NURSING NUR HESI EXIT MED SURG EXAM
QUESTIONS AND ANSWERS BEST RATED A+ NEW
UPDATE 2025
A nurse is assessing an older adult client. Which of the following
statements indicates thatthe client is at risk for being socially isolated?
a. “my hearing aid is lost, so I don’t go to church like I used to”
b. “I only babysit my grandchildren twice each month”
c. “my adult child takes me to the grocery store every other week”
d. “people have to speak louder for me to hear when they visit”
A nurse is assessing the grief response of a client whose child died 6
months ago. Which ofthe following client statements should the nurse report
to the provider as an indication of major depressive disorder?
a. “I am unable to feel any joy since my child died”
b. “I feel guilty because my child died”
c. “I know that I will be reunited with my child someday”
d. “I am angry that my child died”
A nurse is preparing to teach the parents of a child who has cystic
fibrosis. Which of thefollowing instructions should the nurse plan to
include?
a. give the child hot foods to reduce the sense of fullness
b. administer pancreatic enzymes 30 minutes after meals
c. trim the fat from the red meat prior
to cookingd. provide a diet high in
protein and calories
A nurse is caring for a client who is scheduled to undergo a procedure
,the following day.The client states “I don’t know what my surgery
tomorrow is for.” Which of the following responses should the nurse make?
a. “would you like me to tell you more about the procedure?”
b. “I will tell your provider that you have questions about the surgery”
c. “would you like to hear about some other possible treatment options?”
d. “I will make a note in your medical record that you don’t understand
the surgery”
A nurse is preparing to administer ranitidine 50 mg IV over 15 min to a
client. Available isranitidine 50 mg in 0.9% sodium chloride solution 100 mL.
the nurse should set the IV pump to
,deliver how many mL/hr? (Round the answer to the nearest whole number.
Use a leading zero ifit applies. Do not use a trailing zero.)
400
A charge nurse is teaching a group of newly licensed nurses about the
correct use of restraints. Which of the following examples should the
charge nurse include in the teaching?
a. securing wrist restraints to the bed rails for an adolescent
b.Applying elbow immobilizers on an infant recovering from cleft lip
surgery
c. placing a belt restraint on a school age child who has seizures
d. keeping the side rails of a toddlers crib elevated
A nurse is reviewing laboratory data from a client who has chronic kidney
disease. Which ofthe following findings should the nurse expect?
a. increased bicarbonate
b. Increased
calcium c.
Increased
creatinine
d. increased hemoglobin
A school nurse is teaching a parent about absent seizures. Which
of the followinginformation should the nurse include?
a. “the child usually has an aura prior to onset.”
b. “this type of seizure can be mistaken for daydreaming.”
c. “this type of seizure has a gradual onset.”
d. “this type of seizure lasts 30 to 60 seconds.”
, A nurse is caring for a client who has a terminal illness. The client tells
the nurse, “I have decided to discontinue my treatment. I want to pursue
alternative therapies instead.” Which ofthe following responses should the
nurse make?
a. “I will come back to talk to you about your decision when you feel
better.”
b. “Why do you think that alternative therapies are a
better choice?”c. “What has your doctor told you about
your treatment options?”
d. “You should consult with your family before seeking other treatments”
A nurse is caring for a client who has severe hypertension and is to
receive nitroprusside viacontinuous IV infusion. Which of the following
actions should the nurse plan to take?
a. keep calcium gluconate at the client’s bedside.
b. monitor blood pressure every 2 hr
c. attach an inline filter to the IV tubing
d. protect the IV bag from exposure to light
A nurse is interviewing the partner of a client who was admitted in the
manic phase of bipolar disorder. The partner states, “I don’t know what to do.
Everything has been happening soquickly.” Which of the following responses
by the nurse is therapeutic?
a. “why do you think your partner’s symptoms are progressing so
quickly?”
b. “you did the right thing by bringing your partner in for treatment.”
c. “you should make sure your partner takes the prescribed medication.”
QUESTIONS AND ANSWERS BEST RATED A+ NEW
UPDATE 2025
A nurse is assessing an older adult client. Which of the following
statements indicates thatthe client is at risk for being socially isolated?
a. “my hearing aid is lost, so I don’t go to church like I used to”
b. “I only babysit my grandchildren twice each month”
c. “my adult child takes me to the grocery store every other week”
d. “people have to speak louder for me to hear when they visit”
A nurse is assessing the grief response of a client whose child died 6
months ago. Which ofthe following client statements should the nurse report
to the provider as an indication of major depressive disorder?
a. “I am unable to feel any joy since my child died”
b. “I feel guilty because my child died”
c. “I know that I will be reunited with my child someday”
d. “I am angry that my child died”
A nurse is preparing to teach the parents of a child who has cystic
fibrosis. Which of thefollowing instructions should the nurse plan to
include?
a. give the child hot foods to reduce the sense of fullness
b. administer pancreatic enzymes 30 minutes after meals
c. trim the fat from the red meat prior
to cookingd. provide a diet high in
protein and calories
A nurse is caring for a client who is scheduled to undergo a procedure
,the following day.The client states “I don’t know what my surgery
tomorrow is for.” Which of the following responses should the nurse make?
a. “would you like me to tell you more about the procedure?”
b. “I will tell your provider that you have questions about the surgery”
c. “would you like to hear about some other possible treatment options?”
d. “I will make a note in your medical record that you don’t understand
the surgery”
A nurse is preparing to administer ranitidine 50 mg IV over 15 min to a
client. Available isranitidine 50 mg in 0.9% sodium chloride solution 100 mL.
the nurse should set the IV pump to
,deliver how many mL/hr? (Round the answer to the nearest whole number.
Use a leading zero ifit applies. Do not use a trailing zero.)
400
A charge nurse is teaching a group of newly licensed nurses about the
correct use of restraints. Which of the following examples should the
charge nurse include in the teaching?
a. securing wrist restraints to the bed rails for an adolescent
b.Applying elbow immobilizers on an infant recovering from cleft lip
surgery
c. placing a belt restraint on a school age child who has seizures
d. keeping the side rails of a toddlers crib elevated
A nurse is reviewing laboratory data from a client who has chronic kidney
disease. Which ofthe following findings should the nurse expect?
a. increased bicarbonate
b. Increased
calcium c.
Increased
creatinine
d. increased hemoglobin
A school nurse is teaching a parent about absent seizures. Which
of the followinginformation should the nurse include?
a. “the child usually has an aura prior to onset.”
b. “this type of seizure can be mistaken for daydreaming.”
c. “this type of seizure has a gradual onset.”
d. “this type of seizure lasts 30 to 60 seconds.”
, A nurse is caring for a client who has a terminal illness. The client tells
the nurse, “I have decided to discontinue my treatment. I want to pursue
alternative therapies instead.” Which ofthe following responses should the
nurse make?
a. “I will come back to talk to you about your decision when you feel
better.”
b. “Why do you think that alternative therapies are a
better choice?”c. “What has your doctor told you about
your treatment options?”
d. “You should consult with your family before seeking other treatments”
A nurse is caring for a client who has severe hypertension and is to
receive nitroprusside viacontinuous IV infusion. Which of the following
actions should the nurse plan to take?
a. keep calcium gluconate at the client’s bedside.
b. monitor blood pressure every 2 hr
c. attach an inline filter to the IV tubing
d. protect the IV bag from exposure to light
A nurse is interviewing the partner of a client who was admitted in the
manic phase of bipolar disorder. The partner states, “I don’t know what to do.
Everything has been happening soquickly.” Which of the following responses
by the nurse is therapeutic?
a. “why do you think your partner’s symptoms are progressing so
quickly?”
b. “you did the right thing by bringing your partner in for treatment.”
c. “you should make sure your partner takes the prescribed medication.”
