2022 NURS 6512 HESI Med Surg Exit Exam (V1 Version 1) Bran
n n n n n n n n n n n
d New Q&As + Guaranteed A+
n n n n n
TEST 1 n
Multiple Choice n
Answers on page 55 onwards with explanations
n n n n n n n
Identify the letter of the choice that best completes the statement or answers the question.
n n n n n n n n n n n n n n
n
1. While assessing a client with diabetes mellitus, the nurse observes an absenc
n n n n n n n n n n n n
e of hair growth on the client's legs. What additional assessment provides further
n n n n n n n n n n n n n
data to support this finding?
n n n n
a. Palpate for the presence of femoral pulses bilaterally.
n n n n n n n
b. Assess for the presence of a positive Homan's sign.
n n n n n n n n
c. Observe the appearance of the skin on the client's legs.
n n n n n n n n n
d. Watch the client's posture and balance during ambulation.
n n n n n n n
n
2. The healthcare provider prescribes 15 mg/kg of Streptomycin for an infant weighing 4
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n pounds.
The drug is diluted in 25 ml of D5W to run over 8 hours. How much Streptomy
n n n n n n n n n n n n n n n n
cin will theinfant receive?
n n n n
a. 9 mg. n
b. 18 mg. n
c. 27 mg. n
d. 36 mg. n
n
3. In assessing a client with preeclampsia who is receiving magnesium sulfate, th
n n n n n n n n n n n n
e nurse determines that her deep tendon reflexes are 1+; respiratory rate is 12 bre
n n n n n n n n n n n n n n
aths/minute; urinary output is 90 ml in 4 hours; magnesium sulfate level is 9 mg/dl.
n n n n n n n n n n n n n n
n Based on these findings,what intervention should the nurse implement?
n n n n n n n n n
2022 NURS 6512 HESI Med Surg Exit Exam (V1 Version 1) Bran
n n n n n n n n n n n
d New Q&As + Guaranteed A+ 1
n n n n n
,2022 NURS 6512 HESI Med Surg Exit Exam (V1 Version 1) Bran
n n n n n n n n n n n
d New Q&As + Guaranteed A+
n n n n n
a. Continue the magnesium sulfate infusion as prescribed.
n n n n n n
b. Decrease the magnesium sulfate infusion by one-half.
n n n n n n
c. Stop the magnesium sulfate infusion immediately.
n n n n n
d. Administer calcium gluconate immediately. n n n
n
4. A client is on a mechanical ventilator. Which client response indicates that t
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he neuromuscularblocker tubocurarine chloride (Tubarine) is effective?
n n n n n n n
a. The client’s expremities are paralyzed.
n n n n
b. The peripheral nerve stimulator causes twitching.
n n n n n
c. The client clinches fist upon command.
n n n n n
d. The client’s Glagow Coma Scale score is 14.
n n n n n n n
n 5. An elderly female client comes to the clinic for a regular check-
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up. The client tells the nurse that she has increased her daily doses of acetamino
n n n n n n n n n n n n n n
phen (Tylenol) for the past month to control joint pain. Based on this client's co
n n n n n n n n n n n n n n
mment, what previous lab values should the nursecompare with today's lab repo
n n n n n n n n n n n n
rt?
a. Look at last quarter's hemoglobin and hematocrit, expecting an increase
n n n n n n n n n
n today dueto dehydration.n n n
b. Look for an increase in today's LDH compared to the previous one to
n n n n n n n n n n n n n
assess forpossible liver damage.
n n n n
c. Expect to find an increase in today's APTT as compared to last quarte
n n n n n n n n n n n n
r's due tobleeding.
n n n
d. Determine if there is a de n n n n n
e. crease in serum potassium due to renal compromise.
n n n n n n n
2022 NURS 6512 HESI Med Surg Exit Exam (V1 Version 1) Bran
n n n n n n n n n n n
d New Q&As + Guaranteed A+ 2
n n n n n
,Name:nn ID:n A
2022 NURS 6512 HESI Med Surg Exit Exam (V1 Version 1) Bran
n n n n n n n n n n n
d New Q&As + Guaranteed A+
n n n n n
n 6. Aspirin is prescribed for a 9-year-
n n n n n n
old child with rheumatic fever to control the inflammatoryprocess, promote co
n n n n n n n n n n n
mfort, and reduce fever. What intervention is most important for the nurse to i
n n n n n n n n n n n n n
mplement?
a. Instruct the parents to hold the aspirin until the child has first had a tepi
n n n n n n n n n n n n n n
d spongebath.
n n
b. Administer the aspirin with at least two ounces of water or juice.
n n n n n n n n n n n
c. Notify the healthcare provider if the child complains of ringing in the ears.
n n n n n n n n n n n n
d. Advise the parents to question the child about seeing yellow halos around objects.
n n n n n n n n n n n n
n
7. Which signs or symptoms are characteristic of an adult client diagnose
n n n n n n n n n n n
d with Cushing'ssyndrome?
n n n
a. Husky voice and complaints of hoarseness.
n n n n n
b. Warm, soft, moist, salmon-colored skin.
n n n n
c. Visible swelling of the neck, with no pain.
n n n n n n n
d. Central-type obesity, with thin extremities. n n n n
n
8. A charge nurse agrees to cover another nurse’s assignment during a lunch br
n n n n n n n n n n n n n
eak. Based on thestatus report provided by the nurse who is leaving for lunch, wh
n n n n n n n n n n n n n n n
ich client should be checked first by the charge nurse? The client
n n n n n n n n n n n
a. admitted yesterday with diabetec ketoacidosis whose blood gluc
n n n n n n n
ose level isnow 195 mg/dl.
n n n n n
b. with an ileal conduit created two days ago with a scant amount o
n n n n n n n n n n n n
f blood inthe drainage pouch.
n n n n n
2022 NURS 6512 HESI Med Surg Exit Exam (V1 Version 1) Bran
n n n n n n n n n n n
d New Q&As + Guaranteed A+ 3
n n n n n
, Name:nn ID:n A
2022 NURS 6512 HESI Med Surg Exit Exam (V1 Version 1) Bran
n n n n n n n n n n n
d New Q&As + Guaranteed A+
n n n n n
c. post-
triple coronary bypass four days ago who has serosanguinous drai
n n n n n n n n n
nagein the chest tube.
n n n n
d. with a pneumothorax secondary to a gunshot wound with a cur
n n n n n n n n n n
rent pulseoximeter reading of 90%.
n n n n n
n
9. An outcome for treatment of peripheral vascular disease is, "The client wil
n n n n n n n n n n n n
l have decreased venous congestion." What client behavior would indicate to th
n n n n n n n n n n n
e nurse that this outcome hasbeen met?
n n n n n n n
a. Avoids prolonged sitting or standing.
n n n n
b. Avoids trauma and irritation to skin.
n n n n n
c. Wears protective shoes. n n
d. Quits smoking. n
n
nn 10. The healthcare provider performs a paracentesis on a client with ascites a
n n n n n n n n n n n n
nd 3 liters of fluid are removed. Which assessment parameter is most critical for
n n n n n n n n n n n n n n
the nurse to monitor followingthe procedure?
n n n n n n
a. Pedal pulses. n
b. Breath sounds. n
c. Gag reflex. n
d. Vital signs. n
2022 NURS 6512 HESI Med Surg Exit Exam (V1 Version 1) Bran
n n n n n n n n n n n
d New Q&As + Guaranteed A+ 4
n n n n n
n n n n n n n n n n n
d New Q&As + Guaranteed A+
n n n n n
TEST 1 n
Multiple Choice n
Answers on page 55 onwards with explanations
n n n n n n n
Identify the letter of the choice that best completes the statement or answers the question.
n n n n n n n n n n n n n n
n
1. While assessing a client with diabetes mellitus, the nurse observes an absenc
n n n n n n n n n n n n
e of hair growth on the client's legs. What additional assessment provides further
n n n n n n n n n n n n n
data to support this finding?
n n n n
a. Palpate for the presence of femoral pulses bilaterally.
n n n n n n n
b. Assess for the presence of a positive Homan's sign.
n n n n n n n n
c. Observe the appearance of the skin on the client's legs.
n n n n n n n n n
d. Watch the client's posture and balance during ambulation.
n n n n n n n
n
2. The healthcare provider prescribes 15 mg/kg of Streptomycin for an infant weighing 4
n n n n n n n n n n n n n
n pounds.
The drug is diluted in 25 ml of D5W to run over 8 hours. How much Streptomy
n n n n n n n n n n n n n n n n
cin will theinfant receive?
n n n n
a. 9 mg. n
b. 18 mg. n
c. 27 mg. n
d. 36 mg. n
n
3. In assessing a client with preeclampsia who is receiving magnesium sulfate, th
n n n n n n n n n n n n
e nurse determines that her deep tendon reflexes are 1+; respiratory rate is 12 bre
n n n n n n n n n n n n n n
aths/minute; urinary output is 90 ml in 4 hours; magnesium sulfate level is 9 mg/dl.
n n n n n n n n n n n n n n
n Based on these findings,what intervention should the nurse implement?
n n n n n n n n n
2022 NURS 6512 HESI Med Surg Exit Exam (V1 Version 1) Bran
n n n n n n n n n n n
d New Q&As + Guaranteed A+ 1
n n n n n
,2022 NURS 6512 HESI Med Surg Exit Exam (V1 Version 1) Bran
n n n n n n n n n n n
d New Q&As + Guaranteed A+
n n n n n
a. Continue the magnesium sulfate infusion as prescribed.
n n n n n n
b. Decrease the magnesium sulfate infusion by one-half.
n n n n n n
c. Stop the magnesium sulfate infusion immediately.
n n n n n
d. Administer calcium gluconate immediately. n n n
n
4. A client is on a mechanical ventilator. Which client response indicates that t
n n n n n n n n n n n n n
he neuromuscularblocker tubocurarine chloride (Tubarine) is effective?
n n n n n n n
a. The client’s expremities are paralyzed.
n n n n
b. The peripheral nerve stimulator causes twitching.
n n n n n
c. The client clinches fist upon command.
n n n n n
d. The client’s Glagow Coma Scale score is 14.
n n n n n n n
n 5. An elderly female client comes to the clinic for a regular check-
n n n n n n n n n n n n
up. The client tells the nurse that she has increased her daily doses of acetamino
n n n n n n n n n n n n n n
phen (Tylenol) for the past month to control joint pain. Based on this client's co
n n n n n n n n n n n n n n
mment, what previous lab values should the nursecompare with today's lab repo
n n n n n n n n n n n n
rt?
a. Look at last quarter's hemoglobin and hematocrit, expecting an increase
n n n n n n n n n
n today dueto dehydration.n n n
b. Look for an increase in today's LDH compared to the previous one to
n n n n n n n n n n n n n
assess forpossible liver damage.
n n n n
c. Expect to find an increase in today's APTT as compared to last quarte
n n n n n n n n n n n n
r's due tobleeding.
n n n
d. Determine if there is a de n n n n n
e. crease in serum potassium due to renal compromise.
n n n n n n n
2022 NURS 6512 HESI Med Surg Exit Exam (V1 Version 1) Bran
n n n n n n n n n n n
d New Q&As + Guaranteed A+ 2
n n n n n
,Name:nn ID:n A
2022 NURS 6512 HESI Med Surg Exit Exam (V1 Version 1) Bran
n n n n n n n n n n n
d New Q&As + Guaranteed A+
n n n n n
n 6. Aspirin is prescribed for a 9-year-
n n n n n n
old child with rheumatic fever to control the inflammatoryprocess, promote co
n n n n n n n n n n n
mfort, and reduce fever. What intervention is most important for the nurse to i
n n n n n n n n n n n n n
mplement?
a. Instruct the parents to hold the aspirin until the child has first had a tepi
n n n n n n n n n n n n n n
d spongebath.
n n
b. Administer the aspirin with at least two ounces of water or juice.
n n n n n n n n n n n
c. Notify the healthcare provider if the child complains of ringing in the ears.
n n n n n n n n n n n n
d. Advise the parents to question the child about seeing yellow halos around objects.
n n n n n n n n n n n n
n
7. Which signs or symptoms are characteristic of an adult client diagnose
n n n n n n n n n n n
d with Cushing'ssyndrome?
n n n
a. Husky voice and complaints of hoarseness.
n n n n n
b. Warm, soft, moist, salmon-colored skin.
n n n n
c. Visible swelling of the neck, with no pain.
n n n n n n n
d. Central-type obesity, with thin extremities. n n n n
n
8. A charge nurse agrees to cover another nurse’s assignment during a lunch br
n n n n n n n n n n n n n
eak. Based on thestatus report provided by the nurse who is leaving for lunch, wh
n n n n n n n n n n n n n n n
ich client should be checked first by the charge nurse? The client
n n n n n n n n n n n
a. admitted yesterday with diabetec ketoacidosis whose blood gluc
n n n n n n n
ose level isnow 195 mg/dl.
n n n n n
b. with an ileal conduit created two days ago with a scant amount o
n n n n n n n n n n n n
f blood inthe drainage pouch.
n n n n n
2022 NURS 6512 HESI Med Surg Exit Exam (V1 Version 1) Bran
n n n n n n n n n n n
d New Q&As + Guaranteed A+ 3
n n n n n
, Name:nn ID:n A
2022 NURS 6512 HESI Med Surg Exit Exam (V1 Version 1) Bran
n n n n n n n n n n n
d New Q&As + Guaranteed A+
n n n n n
c. post-
triple coronary bypass four days ago who has serosanguinous drai
n n n n n n n n n
nagein the chest tube.
n n n n
d. with a pneumothorax secondary to a gunshot wound with a cur
n n n n n n n n n n
rent pulseoximeter reading of 90%.
n n n n n
n
9. An outcome for treatment of peripheral vascular disease is, "The client wil
n n n n n n n n n n n n
l have decreased venous congestion." What client behavior would indicate to th
n n n n n n n n n n n
e nurse that this outcome hasbeen met?
n n n n n n n
a. Avoids prolonged sitting or standing.
n n n n
b. Avoids trauma and irritation to skin.
n n n n n
c. Wears protective shoes. n n
d. Quits smoking. n
n
nn 10. The healthcare provider performs a paracentesis on a client with ascites a
n n n n n n n n n n n n
nd 3 liters of fluid are removed. Which assessment parameter is most critical for
n n n n n n n n n n n n n n
the nurse to monitor followingthe procedure?
n n n n n n
a. Pedal pulses. n
b. Breath sounds. n
c. Gag reflex. n
d. Vital signs. n
2022 NURS 6512 HESI Med Surg Exit Exam (V1 Version 1) Bran
n n n n n n n n n n n
d New Q&As + Guaranteed A+ 4
n n n n n
