HESI MED SURG EXIT EXAM V1 ASSESSMENT TEST 2026 TESTED QUESTIONS WITH FULL SOLUTION GRADED A+

HESI MED SURG EXIT EXAM V1 ASSESSMENT
TEST 2026 TESTED QUESTIONS WITH FULL
SOLUTION GRADED A+

◉ A client's blood pressure reading is 156/94 mm Hg. Which action
should the nurse take first?
A.
Tell the client that the blood pressure is high and that the reading
needs to be verified by another nurse.
B.
Contact the health care provider to report the reading and obtain a
prescription for an antihypertensive medication.
C.
Replace the cuff with a larger one to ensure an ample fit for the
client to increase arm comfort.
D.
Compare the current reading with the client's previously
documented blood pressure readings. Answer: D
Rationale: Comparing this reading with previous readings will
provide information about what is normal for this client; this action
should be taken first. Option A might unnecessarily alarm the client.
Option B is premature. Further assessment is needed to determine if
the reading is abnormal for this client. Option C could falsely

,decrease the reading and is not the correct procedure for obtaining a
blood pressure reading.


◉ The nurse comes upon an automobile accident involving many
cars. Which victim should the nurse see first?
A.
The victim who is not breathing and does not have a pulse
B.
The victim who is bleeding out of both the ears, and the nose and
mouth, with a blank stare
C.
The victim who is heavily bleeding bright red blood from a thigh
wound
D.
The victim who is crying, complaining of arm pain, and no other
apparent injuries Answer: C
Rationale: The client hemorrhaging from the leg wound is the
priority as of the severely injured clients; the nurse can help the
client by tying off the leg above the injury and/or applying pressure
to the wound site. When there is only one health care provider on
the scene, the nurse must provide care to those who are most likely
to survive. The client without a pulse and respirations is dead. The
client with bleeding from the ears, nose, and mouth, with a blank
stare, likely has severe head trauma. The victim with arm pain and
crying is the lowest priority.

,◉ The nurse is evaluating the chart of a client scheduled for surgery
in 1 hour. When viewing the consent form, the nurse notes the
surgeon's signature, but not the client's signature. What steps must
the nurse take? (Select all that apply.)
A.
Call the surgeon.
B.
Ask the client, "Did your surgeon explain the procedure to you?"
C.
Have the client's spouse sign the form.
D.
Ask the client, "Do you have any questions?"
E.
Witness the signature.
F.
Obtain the consent. Answer: B, D, E
Rationale:It is the surgeon's responsibility to review the procedure
with the client until the client has no further questions. The nurse
can verify the review by the surgeon and ask if the client has any
further questions. If the client has questions, the nurse must call in
the surgeon. When the nurse signs the consent form, the nurse is
witnessing the signature only.

, ◉ In assisting an older adult client prepare to take a tub bath, which
nursing action is most important?
A.
Check the bath water temperature.
B.
Shut the bathroom door.
C.
Ensure that the client has voided.
D.
Provide extra towels. Answer: A
Rationale: To prevent burns or excessive chilling, the nurse must
check the bath water temperature. Options B, C, and D promote
comfort and privacy and are important interventions but are of less
priority than promoting safety


◉ The nurse is preparing an IV solution containing 10 mEq of
potassium in 100 mL of normal saline. Which findings would
concern the nurse? (Select all that apply.)
A.
A red and swollen peripheral IV site
B.
An order to infuse the solution at 50 mL/hr
C.