MED SURG II HESI TEST BANK
PRACTICE COLLECTION 2026
COMPLETE REVIEW VERIFIED PASS
◉ 2. A client with lung cancer who wears a subcutaneous morphine
sulfate patch for pain is short of breath and is difficult to arouse. When
performing a head to toe assessment, the nurse discovers four analgesic
patches on the clients body. Which intervention should the nurse
implement first?
a. Remove all of the morphine patches
b. Administer a narcotic antagonist
c. Apply oxygen per face mask
d. Measure the client's blood pressure.
Answer: b. Administer a narcotic antagonist
◉ 3. A client receives prescriptions for a multidrug regimen for the
treatment of tuberculosis. Which information should the nurse prioritize?
a. Adherence to the regimen is imperative
b. Medications should be taken with food
c. Serum liver panels are collected regularly
d. Enhanced sun protection measures will be needed.
Answer: a. Adherence to the regimen is imperative
,◉ 4. The nurse is preparing a client for surgery who was admitted to the
emergency center following a motor vehicle collision. The client has an
open fracture of the femur and is bleeding moderately from the bone
protrusion site. During the prescriptive assessment, the nurse determines
that the client currently receives heparin sodium 5,000 units
subcutaneously daily. What is the priority nursing action?
a. Notify the healthcare provider of the client's medication history
b. Observe the heparin injections sites for signs of bruising
c. Have the client sign the surgical and transfusion permits
d. Ensure that the potential for bleeding is explained to the client.
Answer: a. Notify the healthcare provider of the client's medication
history
◉ 5. A client with orthopnea expresses concern about the ability to "get
enough air" during a scheduled thoracentesis. On which information
should the nurse's response be based?
a. A thoracentesis is a brief process that has minimal discomfort
b. Orthopnea is frequently caused by a client's uncontrolled anxiety
c. The procedure is performed with the client in an upright position
d. Extra pillows can be used if needed to elevate the client's head.
Answer: c. The procedure is performed with the client in an upright
position
,◉ 6. What information should the nurse include in the teaching plan of a
client diagnosed with gastroesophageal reflux disease (GERD)?
a. Sleep without pillows at night to maintain neck alignment
b. Adjust food intake to three full meals per day and no snacks
c. Minimize symptoms by wearing loose, comfortable clothing
d. Avoid participation in any aerobic exercise programs.
Answer: c. Minimize symptoms by wearing loose, comfortable clothing
◉ 7. The nurse is providing teaching to a client with Type 2 diabetes
mellitus and peripheral neuropathy. Which information should the nurse
provide?
a. Family members can help with regular foot exams
b. Heating pads are useful if on the low setting
c. Aching feet may be soaked in lukewarm water for one hour or more
d. Shoes should be worn outside the house, but it is fine to be barefoot
inside.
Answer: a. Family members can help with regular foot exams
◉ 8. A client in the operating room received succinylcholine. The client
is experiencing muscle rigidity and has an extremely high temperature.
What action should the nurse implement?
a. Hold a prescription for dantrolene until fever is reduced
, b. Prepare ice packs for placement in the clients axillary area
c. Call the PACU nurse to prepare for prolonged ventilator support
d. Determine if prescribed antibiotics were administered preoperatively.
Answer: b. Prepare ice packs for placement in the clients axillary area
◉ 9. The nurse is developing a plan of care for a client who reports
blurred vision and who is newly diagnosed with cardiovascular disease.
Which outcome should the nurse include in the plan of care for this
client?
a. The nurse will encourage the client to walk thirty minutes every day
b. The clients family will state signs and symptoms about the disease
c. The clients daily blood pressure will be less than 140/80 this month
d. The client blood pressure readings will be less than 160/90.
Answer: c. The clients daily blood pressure will be less than 140/80 this
month
◉ 10. The family suspects that acquired immune deficiency syndrome
(AIDS) dementia is occuring in their son who is human
immunodeficiency virus (HIV) positive. Which symptoms confirm their
suspicions?
a. He has begun to sleep 18 out of 24 hours
b. A change has recently occurred in his handwriting
c. He refuses to see any of his friends or to return their phone calls
PRACTICE COLLECTION 2026
COMPLETE REVIEW VERIFIED PASS
◉ 2. A client with lung cancer who wears a subcutaneous morphine
sulfate patch for pain is short of breath and is difficult to arouse. When
performing a head to toe assessment, the nurse discovers four analgesic
patches on the clients body. Which intervention should the nurse
implement first?
a. Remove all of the morphine patches
b. Administer a narcotic antagonist
c. Apply oxygen per face mask
d. Measure the client's blood pressure.
Answer: b. Administer a narcotic antagonist
◉ 3. A client receives prescriptions for a multidrug regimen for the
treatment of tuberculosis. Which information should the nurse prioritize?
a. Adherence to the regimen is imperative
b. Medications should be taken with food
c. Serum liver panels are collected regularly
d. Enhanced sun protection measures will be needed.
Answer: a. Adherence to the regimen is imperative
,◉ 4. The nurse is preparing a client for surgery who was admitted to the
emergency center following a motor vehicle collision. The client has an
open fracture of the femur and is bleeding moderately from the bone
protrusion site. During the prescriptive assessment, the nurse determines
that the client currently receives heparin sodium 5,000 units
subcutaneously daily. What is the priority nursing action?
a. Notify the healthcare provider of the client's medication history
b. Observe the heparin injections sites for signs of bruising
c. Have the client sign the surgical and transfusion permits
d. Ensure that the potential for bleeding is explained to the client.
Answer: a. Notify the healthcare provider of the client's medication
history
◉ 5. A client with orthopnea expresses concern about the ability to "get
enough air" during a scheduled thoracentesis. On which information
should the nurse's response be based?
a. A thoracentesis is a brief process that has minimal discomfort
b. Orthopnea is frequently caused by a client's uncontrolled anxiety
c. The procedure is performed with the client in an upright position
d. Extra pillows can be used if needed to elevate the client's head.
Answer: c. The procedure is performed with the client in an upright
position
,◉ 6. What information should the nurse include in the teaching plan of a
client diagnosed with gastroesophageal reflux disease (GERD)?
a. Sleep without pillows at night to maintain neck alignment
b. Adjust food intake to three full meals per day and no snacks
c. Minimize symptoms by wearing loose, comfortable clothing
d. Avoid participation in any aerobic exercise programs.
Answer: c. Minimize symptoms by wearing loose, comfortable clothing
◉ 7. The nurse is providing teaching to a client with Type 2 diabetes
mellitus and peripheral neuropathy. Which information should the nurse
provide?
a. Family members can help with regular foot exams
b. Heating pads are useful if on the low setting
c. Aching feet may be soaked in lukewarm water for one hour or more
d. Shoes should be worn outside the house, but it is fine to be barefoot
inside.
Answer: a. Family members can help with regular foot exams
◉ 8. A client in the operating room received succinylcholine. The client
is experiencing muscle rigidity and has an extremely high temperature.
What action should the nurse implement?
a. Hold a prescription for dantrolene until fever is reduced
, b. Prepare ice packs for placement in the clients axillary area
c. Call the PACU nurse to prepare for prolonged ventilator support
d. Determine if prescribed antibiotics were administered preoperatively.
Answer: b. Prepare ice packs for placement in the clients axillary area
◉ 9. The nurse is developing a plan of care for a client who reports
blurred vision and who is newly diagnosed with cardiovascular disease.
Which outcome should the nurse include in the plan of care for this
client?
a. The nurse will encourage the client to walk thirty minutes every day
b. The clients family will state signs and symptoms about the disease
c. The clients daily blood pressure will be less than 140/80 this month
d. The client blood pressure readings will be less than 160/90.
Answer: c. The clients daily blood pressure will be less than 140/80 this
month
◉ 10. The family suspects that acquired immune deficiency syndrome
(AIDS) dementia is occuring in their son who is human
immunodeficiency virus (HIV) positive. Which symptoms confirm their
suspicions?
a. He has begun to sleep 18 out of 24 hours
b. A change has recently occurred in his handwriting
c. He refuses to see any of his friends or to return their phone calls
