Page 1 of 159
HESI MED-SURG EXIT BANK 2026 EXAM ALL
COMPLETE CURRENT TESTING QUESTIONS
AND DETAILED CORRECT ANSWERS
(VERIFIED) GUARANTEED PASS/TOP-RATED
A+.
HESI
Maximize your success on the HESI Med-Surg Exit Exam with
focused preparation that strengthens your clinical judgment,
prioritization skills, and management of adult health conditions
across body systems. This high-stakes exit assessment helps
reinforce comprehensive medical-surgical concepts while
identifying specific areas that need improvement for predicting
NCLEX-RN success and program completion. It is specifically
designed for nursing students.
1. While assessing a client with diabetes mellitus, the nurse
observes an absence of hair growth
on the client's legs. What additional assessment provides
further data to support this
finding?
a. Palpate for the presence of femoral pulses bilaterally.
, Page 2 of 159
b. Assess for the presence of a positive Homan's sign.
c. Observe the appearance of the skin on the client's legs.
d. Watch the client's posture and balance during ambulation
✓ ✓...... ANSWER ....... C
Signs of chronic arterial insufficiency include decreased hair
growth in the legs and feet,
absent or decreased pedal pulses, infection in the foot, poor
wound healing, thickened nails,
and a shiny appearance of the skin (C). Femoral pulses (A)
should still be palpable in the
diabetic with chronic arterial insufficiency. A positive
Homan's sign is an indicator of deep
vein thrombosis (B). (D) would probably not be affected
significantly by chronic arterial
insufficiency.
2. The healthcare provider prescribes 15 mg/kg of
Streptomycin for an infant weighing 4 pounds.
The drug is diluted in 25 ml of D5W to run over 8 hours. How
much Streptomycin will the
infant receive?
, Page 3 of 159
a. 9 mg.
b. 18 mg.
c. 27 mg.
d. 36 mg ✓ ✓...... ANSWER ....... C
4 lbs / 2.2 = 1.8 kg. 1.8 x 15 = 27 mg (C).
NOTE, the fact that the drug is diluted in 25 ml of D5W, is not
relevant to the calculation
requested
In assessing a client with preeclampsia who is receiving
magnesium sulfate, the nurse
determines that her deep tendon reflexes are 1+; respiratory
rate is 12 breaths/minute;
urinary output is 90 ml in 4 hours; magnesium sulfate level is
9 mg/dl. Based on these
findings, what intervention should the nurse implement?
a. Continue the magnesium sulfate infusion as prescribed.
b. Decrease the magnesium sulfate infusion by one-half.
c. Stop the magnesium sulfate infusion immediately.
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d. Administer calcium gluconate immediately. ✓ ✓......
ANSWER ....... C
The client is exhibiting symptoms of magnesium sulfate
toxicity--decreased reflexes (normal is
+2), a low normal respiratory rate (normal is 12 to 20
breaths/min), a less than average
urinary output (30 ml/hour is average), and a low magnesium
sulfate level (normal is 4 to
8mg/dl). Based on these findings, the nurse should stop the
infusion (C). (A) is
contraindicated. (B) would not fully alleviate the magnesium
sulfate toxicity symptoms. (D)
(the antagonist for magnesium sulfate) would be indicated if
the respiratory rate were less
than 12 breaths/minute.
A client is on a mechanical ventilator. Which client response
indicates that the neuromuscular
blocker tubocurarine chloride (Tubarine) is effective?
a. The client's expremities are paralyzed.
b. The peripheral nerve stimulator causes twitching.
HESI MED-SURG EXIT BANK 2026 EXAM ALL
COMPLETE CURRENT TESTING QUESTIONS
AND DETAILED CORRECT ANSWERS
(VERIFIED) GUARANTEED PASS/TOP-RATED
A+.
HESI
Maximize your success on the HESI Med-Surg Exit Exam with
focused preparation that strengthens your clinical judgment,
prioritization skills, and management of adult health conditions
across body systems. This high-stakes exit assessment helps
reinforce comprehensive medical-surgical concepts while
identifying specific areas that need improvement for predicting
NCLEX-RN success and program completion. It is specifically
designed for nursing students.
1. While assessing a client with diabetes mellitus, the nurse
observes an absence of hair growth
on the client's legs. What additional assessment provides
further data to support this
finding?
a. Palpate for the presence of femoral pulses bilaterally.
, Page 2 of 159
b. Assess for the presence of a positive Homan's sign.
c. Observe the appearance of the skin on the client's legs.
d. Watch the client's posture and balance during ambulation
✓ ✓...... ANSWER ....... C
Signs of chronic arterial insufficiency include decreased hair
growth in the legs and feet,
absent or decreased pedal pulses, infection in the foot, poor
wound healing, thickened nails,
and a shiny appearance of the skin (C). Femoral pulses (A)
should still be palpable in the
diabetic with chronic arterial insufficiency. A positive
Homan's sign is an indicator of deep
vein thrombosis (B). (D) would probably not be affected
significantly by chronic arterial
insufficiency.
2. The healthcare provider prescribes 15 mg/kg of
Streptomycin for an infant weighing 4 pounds.
The drug is diluted in 25 ml of D5W to run over 8 hours. How
much Streptomycin will the
infant receive?
, Page 3 of 159
a. 9 mg.
b. 18 mg.
c. 27 mg.
d. 36 mg ✓ ✓...... ANSWER ....... C
4 lbs / 2.2 = 1.8 kg. 1.8 x 15 = 27 mg (C).
NOTE, the fact that the drug is diluted in 25 ml of D5W, is not
relevant to the calculation
requested
In assessing a client with preeclampsia who is receiving
magnesium sulfate, the nurse
determines that her deep tendon reflexes are 1+; respiratory
rate is 12 breaths/minute;
urinary output is 90 ml in 4 hours; magnesium sulfate level is
9 mg/dl. Based on these
findings, what intervention should the nurse implement?
a. Continue the magnesium sulfate infusion as prescribed.
b. Decrease the magnesium sulfate infusion by one-half.
c. Stop the magnesium sulfate infusion immediately.
, Page 4 of 159
d. Administer calcium gluconate immediately. ✓ ✓......
ANSWER ....... C
The client is exhibiting symptoms of magnesium sulfate
toxicity--decreased reflexes (normal is
+2), a low normal respiratory rate (normal is 12 to 20
breaths/min), a less than average
urinary output (30 ml/hour is average), and a low magnesium
sulfate level (normal is 4 to
8mg/dl). Based on these findings, the nurse should stop the
infusion (C). (A) is
contraindicated. (B) would not fully alleviate the magnesium
sulfate toxicity symptoms. (D)
(the antagonist for magnesium sulfate) would be indicated if
the respiratory rate were less
than 12 breaths/minute.
A client is on a mechanical ventilator. Which client response
indicates that the neuromuscular
blocker tubocurarine chloride (Tubarine) is effective?
a. The client's expremities are paralyzed.
b. The peripheral nerve stimulator causes twitching.
