HESI Med Surg Exit Exam Questions and Correct Answers All Verified 2026

HESI Med Surg Exit Exam
Questions and Correct
Answers All Verified 2026
1.BWhileBassessingBaBclientBwithBdiabetesBmellitus,BtheBnurseBobservesBanBabsenceBo
fBhairBgrowth

onBtheBclient'sBlegs.BWhatBadditionalBassessmentBprovidesBfurtherBdataBtoBsupportBth
is

finding?

a.BPalpateBforBtheBpresenceBofBfemoralBpulsesBbilaterally.

b.BAssessBforBtheBpresenceBofBaBpositiveBHoman'sBsign.

c.BObserveBtheBappearanceBofBtheBskinBonBtheBclient'sBlegs.

d.BWatchBtheBclient'sBpostureBandBbalanceBduringBambulationB-BAnswerBANS:BC

SignsBofBchronicBarterialBinsufficiencyBincludeBdecreasedBhairBgrowthBinBtheBlegsBand
Bfeet,

absentBorBdecreasedBpedalBpulses,BinfectionBinBtheBfoot,BpoorBwoundBhealing,Bthicke
nedBnails,

andBaBshinyBappearanceBofBtheBskinB(C).BFemoralBpulsesB(A)BshouldBstillBbeBpalpable
BinBthe

diabeticBwithBchronicBarterialBinsufficiency.BABpositiveBHoman'sBsignBisBanBindicatorBo
fBdeep

veinBthrombosisB(B).B(D)BwouldBprobablyBnotBbeBaffectedBsignificantlyBbyBchronicBart
erial

insufficiency.



2.BTheBhealthcareBproviderBprescribesB15Bmg/kgBofBStreptomycinBforBanBinfantBweigh
ingB4Bpounds.

TheBdrugBisBdilutedBinB25BmlBofBD5WBtoBrunBoverB8Bhours.BHowBmuchBStreptomyci
nBwillBthe

infantBreceive?

,a.B9Bmg.

b.B18Bmg.

c.B27Bmg.

d.B36BmgB-BAnswerBANS:BC

4BlbsB/B2.2B=B1.8Bkg.B1.8BxB15B=B27BmgB(C).

NOTE,BtheBfactBthatBtheBdrugBisBdilutedBinB25BmlBofBD5W,BisBnotBrelevantBtoBtheBc
alculation

requested



InBassessingBaBclientBwithBpreeclampsiaBwhoBisBreceivingBmagnesiumBsulfate,BtheBnur
se

determinesBthatBherBdeepBtendonBreflexesBareB1+;BrespiratoryBrateBisB12Bbreaths/min
ute;

urinaryBoutputBisB90BmlBinB4Bhours;BmagnesiumBsulfateBlevelBisB9Bmg/dl.BBasedBonB
these

findings,BwhatBinterventionBshouldBtheBnurseBimplement?

a.BContinueBtheBmagnesiumBsulfateBinfusionBasBprescribed.

b.BDecreaseBtheBmagnesiumBsulfateBinfusionBbyBone-half.

c.BStopBtheBmagnesiumBsulfateBinfusionBimmediately.

d.BAdministerBcalciumBgluconateBimmediately.B-BAnswerBANS:BC

TheBclientBisBexhibitingBsymptomsBofBmagnesiumBsulfateBtoxicity--
decreasedBreflexesB(normalBis

+2),BaBlowBnormalBrespiratoryBrateB(normalBisB12BtoB20Bbreaths/min),BaBlessBthanBa
verage

urinaryBoutputB(30Bml/hourBisBaverage),BandBaBlowBmagnesiumBsulfateBlevelB(normal
BisB4Bto

8mg/dl).BBasedBonBtheseBfindings,BtheBnurseBshouldBstopBtheBinfusionB(C).B(A)Bis

contraindicated.B(B)BwouldBnotBfullyBalleviateBtheBmagnesiumBsulfateBtoxicityBsympto
ms.B(D)

(theBantagonistBforBmagnesiumBsulfate)BwouldBbeBindicatedBifBtheBrespiratoryBrateBw
ereBless

,thanB12Bbreaths/minute.



ABclientBisBonBaBmechanicalBventilator.BWhichBclientBresponseBindicatesBthatBtheBneu
romuscular

blockerBtubocurarineBchlorideB(Tubarine)BisBeffective?

a.BTheBclient'sBexpremitiesBareBparalyzed.

b.BTheBperipheralBnerveBstimulatorBcausesBtwitching.

c.BTheBclientBclinchesBfistBuponBcommand.

d.BTheBclient'sBGlagowBComaBScaleBscoreBisB14B-BAnswerBANS:BA

ThisBmedicationBcausesBparalysisB(A)BfollowingBintravenousBinjection.BPeakBeffectsBper
sistBfor

35BtoB60Bminutes.B(BBandBC)BwouldBnotBbeBpossibleBifBtheBmedicationBisBeffective.B
TheBGlasgow

comaBscaleBisBusedBtoBevaluateBtheBneurologicalBstatusBofBtheBclientBandBdoesBnotB
evaluateBthe

effectivenessB(D)BofBthisBmedication.



5.BAnBelderlyBfemaleBclientBcomesBtoBtheBclinicBforBaBregularBcheck-
up.BTheBclientBtellsBtheBnurse

thatBsheBhasBincreasedBherBdailyBdosesBofBacetaminophenB(Tylenol)BforBtheBpastBmo
nthBto

controlBjointBpain.BBasedBonBthisBclient'sBcomment,BwhatBpreviousBlabBvaluesBshould
BtheBnurse

compareBwithBtoday'sBlabBreport?

a.BLookBatBlastBquarter'sBhemoglobinBandBhematocrit,BexpectingBanBincreaseBtodayBd
ue

toBdehydration.

b.BLookBforBanBincreaseBinBtoday'sBLDHBcomparedBtoBtheBpreviousBoneBtoBassess

forBpossibleBliverBdamage.Bc.BExpectBtoBfindBanBincreaseBinBtoday'sBAPTTBasBcompar
edBtoBlastBquarter'sBdue

toBbleeding.

, d.BDetermineBifBthereBisBaBdecreaseBinBserumBpotassiumBdueBtoBrenalBcompromise.B
-BAnswerBANS:BB

FrequentBand/orBlargeBdosesBofBacetaminophenBcanBcauseBanBincreaseBinBliverBenzy
mes,

indicatingBpossibleBliverBdamageB(B).BIfBtheBclientBreportedBunusualBbleeding,BorBanBi
ncreaseBin

aspirinBusage,BitBwouldBbeBimportantBforBtheBnurseBtoBassessBforBincreasedBbleeding
BandBmonitor

(ABand/orBC).B(D)BisBnotBaffectedBbyBincreasesBinBacetaminophenBdoses.



6.BAspirinBisBprescribedBforBaB9-year-
oldBchildBwithBrheumaticBfeverBtoBcontrolBtheBinflammatory

process,BpromoteBcomfort,BandBreduceBfever.BWhatBinterventionBisBmostBimportantBf
orBthe

nurseBtoBimplement?

a.BInstructBtheBparentsBtoBholdBtheBaspirinBuntilBtheBchildBhasBfirstBhadBaBtepidBspo
nge

bath.

b.BAdministerBtheBaspirinBwithBatBleastBtwoBouncesBofBwaterBorBjuice.

c.BNotifyBtheBhealthcareBproviderBifBtheBchildBcomplainsBofBringingBinBtheBears.

d.BAdviseBtheBparentsBtoBquestionBtheBchildBaboutBseeingByellowBhalosBaroundBobjec
tsB-BAnswerBANS:BC

RingingBinBtheBearsB(tinnitus)B(C)BisBanBimportantBsignBofBaspirinBoverdosageBandBsh
ouldBbe

reportedBimmediately.BThoughBaBtepidBspongeBbathBmayBlowerBtheBchild'sBtemperatu
re,Bthe

prescriptionBforBaspirinBshouldBnotBbeBheldB(A).BAspirinBshouldBbeBtakenBwithBatBlea
stBeight

ouncesBofBwaterBtoBcompletelyBwashBtheBtabletBintoBtheBstomachBandBtoBhelpBprev
entBGI

discomfortB(B).BYellowBhalosBareBassociatedBwithBDigoxinBtoxicity,BnotBaspirinB(D)