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HESI RN MEDICAL SURGICAL FINAL EXAM 2025/
2026 ACTUAL EXAM COMPLETE 250 QUESTIONS
WITH DETAILED VERIFIED ANSWERS AND
RATIONALES (100% CORRECT ANSWERS) /ALREADY
GRADED A+||LATEST EXAM!!||
C. Informal teaching is individualized one on one teaching
which represents the majority of patient education done by
nurses that occurs when an intervention is explained or a
question is answered. Group needs are often the focus of
formal patient education courses or classes. Informal
teaching does not necessarily follow a specific formalized
plan. It may be planned with specific content, but it is
individualized responses to patient needs. Formal
teaching involves the use of a curriculum/course plan with
standardized content. - Answer-When describing patient
education approaches, the nurse educator would explain
that informal teaching is an approach that
a. follows formalized plans
b. has standardized content
c. often occurs one-to-one
d. addresses group needs
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C. Cognitive theorists believe that attention, relevance,
confidence, and satisfaction (ARCS) are the conditions
that, when integrated, motivate someone to learn. Field
theorists place significance on how achievement, power,
the need for affiliation, and avoidance motives influence
individual behavior. Sociologic theories are not involved in
motivation. - Answer-A patient expresses a strong interest
in returning to their work, family, and hobbies after having
a stroke. Which theory type would the nurse use to
develop a plan of care for the best results of this patient's
motivation style?
a. field
b. biological
c. cognitive
d. sociologic
C, D, E, F
clients with poor nutrition, fatigue, and multiple chronic
illnesses are at greater risk for hypothermia. Clients who
smoke, consume alcohol, or have impaired peripheral
circulation have a higher incidence of frostbite. - Answer-
The nurse is assessing a group of clients. Which clients
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are at greater risk for hypothermia or frostbite? (select all
that apply)
a. an older woman with hypertension
b. a young man with a body mass index of 42
c. a young many who has just consumed six martinis
d. an older man who smokes a pack of cigarettes a day
e. a young woman who is anorexic
f. a young woman who is diabetic
D
There is no evidence to support the idea that older adult
clients perceive pain any differently than younger clients.
The other statements are accurate regarding older clients
and pain. - Answer-Which statement made by a nurse
represents the need for further education regarding pain
management in older adult clients?
a. older adults tend to report pain less often than younger
adults
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b. older clients usually have more experience with pain
than younger clients
c. older adults are at greatest risk for under treated pain
d. older clients have a different pain mechanism and do
not feel it as much
C
The spectator shows signs of heat stroke, which is a
medical emergency. The spectator should be transported
to the ED ASAP. The nurs should take actions to lower his
body temp in teh meantime by removing his shirt and
sponging his body with cool water. Lowering body temp by
drinking cool fluids or taking acetaminophen is not as
effective in an emergency situation. The client needs to be
cooled quickly and is a priority for treatment - Answer-The
nurse is working at a first aid booth for a spring training
game on a hot day. A spectator comes in, reporting that he
is not feeling well. Vital signs are temp 104.1 F, pulse 132
BPM, respirs 26 breaths/min, and blood pressure 106/66
mm Hg. He trips over his feet as the nurse leads him to a
cot. What is the priory action of the nurse?
a. admin tylenol 650 mg orally
HESI RN MEDICAL SURGICAL FINAL EXAM 2025/
2026 ACTUAL EXAM COMPLETE 250 QUESTIONS
WITH DETAILED VERIFIED ANSWERS AND
RATIONALES (100% CORRECT ANSWERS) /ALREADY
GRADED A+||LATEST EXAM!!||
C. Informal teaching is individualized one on one teaching
which represents the majority of patient education done by
nurses that occurs when an intervention is explained or a
question is answered. Group needs are often the focus of
formal patient education courses or classes. Informal
teaching does not necessarily follow a specific formalized
plan. It may be planned with specific content, but it is
individualized responses to patient needs. Formal
teaching involves the use of a curriculum/course plan with
standardized content. - Answer-When describing patient
education approaches, the nurse educator would explain
that informal teaching is an approach that
a. follows formalized plans
b. has standardized content
c. often occurs one-to-one
d. addresses group needs
,2|Page
C. Cognitive theorists believe that attention, relevance,
confidence, and satisfaction (ARCS) are the conditions
that, when integrated, motivate someone to learn. Field
theorists place significance on how achievement, power,
the need for affiliation, and avoidance motives influence
individual behavior. Sociologic theories are not involved in
motivation. - Answer-A patient expresses a strong interest
in returning to their work, family, and hobbies after having
a stroke. Which theory type would the nurse use to
develop a plan of care for the best results of this patient's
motivation style?
a. field
b. biological
c. cognitive
d. sociologic
C, D, E, F
clients with poor nutrition, fatigue, and multiple chronic
illnesses are at greater risk for hypothermia. Clients who
smoke, consume alcohol, or have impaired peripheral
circulation have a higher incidence of frostbite. - Answer-
The nurse is assessing a group of clients. Which clients
,3|Page
are at greater risk for hypothermia or frostbite? (select all
that apply)
a. an older woman with hypertension
b. a young man with a body mass index of 42
c. a young many who has just consumed six martinis
d. an older man who smokes a pack of cigarettes a day
e. a young woman who is anorexic
f. a young woman who is diabetic
D
There is no evidence to support the idea that older adult
clients perceive pain any differently than younger clients.
The other statements are accurate regarding older clients
and pain. - Answer-Which statement made by a nurse
represents the need for further education regarding pain
management in older adult clients?
a. older adults tend to report pain less often than younger
adults
, 4|Page
b. older clients usually have more experience with pain
than younger clients
c. older adults are at greatest risk for under treated pain
d. older clients have a different pain mechanism and do
not feel it as much
C
The spectator shows signs of heat stroke, which is a
medical emergency. The spectator should be transported
to the ED ASAP. The nurs should take actions to lower his
body temp in teh meantime by removing his shirt and
sponging his body with cool water. Lowering body temp by
drinking cool fluids or taking acetaminophen is not as
effective in an emergency situation. The client needs to be
cooled quickly and is a priority for treatment - Answer-The
nurse is working at a first aid booth for a spring training
game on a hot day. A spectator comes in, reporting that he
is not feeling well. Vital signs are temp 104.1 F, pulse 132
BPM, respirs 26 breaths/min, and blood pressure 106/66
mm Hg. He trips over his feet as the nurse leads him to a
cot. What is the priory action of the nurse?
a. admin tylenol 650 mg orally
