Med-Surg II HESI Exam - Set Two

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Med-Surg II HESI Exam - Set Two Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A patient with acute pericarditis reports sharp chest pain that improves when leaning forward.Which intervention is most appropriate?

• Place the patient supine

✔✔B. Maintain the upright position

• Restrict fluids
• Apply ice packs to the chest

A patient with a recent ischemic stroke is prescribed tPA. Which finding would cause the nurse to hold the medication?

• Blood pressure 150/80 mmHg

✔✔B. Active gastrointestinal bleeding

• Age over 65 years
• History of hypertension

A patient with diabetic ketoacidosis is receiving IV insulin. Which lab value should be monitored closely? 1 / 4

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• Sodium

✔✔B. Potassium

• Calcium
• Chloride

A patient with end-stage renal disease has serum potassium of 6.9 mEq/L. Which action is the priority?

• Restrict dietary potassium
• Administer a loop diuretic

✔✔C. Prepare to give IV calcium gluconate

• Increase oral fluids

A patient with chronic liver disease has ascites. Which diet is most appropriate?✔✔A. Low sodium

• High sodium
• High potassium
• Low protein
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A patient after abdominal surgery develops a rigid abdomen and severe pain. What complication should the nurse suspect?

• Constipation
• Gastritis

✔✔C. Peritonitis

• Cholecystitis

A patient with multiple sclerosis reports spasticity that interferes with mobility. Which medication should the nurse anticipate?

• Levodopa
• Prednisone

✔✔C. Baclofen

• Donepezil

A patient receiving a blood transfusion develops fever and chills 20 minutes after starting. What is the nurse’s first action?✔✔A. Stop the transfusion

• Slow the infusion rate
• Give acetaminophen 3 / 4

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• Flush the IV line with saline

A patient with myasthenia gravis is experiencing increased weakness and difficulty swallowing.What should the nurse suspect?

• Parkinson’s disease

✔✔B. Myasthenic crisis

• Cholinergic crisis
• Stroke

A patient with chronic kidney disease has pruritus. Which nursing action is most appropriate?

• Encourage daily hot showers

✔✔B. Use moisturizing lotions

• Increase protein intake
• Apply alcohol-based cleansers

A patient post–thyroidectomy suddenly develops stridor and difficulty breathing. Which action is the priority?

• Elevate the head of bed
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