MED SURG HESI V2: HESI V2 EXAM,
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
A client with cancer is receiving chemotherapy with a known
vesicant. the clients IV has been in place for 72hrs. The nurse
determines that a new IV site cannot be obtained and leaves
present IV in place. What is greatest clinical risk?
A. impaired skin integrity
B. fluid volume excess
C. Acute pain and anxiety
D. Peripheral neuron vascular dysfunction - CORRECT ANSWERS-
Impaired skin integrity
A postoperative client reports incisional pain. The client has two
prescriptions for PRN analgesia that accompanied the client from
the post-anesthesia unit. Before selecting which medication to
administer, which action should the nurse implement?
A. Document client report of pain in EMR
B. Determine which prescription will have quickest onset action
C. Compare the clients pain scale rating w/prescribed dosing
D. Ask the client to choose which medication is needed for pain -
CORRECT ANSWERS- Compare the clients pain scale rating
w/prescribed dosing
,While assisting a female client to the toilet, the client begins to
have a seizure and the nurse eases her to the floor. The nurse
calls for help and monitors the client until the seizing stops. Which
interventions should the nurse implement first?
A. Document details of the seizure activity
B. Observe for lacerations to the tongue
C. Observe for prolonged periods of apnea
D. Evaluate the evidence of incontinence - CORRECT ANSWERS-
Document details of the seizure activity
A male client with diabetes mellitus transferred from the hospital
to a rehabilitation facility following treatment for a stroke
resulting in right hemiplegia. He tells the nurse that his feet are
always uncomfortably cool at night, preventing him from falling
asleep. which action should the nurse implement?
A. Provide a warming pad to feet
B. Medicate the client with a prescribed sedative
C. Use a bed cradle to hold the covers off feet
D. Place warm blanket next to the clients feed - CORRECT
ANSWERS- Place warm blanket next to clients feet
During a home visit, the nurse assesses the skin of a client with
eczema who reports that an exacerbation of symptoms has
occurred during the last week. Which information is most useful in
determining the possible cause of the symptoms?
, A. An old friend with eczema came for a visit
B. Recently received an influenza immunization
C. A grandson and his new dog recently visited
D. Corticosteroid cream was applied to eczema - CORRECT
ANSWERS- A grandson and his new dog recently visited
While planning care for a client with carpal tunnel syndrome, the
nurse identifies a collaborative problem of pain. What is the
etiology of this problem?
A. Irritation of nerve endings
B. Diminished blood flow
C. ischemic tissue changes
D. Compression of a nerve - CORRECT ANSWERS- Compression of
a nerve
The nurse assesses a client being treated for Herpes Zoster
(Shingles) which assessment should the nurse include when
evaluating the effectiveness of treatment (SATA)
A. Skin integrity
B. Functional ability
C. Heart sounds
D. Pain scale
E. Bowel sounds - CORRECT ANSWERS- Skin integrity, Functional
ability, Pain scale
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
A client with cancer is receiving chemotherapy with a known
vesicant. the clients IV has been in place for 72hrs. The nurse
determines that a new IV site cannot be obtained and leaves
present IV in place. What is greatest clinical risk?
A. impaired skin integrity
B. fluid volume excess
C. Acute pain and anxiety
D. Peripheral neuron vascular dysfunction - CORRECT ANSWERS-
Impaired skin integrity
A postoperative client reports incisional pain. The client has two
prescriptions for PRN analgesia that accompanied the client from
the post-anesthesia unit. Before selecting which medication to
administer, which action should the nurse implement?
A. Document client report of pain in EMR
B. Determine which prescription will have quickest onset action
C. Compare the clients pain scale rating w/prescribed dosing
D. Ask the client to choose which medication is needed for pain -
CORRECT ANSWERS- Compare the clients pain scale rating
w/prescribed dosing
,While assisting a female client to the toilet, the client begins to
have a seizure and the nurse eases her to the floor. The nurse
calls for help and monitors the client until the seizing stops. Which
interventions should the nurse implement first?
A. Document details of the seizure activity
B. Observe for lacerations to the tongue
C. Observe for prolonged periods of apnea
D. Evaluate the evidence of incontinence - CORRECT ANSWERS-
Document details of the seizure activity
A male client with diabetes mellitus transferred from the hospital
to a rehabilitation facility following treatment for a stroke
resulting in right hemiplegia. He tells the nurse that his feet are
always uncomfortably cool at night, preventing him from falling
asleep. which action should the nurse implement?
A. Provide a warming pad to feet
B. Medicate the client with a prescribed sedative
C. Use a bed cradle to hold the covers off feet
D. Place warm blanket next to the clients feed - CORRECT
ANSWERS- Place warm blanket next to clients feet
During a home visit, the nurse assesses the skin of a client with
eczema who reports that an exacerbation of symptoms has
occurred during the last week. Which information is most useful in
determining the possible cause of the symptoms?
, A. An old friend with eczema came for a visit
B. Recently received an influenza immunization
C. A grandson and his new dog recently visited
D. Corticosteroid cream was applied to eczema - CORRECT
ANSWERS- A grandson and his new dog recently visited
While planning care for a client with carpal tunnel syndrome, the
nurse identifies a collaborative problem of pain. What is the
etiology of this problem?
A. Irritation of nerve endings
B. Diminished blood flow
C. ischemic tissue changes
D. Compression of a nerve - CORRECT ANSWERS- Compression of
a nerve
The nurse assesses a client being treated for Herpes Zoster
(Shingles) which assessment should the nurse include when
evaluating the effectiveness of treatment (SATA)
A. Skin integrity
B. Functional ability
C. Heart sounds
D. Pain scale
E. Bowel sounds - CORRECT ANSWERS- Skin integrity, Functional
ability, Pain scale
