MEDICAL SURGERY HESI VOLUME 2 EXAM, 2056-2026
WITH CLEAR QUESTIONS AND ANSWERS GRADED A+
GUARANTEED PASS
The nurse is preparing to administer enoxaparin (lovenox) 135 mg subcutaneously. the
medication is available in a cartridge labelled 150 mg/ml. How many ml should the
nurse administer? (if rounding is required, round to the nearest tenth)
0.9 ml
The nurse is obtaining a clients fingerstick glucose level. After gently milking the
client’s finger, the nurse observes that the distal tip of the finger appears reddened and
engorged. What action should the nurse take?
A. Collect the blood sample
B. Assess radial pulse volume
C. Apply pressure to the site
D. Select another finger
A. Collect the blood sample
A client 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 60 to 90 degrees.
D. Elevate head of bed 60 to 90 degrees.
,A young female client with 7 children is having frequent morning headaches, dizziness,
and blurred vision. Her BP is 168/104. The client reports that her husband recently lost
his job and she is not sleeping well. After administering a STAT dose of an
antihypertensive IV med, which intervention is most important for the nurse to
implement?
A. Measure urine output hourly to assess for renal perfusion
B. Request a prescription for pain medication
C. Use an automated BP machine to monitor for hypotension
D. Provide a quiet environment with low lighting.
C. Use an automated BP machine to monitor for hypotension
The wife of a client with Parkinson’s disease expresses concern because her husband
has lost so much weight. Which teaching is best for the nurse to provide?
A. Invite friends over regularly to share meal times
B. Encourage the client to drink clear liquids between meals
C. Coach the client to make an intentional effort to swallow
D. Talk to the HCP about prescribing an appetite stimulant
A. Invite friends over regularly to share meal times.
A client who was discharged 8 months ago with cirrhosis and ascites is admitted with
anorexia and recent haemoptysis. 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 the nurse implement first?
A. Evaluate distal capillary refill for delayed perfusion
B. Check the extremities for bruising and petechiae
C. Examine the pertibial regions for pitting oedema
D. Palpate the abdomen for tenderness and rigidity
D. Palpate the abdomen for tenderness and rigidity.
, A client with urolithiasis is preparing for discharge after lithotripsy. Which
intervention should the nurse include in the clients’ postoperative discharge
instructions?
A. Report when haematuria becomes pink tinged
B. Use incentive spirometer
C. Restrict physical activities
D. Monitor urinary stream for decrease in output
D. Monitor urinary stream for decrease in output
What Information should the nurse include in the teaching plan of a client diagnosed
with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose, comfortable clothing
D. Avoid Participation in any aerobic exercise program
C. Minimize symptoms by wearing loose, comfortable clothing
After a hospitalization for SIADH, a client develops pontine myelinolysis. Which
Intervention should the nurse implement first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate client’s ability to swallow
D. Perform range of motion exercises
A. Reorient client to room
A male client with heart failure calls the clinic and reports that he cannot put his shoes
on because they are too tight. Which additional information should the nurse obtain?
WITH CLEAR QUESTIONS AND ANSWERS GRADED A+
GUARANTEED PASS
The nurse is preparing to administer enoxaparin (lovenox) 135 mg subcutaneously. the
medication is available in a cartridge labelled 150 mg/ml. How many ml should the
nurse administer? (if rounding is required, round to the nearest tenth)
0.9 ml
The nurse is obtaining a clients fingerstick glucose level. After gently milking the
client’s finger, the nurse observes that the distal tip of the finger appears reddened and
engorged. What action should the nurse take?
A. Collect the blood sample
B. Assess radial pulse volume
C. Apply pressure to the site
D. Select another finger
A. Collect the blood sample
A client 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 60 to 90 degrees.
D. Elevate head of bed 60 to 90 degrees.
,A young female client with 7 children is having frequent morning headaches, dizziness,
and blurred vision. Her BP is 168/104. The client reports that her husband recently lost
his job and she is not sleeping well. After administering a STAT dose of an
antihypertensive IV med, which intervention is most important for the nurse to
implement?
A. Measure urine output hourly to assess for renal perfusion
B. Request a prescription for pain medication
C. Use an automated BP machine to monitor for hypotension
D. Provide a quiet environment with low lighting.
C. Use an automated BP machine to monitor for hypotension
The wife of a client with Parkinson’s disease expresses concern because her husband
has lost so much weight. Which teaching is best for the nurse to provide?
A. Invite friends over regularly to share meal times
B. Encourage the client to drink clear liquids between meals
C. Coach the client to make an intentional effort to swallow
D. Talk to the HCP about prescribing an appetite stimulant
A. Invite friends over regularly to share meal times.
A client who was discharged 8 months ago with cirrhosis and ascites is admitted with
anorexia and recent haemoptysis. 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 the nurse implement first?
A. Evaluate distal capillary refill for delayed perfusion
B. Check the extremities for bruising and petechiae
C. Examine the pertibial regions for pitting oedema
D. Palpate the abdomen for tenderness and rigidity
D. Palpate the abdomen for tenderness and rigidity.
, A client with urolithiasis is preparing for discharge after lithotripsy. Which
intervention should the nurse include in the clients’ postoperative discharge
instructions?
A. Report when haematuria becomes pink tinged
B. Use incentive spirometer
C. Restrict physical activities
D. Monitor urinary stream for decrease in output
D. Monitor urinary stream for decrease in output
What Information should the nurse include in the teaching plan of a client diagnosed
with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose, comfortable clothing
D. Avoid Participation in any aerobic exercise program
C. Minimize symptoms by wearing loose, comfortable clothing
After a hospitalization for SIADH, a client develops pontine myelinolysis. Which
Intervention should the nurse implement first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate client’s ability to swallow
D. Perform range of motion exercises
A. Reorient client to room
A male client with heart failure calls the clinic and reports that he cannot put his shoes
on because they are too tight. Which additional information should the nurse obtain?
