HESI EXAM vc
Exam Solution vc
Med Surg Final HESI Cartes 2026 A+ GRADE ASSURED C
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OMPLETE SOLUTIONS AND VERIFIED ANSWERS (2CDC8 vc vc vc vc vc
)
QUESTION 1 vc
A client with a productive cough has obtained a sputum specimen for culture as instructe
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d. What is the best initial nursing action?
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A. Administer the first dose of antibiotic therapy
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B. Observe the color, consistency, and amount of sputum
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C. Encourage the client to consume plenty of warm liquids
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D. Send the specimen to the lab for analysis
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ANSWER
B. Observe the color, consistency, and amount of sputum
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QUESTION 2 vc
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a c
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lient develops pontine myselinolysis. Which intervention should the nurse implement fir
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st?
A. Reorient client to his room
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B. Place a patch on one eye
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C. Evaluate client's ability to swallow
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D. Perform range of motion exercises
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ANSWER
A. Reorient client to his room
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QUESTION 3 vc
A male client with heart failure (HF) calls the clinic and reports that he cannot put his sh
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oes on because they are too tight. Which additional information should the nurse obtain?
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A. What time did he take his last medications?
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,B. Has his weight changed in the last several days?
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C. Is he still able to tighten his belt buckle?
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D. How many hours did he sleep last night?
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ANSWER
B. Has his weight changed in the last several days?
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QUESTION 4 vc
A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg. The h
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eparin is available in a 2 ml vial, labeled 10,000 units/ml. How many ml should the nurs
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e administer? (Enter numeric value only. If rounding is required, round to the nearest te
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nth.)
ANSWER
0.6 ml vc
QUESTION 5 vc
A client with Cushing's syndrome is recovering from an elective laparoscopic procedure.
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Which assessment finding warrants immediate intervention by the nurse?
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A. Irregular apical pulse
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B. Purple marks on the skin of the abdomen
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C. Quarter size blood spot on dressing
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D. Pitting ankle edema
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ANSWER
A. Irregular apical pulse
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QUESTION 6 vc
A male client with Herpes zoster (shingles) on his thorax tells the nurse that he is having
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difficulty sleeping. What is the probable etiology of this problem?
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A. Pain vc
B. Nocturia
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C. Dyspnea
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D. Frequent cough
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ANSWER
A. Pain
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QUESTION 7 vc
, A client with Addison's disease started taking hydrocortisone in a divided daily dose last
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week. It is most important for the nurse to monitor which serum laboratory value?
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A. Osmolarity
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B. Glucose
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C. Albumin
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D. Platelets
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ANSWER
B. Glucose
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QUESTION 8 vc
A client with acquired immunodeficiency syndrome (AIDS) has impaired gas exchange fr
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om a respiratory infection. Which assessment finding warrants immediate intervention
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by the nurse?
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A. Elevated temperature
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B. Generalized weakness
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C. Diminished lung sounds
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D. Pain when swallowing
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ANSWER
D. Pain when swallowing
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QUESTION 9 vc
During a paracentesis, two liters of fluid are removed from the abdomen of a client with
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ascites. A drainage bag is placed, and 50 ml of clear, straw-
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colored fluid drains within the first hour. What action should the nurse implement?
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A. Palpate for abdominal distention
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B. Send fluid to the lab for analysis
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C. Continue to monitor the fluid output
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D. Clamp the drainage tube for 5 minutes
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ANSWER
C. Continue to monitor the fluid output
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QUESTION 10 vc
A client who took a camping vacation two weeks ago in a county with a tropical climate c
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omes to the clinic describing vague symptoms and diarrhea for the past week. Which fin
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ding is most important for the nurse report to the healthcare provider?
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A. Weakness and fatigue
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B. Intestinal cramping
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Exam Solution vc
Med Surg Final HESI Cartes 2026 A+ GRADE ASSURED C
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OMPLETE SOLUTIONS AND VERIFIED ANSWERS (2CDC8 vc vc vc vc vc
)
QUESTION 1 vc
A client with a productive cough has obtained a sputum specimen for culture as instructe
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d. What is the best initial nursing action?
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A. Administer the first dose of antibiotic therapy
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B. Observe the color, consistency, and amount of sputum
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C. Encourage the client to consume plenty of warm liquids
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D. Send the specimen to the lab for analysis
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ANSWER
B. Observe the color, consistency, and amount of sputum
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QUESTION 2 vc
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a c
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lient develops pontine myselinolysis. Which intervention should the nurse implement fir
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st?
A. Reorient client to his room
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B. Place a patch on one eye
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C. Evaluate client's ability to swallow
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D. Perform range of motion exercises
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ANSWER
A. Reorient client to his room
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QUESTION 3 vc
A male client with heart failure (HF) calls the clinic and reports that he cannot put his sh
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
oes on because they are too tight. Which additional information should the nurse obtain?
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A. What time did he take his last medications?
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,B. Has his weight changed in the last several days?
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C. Is he still able to tighten his belt buckle?
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D. How many hours did he sleep last night?
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ANSWER
B. Has his weight changed in the last several days?
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QUESTION 4 vc
A client who weighs 175 pounds is receiving IV bolus dose of heparin 80 units/kg. The h
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
eparin is available in a 2 ml vial, labeled 10,000 units/ml. How many ml should the nurs
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e administer? (Enter numeric value only. If rounding is required, round to the nearest te
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
nth.)
ANSWER
0.6 ml vc
QUESTION 5 vc
A client with Cushing's syndrome is recovering from an elective laparoscopic procedure.
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Which assessment finding warrants immediate intervention by the nurse?
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A. Irregular apical pulse
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B. Purple marks on the skin of the abdomen
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C. Quarter size blood spot on dressing
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D. Pitting ankle edema
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ANSWER
A. Irregular apical pulse
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QUESTION 6 vc
A male client with Herpes zoster (shingles) on his thorax tells the nurse that he is having
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difficulty sleeping. What is the probable etiology of this problem?
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A. Pain vc
B. Nocturia
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C. Dyspnea
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D. Frequent cough
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ANSWER
A. Pain
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QUESTION 7 vc
, A client with Addison's disease started taking hydrocortisone in a divided daily dose last
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week. It is most important for the nurse to monitor which serum laboratory value?
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A. Osmolarity
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B. Glucose
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C. Albumin
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D. Platelets
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ANSWER
B. Glucose
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QUESTION 8 vc
A client with acquired immunodeficiency syndrome (AIDS) has impaired gas exchange fr
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om a respiratory infection. Which assessment finding warrants immediate intervention
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by the nurse?
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A. Elevated temperature
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B. Generalized weakness
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C. Diminished lung sounds
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D. Pain when swallowing
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ANSWER
D. Pain when swallowing
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QUESTION 9 vc
During a paracentesis, two liters of fluid are removed from the abdomen of a client with
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ascites. A drainage bag is placed, and 50 ml of clear, straw-
vc vc vc vc vc vc vc vc vc vc vc
colored fluid drains within the first hour. What action should the nurse implement?
vc vc vc vc vc vc vc vc vc vc vc vc
A. Palpate for abdominal distention
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B. Send fluid to the lab for analysis
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C. Continue to monitor the fluid output
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D. Clamp the drainage tube for 5 minutes
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ANSWER
C. Continue to monitor the fluid output
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QUESTION 10 vc
A client who took a camping vacation two weeks ago in a county with a tropical climate c
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
omes to the clinic describing vague symptoms and diarrhea for the past week. Which fin
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ding is most important for the nurse report to the healthcare provider?
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A. Weakness and fatigue
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B. Intestinal cramping
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