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Med Surg 2 HESI Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A patient with chronic heart failure reports weight gain of 4 pounds in 2 days. What should the nurse suspect?✔✔Fluid retention.
A patient with chest trauma has absent breath sounds on one side. What is the likely condition?✔✔Pneumothorax.
A patient with cirrhosis has yellowing of the skin and sclera. What is this called?✔✔Jaundice.
A patient with a tracheostomy accidentally dislodges the tube. What should the nurse do first?✔✔Insert a new tracheostomy tube immediately.
A patient with multiple sclerosis reports blurred vision and muscle weakness. What type of disease is this? 1 / 4
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✔✔Autoimmune demyelinating disease.
A patient with diabetic ketoacidosis has fruity breath odor. What causes this smell?✔✔Acetone production.
A patient receiving chemotherapy has a WBC count of 2,000/mm³. What is the priority action?✔✔Implement neutropenic precautions.
A patient with asthma is using an albuterol inhaler more than every 4 hours. What does this indicate?✔✔Poorly controlled asthma.
A patient after thyroidectomy develops tingling around the mouth and fingertips. What is the likely cause?✔✔Hypocalcemia.
A patient with end-stage renal disease has itching and grayish skin color. What causes this symptom? 2 / 4
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✔✔Uremic toxins in the skin.
A patient with liver failure has confusion and tremors. What condition should the nurse suspect?✔✔Hepatic encephalopathy.
A patient after hip replacement is instructed not to bend the hip more than 90 degrees. What is this to prevent?✔✔Hip dislocation.
A patient with acute pancreatitis reports severe abdominal pain radiating to the back. Which position can help relieve the pain?✔✔Sitting and leaning forward.
A patient with a chest tube has continuous bubbling in the water seal chamber. What does this indicate?✔✔Air leak.
A patient with a recent myocardial infarction develops crushing chest pain unrelieved by nitroglycerin. What complication should the nurse suspect? 3 / 4
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✔✔Reinfarction.
A patient with a suspected stroke arrives with slurred speech and facial droop. What is the priority action?✔✔Initiate rapid stroke protocol and call for CT scan.
A patient on IV heparin develops sudden severe abdominal pain and hypotension. What complication should be suspected?✔✔Internal bleeding.
A patient with COPD has a barrel-shaped chest. What causes this appearance?✔✔Chronic air trapping.
A patient with a spinal cord injury at T4 is at risk for autonomic dysreflexia. What is a common trigger?✔✔Bladder distention.
A patient with acute glomerulonephritis has dark, cola-colored urine. What causes this change?
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