HESI Med Surg Exit Exam |Med Surg Hesi Exam Latest Update 160 Questions with Solutions and the End Rated A+

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HESI Med Surg Exit Exam 2025-2026 |Med
Surg Hesi Exam Latest Update 160
Questions with Solutions and the End
Rated A+
TEST .1
Multiple .Choice
Identify .the .letter .of .the .choice .that .best .completes .the .statement .or .answers .the .question.

. 1. .While .assessing .a .client .with .diabetes .mellitus, .the .nurse .observes .an .absence
.of .hair .growth .on .the .client's .legs. .What .additional .assessment .provides

.further .data .to .support .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
.Streptomycin .will .theinfant .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 .nurse .determines .that .her .deep .tendon .reflexes .are .1+; .respiratory .rate .is

.12 .breaths/minute; .urinary .output .is .90 .ml .in .4 .hours; .magnesium .sulfate .level

.is .9 .mg/dl. . Based .on .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

.the .neuromuscularblocker .tubocurarine .chloride .(Tubarine) .is .effective?
a. The .client’s .expremities .are .paralyzed.
b. The .peripheral .nerve .stimulator .causes .twitching.




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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

.acetaminophen .(Tylenol) .for .the .past .month .to .control .joint .pain. .Based .on

.this .client's .comment, .what .previous .lab .values .should .the .nursecompare

.with .today's .lab .report?

a. Look .at .last .quarter's .hemoglobin .and .hematocrit, .expecting .an
.increase .today .dueto .dehydration.

b. Look .for .an .increase .in .today's .LDH .compared .to .the .previous
.one .to .assess .forpossible .liver .damage.

c. Expect .to .find .an .increase .in .today's .APTT .as .compared .to
.last .quarter's .due .tobleeding.

d. Determine .if .there .is .a .decrease .in .serum .potassium .due .to .renal .compromise.
6. .Aspirin .is .prescribed .for .a .9-year-old .child .with .rheumatic .fever .to .control .the
.inflammatoryprocess, .promote .comfort, .and .reduce .fever. .What .intervention .is .most

.important .for .the .nurse .to .implement?
a. Instruct .the .parents .to .hold .the .aspirin .until .the .child .has .first .had
.a .tepid .spongebath.
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'ssyndrome?
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 .thestatus .report .provided .by .the .nurse .who .is

.leaving .for .lunch, .which .client .should .be .checked .first .by .the .charge

.nurse? .The .client

a. admitted .yesterday .with .diabetec .ketoacidosis .whose .blood
.glucose .level .isnow .195 .mg/dl.

b. with .an .ileal .conduit .created .two .days .ago .with .a .scant
.amount .of .blood .inthe .drainage .pouch.

c. post-triple .coronary .bypass .four .days .ago .who .has
.serosanguinous .drainagein .the .chest .tube.

d. with .a .pneumothorax .secondary .to .a .gunshot .wound .with .a
.current .pulseoximeter .reading .of .90%.

. . 9. .An .outcome .for .treatment .of .peripheral .vascular .disease .is, ."The

.client .will .have .decreased .venous .congestion." .What .client .behavior .would

.indicate .to .the .nurse .that .this .outcome .hasbeen .met?
a. Avoids .prolonged .sitting .or .standing.
b. Avoids .trauma .and .irritation .to .skin.
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c. Wears .protective .shoes.




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d. Quits .smoking.
.10. .The .healthcare .provider .performs .a .paracentesis .on .a .client .with .ascites .and

.3 .liters .of .fluid .are .removed. .Which .assessment .parameter .is .most .critical .for

.the .nurse .to .monitor .followingthe .procedure?
a. Pedal .pulses.
b. Breath .sounds.
c. Gag .reflex.
d. Vital .signs.
.11. .The .nurse .is .administering .sevelamer .(RenaGel) .during .lunch .to .a .client .with

.end .stage .renaldisease .(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 .clearance" .for .aclient .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 .bowel .soundsand .firm, .distended .abdomen. .Which .prescription

.for .the .client .should .the .nurse .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

.fibrillation. .Whichassessment .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 .inflamed .cracks .at .the .corners .of .her .mouth. .What

.intervention .should .the .nurse .includein .this .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


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