MED SURG HESI V2 EXAM NEWEST ACTUAL EXAM
MED SURG HESI V2 EXAM NEWEST ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
An overweight young adult male who was recently diagnosed with type 2 DM is
admitted for a hernia repair. he tells the nurse that he is feeling very weak and
jittery. Which actions should the nurse implement? Select all that apply.
A.Check his fingerstick glucose
B. Assess his skin temperature and moisture
C. Measure his pulse and BP
D. Document anxiety on the surgical checklist
E. Administer a PRN dose of regular insulin - Correct Answer-Check his fingerstick
glucose, assess his skin temperature and moisture, measure his pulse and BP
A client with Cushing Syndrome is recovering from an elective laparoscopic
procedure. which assessment finding warrants immediate intervention by the
nurse?
A. Irregular apical pulse
B. Purple marks on skin of the abdomen
C. Quarter sized blood spot on the dressing
D. Pitting ankle edema - Correct Answer-Irregular apical pulse
An adult woman with primary Raynaud phenomenon develops pallor and then
cyanosis of her fingers. After warming her hands, the fingers turn red and the
client reports a burning sensation. What action should the nurse take?
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, MED SURG HESI V2 EXAM NEWEST ACTUAL EXAM
A. Apply a cool compress to the affected fingers for 20 minutes
B. Secure a pulse oximeter to monitor the client's oxygen saturation
C. Report the finding to the healthcare provider as soon as possible
D. Continue to monitor the fingers until color returns to normal - Correct Answer-
Continue to monitor the fingers until color returns to normal
A male client with muscular dystrophy fell in his home and is admitted with a right
hip fracture. His right foot is cool, with palpable pedal pulses. lung are coarse with
diminished bibasilar breath sounds. Vital signs are T: 101 degrees, HR: 128, RR: 28,
B/P: 122/82. Which interventions is most important for the nurse to implement
first?
A. Obtain oxygen saturation level.
B. Encourage incentivize spirometry
C. Assess lower extremity circulation
D. Administer oral PRN antipyretic - Correct Answer-Administer oral PRN
antipyretic
The nurse is completing the preoperative assessment of a client who is scheduled
for a laparoscopic cholecystectomy under general anesthesia. which finding
warrants notification of the HCP prior to proceeding with the scheduled
procedure?
A. light yellow coloring of the clients skin and eyes.
B. The clients blood pressure reading 184/88mm
C. The client vomits 20 mL of clear yellowish fluid
D. the IV insertion site is red, swollen, and leaking IV fluid - Correct Answer-The
clients blood pressure reading 184/88
2|Page
, MED SURG HESI V2 EXAM NEWEST ACTUAL EXAM
A client who has a history of hyperthyroidism was initially admitted with lethargy
and confusion. Which additional finding warrants the most immediate action by
the nurse?
A. Facial puffiness and periorbital edema
B. Hematocrit of 30%
C. cold and dry skin
D. Further decline in LOC - Correct Answer-Further decline in LOC
Following surgical repair of the bladder, a female client is being discharged from
the hospital to home with an indwelling urinary catheter. Which instruction is
most important for the nurse to provide to this client?
A. Avoid coiling the tubing and keep if free of kinks
B. Cleanse the perineal area with soap and water twice daily
C. Keep the drainage bag lower than the level of the bladder
D. Drink 1,000 ml of fluids daily to irrigate catheter - Correct Answer-Keep the
drainage back lower than the level of the bladder
Which client has the highest risk for developing skin cancer?
A. A 16 year old dark skinned female who tans in tanning bed once a week.
B. A 65 year old fair skinned male who is a construction worker
C. A 25 year old dark skinned male who mother had skin cancer.
D. A 70 year old fair skinned female who works as a secretary - Correct Answer-A
65 year old fair skinned male who is a construction worker
3|Page
MED SURG HESI V2 EXAM NEWEST ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
An overweight young adult male who was recently diagnosed with type 2 DM is
admitted for a hernia repair. he tells the nurse that he is feeling very weak and
jittery. Which actions should the nurse implement? Select all that apply.
A.Check his fingerstick glucose
B. Assess his skin temperature and moisture
C. Measure his pulse and BP
D. Document anxiety on the surgical checklist
E. Administer a PRN dose of regular insulin - Correct Answer-Check his fingerstick
glucose, assess his skin temperature and moisture, measure his pulse and BP
A client with Cushing Syndrome is recovering from an elective laparoscopic
procedure. which assessment finding warrants immediate intervention by the
nurse?
A. Irregular apical pulse
B. Purple marks on skin of the abdomen
C. Quarter sized blood spot on the dressing
D. Pitting ankle edema - Correct Answer-Irregular apical pulse
An adult woman with primary Raynaud phenomenon develops pallor and then
cyanosis of her fingers. After warming her hands, the fingers turn red and the
client reports a burning sensation. What action should the nurse take?
1|Page
, MED SURG HESI V2 EXAM NEWEST ACTUAL EXAM
A. Apply a cool compress to the affected fingers for 20 minutes
B. Secure a pulse oximeter to monitor the client's oxygen saturation
C. Report the finding to the healthcare provider as soon as possible
D. Continue to monitor the fingers until color returns to normal - Correct Answer-
Continue to monitor the fingers until color returns to normal
A male client with muscular dystrophy fell in his home and is admitted with a right
hip fracture. His right foot is cool, with palpable pedal pulses. lung are coarse with
diminished bibasilar breath sounds. Vital signs are T: 101 degrees, HR: 128, RR: 28,
B/P: 122/82. Which interventions is most important for the nurse to implement
first?
A. Obtain oxygen saturation level.
B. Encourage incentivize spirometry
C. Assess lower extremity circulation
D. Administer oral PRN antipyretic - Correct Answer-Administer oral PRN
antipyretic
The nurse is completing the preoperative assessment of a client who is scheduled
for a laparoscopic cholecystectomy under general anesthesia. which finding
warrants notification of the HCP prior to proceeding with the scheduled
procedure?
A. light yellow coloring of the clients skin and eyes.
B. The clients blood pressure reading 184/88mm
C. The client vomits 20 mL of clear yellowish fluid
D. the IV insertion site is red, swollen, and leaking IV fluid - Correct Answer-The
clients blood pressure reading 184/88
2|Page
, MED SURG HESI V2 EXAM NEWEST ACTUAL EXAM
A client who has a history of hyperthyroidism was initially admitted with lethargy
and confusion. Which additional finding warrants the most immediate action by
the nurse?
A. Facial puffiness and periorbital edema
B. Hematocrit of 30%
C. cold and dry skin
D. Further decline in LOC - Correct Answer-Further decline in LOC
Following surgical repair of the bladder, a female client is being discharged from
the hospital to home with an indwelling urinary catheter. Which instruction is
most important for the nurse to provide to this client?
A. Avoid coiling the tubing and keep if free of kinks
B. Cleanse the perineal area with soap and water twice daily
C. Keep the drainage bag lower than the level of the bladder
D. Drink 1,000 ml of fluids daily to irrigate catheter - Correct Answer-Keep the
drainage back lower than the level of the bladder
Which client has the highest risk for developing skin cancer?
A. A 16 year old dark skinned female who tans in tanning bed once a week.
B. A 65 year old fair skinned male who is a construction worker
C. A 25 year old dark skinned male who mother had skin cancer.
D. A 70 year old fair skinned female who works as a secretary - Correct Answer-A
65 year old fair skinned male who is a construction worker
3|Page
