B. INR 2.5 - and Answers | Latest Version | | Correct & Veri...

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Med Surg 2 Hesi Practice Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A patient with a history of COPD is admitted with worsening shortness of breath. ABGs show pH 7.30, PaCO₂ 58 mmHg, HCO₃ 25 mEq/L. Which interpretation is correct?

• Respiratory alkalosis

✔✔B. Respiratory acidosis

• Metabolic acidosis
• Metabolic alkalosis

A patient with atrial fibrillation is prescribed warfarin. Which lab result indicates the medication is therapeutic?

A. INR 1.0

✔✔B. INR 2.5

C. INR 4.5

D. INR 0.8

A patient after a thyroidectomy develops tingling around the mouth and fingertips. Which electrolyte imbalance is suspected? 1 / 4

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• Hyperkalemia

✔✔B. Hypocalcemia

• Hypercalcemia
• Hyponatremia

A patient with heart failure is prescribed furosemide. Which finding requires immediate intervention?✔✔A. Potassium 2.9 mEq/L

• Sodium 138 mEq/L
• Blood pressure 110/68 mmHg
• Weight loss of 1 kg in a week

A patient with chronic kidney disease reports muscle twitching. Which lab finding supports this symptom?✔✔A. Calcium 6.5 mg/dL

• Sodium 140 mEq/L
• Potassium 4.5 mEq/L
• Chloride 101 mEq/L 2 / 4

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A patient with Cushing’s syndrome is at increased risk for which complication?

• Hypoglycemia

✔✔B. Hypertension

• Weight loss
• Bradycardia

A patient receiving vancomycin IV suddenly develops flushing and redness on the face, neck, and chest. What should the nurse do?✔✔A. Stop the infusion and notify the provider

• Apply warm compresses
• Continue at a slower rate
• Give an antihistamine first

A patient with type 1 diabetes has blood glucose of 50 mg/dL and is alert. What is the nurse’s priority?

• Administer insulin

✔✔B. Give 4 oz of fruit juice 3 / 4

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• Notify the provider
• Give glucagon injection

A patient post–hip replacement must avoid which movement to prevent dislocation?

• Keeping the legs abducted

✔✔B. Crossing the legs at the knees

• Using an abduction pillow
• Keeping the head of bed less than 60 degrees

A patient with sepsis is started on norepinephrine. Which assessment is most important?

• Bowel sounds

✔✔B. Urine output

• Skin color
• Pupillary response

A patient with acute pancreatitis is admitted. Which intervention takes priority?✔✔A. Keep the patient NPO

• Provide a high-fat diet
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