MED SURG HESI EXIT TEST BANK EXAM
/HESI MED -SURG EXIT EXAM 2025 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|NEWEST
|GUARANTEED PASS|LATEST UPDATE
Which information about mammograms is most important to provide a post-menopausal
female client?
Breast self-examinations are not needed if annual mammograms are obtained.
Radiation exposure is minimized by shielding the abdomen with a lead-lined apron.
Yearly mammograms should be done regardless of previous normal x-rays.
Women at high risk should have annual routine and ultrasound mammograms.
Yearly mammograms should be done regardless of previous normal x-rays.
There are different recommendations from different agnecies. For a client with no risk factors,
the earliest breast screening recommendation is a yearly mammogram at the age 40 and till
the age of 54. After that every two years.
Twenty four hours after a client returns from surgical gastric bypass, the registered nurse (RN)
observes large amounts of blood in the nasogastric tube (NGT) cannister. Which assessment
finding should the RN report as early signs of hypovolemic shock?
Faint pedal pulses.
Decrease in blood pressure.
Lethargy. Correct
Slow breathing.
1|Page
,Decrease in blood pressure.
One of the early signs of hypovolemic shock is changes in the client's level of consciousness
due to the decrease perfusion to the brain which can manifests as lethargy or confusion.
The nurse is caring for a client with a continuous feeding through a percutaneous endoscopic
gastrostomy (PEG) tube. Which intervention should the nurse include in the plan of care?
Flush the tube with 50 ml of water q 8 hours.
Check for tube placement and residual volume q4 hours.
Obtain a daily x- ray to verify tube placement.
Position on left side with head of bed elevated 45 degrees.
Check for tube placement and residual volume q4 hours.
Percutaneous endoscopic gastrostomy (PEG) tube placement and residual volume should be
checked every four hours for clients on continuous feeding. If the gastric residual is more than
200mL for an adult client; stop the feeding and re-check the gastric residual one hour later. If
the residual still remains more than 200mL; continue to keep the feeding on hold and contact
the client's health care provider.
A 57-year-old male client is scheduled to have a stress-thallium test the following morning and
is NPO after midnight. At 0130, he is agitated because he cannot eat and is demanding food.
Which response is best for the nurse to provide to this client?
"I'm sorry sir, you have a prescription for nothing by mouth from midnight tonight."
"I will let you have one cracker, but that is all you can have for the rest of tonight."
"What did the healthcare provider tell you about the test you are having tomorrow?"
"The test you are having tomorrow requires that you have nothing by mouth tonight."
"The test you are having tomorrow requires that you have nothing by mouth tonight."
Being direct and explaining to the client that the test requires him to be NPO, is the most
therapeutic statement because the nurse is responding to the client's question and providing
him the reason why.
During an interview with a client planning elective surgery, the client asks the nurse, "What is
the advantage of having a preferred provider organization insurance plan?" Which response is
best for the nurse to provide?
2|Page
,Neither plan allows selections of healthcare providers or hospitals.
There are fewer healthcare providers to choose from than in an HMO plan.
An individual may select healthcare providers from outside of the PPO network.
An individual can become a member of a PPO without belonging to a group.
An individual may select healthcare providers from outside of the PPO network.
The financial implication of selecting a provider from outside of the network is the feature
most relevant to the average consumer. The nurse must have knowledge about preferred
provider organizations (PPOs), which provides the option for the consumer to select a
Healthcare Provider (HCP) from within the PPO network (in-network) at a reduced cost versus
a higher cost for selecting an out-of-network HCP.
A client is admitted to the hospital with a medical diagnosis of pneumococcal pneumonia. The
nurse knows that the prognosis for gram-negative pneumonias (such as E. coli, Klebsiella,
Pseudomonas, and Proteus) is very poor. Which information relates most directly to the
prognosis for gram-negative pneumonias?
The gram-negative infections occur in the lower lobe alveoli which are more sensitive to
infection.
Gram-negative organisms are more resistant to antibiotic therapy.
Usually occur in healthy young adults who have recently been debilitated by an upper
respiratory infection.
Gram-negative pneumonias usually affect infants and small children.
Gram-negative organisms are more resistant to antibiotic therapy.
Gram-negative organisms are very resistant to drug therapy which makes recovery difficult.
Antibiotic resistance has become a world-wide concern and the World Health Organization is
keeping a very close surveillance on these occurrences.
During lung assessment, the nurse places a stethoscope on a client's chest and instructs
him/her to say "99" each time the chest is touched with the stethoscope. Which would be the
correct interpretation if the nurse hears the spoken words "99" very clearly through the
stethoscope?
This is a normal auscultatory finding.
May indicate pneumothorax.
3|Page
, May indicate pneumonia. Correct
May indicate severe emphysema
This is a normal auscultatory finding.
This test (whispered pectoriloquy) demonstrates hyperresonance and helps determine the
clarity with which spoken words are heard upon auscultation. Normally, the spoken word is
not well transmitted through lung tissue, and is heard as a muffled or unclear transmission of
the spoken word. Increased clarity of a spoken word is indicative of some sort of
consolidation process (e. g., tumor, pneumonia), and is not a normal finding.
Which assessment finding should the nurse identify that indicates a client with an acute asthma
exacerbation is beginning to improve after treatment?
Wheezing becomes louder.
Cough remains unproductive.
Vesicular breath sounds decrease.
Bronchodilators stimulate coughing
Wheezing becomes louder.
In an acute asthma attack, air flow may be so significantly restricted that breath sounds and
wheezing are diminished. If the client is successfully responding to bronchodilators and
respiratory treatments, wheezing should become louder as the air flow increases in the
airways. As the airways open and mucous is mobilized in response to treatment, the cough
should become more productive.
The registered nurse (RN) is caring for a client with aplastic anemia who is hospitalized for
weight loss and generalized weakness. Laboratory values show a white blood count (WBC) of
2,500/mm 3 and a platelet countof 160,000/mm 3. Which intervention is the primary focus in
the client's plan of care for the RN to implement?
Assist with frequent ambulation.
Encourage visitors to visit.
Maintain strict protective precautions.
Avoid peripheral injections.
Maintain strict protective precautions.
The client should be under strict protective transmission precautions because the WBC values
4|Page
/HESI MED -SURG EXIT EXAM 2025 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED A+|NEWEST
|GUARANTEED PASS|LATEST UPDATE
Which information about mammograms is most important to provide a post-menopausal
female client?
Breast self-examinations are not needed if annual mammograms are obtained.
Radiation exposure is minimized by shielding the abdomen with a lead-lined apron.
Yearly mammograms should be done regardless of previous normal x-rays.
Women at high risk should have annual routine and ultrasound mammograms.
Yearly mammograms should be done regardless of previous normal x-rays.
There are different recommendations from different agnecies. For a client with no risk factors,
the earliest breast screening recommendation is a yearly mammogram at the age 40 and till
the age of 54. After that every two years.
Twenty four hours after a client returns from surgical gastric bypass, the registered nurse (RN)
observes large amounts of blood in the nasogastric tube (NGT) cannister. Which assessment
finding should the RN report as early signs of hypovolemic shock?
Faint pedal pulses.
Decrease in blood pressure.
Lethargy. Correct
Slow breathing.
1|Page
,Decrease in blood pressure.
One of the early signs of hypovolemic shock is changes in the client's level of consciousness
due to the decrease perfusion to the brain which can manifests as lethargy or confusion.
The nurse is caring for a client with a continuous feeding through a percutaneous endoscopic
gastrostomy (PEG) tube. Which intervention should the nurse include in the plan of care?
Flush the tube with 50 ml of water q 8 hours.
Check for tube placement and residual volume q4 hours.
Obtain a daily x- ray to verify tube placement.
Position on left side with head of bed elevated 45 degrees.
Check for tube placement and residual volume q4 hours.
Percutaneous endoscopic gastrostomy (PEG) tube placement and residual volume should be
checked every four hours for clients on continuous feeding. If the gastric residual is more than
200mL for an adult client; stop the feeding and re-check the gastric residual one hour later. If
the residual still remains more than 200mL; continue to keep the feeding on hold and contact
the client's health care provider.
A 57-year-old male client is scheduled to have a stress-thallium test the following morning and
is NPO after midnight. At 0130, he is agitated because he cannot eat and is demanding food.
Which response is best for the nurse to provide to this client?
"I'm sorry sir, you have a prescription for nothing by mouth from midnight tonight."
"I will let you have one cracker, but that is all you can have for the rest of tonight."
"What did the healthcare provider tell you about the test you are having tomorrow?"
"The test you are having tomorrow requires that you have nothing by mouth tonight."
"The test you are having tomorrow requires that you have nothing by mouth tonight."
Being direct and explaining to the client that the test requires him to be NPO, is the most
therapeutic statement because the nurse is responding to the client's question and providing
him the reason why.
During an interview with a client planning elective surgery, the client asks the nurse, "What is
the advantage of having a preferred provider organization insurance plan?" Which response is
best for the nurse to provide?
2|Page
,Neither plan allows selections of healthcare providers or hospitals.
There are fewer healthcare providers to choose from than in an HMO plan.
An individual may select healthcare providers from outside of the PPO network.
An individual can become a member of a PPO without belonging to a group.
An individual may select healthcare providers from outside of the PPO network.
The financial implication of selecting a provider from outside of the network is the feature
most relevant to the average consumer. The nurse must have knowledge about preferred
provider organizations (PPOs), which provides the option for the consumer to select a
Healthcare Provider (HCP) from within the PPO network (in-network) at a reduced cost versus
a higher cost for selecting an out-of-network HCP.
A client is admitted to the hospital with a medical diagnosis of pneumococcal pneumonia. The
nurse knows that the prognosis for gram-negative pneumonias (such as E. coli, Klebsiella,
Pseudomonas, and Proteus) is very poor. Which information relates most directly to the
prognosis for gram-negative pneumonias?
The gram-negative infections occur in the lower lobe alveoli which are more sensitive to
infection.
Gram-negative organisms are more resistant to antibiotic therapy.
Usually occur in healthy young adults who have recently been debilitated by an upper
respiratory infection.
Gram-negative pneumonias usually affect infants and small children.
Gram-negative organisms are more resistant to antibiotic therapy.
Gram-negative organisms are very resistant to drug therapy which makes recovery difficult.
Antibiotic resistance has become a world-wide concern and the World Health Organization is
keeping a very close surveillance on these occurrences.
During lung assessment, the nurse places a stethoscope on a client's chest and instructs
him/her to say "99" each time the chest is touched with the stethoscope. Which would be the
correct interpretation if the nurse hears the spoken words "99" very clearly through the
stethoscope?
This is a normal auscultatory finding.
May indicate pneumothorax.
3|Page
, May indicate pneumonia. Correct
May indicate severe emphysema
This is a normal auscultatory finding.
This test (whispered pectoriloquy) demonstrates hyperresonance and helps determine the
clarity with which spoken words are heard upon auscultation. Normally, the spoken word is
not well transmitted through lung tissue, and is heard as a muffled or unclear transmission of
the spoken word. Increased clarity of a spoken word is indicative of some sort of
consolidation process (e. g., tumor, pneumonia), and is not a normal finding.
Which assessment finding should the nurse identify that indicates a client with an acute asthma
exacerbation is beginning to improve after treatment?
Wheezing becomes louder.
Cough remains unproductive.
Vesicular breath sounds decrease.
Bronchodilators stimulate coughing
Wheezing becomes louder.
In an acute asthma attack, air flow may be so significantly restricted that breath sounds and
wheezing are diminished. If the client is successfully responding to bronchodilators and
respiratory treatments, wheezing should become louder as the air flow increases in the
airways. As the airways open and mucous is mobilized in response to treatment, the cough
should become more productive.
The registered nurse (RN) is caring for a client with aplastic anemia who is hospitalized for
weight loss and generalized weakness. Laboratory values show a white blood count (WBC) of
2,500/mm 3 and a platelet countof 160,000/mm 3. Which intervention is the primary focus in
the client's plan of care for the RN to implement?
Assist with frequent ambulation.
Encourage visitors to visit.
Maintain strict protective precautions.
Avoid peripheral injections.
Maintain strict protective precautions.
The client should be under strict protective transmission precautions because the WBC values
4|Page
