HESI Med Surg Exit Exam (V1 Version 1) 2022 Brand New
(160Q&As) 100% Correctly Verified Answers Best Exam Solution
Latest Update 2023/2024 A+
TEST 1
Multiple Choice
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.
Assess for the presence of a positive Homan's sign.
DO NOT COPY
b.
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 the infant 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
neuromuscular blocker tubocurarine chloride (Tubarine) is effective?
a. The client’s expremities are paralyzed.
b. The peripheral nerve stimulator causes twitching.
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 nurse compare with today's lab
report?
a. Look at last quarter's hemoglobin and hematocrit, expecting an
increase today due to dehydration.
b. Look for an increase in today's LDH compared to the previous
one to assess for possible liver damage.
c. Expect to find an increase in today's APTT as compared to last
quarter's due to bleeding.
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
inflammatory process, 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 sponge bath.
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's syndrome?
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 the status 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 is now 195 mg/dl.
b. with an ileal conduit created two days ago with a scant amount
of blood in the drainage pouch.
c. post-triple coronary bypass four days ago who has
serosanguinous drainage in the chest tube.
d. with a pneumothorax secondary to a gunshot wound with a
current pulse oximeter 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 has been met?
a. Avoids prolonged sitting or standing.
b. Avoids trauma and irritation to skin.
c. Wears protective shoes.
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 following the procedure?
a. Pedal pulses.
b. Breath sounds.
c. Gag reflex.
d. Vital signs.
(160Q&As) 100% Correctly Verified Answers Best Exam Solution
Latest Update 2023/2024 A+
TEST 1
Multiple Choice
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.
Assess for the presence of a positive Homan's sign.
DO NOT COPY
b.
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 the infant 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
neuromuscular blocker tubocurarine chloride (Tubarine) is effective?
a. The client’s expremities are paralyzed.
b. The peripheral nerve stimulator causes twitching.
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 nurse compare with today's lab
report?
a. Look at last quarter's hemoglobin and hematocrit, expecting an
increase today due to dehydration.
b. Look for an increase in today's LDH compared to the previous
one to assess for possible liver damage.
c. Expect to find an increase in today's APTT as compared to last
quarter's due to bleeding.
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
inflammatory process, 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 sponge bath.
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's syndrome?
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 the status 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 is now 195 mg/dl.
b. with an ileal conduit created two days ago with a scant amount
of blood in the drainage pouch.
c. post-triple coronary bypass four days ago who has
serosanguinous drainage in the chest tube.
d. with a pneumothorax secondary to a gunshot wound with a
current pulse oximeter 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 has been met?
a. Avoids prolonged sitting or standing.
b. Avoids trauma and irritation to skin.
c. Wears protective shoes.
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 following the procedure?
a. Pedal pulses.
b. Breath sounds.
c. Gag reflex.
d. Vital signs.
