2026 HESI Med Surg Exit Exam (V1 Version
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The nurse is teaching a primigravida about preeclampsia. Which findings are
indicators of preeclampsia and should be reported to the healthcare
provider?
A. Blurred vision
B. Headache
C. Lack of appetite
D. Urinary frequency
E. Chills and fever
F. Swollen hands ......ANSWER.....A. Blurred vision
B. Headache
F. Swollen hands
After removing a client's dressing that is saturated with sanguineous
drainage, where should the nurse place the dressing? ......ANSWER.....red bin
An older adult male who had an abdominal cholecystectomy has become
increasingly confused and disoriented over the past 24 hours. He found
wandering into another client's room and is returned to his room by the
unlicensed assistive personnel (UAP). Which actions should the nurse take?
A. Review the client's most recent serum electrolyte values
,B. Assign the UAP to re-assess the client's risk for falls
C. Report mental status changes to the healthcare provider
D. Apply soft upper limb restraints and raise all four bed rails
E. Assess the client's breath sounds and oxygen saturation ......ANSWER.....A.
Review the client's most recent serum electrolyte values
C. Report mental status change to the healthcare provider
E. Assess the client's breath sounds and oxygen saturation
A client is admitted with an exacerbation of heart failure secondary to
COPD. Which observations by the nurse require immediate intervention to
reduce the likelihood of harm to this client?
A. A bedside commode is positioned near the bed
B. A saline lock is present in the right forearm
C. A full pitcher of water is on the bedside table
D. A low sodium diet tray was brought to the room
E. The client is lying in a supine position in bed ......ANSWER.....C. A full
pitcher of water is on the bedside table
E. The client is lying in a supine position in bed
What is the priority nursing action when initiating morphine therapy via an
intravenous patient-controlled analgesia (PCA) pump?
A. Initiate the dosage lockout mechanism on the PCA pump
B. Assess the client's ability to use a numeric pain scale
C. Assess the abdomen for bowel sounds
,D. Instruct the client to use the medication before the pain becomes severe
......ANSWER.....A. Initiate the dosage lockout mechanism on the PCA pump
An older client comes to the clinic with a family member. When the nurse
attempts to take the client's health history, the client does not respond to
questions in a clear manner. What action should the nurse implement first?
A. Provide a printed health care assessment form
B. Ask the family member to answer the questions
C. Defer the health history until the client is less anxious
D. Assess the surroundings for noise and distractions ......ANSWER.....D.
Assess the surroundings for noise and distractions
Which conditions are most likely to respond to treatment with
antihistamines?
A. Bronchitis
B. Myocarditis
C. Otitis media
D. Contact dermatitis
E. Allergic rhinitis ......ANSWER.....D. Contact dermatitis
E. Allergic rhinitis
The nurse is providing care for a child who is brought to the emergency
department a few days after a laceration to the leg from a barbed wire fence.
The child has not received any tetanus immunizations and is manifesting
early signs of muscular rigidity with spasms and jaw clenching or trismus.
Which intervention should be the nurse's highest priority for this child?
, A. Suction oropharyngeal secretions
B. Prepare for intubation with mechanical ventilation
C. Minimize stimulation from sound, light, and touch
D. Monitor IV infusions ......ANSWER.....B. Prepare for intubation with
mechanical ventilation
The nurse identifies an electrolyte imbalance, crackles on auscultation and
an elevated blood pressure in a client with progressive heart disease. Which
intervention should the nurse include in the plan of care?
A. Measure ankle circumference
B. Record usual eating patterns
C. Evaluate for muscle cramping
D. Document abdominal girth ......ANSWER.....A. Measure ankle
circumference
The nurse is assigned to care for a client diagnosed with psoriasis. Which
behavior by the nurse addresses this client's psychosocial need for
acceptance?
A. Encouraging the client to join a support group
B. Wearing gloves when interviewing the client
C. Allowing the client to ventilate feelings
D. Shaking the client's hand during an introduction ......ANSWER.....D.
Shaking the client's hand during an introduction
An adult woman who was recently diagnosed with type 2 DM is seen in the
clinic for laboratory tests. The client's height is 5 feet 2 inches and weight is
1) Brand New Q&As Guaranteed A+:
Latest 2026
The nurse is teaching a primigravida about preeclampsia. Which findings are
indicators of preeclampsia and should be reported to the healthcare
provider?
A. Blurred vision
B. Headache
C. Lack of appetite
D. Urinary frequency
E. Chills and fever
F. Swollen hands ......ANSWER.....A. Blurred vision
B. Headache
F. Swollen hands
After removing a client's dressing that is saturated with sanguineous
drainage, where should the nurse place the dressing? ......ANSWER.....red bin
An older adult male who had an abdominal cholecystectomy has become
increasingly confused and disoriented over the past 24 hours. He found
wandering into another client's room and is returned to his room by the
unlicensed assistive personnel (UAP). Which actions should the nurse take?
A. Review the client's most recent serum electrolyte values
,B. Assign the UAP to re-assess the client's risk for falls
C. Report mental status changes to the healthcare provider
D. Apply soft upper limb restraints and raise all four bed rails
E. Assess the client's breath sounds and oxygen saturation ......ANSWER.....A.
Review the client's most recent serum electrolyte values
C. Report mental status change to the healthcare provider
E. Assess the client's breath sounds and oxygen saturation
A client is admitted with an exacerbation of heart failure secondary to
COPD. Which observations by the nurse require immediate intervention to
reduce the likelihood of harm to this client?
A. A bedside commode is positioned near the bed
B. A saline lock is present in the right forearm
C. A full pitcher of water is on the bedside table
D. A low sodium diet tray was brought to the room
E. The client is lying in a supine position in bed ......ANSWER.....C. A full
pitcher of water is on the bedside table
E. The client is lying in a supine position in bed
What is the priority nursing action when initiating morphine therapy via an
intravenous patient-controlled analgesia (PCA) pump?
A. Initiate the dosage lockout mechanism on the PCA pump
B. Assess the client's ability to use a numeric pain scale
C. Assess the abdomen for bowel sounds
,D. Instruct the client to use the medication before the pain becomes severe
......ANSWER.....A. Initiate the dosage lockout mechanism on the PCA pump
An older client comes to the clinic with a family member. When the nurse
attempts to take the client's health history, the client does not respond to
questions in a clear manner. What action should the nurse implement first?
A. Provide a printed health care assessment form
B. Ask the family member to answer the questions
C. Defer the health history until the client is less anxious
D. Assess the surroundings for noise and distractions ......ANSWER.....D.
Assess the surroundings for noise and distractions
Which conditions are most likely to respond to treatment with
antihistamines?
A. Bronchitis
B. Myocarditis
C. Otitis media
D. Contact dermatitis
E. Allergic rhinitis ......ANSWER.....D. Contact dermatitis
E. Allergic rhinitis
The nurse is providing care for a child who is brought to the emergency
department a few days after a laceration to the leg from a barbed wire fence.
The child has not received any tetanus immunizations and is manifesting
early signs of muscular rigidity with spasms and jaw clenching or trismus.
Which intervention should be the nurse's highest priority for this child?
, A. Suction oropharyngeal secretions
B. Prepare for intubation with mechanical ventilation
C. Minimize stimulation from sound, light, and touch
D. Monitor IV infusions ......ANSWER.....B. Prepare for intubation with
mechanical ventilation
The nurse identifies an electrolyte imbalance, crackles on auscultation and
an elevated blood pressure in a client with progressive heart disease. Which
intervention should the nurse include in the plan of care?
A. Measure ankle circumference
B. Record usual eating patterns
C. Evaluate for muscle cramping
D. Document abdominal girth ......ANSWER.....A. Measure ankle
circumference
The nurse is assigned to care for a client diagnosed with psoriasis. Which
behavior by the nurse addresses this client's psychosocial need for
acceptance?
A. Encouraging the client to join a support group
B. Wearing gloves when interviewing the client
C. Allowing the client to ventilate feelings
D. Shaking the client's hand during an introduction ......ANSWER.....D.
Shaking the client's hand during an introduction
An adult woman who was recently diagnosed with type 2 DM is seen in the
clinic for laboratory tests. The client's height is 5 feet 2 inches and weight is
