HESI MED-SURG EXIT EXAM COMPLETE
test bank
MED-SURG HESI 2 VERSIONS NEWEST 2025
/ HESI MED-SURG EXIT EXAM COMPLETE
test bank 310 QUESTIONS AND CORRECT
DETAILED ANSWERS with Rationales
(VERIFIED ANSWERS) |ALREADY GRADED
A+
A client with severe Parkinson disease diagnosed with anorexia, dysphagia, drooling,
generalized weakness, and slurred speech is admitted to the unit. Which nursing action
should the practical nurse implement first for this client?
a. Provide the client with a word board.
b. Set up a suction and Yankauer at client's bedside.
c. Encourage passive and active range-of-motion exercises.
d. Offer client nutritional milkshakes every 2 hours.
- ANS :b. Set up a suction and Yankauer at client's bedside.
Rationale:
Dysphagia and drooling predispose this client to aspiration. A suction machine and Yankauer
should be set up and near the client to be used to help prevent aspiration pneumonia.
Aspiration is the primary concern in this situation.
A client diagnosed with epilepsy is admitted to the unit. What intervention should the
practical nurse (PN) implement if the client experiences a seizure?
TEST BANK PHARMA 1
, HESI MED-SURG EXIT EXAM COMPLETE
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a. Observe the length and activity of the seizure.
b. Insert an oral airway.
c. Gently restrain the client to prevent harm.
d. Call the code team.
- ANS :a. Observe the length and activity of the seizure.
Rationale:
The PN should observe the client as they have their seizure. The length of time and
movement by the client needs to be observed and then documented once the client is stable.
The client should be placed on their side to help prevent aspiration.
A client diagnosed with a brain tumor is receiving radiation beam treatments to the right
frontal area. The practical nurse (PN) should observe this client for which problem during the
early post-therapy days?
a. Hemiplegia
b. Headache
c. Hearing loss
d. Dysphagia
- ANS :b. Headache
Rationale:
Radiotherapy is a local treatment, and most side effects are site-specific, such as inflammation
of surrounding brain tissue, swelling, headache, and fatigue.
The practical nurse (PN) is assigned a client diagnosed with a hemothorax who had a chest
tube inserted 36 hours ago; upon entering the room, the PN observes the client resting
TEST BANK PHARMA 2
, HESI MED-SURG EXIT EXAM COMPLETE
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comfortably in the semi-Fowler position; respirations appear even and unlabored; the water in
the suction chamber is bubbling; and there is serous drainage noted in the collection
chamber. What is the best initial action for the PN to take?
a. Measure and document in the drainage in the chamber.
b. Clamp the chest tube while assessing for air leaks.
c. "Milk" the tube to remove any excessive blood clot buildup.
d. Decrease the bubbling in the suction chamber.
- ANS :d. Decrease the bubbling in the suction chamber.
Rationale:
Follow the ABC's (airway, breathing, and circulation) to determine that the airway and
breathing are stable, and the next step is to evaluate the extent of the bleeding. It is not
necessary to change the amount of bubbling in the suction chamber.
The nurse has reinforced teaching regarding postoperative care for a client who has had a
prostatectomy. Which statements indicate the need for further instructions? (Select all that
apply.)
a. "If I feel the need to void while the catheter is still in, I should try to void around the
catheter."
b. "I should drink about 12 glasses of water a day, once the indwelling catheter is removed."
c. "I should only have intercourse twice weekly once I return home after surgery."
d. "I should report bright red blood and large clots in my urine to my surgeon."
e. "I can expect to have urine that is lightly tinged with blood when I get home."
- ANS :a. "If I feel the need to void while the catheter is still in, I should try to void around the
catheter."
TEST BANK PHARMA 3
, HESI MED-SURG EXIT EXAM COMPLETE
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c. "I should only have intercourse twice weekly once I return home after surgery."
Rationale:
After prostatectomy, the client should not try to void around the catheter. It is common to
feel pressure inside the bladder while the irrigating catheter is still in the bladder. The client
should not have intercourse immediately after surgery. The client should drink 12 to 14 glasses
of fluid once the catheter is removed. Urine that is lightly blood tinged is common; bright red
blood in the urine should be reported to the surgeon.
A client is walking in the hallway and begins experiencing an acute angina attack. Which is the
first action for the nurse to take?
a. Administer a nitroglycerine tablet sublingually.
b. Notify the local emergency medical services. (EMS).
c. Assist the client to walk back to the client's room.
d. Ask the client if this attack occurred at the same time as yesterday's. –
ANS :a. Administer a nitroglycerine tablet sublingually.
Rationale:
The first action is to administer nitroglycerine sublingually, in order to dilate the coronary
arteries so that more oxygenated blood can be provided to the myocardium. It is not
necessary to notify EMS unless the angina pain is unrelieved by three nitroglycerine tablets.
The client should rest immediately, not walk back to the room. It is not a priority to determine
whether or not the attack occurred at the same time as yesterday's.
A client has had a gastrectomy to treat stomach cancer. The nurse has reinforced instructions
on ways to prevent "dumping syndrome." Which client statement indicates the need for
further instruction?
a. "My meals need to be mostly protein."
TEST BANK PHARMA 4
test bank
MED-SURG HESI 2 VERSIONS NEWEST 2025
/ HESI MED-SURG EXIT EXAM COMPLETE
test bank 310 QUESTIONS AND CORRECT
DETAILED ANSWERS with Rationales
(VERIFIED ANSWERS) |ALREADY GRADED
A+
A client with severe Parkinson disease diagnosed with anorexia, dysphagia, drooling,
generalized weakness, and slurred speech is admitted to the unit. Which nursing action
should the practical nurse implement first for this client?
a. Provide the client with a word board.
b. Set up a suction and Yankauer at client's bedside.
c. Encourage passive and active range-of-motion exercises.
d. Offer client nutritional milkshakes every 2 hours.
- ANS :b. Set up a suction and Yankauer at client's bedside.
Rationale:
Dysphagia and drooling predispose this client to aspiration. A suction machine and Yankauer
should be set up and near the client to be used to help prevent aspiration pneumonia.
Aspiration is the primary concern in this situation.
A client diagnosed with epilepsy is admitted to the unit. What intervention should the
practical nurse (PN) implement if the client experiences a seizure?
TEST BANK PHARMA 1
, HESI MED-SURG EXIT EXAM COMPLETE
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a. Observe the length and activity of the seizure.
b. Insert an oral airway.
c. Gently restrain the client to prevent harm.
d. Call the code team.
- ANS :a. Observe the length and activity of the seizure.
Rationale:
The PN should observe the client as they have their seizure. The length of time and
movement by the client needs to be observed and then documented once the client is stable.
The client should be placed on their side to help prevent aspiration.
A client diagnosed with a brain tumor is receiving radiation beam treatments to the right
frontal area. The practical nurse (PN) should observe this client for which problem during the
early post-therapy days?
a. Hemiplegia
b. Headache
c. Hearing loss
d. Dysphagia
- ANS :b. Headache
Rationale:
Radiotherapy is a local treatment, and most side effects are site-specific, such as inflammation
of surrounding brain tissue, swelling, headache, and fatigue.
The practical nurse (PN) is assigned a client diagnosed with a hemothorax who had a chest
tube inserted 36 hours ago; upon entering the room, the PN observes the client resting
TEST BANK PHARMA 2
, HESI MED-SURG EXIT EXAM COMPLETE
test bank
comfortably in the semi-Fowler position; respirations appear even and unlabored; the water in
the suction chamber is bubbling; and there is serous drainage noted in the collection
chamber. What is the best initial action for the PN to take?
a. Measure and document in the drainage in the chamber.
b. Clamp the chest tube while assessing for air leaks.
c. "Milk" the tube to remove any excessive blood clot buildup.
d. Decrease the bubbling in the suction chamber.
- ANS :d. Decrease the bubbling in the suction chamber.
Rationale:
Follow the ABC's (airway, breathing, and circulation) to determine that the airway and
breathing are stable, and the next step is to evaluate the extent of the bleeding. It is not
necessary to change the amount of bubbling in the suction chamber.
The nurse has reinforced teaching regarding postoperative care for a client who has had a
prostatectomy. Which statements indicate the need for further instructions? (Select all that
apply.)
a. "If I feel the need to void while the catheter is still in, I should try to void around the
catheter."
b. "I should drink about 12 glasses of water a day, once the indwelling catheter is removed."
c. "I should only have intercourse twice weekly once I return home after surgery."
d. "I should report bright red blood and large clots in my urine to my surgeon."
e. "I can expect to have urine that is lightly tinged with blood when I get home."
- ANS :a. "If I feel the need to void while the catheter is still in, I should try to void around the
catheter."
TEST BANK PHARMA 3
, HESI MED-SURG EXIT EXAM COMPLETE
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c. "I should only have intercourse twice weekly once I return home after surgery."
Rationale:
After prostatectomy, the client should not try to void around the catheter. It is common to
feel pressure inside the bladder while the irrigating catheter is still in the bladder. The client
should not have intercourse immediately after surgery. The client should drink 12 to 14 glasses
of fluid once the catheter is removed. Urine that is lightly blood tinged is common; bright red
blood in the urine should be reported to the surgeon.
A client is walking in the hallway and begins experiencing an acute angina attack. Which is the
first action for the nurse to take?
a. Administer a nitroglycerine tablet sublingually.
b. Notify the local emergency medical services. (EMS).
c. Assist the client to walk back to the client's room.
d. Ask the client if this attack occurred at the same time as yesterday's. –
ANS :a. Administer a nitroglycerine tablet sublingually.
Rationale:
The first action is to administer nitroglycerine sublingually, in order to dilate the coronary
arteries so that more oxygenated blood can be provided to the myocardium. It is not
necessary to notify EMS unless the angina pain is unrelieved by three nitroglycerine tablets.
The client should rest immediately, not walk back to the room. It is not a priority to determine
whether or not the attack occurred at the same time as yesterday's.
A client has had a gastrectomy to treat stomach cancer. The nurse has reinforced instructions
on ways to prevent "dumping syndrome." Which client statement indicates the need for
further instruction?
a. "My meals need to be mostly protein."
TEST BANK PHARMA 4
