HESI MED SURG V1&2 EXAM PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE QUESTIONS AND CORRECT DETAILED
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A male client is admitted to the rehabilitation unit following a cerebrovascular
accident (CVA), which resulted in paralysis of his right arm. When the nurse enters
the room, he is struggling to put on a shirt, and he curses at the nurse. What is the
best first response by the nurse?
A. We will give you a class on dressing tomorrow
B. This unit has a policy against staff harassment
C. Dressing must be a frustrating experience for you
D. It is important to dress the right arm first
C
The nurse is caring for an older client with impaired skin integrity to shearing
forces and pressure that is manifested as a draining stage 3 sacral ulcer. Which
intervention is most important for the nurse to implement?
A. Teach the family how to perform wound care
B. Encourage a diet high in protein
C. Ensure that IV fluids are administered as prescribed
D. Daily range of motion exercises
B
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While planning care for a patient with carpal tunnel syndrome, the nurse
identifies a collaborative problem of pain. What is the etiology of this problem?
A. Compression of the nerve
B. Diminished blood flow
C. Ischemic tissue changes
D. Irritation of nerve endings
A
A client with a medical diagnosis of ruptured cerebral aneurysm exhibits these
symptoms: no eye opening, no sound vocalized, and flexion to pain (decorticate
posturing). When calculating the Glasgow Coma Scale score, which value should
the nurse document for this client?
A. 13
B. 9
C. 3
D. 5
D
A client with acute myelogenic leukemia (AML) is admitted for chemotherapy (CT)
using cytarabine and the antitumor antibiotic daunorubicin. Which measures are
most important for the nurse to implement during the induction stage of
chemotherapy?
A. Assessment for graft versus host disease
B. Precautions to prevent infection and bleeding
C. Administration of whole blood products
D. Scheduling of outpatient maintenance therapy
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B
To reduce the risk for pulmonary complication for a client with Amyotrophic
Lateral Sclerosis (ALS), what interventions should the nurse implement? (Select all
that apply)
a. Initiate passive range of motion exercises
b. Establish a regular bladder routine
c. Teach the client breathing exercises
d. Perform chest physiotherapy
e. Encourage use of incentive spirometer
A, D, E
A client with polycystic kidney disease is admitted because of an abrupt onset of
massive polyuria. The client is pale, tachycardic, and febrile. Which laboratory
finding require immediate intervention by the nurse?
A. Soidium 184 mEq/l
B.. Glucose 110 md/dl
C. Calcium 9 mg/dl
D. HCO3 25 mEq/l
A
A client tells the nurse, "I just received good news about my tumor. I have a
neoplasm, but it is benign." How should the nurse respond?
A. Inform the healthcare provider that the client does not understand the test
results
B. Ask the client if the diagnostic tests indicated any secondary metastasis
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C. Reinforce the clients joy and clarify the typical use of the term "neoplasm"
D. Explain the client the seriousness of having neoplastic disease
B
The nurse is assessing a client diagnosed with a medical diagnosis of Bartholin
cyst. Which physical assessment technique should the nurse use to observe the
cyst?
A. Listen for bowel sounds in all four quarters of the abdomen
B. Place the client in a lithotomy position to perform a pelvic examination
C. Ask the client to lie flat and cough while the nurse visualizes the inguinal area
D. Expose the lesion to a Woods lamp and observe for fluorescence
B
The nurse obtains a fingerstick glucose level utilizing bedside lancet/glucose meter
equipment from a client with prescribed sliding scale insulin protocol. The meter
indicates 56 mg/dl (3.12 mmol/l). At this time which intervention should the nurse
implement first?
A. Collect a blood specimen by venipuncture to send to the laboratory for serum
glucose analysis.
B. Prepare the prescribed dose of rapid acting insulin from the sliding scale
instructions.
C. Give the client six ounces of non-die
C
To achieve maximum mobility and independence for a client with multiple
sclerosis (MS), which intervention is most important for the nurse to implement?
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