7/10/23, 12:21 PM Med surg hesi exit exam latest 2022 test bank with rationales complete
a…
med hesi
MED SURG HESI EXIT EXAM/Latest
2026/Test Bank
Following discharge teaching, a lient malewith l ulcer tells the the
he will drink lenty
c p of dairy t , as
duodena milk, to helpand
nurse coatprotect
ulcer. What s produc
the best follow-up action
s such the nurse? his
(ANS-
i Review
by th withe client the need voidtofoods thatich arein milk and
crea a r
m
A male client with hypertension, o received newhypertensive tions
at his last
visit
wh returns to the
c two
antiweeks later valuate
to hisod
prescrip
(BP). Hisclini
BP 158/10
is and hee admits that s not
heblobeen g the pressure
medication 6se thehadrugs make im "feel bad".
takin In ining the need
prescribed
hypertension
becau ontrol,
h the nurseldexpla
stress that an vatedforBP places the nt
at
c risk for whic
h pathophysiological
shou ondition?
ele clie
(ANS- Stroke c ondary
sec to ha e
hemorr g
The nurse es an unlicensedtive personnel (UAP) sitioning
po a newly
admitted
observ nt who
assis has a disorder. The client
is supine and the UAP is
placing
clie soft
pillows
seizure along the
de rails. What action
sho ld the nurse nt?
(ANS- Instruct
si the UAP to obtain t blankets tou secure
o the side rails of
impleme
pillows. sof t instead
An adolescent ith major depressiveisorder has beeng duloxetine
(wCymbalta) the
for
d past 12 days. ichtakin
assessmenting res
follow-up? Wh find requi immediate
(ANS- Descri
bes life withoutose
purp
A 60-year-old le client with positive
a family history
varian
of cancer has
developed
fema bdominal
an massiso being evaluatedr possible ovarianer.
Her
a u (Pap) smear fo
and resultsgative.
are Whatcanc tion should
nurse include
n
Papanicola ne the client's ing plan?
informa the
i(ANS- Further
valuation
teache involving
s rgery y be
u ma needed
about:blank 1/224
,7/10/23, 12:21 PM Med surg hesi exit exam latest 2022 test bank with rationales complete
a…
A client whocently
re underwear aostomy is g prepared for ge to
home. Whichnstructions
i
trache is most bein
nt for the nurse lude
discharto in the
discharge n?
importa inc
(ANS- Teach cheal
pla tra suctioning
techniques
In assessing an
dulta client with tial
a rebreather mask, he nurse notes that
oxygen irpar
bag does not deflate
t ompletely during
theinspiration
d the client's
respiratory
reservo ec is 14 breaths nute.
/ anWhat action
ld the nurse nt?
(ANS-
rat Documenmit the assessment
shout impleme
da a
Rationale: oir bag should not late completely
uring inspiration
nd the
client's
reserv orydefrate is within normal
dlimits. a
respirat
During shiftport,
re the centralocardiogram (EKG) onitoring
m system
alarms. Whic
helectr
client alarm should
he nurse investigate firs?
(ANS- Respira
t tory apnea of 30 seconds
During a home visit, the nurse ved an elderly client with diabetes ip and
fall. What acti
on should
obser the take
sl first?
(ANS- Check het client for
nurse s or fractures
laceration
At 0600 while dmitting
a a womanor a schedule t cesarean section
Section), theient
f cl tells the that
repeashe drankpa(C-
a coffee at 0400use she
wanted to void getting
nurse a headache.
cu hich action
becad the nurse take
(ANS-
a Inform
W the nesthesia
a careider
shoul first?
prov
After placingstethoscope
a as nseen
the picture, the nurse
scultates S1 and S2
heart sounds.
Toi determine if3an heart
au S sound is t, what action d the
nurse taket? presen shoul
(ANS- Listen th
firs withe bell at thelocaio
same t n
A 66-year-old
woman is retiringwill andno longer
have a health insurance
through herlace of employment. hich agency shouldthe client be referred
o by
the
p employee
W alth nurse forlth insurance needs?
t
(ANS-
he Medicare hea
about:blank 2/224
,7/10/23, 12:21 PM Med surg hesi exit exam latest 2022 test bank with rationales complete
a…
A client who is taking an oral dosetracyclineof a complain
s of l
upset. What nack
te should these instruct the t to take with the
acycline?
gastrointestina
(ANS-
s Toasted
nurwheat bread clien and
ly tetr
jel
Following a lumba r puncture, a t voices severalplaints. What complaint
indicatedthe to nurseclien thatlient
the com
is experiencing mplication?
a co
(ANS- "I have
c eadache
a h that gets when I sit up"
"I am havingnworse pai
in my lowerkbac when I move my gs"le
"My throatts when I swallow"
"I
hurfeel sick my
to stomach and am going hrowtoup"
t
An elderlyientcl seems confused and reports the of nausea, dysuria, nd
urgency with ncontinence.
i Whichion should the
onset a nurse
implement?
(ANS- Obtain actlean
a c catch mid-stream n
specime
The nurse issisting
as the mother of with a a (PKU) to select
foods that are keeping
child in with the
ild's dietary s riction . Which ods
phenylketonuri fo are
contraindicat d for
ch this child? re t s
e(ANS- Foods sweetened withrtame
aspa
Before nga clien for e first surgical case f theo day, a part-time scrub
nurse
prepari asks
t e circu lating
t th nurse if anute
3 mi surgical n scrub isdequat
a
preparation
h his
for client. Which onse
resp
ha should the
d ating nurse
e provide?
(ANS-
t Direct the nurse to continue he surgical hand
circul ub for a 5 minuteion
t scr durat
Which breakfa st selection tes that the client nderstands the se's
instructionsoutindica the dietaryu gement of nur
(ANS- Bagel
ab ith
manaw jelly and skim milk
osteoporosis?
The charge nursecritical
of care unit
nformed
is i at thenning of the shift t
less
a than the
optimal number of d nurses
begi will be
orking
w
tha that shift. In
planning ignments,
registere which client
should receive thest care hours by a
registered
ass nurse
N)? mo
(R
about:blank 3/224
, 7/10/23, 12:21 PM Med surg hesi exit exam latest 2022 test bank with rationales complete
a…
(ANS- An 82-year-old client with Alzheimer's disease newly-fractures femur who
has a Foley catheter and soft wrist restrains applied
A mother brings her 6-year-old child, who has just stepped on a rusty nail, to
the pediatrician's office. Upon inspection, the nurse notes that the nail went
through the shoe and pierced the bottom of the child's foot. Which action
should the nurse implement first?
-Cleanse the foot with soap and water and apply an antibiotic ointment
-Provide teaching about the need for a tetanus booster within the next
72hours.
-have the mother check the child's temperature q4h for the next 24 hours -
transfer the child to the emergency department to receive a gamma globulin
injection
(ANS- Cleanse the foot with soap and water and apply an antibiotic ointment
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I
have been applying triple antibiotic ointment for two days, but there has been
no improvement." What instruction should the nurse provide?
(ANS- Stop using the ointment and encourage complete drying of the feet and
wearing clean socks.
A 26-year-old female client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms
indicate to the nurse that the prescribed dosage is too high for this client? The
client experiences
Bradycardia and constipation
Lethargy and lack of appetite
Muscle cramping and dry, flushed skin
Palpitations and shortness of breath
(ANS- Palpitations and shortness of breath
A client with a history of heart failure presents to the clinic with nausea,
vomiting, yellow vision and palpitations. Which finding is most important for
the nurse to assess to the client?
(ANS- Obtain a list of medications taken for cardiac history
about:blank 4/224
a…
med hesi
MED SURG HESI EXIT EXAM/Latest
2026/Test Bank
Following discharge teaching, a lient malewith l ulcer tells the the
he will drink lenty
c p of dairy t , as
duodena milk, to helpand
nurse coatprotect
ulcer. What s produc
the best follow-up action
s such the nurse? his
(ANS-
i Review
by th withe client the need voidtofoods thatich arein milk and
crea a r
m
A male client with hypertension, o received newhypertensive tions
at his last
visit
wh returns to the
c two
antiweeks later valuate
to hisod
prescrip
(BP). Hisclini
BP 158/10
is and hee admits that s not
heblobeen g the pressure
medication 6se thehadrugs make im "feel bad".
takin In ining the need
prescribed
hypertension
becau ontrol,
h the nurseldexpla
stress that an vatedforBP places the nt
at
c risk for whic
h pathophysiological
shou ondition?
ele clie
(ANS- Stroke c ondary
sec to ha e
hemorr g
The nurse es an unlicensedtive personnel (UAP) sitioning
po a newly
admitted
observ nt who
assis has a disorder. The client
is supine and the UAP is
placing
clie soft
pillows
seizure along the
de rails. What action
sho ld the nurse nt?
(ANS- Instruct
si the UAP to obtain t blankets tou secure
o the side rails of
impleme
pillows. sof t instead
An adolescent ith major depressiveisorder has beeng duloxetine
(wCymbalta) the
for
d past 12 days. ichtakin
assessmenting res
follow-up? Wh find requi immediate
(ANS- Descri
bes life withoutose
purp
A 60-year-old le client with positive
a family history
varian
of cancer has
developed
fema bdominal
an massiso being evaluatedr possible ovarianer.
Her
a u (Pap) smear fo
and resultsgative.
are Whatcanc tion should
nurse include
n
Papanicola ne the client's ing plan?
informa the
i(ANS- Further
valuation
teache involving
s rgery y be
u ma needed
about:blank 1/224
,7/10/23, 12:21 PM Med surg hesi exit exam latest 2022 test bank with rationales complete
a…
A client whocently
re underwear aostomy is g prepared for ge to
home. Whichnstructions
i
trache is most bein
nt for the nurse lude
discharto in the
discharge n?
importa inc
(ANS- Teach cheal
pla tra suctioning
techniques
In assessing an
dulta client with tial
a rebreather mask, he nurse notes that
oxygen irpar
bag does not deflate
t ompletely during
theinspiration
d the client's
respiratory
reservo ec is 14 breaths nute.
/ anWhat action
ld the nurse nt?
(ANS-
rat Documenmit the assessment
shout impleme
da a
Rationale: oir bag should not late completely
uring inspiration
nd the
client's
reserv orydefrate is within normal
dlimits. a
respirat
During shiftport,
re the centralocardiogram (EKG) onitoring
m system
alarms. Whic
helectr
client alarm should
he nurse investigate firs?
(ANS- Respira
t tory apnea of 30 seconds
During a home visit, the nurse ved an elderly client with diabetes ip and
fall. What acti
on should
obser the take
sl first?
(ANS- Check het client for
nurse s or fractures
laceration
At 0600 while dmitting
a a womanor a schedule t cesarean section
Section), theient
f cl tells the that
repeashe drankpa(C-
a coffee at 0400use she
wanted to void getting
nurse a headache.
cu hich action
becad the nurse take
(ANS-
a Inform
W the nesthesia
a careider
shoul first?
prov
After placingstethoscope
a as nseen
the picture, the nurse
scultates S1 and S2
heart sounds.
Toi determine if3an heart
au S sound is t, what action d the
nurse taket? presen shoul
(ANS- Listen th
firs withe bell at thelocaio
same t n
A 66-year-old
woman is retiringwill andno longer
have a health insurance
through herlace of employment. hich agency shouldthe client be referred
o by
the
p employee
W alth nurse forlth insurance needs?
t
(ANS-
he Medicare hea
about:blank 2/224
,7/10/23, 12:21 PM Med surg hesi exit exam latest 2022 test bank with rationales complete
a…
A client who is taking an oral dosetracyclineof a complain
s of l
upset. What nack
te should these instruct the t to take with the
acycline?
gastrointestina
(ANS-
s Toasted
nurwheat bread clien and
ly tetr
jel
Following a lumba r puncture, a t voices severalplaints. What complaint
indicatedthe to nurseclien thatlient
the com
is experiencing mplication?
a co
(ANS- "I have
c eadache
a h that gets when I sit up"
"I am havingnworse pai
in my lowerkbac when I move my gs"le
"My throatts when I swallow"
"I
hurfeel sick my
to stomach and am going hrowtoup"
t
An elderlyientcl seems confused and reports the of nausea, dysuria, nd
urgency with ncontinence.
i Whichion should the
onset a nurse
implement?
(ANS- Obtain actlean
a c catch mid-stream n
specime
The nurse issisting
as the mother of with a a (PKU) to select
foods that are keeping
child in with the
ild's dietary s riction . Which ods
phenylketonuri fo are
contraindicat d for
ch this child? re t s
e(ANS- Foods sweetened withrtame
aspa
Before nga clien for e first surgical case f theo day, a part-time scrub
nurse
prepari asks
t e circu lating
t th nurse if anute
3 mi surgical n scrub isdequat
a
preparation
h his
for client. Which onse
resp
ha should the
d ating nurse
e provide?
(ANS-
t Direct the nurse to continue he surgical hand
circul ub for a 5 minuteion
t scr durat
Which breakfa st selection tes that the client nderstands the se's
instructionsoutindica the dietaryu gement of nur
(ANS- Bagel
ab ith
manaw jelly and skim milk
osteoporosis?
The charge nursecritical
of care unit
nformed
is i at thenning of the shift t
less
a than the
optimal number of d nurses
begi will be
orking
w
tha that shift. In
planning ignments,
registere which client
should receive thest care hours by a
registered
ass nurse
N)? mo
(R
about:blank 3/224
, 7/10/23, 12:21 PM Med surg hesi exit exam latest 2022 test bank with rationales complete
a…
(ANS- An 82-year-old client with Alzheimer's disease newly-fractures femur who
has a Foley catheter and soft wrist restrains applied
A mother brings her 6-year-old child, who has just stepped on a rusty nail, to
the pediatrician's office. Upon inspection, the nurse notes that the nail went
through the shoe and pierced the bottom of the child's foot. Which action
should the nurse implement first?
-Cleanse the foot with soap and water and apply an antibiotic ointment
-Provide teaching about the need for a tetanus booster within the next
72hours.
-have the mother check the child's temperature q4h for the next 24 hours -
transfer the child to the emergency department to receive a gamma globulin
injection
(ANS- Cleanse the foot with soap and water and apply an antibiotic ointment
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I
have been applying triple antibiotic ointment for two days, but there has been
no improvement." What instruction should the nurse provide?
(ANS- Stop using the ointment and encourage complete drying of the feet and
wearing clean socks.
A 26-year-old female client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms
indicate to the nurse that the prescribed dosage is too high for this client? The
client experiences
Bradycardia and constipation
Lethargy and lack of appetite
Muscle cramping and dry, flushed skin
Palpitations and shortness of breath
(ANS- Palpitations and shortness of breath
A client with a history of heart failure presents to the clinic with nausea,
vomiting, yellow vision and palpitations. Which finding is most important for
the nurse to assess to the client?
(ANS- Obtain a list of medications taken for cardiac history
about:blank 4/224
