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MED SURG HESI V2 - 2025/2026
A cardiac catherization of a client with heart disease indicates
the following blockages: 95% proximal left anterior descending
(LAD), 99% proximal circumflex, and 95% proximal right coronary
artery (RCA) the client later asks the nurse "What does all of that
mean for me?" What information should the nurse provide.
B. Three main arteries have major blockages, with only 1-5% of
the blood flow getting through to the heart muscles -
...ANSWER✓✓✓Three main arteries have major blockages, with
only 1-5% of the blood flow getting through to the heart muscles
A client being admitted to a surgical unit is being evaluated for
an intestinal obstruction. The HCP prescribes a NG tube to be
inserted and placed to intermittent low wall suction. which
intervention should the nurse implement to facilitate proper tube
placement.
A. Soak NG tube in warm water
B. Insert tube with clients head tilted back
C. Apply suction while inserting tube
D. Elevate head of bed to 60 to 90 degrees -
...ANSWER✓✓✓Elevate head of bed to 60 to 90 degrees
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A client who has a history of hyperthyroidism was initially
admitted with lethargy and confusion. Which additional finding
warrants the most immediate action by the nurse?
A. Facial puffiness and periorbital edema
B. Hematocrit of 30%
C. cold and dry skin
D. Further decline in LOC - ...ANSWER✓✓✓Further decline in
LOC
A client who is newly diagnosed with emphysema is being
prepared for discharge. Which instruction is best for the nurse to
provide the client to assist them with dyspnea self-management?
A. Allow additional time to complete physical activities to reduce
oxygen demand
B. Practice inhaling through the nose and exhaling slowly
through pursed lips
C. Use a humidifier to increase air quality between 30-50%
D. Strengthen abdominal muscles by alternating leg raises
during exhalation - ...ANSWER✓✓✓Practice inhaling through the
nose and exhaling slowly through pursed lips
A client who took a camping vacation 2 weeks ago in a country
with tropical climate comes to the clinic describing vague
symptoms and diarrhea for the past week. which finding is most
important for the nurse to report to the HCP.
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A. Weakness and fatigue
B. Intestinal cramping
C. Weight loss
D. Jaundiced sclera - ...ANSWER✓✓✓Jaundiced sclera
A client who was discharged 8 months ago with cirrhosis and
ascites is admitted with anorexia and recent hemoptysis. The
client is drowsy but responds to verbal stimuli. The nurse
programs a blood pressure monitor to take readings every 15
minutes. Which assessment should implement first?
A. Evaluate distal capillary refill for relayed perfusion
B. Check the extremities for bruising and petechiae
C. Examine the pertibial regions for pitting edema
D. Palpate the abdomen for tenderness/rigid -
...ANSWER✓✓✓Palpate the abdomen for tenderness/rigid
A client with a history of asthma and bronchitis arrives at the
clinic with shortness of breath, productive cough with thickening
mucous and the inability to walk up a flight of stairs without
experiencing breathlessness. Which action is most important for
the nurse to instruct the client about self care?
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogens exposure
MED SURG HESI V2 - 2025/2026
A cardiac catherization of a client with heart disease indicates
the following blockages: 95% proximal left anterior descending
(LAD), 99% proximal circumflex, and 95% proximal right coronary
artery (RCA) the client later asks the nurse "What does all of that
mean for me?" What information should the nurse provide.
B. Three main arteries have major blockages, with only 1-5% of
the blood flow getting through to the heart muscles -
...ANSWER✓✓✓Three main arteries have major blockages, with
only 1-5% of the blood flow getting through to the heart muscles
A client being admitted to a surgical unit is being evaluated for
an intestinal obstruction. The HCP prescribes a NG tube to be
inserted and placed to intermittent low wall suction. which
intervention should the nurse implement to facilitate proper tube
placement.
A. Soak NG tube in warm water
B. Insert tube with clients head tilted back
C. Apply suction while inserting tube
D. Elevate head of bed to 60 to 90 degrees -
...ANSWER✓✓✓Elevate head of bed to 60 to 90 degrees
,2|Page
A client who has a history of hyperthyroidism was initially
admitted with lethargy and confusion. Which additional finding
warrants the most immediate action by the nurse?
A. Facial puffiness and periorbital edema
B. Hematocrit of 30%
C. cold and dry skin
D. Further decline in LOC - ...ANSWER✓✓✓Further decline in
LOC
A client who is newly diagnosed with emphysema is being
prepared for discharge. Which instruction is best for the nurse to
provide the client to assist them with dyspnea self-management?
A. Allow additional time to complete physical activities to reduce
oxygen demand
B. Practice inhaling through the nose and exhaling slowly
through pursed lips
C. Use a humidifier to increase air quality between 30-50%
D. Strengthen abdominal muscles by alternating leg raises
during exhalation - ...ANSWER✓✓✓Practice inhaling through the
nose and exhaling slowly through pursed lips
A client who took a camping vacation 2 weeks ago in a country
with tropical climate comes to the clinic describing vague
symptoms and diarrhea for the past week. which finding is most
important for the nurse to report to the HCP.
, 3|Page
A. Weakness and fatigue
B. Intestinal cramping
C. Weight loss
D. Jaundiced sclera - ...ANSWER✓✓✓Jaundiced sclera
A client who was discharged 8 months ago with cirrhosis and
ascites is admitted with anorexia and recent hemoptysis. The
client is drowsy but responds to verbal stimuli. The nurse
programs a blood pressure monitor to take readings every 15
minutes. Which assessment should implement first?
A. Evaluate distal capillary refill for relayed perfusion
B. Check the extremities for bruising and petechiae
C. Examine the pertibial regions for pitting edema
D. Palpate the abdomen for tenderness/rigid -
...ANSWER✓✓✓Palpate the abdomen for tenderness/rigid
A client with a history of asthma and bronchitis arrives at the
clinic with shortness of breath, productive cough with thickening
mucous and the inability to walk up a flight of stairs without
experiencing breathlessness. Which action is most important for
the nurse to instruct the client about self care?
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogens exposure
