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2023 HESI Med Surg Exit Exam V1 Version 1 Brand New Q As Guaranteed A+
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l2023 HESI Med Surg Exit Exam (V1 Version 1) Brand New Q&As +
Guaranteed A+
TEST 1
Multiple Choices
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 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.
2023 HESI Med Surg Exit Exam (V1 Version 1)
,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.
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2023 HESI Med Surg Exit Exam (V1 Version 1)
, 2023 HESI Med Surg Exit Exam (V1 Version 1)
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.
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, 2023 HESI Med Surg Exit Exam (V1 Version 1)
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.
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