HESI MED SURG EXIT EXAM 2 NEWEST
VERSION-with 100% verified answers-
2025-2026
Answers are on the last pages
TEST,.1
Multiple,.Choice,.Identify,.the,.letter,.of,.the,.choice,.that,.best,.completes,.the,.statement,.or,.answers,.the,.q
uestion.
1. While,.assessing,.a,.client,.with,.diabetes,.mellitus,,.the,.nurse,.observes,.an,.absence,.of,.h
air,.growth,.on,.the,.client's,.legs.,.What,.additional,.assessment,.provides,.further,.data,.to,.su
pport,.this,.finding?
a. Palpate,.for,.the,.presence,.of,.femoral,.pulses,.bilaterally.
b. Assess,.for,.the,.presence,.of,.a,.positive,.Homan's,.sign.
c. Observe,.the,.appearance,.of,.the,.skin,.on,.the,.client's,.legs.
d. Watch,.the,.client's,.posture,.and,.balance,.during,.ambulation.
2. The,.healthcare,.provider,.prescribes,.15,.mg/kg,.of,.Streptomycin,.for,.an,.infant,.weighing
,.4,.pounds.,.The,.drug,.is,.diluted,.in,.25,.ml,.of,.D5W,.to,.run,.over,.8,.hours.,.How,.much,.Strepto
mycin,.will,.the,.infant,.receive?
a. 9,.mg.
b. 18,.mg.
c. 27,.mg.
d. 36,.mg.
3. In,.assessing,.a,.client,.with,.preeclampsia,.who,.is,.receiving,.magnesium,.sulfate,,.the,.nur
se,.determines,.that,.her,.deep,.tendon,.reflexes,.are,.1+;,.respiratory,.rate,.is,.12,.breaths/min
ute;,.urinary,.output,.is,.90,.ml,.in,.4,.hours;,.magnesium,.sulfate,.level,.is,.9,.mg/dl.,.Based,.o
n,.these,.findings,,.what,.intervention,.should,.the,.nurse,.implement?
a. Continue,.the,.magnesium,.sulfate,.infusion,.as,.prescribed.
b. Decrease,.the,.magnesium,.sulfate,.infusion,.by,.one-half.
c. Stop,.the,.magnesium,.sulfate,.infusion,.immediately.
d. Administer,.calcium,.gluconate,.immediately.
4. A,.client,.is,.on,.a,.mechanical,.ventilator.,.Which,.client,.response,.indicates,.that,.th
e,.neuromuscular,.blocker,.tubocurarine,.chloride,.(Tubarine),.is,.effective?
a. The,.client’s,.expremities,.are,.paralyzed.
b. The,.peripheral,.nerve,.stimulator,.causes,.twitching.
c. The,.client,.clinches,.fist,.upon,.command.
d. The,.client’s,.Glagow,.Coma,.Scale,.score,.is,.14.
5. An,.elderly,.female,.client,.comes,.to,.the,.clinic,.for,.a,.regular,.check-
up.,.The,.client,.tells,.the,.nurse,.that,.she,.has,.increased,.her,.daily,.doses,.of,.acetaminoph
en,.(Tylenol),.for,.the,.past,.month,.to,.control,.joint,.pain.,.Based,.on,.this,.client's,.commen
t,,.what,.previous,.lab,.values,.should,.the,.nurse,.compare,.with,.today's,.lab,.report?
,a. Look,.at,.last,.quarter's,.hemoglobin,.and,.hematocrit,,.expecting,.an,.increase,.today,.due,.t
o,.dehydration.
,b. Look,.for,.an,.increase,.in,.today's,.LDH,.compared,.to,.the,.previous,.one,.to,.assess,.for,.possible,.live
r,.damage.
c. Expect,.to,.find,.an,.increase,.in,.today's,.APTT,.as,.compared,.to,.last,.quarter's,.due,.to,.bleeding.
d. Determine,.if,.there,.is,.a,.decrease,.in,.serum,.potassium,.due,.to,.renal,.compromise.
Name:,.ID:,.A,.2
6. Aspirin,.is,.prescribed,.for,.a,.9-year-
old,.child,.with,.rheumatic,.fever,.to,.control,.the,.inflammatory,.process,,.promote,.comf
ort,,.and,.reduce,.fever.,.What,.intervention,.is,.most,.important,.for,.the,.nurse,.to,.implem
ent?
a. Instruct,.the,.parents,.to,.hold,.the,.aspirin,.until,.the,.child,.has,.first,.had,.a,.tepid,.sponge,.bath.
b. Administer,.the,.aspirin,.with,.at,.least,.two,.ounces,.of,.water,.or,.juice.
c. Notify,.the,.healthcare,.provider,.if,.the,.child,.complains,.of,.ringing,.in,.the,.ears.
d. Advise,.the,.parents,.to,.question,.the,.child,.about,.seeing,.yellow,.halos,.around,.objects.
7. Which,.signs,.or,.symptoms,.are,.characteristic,.of,.an,.adult,.client,.diagnosed,.with,.Cushing
's,.syndrome?
a. Husky,.voice,.and,.complaints,.of,.hoarseness.
b. Warm,,.soft,,.moist,,.salmon-colored,.skin.
c. Visible,.swelling,.of,.the,.neck,,.with,.no,.pain.
d. Central-type,.obesity,,.with,.thin,.extremities.
8. A,.charge,.nurse,.agrees,.to,.cover,.another,.nurse’s,.assignment,.during,.a,.lunch,.break.
,.Based,.on,.the,.status,.report,.provided,.by,.the,.nurse,.who,.is,.leaving,.for,.lunch,,.which,.cli
ent,.should,.be,.checked,.first,.by,.the,.charge,.nurse?,.The,.client
a. admitted,.yesterday,.with,.diabetec,.ketoacidosis,.whose,.blood,.glucose,.level,.is,.now,.19
5,.mg/dl.
b. with,.an,.ileal,.conduit,.created,.two,.days,.ago,.with,.a,.scant,.amount,.of,.blood,.in,.t
he,.drainage,.pouch.
c. post-
triple,.coronary,.bypass,.four,.days,.ago,.who,.has,.serosanguinous,.drainage,.in,.the,.chest
,.tube.
d. with,.a,.pneumothorax,.secondary,.to,.a,.gunshot,.wound,.with,.a,.current,.pulse,.oximet
er,.reading,.of,.90%.
9. An,.outcome,.for,.treatment,.of,.peripheral,.vascular,.disease,.is,,."The,.client,.will,.have,.de
creased,.venous,.congestion.",.What,.client,.behavior,.would,.indicate,.to,.the,.nurse,.that,.this,.
outcome,.has,.been,.met?
a. Avoids,.prolonged,.sitting,.or,.standing.
b. Avoids,.trauma,.and,.irritation,.to,.skin.
c. Wears,.protective,.shoes.
d. Quits,.smoking.
10. The,.healthcare,.provider,.performs,.a,.paracentesis,.on,.a,.client,.with,.ascites,.and,.3,.lite
rs,.of,.fluid,.are,.removed.,.Which,.assessment,.parameter,.is,.most,.critical,.for,.the,.nurse,.t
o,.monitor,.following,.the,.procedure?
a. Pedal,.pulses.
b. Breath,.sounds.
c. Gag,.reflex.
d. Vital,.signs.
, Name:,.ID:,.A,.3
11. The,.nurse,.is,.administering,.sevelamer,.(RenaGel),.during,.lunch,.to,.a,.client,.with,.en
d,.stage,.renal,.disease,.(ESRD).,.The,.client,.asks,.the,.nurse,.to,.bring,.the,.medication,.later.,.
The,.nurse,.should,.describe,.which,.action,.of,.RenaGel,.as,.an,.explanation,.for,.taking,.it,.
with,.meals?
a. Prevents,.indigestion,.associated,.with,.ingestion,.of,.spicy,.foods.
b. Binds,.with,.phosphorus,.in,.foods,.and,.prevents,.absorption.
c. Promotes,.stomach,.emptying,.and,.prevents,.gastric,.reflux.
d. Buffers,.hydrochloric,.acid,.and,.prevents,.gastric,.erosion.
12. The,.nurse,.formulates,.a,.nursing,.diagnosis,.of,,."High,.risk,.for,.ineffective,.airway,.cl
earance",.for,.a,.client,.with,.myasthenia,.gravis.,.What,.is,.the,.most,.likely,.etiology,.for,.this
,.nursing,.diagnosis?
a. Pain,.when,.coughing.
b. Diminished,.cough,.effort.
c. Thick,.dry,.secretions.
d. Excessive,.inflammation.
13. Following,.a,.CVA,,.the,.nurse,.assess,.that,.a,.client,.developed,.dysphagia,,.hypoactive,.bow
el,.sounds,.and,.firm,,.distended,.abdomen.,.Which,.prescription,.for,.the,.client,.should,.the,.n
urse,.question?
a. Continous,.tube,.feeding,.at,.65,.ml/hr,.via,.gastrostomy.
b. Total,.parenteral,.nutrition,.to,.be,.infused,.at,.125,.ml/hour.
c. Nasogastric,.tube,.connected,.to,.low,.intermittent,.suction.
d. Metoclopramide,.(Reglan),.intermittent,.piggyback.
14. A,.client's,.telemetry,.monitor,.indicates,.the,.sudden,.onset,.of,.ventricular,.fibrillatio
n.,.Which,.assessment,.finding,.should,.the,.nurse,.anticipate?
a. Bounding,.erratic,.pulse.
b. Regularly,.irregular,.pulse.
c. Thready,.irregular,.pulse.
d. No,.palpable,.pulse.
15. In,.assessing,.a,.70-year-
old,.female,.client,.with,.Alzheimer's,.disease,,.the,.nurse,.notes,.that,.she,.has,.deep,.inflame
d,.cracks,.at,.the,.corners,.of,.her,.mouth.,.What,.intervention,.should,.the,.nurse,.include,.in,.t
his,.client's,.plan,.of,.care?
a. Scrub,.the,.lesions,.with,.warm,.soapy,.water.
b. Encourage,.the,.client,.to,.drink,.orange,.juice,.for,.added,.vitamin,.C.
c. Notify,.the,.healthcare,.provider,.of,.the,.need,.for,.oral,.antibiotics.
d. Ensure,.that,.the,.client,.gets,.adequate,.B,.vitamins,.in,.foods,.or,.supplements.
16. A,.young,.adult,.female,.client,.is,.seen,.in,.the,.emergency,.department,.for,.a,.minor,.inju
ry,.following,.a,.motor,.vehicle,.collision.,.She,.states,.she,.is,.very,.angry,.at,.the,.person,.who,.h
it,.her,.car.,.What,.is,.the,.best,.nursing,.response?
a. "You,.are,.lucky,.to,.be,.alive.,.Be,.grateful,.no,.one,.was,.killed."
b. "I,.understand,.your,.car,.was,.not,.seriously,.damaged."
c. "You,.are,.upset,.that,.this,.incident,.has,.brought,.you,.here."
VERSION-with 100% verified answers-
2025-2026
Answers are on the last pages
TEST,.1
Multiple,.Choice,.Identify,.the,.letter,.of,.the,.choice,.that,.best,.completes,.the,.statement,.or,.answers,.the,.q
uestion.
1. While,.assessing,.a,.client,.with,.diabetes,.mellitus,,.the,.nurse,.observes,.an,.absence,.of,.h
air,.growth,.on,.the,.client's,.legs.,.What,.additional,.assessment,.provides,.further,.data,.to,.su
pport,.this,.finding?
a. Palpate,.for,.the,.presence,.of,.femoral,.pulses,.bilaterally.
b. Assess,.for,.the,.presence,.of,.a,.positive,.Homan's,.sign.
c. Observe,.the,.appearance,.of,.the,.skin,.on,.the,.client's,.legs.
d. Watch,.the,.client's,.posture,.and,.balance,.during,.ambulation.
2. The,.healthcare,.provider,.prescribes,.15,.mg/kg,.of,.Streptomycin,.for,.an,.infant,.weighing
,.4,.pounds.,.The,.drug,.is,.diluted,.in,.25,.ml,.of,.D5W,.to,.run,.over,.8,.hours.,.How,.much,.Strepto
mycin,.will,.the,.infant,.receive?
a. 9,.mg.
b. 18,.mg.
c. 27,.mg.
d. 36,.mg.
3. In,.assessing,.a,.client,.with,.preeclampsia,.who,.is,.receiving,.magnesium,.sulfate,,.the,.nur
se,.determines,.that,.her,.deep,.tendon,.reflexes,.are,.1+;,.respiratory,.rate,.is,.12,.breaths/min
ute;,.urinary,.output,.is,.90,.ml,.in,.4,.hours;,.magnesium,.sulfate,.level,.is,.9,.mg/dl.,.Based,.o
n,.these,.findings,,.what,.intervention,.should,.the,.nurse,.implement?
a. Continue,.the,.magnesium,.sulfate,.infusion,.as,.prescribed.
b. Decrease,.the,.magnesium,.sulfate,.infusion,.by,.one-half.
c. Stop,.the,.magnesium,.sulfate,.infusion,.immediately.
d. Administer,.calcium,.gluconate,.immediately.
4. A,.client,.is,.on,.a,.mechanical,.ventilator.,.Which,.client,.response,.indicates,.that,.th
e,.neuromuscular,.blocker,.tubocurarine,.chloride,.(Tubarine),.is,.effective?
a. The,.client’s,.expremities,.are,.paralyzed.
b. The,.peripheral,.nerve,.stimulator,.causes,.twitching.
c. The,.client,.clinches,.fist,.upon,.command.
d. The,.client’s,.Glagow,.Coma,.Scale,.score,.is,.14.
5. An,.elderly,.female,.client,.comes,.to,.the,.clinic,.for,.a,.regular,.check-
up.,.The,.client,.tells,.the,.nurse,.that,.she,.has,.increased,.her,.daily,.doses,.of,.acetaminoph
en,.(Tylenol),.for,.the,.past,.month,.to,.control,.joint,.pain.,.Based,.on,.this,.client's,.commen
t,,.what,.previous,.lab,.values,.should,.the,.nurse,.compare,.with,.today's,.lab,.report?
,a. Look,.at,.last,.quarter's,.hemoglobin,.and,.hematocrit,,.expecting,.an,.increase,.today,.due,.t
o,.dehydration.
,b. Look,.for,.an,.increase,.in,.today's,.LDH,.compared,.to,.the,.previous,.one,.to,.assess,.for,.possible,.live
r,.damage.
c. Expect,.to,.find,.an,.increase,.in,.today's,.APTT,.as,.compared,.to,.last,.quarter's,.due,.to,.bleeding.
d. Determine,.if,.there,.is,.a,.decrease,.in,.serum,.potassium,.due,.to,.renal,.compromise.
Name:,.ID:,.A,.2
6. Aspirin,.is,.prescribed,.for,.a,.9-year-
old,.child,.with,.rheumatic,.fever,.to,.control,.the,.inflammatory,.process,,.promote,.comf
ort,,.and,.reduce,.fever.,.What,.intervention,.is,.most,.important,.for,.the,.nurse,.to,.implem
ent?
a. Instruct,.the,.parents,.to,.hold,.the,.aspirin,.until,.the,.child,.has,.first,.had,.a,.tepid,.sponge,.bath.
b. Administer,.the,.aspirin,.with,.at,.least,.two,.ounces,.of,.water,.or,.juice.
c. Notify,.the,.healthcare,.provider,.if,.the,.child,.complains,.of,.ringing,.in,.the,.ears.
d. Advise,.the,.parents,.to,.question,.the,.child,.about,.seeing,.yellow,.halos,.around,.objects.
7. Which,.signs,.or,.symptoms,.are,.characteristic,.of,.an,.adult,.client,.diagnosed,.with,.Cushing
's,.syndrome?
a. Husky,.voice,.and,.complaints,.of,.hoarseness.
b. Warm,,.soft,,.moist,,.salmon-colored,.skin.
c. Visible,.swelling,.of,.the,.neck,,.with,.no,.pain.
d. Central-type,.obesity,,.with,.thin,.extremities.
8. A,.charge,.nurse,.agrees,.to,.cover,.another,.nurse’s,.assignment,.during,.a,.lunch,.break.
,.Based,.on,.the,.status,.report,.provided,.by,.the,.nurse,.who,.is,.leaving,.for,.lunch,,.which,.cli
ent,.should,.be,.checked,.first,.by,.the,.charge,.nurse?,.The,.client
a. admitted,.yesterday,.with,.diabetec,.ketoacidosis,.whose,.blood,.glucose,.level,.is,.now,.19
5,.mg/dl.
b. with,.an,.ileal,.conduit,.created,.two,.days,.ago,.with,.a,.scant,.amount,.of,.blood,.in,.t
he,.drainage,.pouch.
c. post-
triple,.coronary,.bypass,.four,.days,.ago,.who,.has,.serosanguinous,.drainage,.in,.the,.chest
,.tube.
d. with,.a,.pneumothorax,.secondary,.to,.a,.gunshot,.wound,.with,.a,.current,.pulse,.oximet
er,.reading,.of,.90%.
9. An,.outcome,.for,.treatment,.of,.peripheral,.vascular,.disease,.is,,."The,.client,.will,.have,.de
creased,.venous,.congestion.",.What,.client,.behavior,.would,.indicate,.to,.the,.nurse,.that,.this,.
outcome,.has,.been,.met?
a. Avoids,.prolonged,.sitting,.or,.standing.
b. Avoids,.trauma,.and,.irritation,.to,.skin.
c. Wears,.protective,.shoes.
d. Quits,.smoking.
10. The,.healthcare,.provider,.performs,.a,.paracentesis,.on,.a,.client,.with,.ascites,.and,.3,.lite
rs,.of,.fluid,.are,.removed.,.Which,.assessment,.parameter,.is,.most,.critical,.for,.the,.nurse,.t
o,.monitor,.following,.the,.procedure?
a. Pedal,.pulses.
b. Breath,.sounds.
c. Gag,.reflex.
d. Vital,.signs.
, Name:,.ID:,.A,.3
11. The,.nurse,.is,.administering,.sevelamer,.(RenaGel),.during,.lunch,.to,.a,.client,.with,.en
d,.stage,.renal,.disease,.(ESRD).,.The,.client,.asks,.the,.nurse,.to,.bring,.the,.medication,.later.,.
The,.nurse,.should,.describe,.which,.action,.of,.RenaGel,.as,.an,.explanation,.for,.taking,.it,.
with,.meals?
a. Prevents,.indigestion,.associated,.with,.ingestion,.of,.spicy,.foods.
b. Binds,.with,.phosphorus,.in,.foods,.and,.prevents,.absorption.
c. Promotes,.stomach,.emptying,.and,.prevents,.gastric,.reflux.
d. Buffers,.hydrochloric,.acid,.and,.prevents,.gastric,.erosion.
12. The,.nurse,.formulates,.a,.nursing,.diagnosis,.of,,."High,.risk,.for,.ineffective,.airway,.cl
earance",.for,.a,.client,.with,.myasthenia,.gravis.,.What,.is,.the,.most,.likely,.etiology,.for,.this
,.nursing,.diagnosis?
a. Pain,.when,.coughing.
b. Diminished,.cough,.effort.
c. Thick,.dry,.secretions.
d. Excessive,.inflammation.
13. Following,.a,.CVA,,.the,.nurse,.assess,.that,.a,.client,.developed,.dysphagia,,.hypoactive,.bow
el,.sounds,.and,.firm,,.distended,.abdomen.,.Which,.prescription,.for,.the,.client,.should,.the,.n
urse,.question?
a. Continous,.tube,.feeding,.at,.65,.ml/hr,.via,.gastrostomy.
b. Total,.parenteral,.nutrition,.to,.be,.infused,.at,.125,.ml/hour.
c. Nasogastric,.tube,.connected,.to,.low,.intermittent,.suction.
d. Metoclopramide,.(Reglan),.intermittent,.piggyback.
14. A,.client's,.telemetry,.monitor,.indicates,.the,.sudden,.onset,.of,.ventricular,.fibrillatio
n.,.Which,.assessment,.finding,.should,.the,.nurse,.anticipate?
a. Bounding,.erratic,.pulse.
b. Regularly,.irregular,.pulse.
c. Thready,.irregular,.pulse.
d. No,.palpable,.pulse.
15. In,.assessing,.a,.70-year-
old,.female,.client,.with,.Alzheimer's,.disease,,.the,.nurse,.notes,.that,.she,.has,.deep,.inflame
d,.cracks,.at,.the,.corners,.of,.her,.mouth.,.What,.intervention,.should,.the,.nurse,.include,.in,.t
his,.client's,.plan,.of,.care?
a. Scrub,.the,.lesions,.with,.warm,.soapy,.water.
b. Encourage,.the,.client,.to,.drink,.orange,.juice,.for,.added,.vitamin,.C.
c. Notify,.the,.healthcare,.provider,.of,.the,.need,.for,.oral,.antibiotics.
d. Ensure,.that,.the,.client,.gets,.adequate,.B,.vitamins,.in,.foods,.or,.supplements.
16. A,.young,.adult,.female,.client,.is,.seen,.in,.the,.emergency,.department,.for,.a,.minor,.inju
ry,.following,.a,.motor,.vehicle,.collision.,.She,.states,.she,.is,.very,.angry,.at,.the,.person,.who,.h
it,.her,.car.,.What,.is,.the,.best,.nursing,.response?
a. "You,.are,.lucky,.to,.be,.alive.,.Be,.grateful,.no,.one,.was,.killed."
b. "I,.understand,.your,.car,.was,.not,.seriously,.damaged."
c. "You,.are,.upset,.that,.this,.incident,.has,.brought,.you,.here."
