HESI Med Surg II Exam Questions and Answers 2023
(Verified Answers)
1. The nurse is assessing a 48-year-old client with a history of smoking during
a routine clinic visit. The client, who exercises regularly, reports having pain in
the calf during exercise that disappears at rest. Which of the following findings
requires further evaluation?
1. Heart rate 57 bpm.
2. SpO2 of 94% on room air.
3. Blood pressure 134/82.
4. Ankle-brachial index of 0.65 ANS 4
2. A client with peripheral vascular disease has undergone a right
femoralpopliteal
bypass graft. The blood pressure has decreased from 124/80 to 94/62. What
should the nurse assess first?
1. IV fluid solution.
2. Pedal pulses.
3. Nasal cannula flow rate.
4. Capillary refill ANS 2
,3. An overweight client taking warfarin (Coumadin) has dry skin due to de-
creased
arterial blood flow. What should the nurse instruct the client to do? Select all
that apply.
1. Apply lanolin or petroleum jelly to intact skin.
2. Follow a reduced-calorie, reduced-fat diet.
3. Inspect the involved areas daily for new ulcerations.
4. Instruct the client to limit activities of daily living (ADLs).
5. Use an electric razor to shave ANS 1, 2, 3, 5
4. The nurse is caring for a client with peripheral artery disease who has
recently
been prescribed clopidogrel (Plavix). The nurse understands that more teach-
ing is
necessary when the client states which of the following:
1. "I should not be surprised if I bruise easier or if my gums bleed a little when
brushing my teeth."
2. "It doesn't really matter if I take this medicine with or without food, whatever
works best for my stomach."
3. "I should stop taking Plavix if it makes me feel weak and dizzy."
, 4. "The doctor prescribed this medicine to make my platelets less likely to
stick
together and help prevent clots from forming. ANS 3
5. A client is receiving Cilostazol (Pletal) for peripheral arterial disease caus-
ing
intermittent claudication. The nurse determines this medication is effective
when the
client reports which of the following?
1. "I am having fewer aches and pains."
2. "I do not have headaches anymore."
3. "I am able to walk further without leg pain."
4. "My toes are turning grayish black in color. ANS 3
6. The client admitted with peripheral vascular disease (PVD) asks the nurse
why
her legs hurt when she walks. The nurse bases a response on the knowledge
that the
main characteristic of PVD is:
1. Decreased blood flow.
2. Increased blood flow.
3. Slow blood flow.
4. Thrombus formation ANS 1
(Verified Answers)
1. The nurse is assessing a 48-year-old client with a history of smoking during
a routine clinic visit. The client, who exercises regularly, reports having pain in
the calf during exercise that disappears at rest. Which of the following findings
requires further evaluation?
1. Heart rate 57 bpm.
2. SpO2 of 94% on room air.
3. Blood pressure 134/82.
4. Ankle-brachial index of 0.65 ANS 4
2. A client with peripheral vascular disease has undergone a right
femoralpopliteal
bypass graft. The blood pressure has decreased from 124/80 to 94/62. What
should the nurse assess first?
1. IV fluid solution.
2. Pedal pulses.
3. Nasal cannula flow rate.
4. Capillary refill ANS 2
,3. An overweight client taking warfarin (Coumadin) has dry skin due to de-
creased
arterial blood flow. What should the nurse instruct the client to do? Select all
that apply.
1. Apply lanolin or petroleum jelly to intact skin.
2. Follow a reduced-calorie, reduced-fat diet.
3. Inspect the involved areas daily for new ulcerations.
4. Instruct the client to limit activities of daily living (ADLs).
5. Use an electric razor to shave ANS 1, 2, 3, 5
4. The nurse is caring for a client with peripheral artery disease who has
recently
been prescribed clopidogrel (Plavix). The nurse understands that more teach-
ing is
necessary when the client states which of the following:
1. "I should not be surprised if I bruise easier or if my gums bleed a little when
brushing my teeth."
2. "It doesn't really matter if I take this medicine with or without food, whatever
works best for my stomach."
3. "I should stop taking Plavix if it makes me feel weak and dizzy."
, 4. "The doctor prescribed this medicine to make my platelets less likely to
stick
together and help prevent clots from forming. ANS 3
5. A client is receiving Cilostazol (Pletal) for peripheral arterial disease caus-
ing
intermittent claudication. The nurse determines this medication is effective
when the
client reports which of the following?
1. "I am having fewer aches and pains."
2. "I do not have headaches anymore."
3. "I am able to walk further without leg pain."
4. "My toes are turning grayish black in color. ANS 3
6. The client admitted with peripheral vascular disease (PVD) asks the nurse
why
her legs hurt when she walks. The nurse bases a response on the knowledge
that the
main characteristic of PVD is:
1. Decreased blood flow.
2. Increased blood flow.
3. Slow blood flow.
4. Thrombus formation ANS 1
