1
Med-Surg II HESI Exam - Set One Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A nurse is caring for a client with a new diagnosis of deep vein thrombosis (DVT). Which intervention should be implemented first?
- Encourage ambulation
- Apply warm compresses
- Place the leg in a dependent position
✔✔C. Initiate anticoagulant therapy as prescribed
A client with a history of hypertension is prescribed hydrochlorothiazide. Which lab value should the nurse monitor closely?
- Sodium
- Glucose
- Magnesium
✔✔B. Potassium
A client with a chest tube has continuous bubbling in the water seal chamber. What should the nurse do first? 1 / 4
2
- Add sterile water to the chamber
- Lower the drainage system below chest level
- Notify the healthcare provider immediately
✔✔B. Check for an air leak in the system
A nurse is assessing a client after a total knee replacement. Which finding requires immediate intervention?
- Pain rated 7/10
- Mild swelling around the incision
- Low-grade fever
✔✔B. Absent pedal pulses in the affected leg
A client with COPD is receiving oxygen via nasal cannula at 4 L/min. The client’s respiratory rate drops from 20 to 10. What is the nurse’s best action?
- Increase the oxygen flow
- Remove the oxygen
- Apply a nonrebreather mask 2 / 4
✔✔B. Lower the oxygen to 2 L/min
3
A nurse is providing discharge teaching for a client prescribed warfarin. Which statement indicates the client understands the teaching?
- “I can eat as much spinach as I want.”
- “I will take an aspirin daily for extra protection.”
- “I don’t need to watch for bruising.”
✔✔C. “I will have my INR checked regularly.”
Which finding is expected in a client with hypoparathyroidism?
- Hypercalcemia
- Hypernatremia
- Hyperkalemia
✔✔B. Hypocalcemia
A nurse is caring for a client receiving IV furosemide. Which assessment finding should be reported immediately?
- Weight loss of 2 pounds in 24 hours
✔✔B. Tinnitus 3 / 4
4
- Increased urine output
- Blood pressure of 118/70 mmHg
A client with chronic kidney disease is prescribed erythropoietin. Which outcome indicates the medication is effective?
- Decreased swelling in the legs
- Lower potassium level
- Reduced blood pressure
✔✔B. Increased hemoglobin level
A nurse is caring for a client with cirrhosis who has ascites. Which position is best for breathing comfort?
- Supine with legs elevated
- Side-lying with knees bent
- Trendelenburg
✔✔C. High Fowler’s position
A client with type 2 diabetes is taking metformin. Which instruction is most important if the client is scheduled for a CT scan with contrast?
- / 4