MED SURG RN HESI EXIT VERSION 5 EXAM LATEST 2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
A male client is admitted to the emergency department with
vomiting of dark brown, foul- smelling emesis. He reports he had
a surgical repair of a recurrent inguinal hernia one week ago and
complains of intense abdominal pain. After assessing that his
bowel sounds are hyperactive, which prescription should the
nurse implement first?
a. Place an indwelling urinary catheter and attach a bedside
drainage unit
b. Give a prescribed analgesic for temp above 101 F
c. Insert a NGT and attach to low suction
d. Send the patient to x-ray for a flat plate of the abdomen -
ANSWER-Ans. C
A client is admitted to the hospital for shortness of breath and
chest pain after an episode of syncope. Which laboratory finding
is most important for the nurse to report to the healthcare
provider?
,2|Page
a. Hematocrit
b. Blood glucose
c. Oxygen saturation
d. Troponin I - ANSWER-Ans. D
A client is hospitalized after experiencing a myocardial infarction
(MI) to reduce cardiac workload, which intervention should the
nurse include in the client's plan of care?
a. Teach to sleep in a side-lying position
b. Encourage active range of motion exercises
c. Provide a bedside commode for toileting
d. Assist with ambulation in the hallway - ANSWER-Ans. C
The healthcare provider prescribes radiation therapy (RT) for a
client with terminal metastatic cancer who is experiencing
increased pain due to spinal compression. The client asks the
nurse why radiation therapy is prescribed. Which mechanism
supports the use of RT in the client's metastatic cancer?
a. Implementation of all possible treatments offers clients the best
chance of survival
,3|Page
b. Pain relief can be provided by shrinking tumors that press
against spinal nerves
c. Evidence indicates that RT can prolong life in clients with
metastatic cancers
d. RT is an alternative to surgery that affects tumor growth and
eradicates cancer - ANSWER-Ans. B
The nurse is caring for a client diagnosed with psoriasis vulgaris
who is receiving a PUVA treatment. Which assessment finding
indicates that the client has been overexposed to the treatment?
a. Brown, rough, greasy, wart-like papules on the face
b. Thick skin plagues topped by silvery white scales
c. Requires sunglasses because sunlight hurts eyes
d. Tenderness upon palpation and generalized erythema -
ANSWER-Ans. D
An older client with long-term type 2 diabetes mellitus (DM) is
seen in the clinic for a routine health assessment. Which
assessments would the nurse ---- determine if the patient with
type 2 DM is experiencing long-term complications? (SATA)
, 4|Page
a. Visual acuity
b. Skin condition of lower extremities
c. Sensation in feet and legs
d. Serum creatinine and blood urea nitrogen (BUN)
e. Signs of respiratory tract infection - ANSWER-Ans. A, B, C, D
A client with a history of chronic obstructive disease (COPD) is
admitted with pneumonia. Vital signs include oxygen saturation
89% temperature 100.5 F (38 C) heart rate 120 beats/minute,
respirations 28 breaths/minute and blood pressure 170/90 mmHg.
Which finding warrants immediate intervention by the nurse?
a. Shortness of breath on exertion
b. Coarse breath sounds
c. Bilateral diffuse wheezing
d. Yellow expectorated sputum - ANSWER-Ans. B
The nurse observes an increased number of blood clots in the
drainage tubing of a client with continuous bladder irrigation
following a transurethral resection of the prostate (TURP). What is
the best initial nursing action?