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