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MED-SURG HESI 2 VERSIONS NEWEST 2026 / HESI
MED-SURG EXIT EXAM COMPLETE 110 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST EXAM!!!
The nurse knows that lab values sometimes vary for the
older client. Which data would the nurse expect to find
when reviewing laboratory values of an 80-year-old male?
Increased WBC, decreased RBC.
Increased serum bilirubin, slightly increased liver
enzymes.
Increased protein in the urine, slightly increased serum
glucose levels.
Decreased serum sodium, an increased urine specific
gravity. - ANSWER-Increased protein in the urine, slightly
increased serum glucose levels.
As older adults aged, the protein found in urine slightly
rises as a result of kidney changes and the serum glucose
increases slightly, also due to changes in the kidney. The
specific gravity declines by age 80 from 1.032 to 1.024.
The nurse is assessing a client with bacterial meningitis.
Which assessment finding indicates the client may have
developed septic emboli?
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The nurse is assessing a client with bacterial meningitis.
Which assessment finding indicates the client may have
developed septic emboli?
Cyanosis of the fingertips.
Bradycardia and bradypnea.
Presence of S3 and S4 heart sounds.
3+ pitting edema of the lower extremities. - ANSWER-
Cyanosis of the fingertips.
Septic emboli secondary to meningitis commonly lodge in
the small arterioles of the extremities, causing a decrease
in circulation to the hands which may lead to gangrene.
How should the nurse position the electrodes for modified
chest lead one (MCL I) telemetry monitoring?
Positive polarity right shoulder, negative polarity left
shoulder, ground left chest nipple line.
Positive polarity left shoulder, negative polarity right chest
nipple line, ground left chest nipple line.
Positive polarity right chest nipple line, negative polarity
left chest nipple line, ground left shoulder.
Negative polarity left shoulder, positive polarity right chest
nipple line, ground left chest nipple line. - ANSWER-
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Negative polarity left shoulder, positive polarity right chest
nipple line, ground left chest nipple line.
In MCL I monitoring, the positive electrode is placed on the
client's mid-chest to the right of the sternum, and the
negative electrode is placed on the upper left part of the
chest. The ground may be placed anywhere, but is usually
placed on the lower left portion of the chest.
The nurse notes that the only ECG for a 55-year-old male
client scheduled for surgery in two hours is dated two
years ago. The client reports that he has a history of "heart
trouble," but has no problems at present. Hospital protocol
requires that those over 50 years of age have a recent
ECG prior to surgery. What nursing action is best for the
nurse to implement?
Ask the client what he means by "heart trouble."
Call for an ECG to be performed immediately.
Notify surgery that the ECG is over two years old.
Notify the client's surgeon immediately. - ANSWER-Call for
an ECG to be performed immediately.
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According to the hospital policy, clients over the age of 50
and/or with a history of cardiovascular disease, should
receive ECG evaluation prior to surgery, generally 24
hours to two weeks before. The nurse needs to first
arrange for an ECG to be performed immediately prior to
surgery.
A client with multiple sclerosis has experienced an
exacerbation of symptoms, including paresthesias,
diplopia, and nystagmus. Which instruction should the
nurse provide?
Stay out of direct sunlight.
Restrict intake of high protein foods.
Schedule extra rest periods.
Go to the emergency room immediately. - ANSWER-
Schedule extra rest periods.
Exacerbations of the symptoms of MS occur most
commonly as the result of fatigue and stress. The client
should be encouraged to schedule extra rest periods to
help reduce the symptoms.
MED-SURG HESI 2 VERSIONS NEWEST 2026 / HESI
MED-SURG EXIT EXAM COMPLETE 110 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST EXAM!!!
The nurse knows that lab values sometimes vary for the
older client. Which data would the nurse expect to find
when reviewing laboratory values of an 80-year-old male?
Increased WBC, decreased RBC.
Increased serum bilirubin, slightly increased liver
enzymes.
Increased protein in the urine, slightly increased serum
glucose levels.
Decreased serum sodium, an increased urine specific
gravity. - ANSWER-Increased protein in the urine, slightly
increased serum glucose levels.
As older adults aged, the protein found in urine slightly
rises as a result of kidney changes and the serum glucose
increases slightly, also due to changes in the kidney. The
specific gravity declines by age 80 from 1.032 to 1.024.
The nurse is assessing a client with bacterial meningitis.
Which assessment finding indicates the client may have
developed septic emboli?
,2|Page
The nurse is assessing a client with bacterial meningitis.
Which assessment finding indicates the client may have
developed septic emboli?
Cyanosis of the fingertips.
Bradycardia and bradypnea.
Presence of S3 and S4 heart sounds.
3+ pitting edema of the lower extremities. - ANSWER-
Cyanosis of the fingertips.
Septic emboli secondary to meningitis commonly lodge in
the small arterioles of the extremities, causing a decrease
in circulation to the hands which may lead to gangrene.
How should the nurse position the electrodes for modified
chest lead one (MCL I) telemetry monitoring?
Positive polarity right shoulder, negative polarity left
shoulder, ground left chest nipple line.
Positive polarity left shoulder, negative polarity right chest
nipple line, ground left chest nipple line.
Positive polarity right chest nipple line, negative polarity
left chest nipple line, ground left shoulder.
Negative polarity left shoulder, positive polarity right chest
nipple line, ground left chest nipple line. - ANSWER-
,3|Page
Negative polarity left shoulder, positive polarity right chest
nipple line, ground left chest nipple line.
In MCL I monitoring, the positive electrode is placed on the
client's mid-chest to the right of the sternum, and the
negative electrode is placed on the upper left part of the
chest. The ground may be placed anywhere, but is usually
placed on the lower left portion of the chest.
The nurse notes that the only ECG for a 55-year-old male
client scheduled for surgery in two hours is dated two
years ago. The client reports that he has a history of "heart
trouble," but has no problems at present. Hospital protocol
requires that those over 50 years of age have a recent
ECG prior to surgery. What nursing action is best for the
nurse to implement?
Ask the client what he means by "heart trouble."
Call for an ECG to be performed immediately.
Notify surgery that the ECG is over two years old.
Notify the client's surgeon immediately. - ANSWER-Call for
an ECG to be performed immediately.
, 4|Page
According to the hospital policy, clients over the age of 50
and/or with a history of cardiovascular disease, should
receive ECG evaluation prior to surgery, generally 24
hours to two weeks before. The nurse needs to first
arrange for an ECG to be performed immediately prior to
surgery.
A client with multiple sclerosis has experienced an
exacerbation of symptoms, including paresthesias,
diplopia, and nystagmus. Which instruction should the
nurse provide?
Stay out of direct sunlight.
Restrict intake of high protein foods.
Schedule extra rest periods.
Go to the emergency room immediately. - ANSWER-
Schedule extra rest periods.
Exacerbations of the symptoms of MS occur most
commonly as the result of fatigue and stress. The client
should be encouraged to schedule extra rest periods to
help reduce the symptoms.
