Cuny Borough of Manhattan Community College NUR 313
HESI Med Surg Exit Exam 2026
with question and answer 100%
correct
Terms in this set (160)
1. While assessing a client with diabetes ANS: C
mellitus, the nurse observes an absence of Signs of chronic arterial insufficiency include decreased hair
hair growth growth in the legs and feet,
on the client's legs. What additional absent or decreased pedal pulses, infection in the foot, poor
assessment provides further data to support wound healing, thickened nails,
this and a shiny appearance of the skin (C). Femoral pulses (A)
finding? should still be palpable in the
a.Palpate for the presence of femoral diabetic with chronic arterial insufficiency. A positive
Homan's pulses bilaterally. sign is an indicator of deep
b.Assess for the presence of a positive vein thrombosis (B). (D) would probably not be affected
Homan's sign. significantly by chronic arterial
c. Observe the appearance of the skin on insufficiency.
the client's legs.
d. Watch the client's posture and
balance during ambulation
,2. The healthcare provider ANS: C
prescribes 15 mg/kg of Streptomycin 4 lbs / 2.2 = 1.8 kg. 1.8 x 15 = 27 mg (C).
for an infant weighing 4 pounds. NOTE, the fact that the drug is diluted in 25 ml of D5W, is not
The drug is diluted in 25 ml of D5W to run relevant to the calculation
over 8 hours. How much Streptomycin will requested
the
infant receive?
a.9 mg.
b.18 mg.
c. 27 mg.
d. 36 mg
In assessing a client with preeclampsia ANS: C
who is receiving magnesium sulfate, the The client is exhibiting symptoms of magnesium sulfate
nurse determines that her deep tendon toxicity--decreased reflexes (normal is
reflexes are 1+; respiratory rate is 12 +2), a low normal respiratory rate (normal is 12 to 20
breaths/minute; urinary output is 90 ml in 4 breaths/min), a less than average
hours; magnesium sulfate level is 9 mg/dl. urinary output (30 ml/hour is average), and a low magnesium
Based on these sulfate level (normal is 4 to
findings, what intervention should the nurse 8mg/dl). Based on these findings, the nurse should stop the
implement? infusion (C). (A) is
a.Continue the magnesium sulfate infusion contraindicated. (B) would not fully alleviate the magnesium
as prescribed. sulfate toxicity symptoms. (D)
b. Decrease the magnesium sulfate infusion (the antagonist for magnesium sulfate) would be indicated
by one-half. if the respiratory rate were less
c. Stop the magnesium sulfate infusion than 12 breaths/minute.
immediately.
d.Administer calcium gluconate
immediately.
A client is on a mechanical ventilator. Which ANS: A
client response indicates that the This medication causes paralysis (A) following intravenous
neuromuscular injection. Peak effects persist for
blocker tubocurarine chloride (Tubarine) is 35 to 60 minutes. (B and C) would not be possible if the
effective? medication is effective. The Glasgow
a.The client's expremities are paralyzed. coma scale is used to evaluate the neurological status of the
b.The peripheral nerve stimulator client and does not evaluate the
causes twitching. effectiveness (D) of this medication.
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 ANS: B
clinic for a regular check-up. The client Frequent and/or large doses of acetaminophen can cause an
tells the nurse increase in liver enzymes,
that she has increased her daily doses of indicating possible liver damage (B). If the client reported
acetaminophen (Tylenol) for the past month unusual bleeding, or an increase in
to aspirin usage, it would be important for the nurse to assess for
control joint pain. Based on this client's increased bleeding and monitor
comment, what previous lab values should (A and/or C). (D) is not affected by increases in
the nurse acetaminophen doses.
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 ANS: C
with rheumatic fever to control the Ringing in the ears (tinnitus) (C) is an important sign of aspirin
inflammatory overdosage and should be
process, promote comfort, and reduce reported immediately. Though a tepid sponge bath may
fever. What intervention is most important lower the child's temperature, the
for the prescription for aspirin should not be held (A). Aspirin should
nurse to implement? be taken with at least eight
a.Instruct the parents to hold the aspirin ounces of water to completely wash the tablet into the
until the child has first had a tepid stomach and to help prevent GI
sponge bath. discomfort (B). Yellow halos are associated with Digoxin
b.Administer the aspirin with at least toxicity, not aspirin (D)
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 ANS: D
characteristic of an adult client The classic picture of Cushing's syndrome in the adult
diagnosed with Cushing's is central-type obesity with thin
syndrome? extremities (D), along with a "buffalo hump" in the
a.Husky voice and complaints of supraclavicular area, heavy trunk, and
hoarseness. thin fragile skin. The symptoms described in (A) are clinical
b.Warm, soft, moist, salmon-colored skin. manifestations of
c.Visible swelling of the neck, with no pain. hypothyroidism, and in (B) of hyperthyroidism. (C) may
d. Central-type obesity, with thin extremities. indicate a goiter or a tumor of the
thyroid gland
, 8.A charge nurse agrees to cover another ANS: D
nurse's assignment during a lunch break. A pulse oximeter reading of 90% indicates an arterial blood
Based on the gas of less than 80 to 100 and
status report provided by the nurse who is should be assessed immediately (D). (A) is an expected
leaving for lunch, which client should be finding. (B) is not an unusual finding.
checked (C) is an expected finding for this client.
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 ANS: A
vascular disease is, "The client will Client behaviors indicating that the expected outcome of,
have decreased "decreased venous congestion" has
venous congestion." What client behavior been met would include elevating the legs, increasing walking
would indicate to the nurse that this time, and an observable
outcome has decrease in edema of the lower extremities (A). (B and
been met? C) would be appropriate for outcomes
a.Avoids prolonged sitting or standing. for, "Attains or maintains tissue integrity." (D) would be an
b.Avoids trauma and irritation to skin. appropriate outcome for,
c. Wears protective shoes. "Demonstrates an increase in arterial blood supply to
d. Quits smoking extremities."
10. The healthcare provider ANS: D
performs a paracentesis on a client with Life-threatening complications such as hypovolemia and
ascites and 3 liters of fluid sepsis can occur following a
are removed. Which assessment parameter paracentesis, and measurement of vital signs (D) will provide
is most critical for the nurse to monitor assessment data that will help
following detect the occurrence of such complications. (A) might be
the procedure? assessed to check for circulation in
a. Pedal pulses. the lower extremities, but are not indicated for
b. Breath sounds. postparacentesis assessment. Reduction of (B)
c. Gag reflex. may occur as the result of decreased fluid in the peritoneal
d.Vital signs cavity, but is a desired outcome,
not a complication, of this procedure. (C) is not affected by a
paracentesis procedure
HESI Med Surg Exit Exam 2026
with question and answer 100%
correct
Terms in this set (160)
1. While assessing a client with diabetes ANS: C
mellitus, the nurse observes an absence of Signs of chronic arterial insufficiency include decreased hair
hair growth growth in the legs and feet,
on the client's legs. What additional absent or decreased pedal pulses, infection in the foot, poor
assessment provides further data to support wound healing, thickened nails,
this and a shiny appearance of the skin (C). Femoral pulses (A)
finding? should still be palpable in the
a.Palpate for the presence of femoral diabetic with chronic arterial insufficiency. A positive
Homan's pulses bilaterally. sign is an indicator of deep
b.Assess for the presence of a positive vein thrombosis (B). (D) would probably not be affected
Homan's sign. significantly by chronic arterial
c. Observe the appearance of the skin on insufficiency.
the client's legs.
d. Watch the client's posture and
balance during ambulation
,2. The healthcare provider ANS: C
prescribes 15 mg/kg of Streptomycin 4 lbs / 2.2 = 1.8 kg. 1.8 x 15 = 27 mg (C).
for an infant weighing 4 pounds. NOTE, the fact that the drug is diluted in 25 ml of D5W, is not
The drug is diluted in 25 ml of D5W to run relevant to the calculation
over 8 hours. How much Streptomycin will requested
the
infant receive?
a.9 mg.
b.18 mg.
c. 27 mg.
d. 36 mg
In assessing a client with preeclampsia ANS: C
who is receiving magnesium sulfate, the The client is exhibiting symptoms of magnesium sulfate
nurse determines that her deep tendon toxicity--decreased reflexes (normal is
reflexes are 1+; respiratory rate is 12 +2), a low normal respiratory rate (normal is 12 to 20
breaths/minute; urinary output is 90 ml in 4 breaths/min), a less than average
hours; magnesium sulfate level is 9 mg/dl. urinary output (30 ml/hour is average), and a low magnesium
Based on these sulfate level (normal is 4 to
findings, what intervention should the nurse 8mg/dl). Based on these findings, the nurse should stop the
implement? infusion (C). (A) is
a.Continue the magnesium sulfate infusion contraindicated. (B) would not fully alleviate the magnesium
as prescribed. sulfate toxicity symptoms. (D)
b. Decrease the magnesium sulfate infusion (the antagonist for magnesium sulfate) would be indicated
by one-half. if the respiratory rate were less
c. Stop the magnesium sulfate infusion than 12 breaths/minute.
immediately.
d.Administer calcium gluconate
immediately.
A client is on a mechanical ventilator. Which ANS: A
client response indicates that the This medication causes paralysis (A) following intravenous
neuromuscular injection. Peak effects persist for
blocker tubocurarine chloride (Tubarine) is 35 to 60 minutes. (B and C) would not be possible if the
effective? medication is effective. The Glasgow
a.The client's expremities are paralyzed. coma scale is used to evaluate the neurological status of the
b.The peripheral nerve stimulator client and does not evaluate the
causes twitching. effectiveness (D) of this medication.
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 ANS: B
clinic for a regular check-up. The client Frequent and/or large doses of acetaminophen can cause an
tells the nurse increase in liver enzymes,
that she has increased her daily doses of indicating possible liver damage (B). If the client reported
acetaminophen (Tylenol) for the past month unusual bleeding, or an increase in
to aspirin usage, it would be important for the nurse to assess for
control joint pain. Based on this client's increased bleeding and monitor
comment, what previous lab values should (A and/or C). (D) is not affected by increases in
the nurse acetaminophen doses.
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 ANS: C
with rheumatic fever to control the Ringing in the ears (tinnitus) (C) is an important sign of aspirin
inflammatory overdosage and should be
process, promote comfort, and reduce reported immediately. Though a tepid sponge bath may
fever. What intervention is most important lower the child's temperature, the
for the prescription for aspirin should not be held (A). Aspirin should
nurse to implement? be taken with at least eight
a.Instruct the parents to hold the aspirin ounces of water to completely wash the tablet into the
until the child has first had a tepid stomach and to help prevent GI
sponge bath. discomfort (B). Yellow halos are associated with Digoxin
b.Administer the aspirin with at least toxicity, not aspirin (D)
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 ANS: D
characteristic of an adult client The classic picture of Cushing's syndrome in the adult
diagnosed with Cushing's is central-type obesity with thin
syndrome? extremities (D), along with a "buffalo hump" in the
a.Husky voice and complaints of supraclavicular area, heavy trunk, and
hoarseness. thin fragile skin. The symptoms described in (A) are clinical
b.Warm, soft, moist, salmon-colored skin. manifestations of
c.Visible swelling of the neck, with no pain. hypothyroidism, and in (B) of hyperthyroidism. (C) may
d. Central-type obesity, with thin extremities. indicate a goiter or a tumor of the
thyroid gland
, 8.A charge nurse agrees to cover another ANS: D
nurse's assignment during a lunch break. A pulse oximeter reading of 90% indicates an arterial blood
Based on the gas of less than 80 to 100 and
status report provided by the nurse who is should be assessed immediately (D). (A) is an expected
leaving for lunch, which client should be finding. (B) is not an unusual finding.
checked (C) is an expected finding for this client.
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 ANS: A
vascular disease is, "The client will Client behaviors indicating that the expected outcome of,
have decreased "decreased venous congestion" has
venous congestion." What client behavior been met would include elevating the legs, increasing walking
would indicate to the nurse that this time, and an observable
outcome has decrease in edema of the lower extremities (A). (B and
been met? C) would be appropriate for outcomes
a.Avoids prolonged sitting or standing. for, "Attains or maintains tissue integrity." (D) would be an
b.Avoids trauma and irritation to skin. appropriate outcome for,
c. Wears protective shoes. "Demonstrates an increase in arterial blood supply to
d. Quits smoking extremities."
10. The healthcare provider ANS: D
performs a paracentesis on a client with Life-threatening complications such as hypovolemia and
ascites and 3 liters of fluid sepsis can occur following a
are removed. Which assessment parameter paracentesis, and measurement of vital signs (D) will provide
is most critical for the nurse to monitor assessment data that will help
following detect the occurrence of such complications. (A) might be
the procedure? assessed to check for circulation in
a. Pedal pulses. the lower extremities, but are not indicated for
b. Breath sounds. postparacentesis assessment. Reduction of (B)
c. Gag reflex. may occur as the result of decreased fluid in the peritoneal
d.Vital signs cavity, but is a desired outcome,
not a complication, of this procedure. (C) is not affected by a
paracentesis procedure
