemIVmtomanmintermittentminfusionmdevicem-
mCORRECTmANSWERmElevatemthemheadmofmthembedmandmobtainmvitalmsigns
Amnursemismassessingmamclientmwithmamdiagnosismofmearlymleftmventricularmheartmfailure.mSpecificmto
mthismtypemofmheartmfailure,mthemnursemexpectsmthemclientmtomstate:
1.m"Mymanklesmaremswollen."
2.m"Imammtiredmatmthemendmofmthemday."
3.m"WhenmImeatmamlargemmeal,mImfeelmbloated."
, 4.m"ImhavemtroublembreathingmwhenmImwalkmrapidlym-
mCORRECTmANSWERm4.m"ImhavemtroublembreathingmwhenmImwalkmrapidly
Amclientmwhomhadmammyocardialminfarctionmasksmthemnurse,m"What'smthemchancemofmmymhavingma
nothermheartmattackmifmImcarefullymwatchmmymdietmandmstressmlevels?"mWhatmismthemnurse'smmostm
appropriateminitialmresponse?
1.mFocusmonmthemclient'smfeelingsmbymexploringmthemreasonmwhymthemquestionmwasmasked.
2.mExplainmthatmitmismallmrightmtombemfrightenedmandmrefermthemclientmtomthempsychiatricmnurse.
3.mProvideminformationmthatmthemclientmismcorrectminmbeingmespeciallymcarefulminmthesemareas.
4.mSuggestmthatmthemclientmdiscussmfollow-
upmcaremwithmthemhealthmcaremprovidermandmthemdietitian.m-
mCORRECTmANSWERm1.mFocusmonmthemclient'smfeelingsmbymexploringmthemreasonmwhymthemquestio
nmwasmasked.
Themnursemismassessingmamclientmformsignsmofmrightmventricularmfailure.mWhatmshouldmthemnursemex
pectmifmthismoccurs?
1.mSlowedmpulsemrate
2.mPleuralmfrictionmrub
3.mNeckmveinmdistention
4.mIncreasingmhypotensionm-mCORRECTmANSWERm3.mNeckmveinmdistention