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Med Surg 1 HESI Final T2 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A postoperative client suddenly develops shortness of breath and chest pain. What should the nurse do first?
- Apply ice packs
- Administer pain medication
- Increase IV fluids
✔✔C. Elevate the head of the bed and apply oxygen
A client with type 2 diabetes reports shakiness, sweating, and blurred vision. What is the best initial intervention?
- Give a high-protein snack
- Provide peanut butter on crackers
- Call the healthcare provider
✔✔C. Give 4 oz of orange juice
A client with COPD has an oxygen saturation of 88% on room air. What should the nurse do first? 1 / 4
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- Increase oxygen to 6 L/min via nasal cannula
- Place the client in the supine position
- Reduce physical activity for the day
✔✔B. Encourage pursed-lip breathing
A client with cirrhosis develops confusion and lethargy. Which lab result is most important for the nurse to review?
- Sodium level
- Potassium level
- Albumin level
✔✔B. Ammonia level
A client receiving digoxin has an apical pulse of 54 beats/min. What is the nurse’s best action?✔✔A. Hold the dose and notify the healthcare provider
- Give the medication with food
- Recheck the pulse in 10 minutes
- Encourage fluid intake
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A nurse is caring for a client post-thyroidectomy who has noisy breathing and difficulty speaking. What is the priority?
- Offer ice chips
- Reassure the client
- Encourage coughing and deep breathing
✔✔C. Notify the healthcare provider immediately
A client is admitted with a diagnosis of deep vein thrombosis in the left leg. Which nursing intervention is most important?
- Apply warm compresses to the affected leg
- Massage the affected calf
- Encourage walking every hour
✔✔B. Maintain bed rest and elevate the leg
A client with a chest tube has gentle tidaling in the water-seal chamber. What should the nurse do?
- Clamp the tube immediately
- Notify the provider 3 / 4
✔✔B. Document the finding as normal
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- Increase suction
A client with a stroke has difficulty swallowing. Which action is most important for the nurse?
- Provide thin liquids with a straw
- Encourage rapid eating
- Offer large bites of food
✔✔C. Place food on the unaffected side of the mouth
A client undergoing blood transfusion develops chills, fever, and back pain. What is the nurse’s first action?
- Slow the transfusion rate
- Notify the laboratory
- Administer antihistamines
✔✔B. Stop the transfusion
A client with pneumonia has thick, tenacious sputum. Which action should the nurse encourage?
- Restrict fluids
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✔✔B. Increase oral fluid intake