HESI Med Surg V1 Exit Exam 2026/2027 – Real Exam
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The nurse assesses an adult client 24 hours after a bowel exploration and
formation of a sigmoid colostomy. Which assessment finding should be
reported to the surgeon?
The stoma mucosa is purple in color
The nurse prepares a teaching plan for an adult client with metabolic
syndrome.Which finding should the nurse address to help the client reduce the
risk for diabetes mellitus and vascular disease? (Select all that apply)
- Increased triglyceride levels
- Hyperglycemia
-Blood pressure of 150/96
- Abdominal obesity
The nurse is caring for a client admitted to the hospital with a tentative
diagnosis of bacterial meningitis. Which diagnostic procedure should the nurse
prepare the client for the healthcare provider?
Lumbar puncture
A young adult male client has a leg cast following an open reduction for
fractured tibia. He is in skeletal traction with 10 lbs of weight. Approximately
two hours after returning to the unit, he reports severe pain in the affected
extremity, and the nurse observes that the limb is blue and blanched. Which
action should the nurse promote first?
Notify the healthcare provider of the assessment findings
A client is receiving combination chemotherapy for treatment of metastatic
carcinoma. When monitoring the client for systemic side effects, which
assessment findings warrants intervention by the nurse?
Leukopenia
, The nurse is planning care for an older adult male who experienced a
cerebrovascular accident several weeks ago. Because of expressive aphasia, the
client often becomes frustrated with the nursing staff. Which intervention
should the nurse implement?
Encourage client's use of picture charts
The nurse has determined that a client with trigeminal neuralgia has the nursing
problem, "imbalanced nutrition, less than body requirements". Which cause is
contributing to the problem?
Pain when eating
A client with Cushing's syndrome is recovering from an elective laparoscopic
procedure. Which assessment finding warrants immediate intervention by the
nurse?
Irregular apical pulse
The nurse is assessing a client who has herpes zoster. Which question will allow
the nurse to gather further information about this condition?
Has everyone at home already had varicella?
. A client with COPD arrives at the emergency department reporting of
shortness of breath upon exertion and weakness. The client tells the nurse of
normally receiving dialysis three times a week but missed the last treatment.
The client's serum potassium is 4.8 mEq/L and creatinine is 1.4, accompanied
with a blood pressure of 200/120 mmHg. The client has salt crystals present on
the skin. Which finding is most important for the nurse to bring to the attention
of the healthcare provider?
Blood pressure
The nurse determines that an adult client who is admitted to the post
anesthesia care unit (PACU) following abdominal surgery has a tympanic
temperature of 94.6 F (34.8 C), a pulse rate of 88 beats/minute, a respiratory
rate of 14 breaths/minute, and a blood pressure of 94/64 mmHg. Which action
should the nurse implement?
Take the clients temperature using another method
Questions | Verified Expert Answers | 100% Graded A+|
INSTANT PDF DOWNLOAD
The nurse assesses an adult client 24 hours after a bowel exploration and
formation of a sigmoid colostomy. Which assessment finding should be
reported to the surgeon?
The stoma mucosa is purple in color
The nurse prepares a teaching plan for an adult client with metabolic
syndrome.Which finding should the nurse address to help the client reduce the
risk for diabetes mellitus and vascular disease? (Select all that apply)
- Increased triglyceride levels
- Hyperglycemia
-Blood pressure of 150/96
- Abdominal obesity
The nurse is caring for a client admitted to the hospital with a tentative
diagnosis of bacterial meningitis. Which diagnostic procedure should the nurse
prepare the client for the healthcare provider?
Lumbar puncture
A young adult male client has a leg cast following an open reduction for
fractured tibia. He is in skeletal traction with 10 lbs of weight. Approximately
two hours after returning to the unit, he reports severe pain in the affected
extremity, and the nurse observes that the limb is blue and blanched. Which
action should the nurse promote first?
Notify the healthcare provider of the assessment findings
A client is receiving combination chemotherapy for treatment of metastatic
carcinoma. When monitoring the client for systemic side effects, which
assessment findings warrants intervention by the nurse?
Leukopenia
, The nurse is planning care for an older adult male who experienced a
cerebrovascular accident several weeks ago. Because of expressive aphasia, the
client often becomes frustrated with the nursing staff. Which intervention
should the nurse implement?
Encourage client's use of picture charts
The nurse has determined that a client with trigeminal neuralgia has the nursing
problem, "imbalanced nutrition, less than body requirements". Which cause is
contributing to the problem?
Pain when eating
A client with Cushing's syndrome is recovering from an elective laparoscopic
procedure. Which assessment finding warrants immediate intervention by the
nurse?
Irregular apical pulse
The nurse is assessing a client who has herpes zoster. Which question will allow
the nurse to gather further information about this condition?
Has everyone at home already had varicella?
. A client with COPD arrives at the emergency department reporting of
shortness of breath upon exertion and weakness. The client tells the nurse of
normally receiving dialysis three times a week but missed the last treatment.
The client's serum potassium is 4.8 mEq/L and creatinine is 1.4, accompanied
with a blood pressure of 200/120 mmHg. The client has salt crystals present on
the skin. Which finding is most important for the nurse to bring to the attention
of the healthcare provider?
Blood pressure
The nurse determines that an adult client who is admitted to the post
anesthesia care unit (PACU) following abdominal surgery has a tympanic
temperature of 94.6 F (34.8 C), a pulse rate of 88 beats/minute, a respiratory
rate of 14 breaths/minute, and a blood pressure of 94/64 mmHg. Which action
should the nurse implement?
Take the clients temperature using another method
