HESI MED-SURG II LATEST UPDATE 2024-2025
COMPLETE 150 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |AGRADE
A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily
following a myocardial infarction. The nurse should instruct the client that aspirin is
prescribed for clients who have coronary artery disease for which of the following
effects?
1) To provide analgesia
2) To reduce inflammation
3) To prevent blood clotting
4) To prevent fever - Correct Answer - 3.
A nurse is collecting data from a client who has open-angle glaucoma. Which of the
following findings should the nurse expect?
1) Loss of peripheral vision
2) Headache
3) Halos around lights
4) Discomfort in the eyes - Correct Answer - 1.
A nurse is collecting data from a client who has acute gastroenteritis. Which of the
following data collection findings should the nurse identify as the priority?
1) Weight loss of 3% of total body weight.
2) Blood glucose 150 mg/dL.
3) Potassium 2.5 mEq/L
pg. 1
,4) Urine specific gravity 1.035 - Correct Answer - 3.
A nurse is reinforcing discharge teaching with a client who had a total abdominal
hysterectomy and a vaginal repair. Which of the following statements by the client
indicates a need for further teaching?
1) "I should increase my intake of protein and vitamin C."
2) "I will no longer have menstrual periods."
3) "Once I am able to resume sexual activity, I can use a water-based lubricant if I
experience discomfort."
4) "I will take a tub bath instead of a shower." - Correct Answer - 4.
A nurse caring for a client at risk for increased intracranial pressure is monitoring the
client for manifestations that indicate that the pressure is increasing. To do this, the
nurse should check the function of the third cranial nerve by performing which of the
following data-collection activities?
1) Observing for facial asymmetry
2) Checking pupillary responses to light
3) Eliciting the gag reflex
4) Testing visual acuity - Correct Answer - 2.
A nurse is caring for a client during the immediate postoperative period following
thoracic surgery. When administering an opioid analgesic for pain, the nurse should
explain that the medication should have which of the following effects?
1) Reducing anxiety
2) Increasing blood pressure
3) Increasing coughing
4) Increasing the client's respiratory rate - Correct Answer - 1.
A nurse is collecting data on a client who has hyperthyroidism. Which of the following
manifestations should the nurse expect the client to report?
1) Frequent mood changes
pg. 2
,2) Constipation
3) Sensitivity to cold
4) Weight gain - Correct Answer - 1.
A nurse is collecting data from a client who has skeletal traction. Which of the following
findings should the nurse identify as an indication of infection at the pin sites?
1) Serosanguineous drainage
2) Mild erythema
3) Warmth
4) Fever - Correct Answer - 4.
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse
determines that teaching has been effective when the client identifies which of the
following manifestations of hypoglycemia? (Select all that apply.)
1) Polyuria
2) Blurry vision
3) Tachycardia
4) Polydipsia
5) Sweating - Correct Answer - 2, 3, 5
A nurse is collecting data from a client who has an exacerbation of gout. Which of the
following findings should the nurse expect? (Select all that apply.)
1) Edema
2) Erythema
3) Tophi
4) Tight skin
5) Symmetrical joint pain - Correct Answer - 1, 2, 3, 4
A nurse is caring for a client who has myasthenia gravis (MG). Which of the following is
a complication of MG for which the nurse should monitor?
pg. 3
, 1) Respiratory difficulty
2) Confusion
3) Increased intracranial pressure
4) Joint pain - Correct Answer - 1.
A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative
colitis. The nurse should recognize that which of the following actions is the priority?
1) Review stress factors that can cause disease exacerbation.
2) Evaluate fluid and electrolyte levels.
3) Provide emotional support.
4) Promote physical mobility. - Correct Answer - 2.
A nurse is assisting with the care of a client who has a femur fracture and is in skeletal
traction. Which of the following actions should the nurse take?
1) Loosen the knots on the ropes if the client is experiencing pain.
2) Ensure the client's weights are hanging freely from the bed.
3) Check the client's bony prominences every 12 hr.
4) Cleanse the client's pin sites with povidone-iodine. - Correct Answer - 2.
A nurse in a provider's office is reinforcing teaching with a client who has anemia and
has been taking ferrous gluconate for several weeks. Which of the following instructions
should the nurse include?
1) Take this medication between meals.
2) Limit intake of Vitamin C while taking this medication.
3) Take this medication with milk.
4) Limit intake of whole grains while taking this medication. - Correct Answer - 1.
A nurse in a provider's office is reinforcing teaching with a client who has anemia and
has been taking ferrous gluconate for several weeks. Which of the following instructions
should the nurse include?
pg. 4
COMPLETE 150 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |AGRADE
A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily
following a myocardial infarction. The nurse should instruct the client that aspirin is
prescribed for clients who have coronary artery disease for which of the following
effects?
1) To provide analgesia
2) To reduce inflammation
3) To prevent blood clotting
4) To prevent fever - Correct Answer - 3.
A nurse is collecting data from a client who has open-angle glaucoma. Which of the
following findings should the nurse expect?
1) Loss of peripheral vision
2) Headache
3) Halos around lights
4) Discomfort in the eyes - Correct Answer - 1.
A nurse is collecting data from a client who has acute gastroenteritis. Which of the
following data collection findings should the nurse identify as the priority?
1) Weight loss of 3% of total body weight.
2) Blood glucose 150 mg/dL.
3) Potassium 2.5 mEq/L
pg. 1
,4) Urine specific gravity 1.035 - Correct Answer - 3.
A nurse is reinforcing discharge teaching with a client who had a total abdominal
hysterectomy and a vaginal repair. Which of the following statements by the client
indicates a need for further teaching?
1) "I should increase my intake of protein and vitamin C."
2) "I will no longer have menstrual periods."
3) "Once I am able to resume sexual activity, I can use a water-based lubricant if I
experience discomfort."
4) "I will take a tub bath instead of a shower." - Correct Answer - 4.
A nurse caring for a client at risk for increased intracranial pressure is monitoring the
client for manifestations that indicate that the pressure is increasing. To do this, the
nurse should check the function of the third cranial nerve by performing which of the
following data-collection activities?
1) Observing for facial asymmetry
2) Checking pupillary responses to light
3) Eliciting the gag reflex
4) Testing visual acuity - Correct Answer - 2.
A nurse is caring for a client during the immediate postoperative period following
thoracic surgery. When administering an opioid analgesic for pain, the nurse should
explain that the medication should have which of the following effects?
1) Reducing anxiety
2) Increasing blood pressure
3) Increasing coughing
4) Increasing the client's respiratory rate - Correct Answer - 1.
A nurse is collecting data on a client who has hyperthyroidism. Which of the following
manifestations should the nurse expect the client to report?
1) Frequent mood changes
pg. 2
,2) Constipation
3) Sensitivity to cold
4) Weight gain - Correct Answer - 1.
A nurse is collecting data from a client who has skeletal traction. Which of the following
findings should the nurse identify as an indication of infection at the pin sites?
1) Serosanguineous drainage
2) Mild erythema
3) Warmth
4) Fever - Correct Answer - 4.
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse
determines that teaching has been effective when the client identifies which of the
following manifestations of hypoglycemia? (Select all that apply.)
1) Polyuria
2) Blurry vision
3) Tachycardia
4) Polydipsia
5) Sweating - Correct Answer - 2, 3, 5
A nurse is collecting data from a client who has an exacerbation of gout. Which of the
following findings should the nurse expect? (Select all that apply.)
1) Edema
2) Erythema
3) Tophi
4) Tight skin
5) Symmetrical joint pain - Correct Answer - 1, 2, 3, 4
A nurse is caring for a client who has myasthenia gravis (MG). Which of the following is
a complication of MG for which the nurse should monitor?
pg. 3
, 1) Respiratory difficulty
2) Confusion
3) Increased intracranial pressure
4) Joint pain - Correct Answer - 1.
A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative
colitis. The nurse should recognize that which of the following actions is the priority?
1) Review stress factors that can cause disease exacerbation.
2) Evaluate fluid and electrolyte levels.
3) Provide emotional support.
4) Promote physical mobility. - Correct Answer - 2.
A nurse is assisting with the care of a client who has a femur fracture and is in skeletal
traction. Which of the following actions should the nurse take?
1) Loosen the knots on the ropes if the client is experiencing pain.
2) Ensure the client's weights are hanging freely from the bed.
3) Check the client's bony prominences every 12 hr.
4) Cleanse the client's pin sites with povidone-iodine. - Correct Answer - 2.
A nurse in a provider's office is reinforcing teaching with a client who has anemia and
has been taking ferrous gluconate for several weeks. Which of the following instructions
should the nurse include?
1) Take this medication between meals.
2) Limit intake of Vitamin C while taking this medication.
3) Take this medication with milk.
4) Limit intake of whole grains while taking this medication. - Correct Answer - 1.
A nurse in a provider's office is reinforcing teaching with a client who has anemia and
has been taking ferrous gluconate for several weeks. Which of the following instructions
should the nurse include?
pg. 4
