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HESI RN ADVANCED MEDICAL SURGICAL NEWEST 2026/2027
ACTUAL EXAM COMPLETE 55 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||JUST OUT!!!
33. A patient with a head injury opens his eyes to verbal
stimulation, curses when stimulated, and does not respond to a
verbal command to move but attempts to push away a painful
stimulus. How would the nurse record the patient's Glasgow
Coma Scale score?
a. 9
B. 11
C. 13
D. 15 - ANSWER-B. 11
34. An unconscious patient is admitted to the emergency
department (ED) with a head injury. The patient's spouse and
teenage children stay at the patient's side and ask many
questions about the treatment. Which action is Best for the
nurse to take?
a. Call the family's pastor or spiritual advisor to take them to
the chapel.
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B. Ask the family to stay in the waiting room until the
assessment is completed.
C. Allow the family to stay with the patient and briefly explain
all procedures to them.
D. Refer the family members to the hospital counseling service
to deal with their anxiety. - ANSWER-C. Allow the family to stay
with the patient and briefly explain all procedures to them.
35. A patient who is unconscious after a head injury has
cerebral edema. Which nursing intervention will be included in
the plan of care?
a. Encourage coughing and deep breathing.
B. Position the patient with knees and hips flexed.
C. Keep the head of the bed elevated to 30 degrees.
D. Cluster nursing interventions to provide rest periods. -
ANSWER-C. Keep the head of the bed elevated to 30 degrees.
36. A 20 yr old is admitted with a head injury after a collision
while playing sports. After noting that the patient has
developed clear nasal drainage, which action would the nurse
take?
A.Have the patient gently blow the nose.
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B. Check the drainage for glucose content.
C. Teach the patient that rhinorrhea is expected after a head
injury.
D. Obtain a specimen of the fluid to send for culture and
sensitivity. - ANSWER-B. Check the drainage for glucose content.
37. Which action will the emergency department nurse
anticipate for a patient diagnosed with a concussion who did
not lose consciousness?
a. Coordinate the transfer of the patient to the operating room.
B. Provide discharge instructions about monitoring neurologic
status.
C. Arrange to admit the patient to the neurologic unit for
observation.
D. Transport the patient to radiology for magnetic resonance
imaging (MRI). - ANSWER-B. Provide discharge instructions
about monitoring neurologic status
38. A patient who has a suspected epidural hematoma is
admitted to the emergency department. Which action will the
nurse expect to take?
a. Administer IV furosemide (Lasix).
HESI RN ADVANCED MEDICAL SURGICAL NEWEST 2026/2027
ACTUAL EXAM COMPLETE 55 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||JUST OUT!!!
33. A patient with a head injury opens his eyes to verbal
stimulation, curses when stimulated, and does not respond to a
verbal command to move but attempts to push away a painful
stimulus. How would the nurse record the patient's Glasgow
Coma Scale score?
a. 9
B. 11
C. 13
D. 15 - ANSWER-B. 11
34. An unconscious patient is admitted to the emergency
department (ED) with a head injury. The patient's spouse and
teenage children stay at the patient's side and ask many
questions about the treatment. Which action is Best for the
nurse to take?
a. Call the family's pastor or spiritual advisor to take them to
the chapel.
,2|Page
B. Ask the family to stay in the waiting room until the
assessment is completed.
C. Allow the family to stay with the patient and briefly explain
all procedures to them.
D. Refer the family members to the hospital counseling service
to deal with their anxiety. - ANSWER-C. Allow the family to stay
with the patient and briefly explain all procedures to them.
35. A patient who is unconscious after a head injury has
cerebral edema. Which nursing intervention will be included in
the plan of care?
a. Encourage coughing and deep breathing.
B. Position the patient with knees and hips flexed.
C. Keep the head of the bed elevated to 30 degrees.
D. Cluster nursing interventions to provide rest periods. -
ANSWER-C. Keep the head of the bed elevated to 30 degrees.
36. A 20 yr old is admitted with a head injury after a collision
while playing sports. After noting that the patient has
developed clear nasal drainage, which action would the nurse
take?
A.Have the patient gently blow the nose.
, 3|Page
B. Check the drainage for glucose content.
C. Teach the patient that rhinorrhea is expected after a head
injury.
D. Obtain a specimen of the fluid to send for culture and
sensitivity. - ANSWER-B. Check the drainage for glucose content.
37. Which action will the emergency department nurse
anticipate for a patient diagnosed with a concussion who did
not lose consciousness?
a. Coordinate the transfer of the patient to the operating room.
B. Provide discharge instructions about monitoring neurologic
status.
C. Arrange to admit the patient to the neurologic unit for
observation.
D. Transport the patient to radiology for magnetic resonance
imaging (MRI). - ANSWER-B. Provide discharge instructions
about monitoring neurologic status
38. A patient who has a suspected epidural hematoma is
admitted to the emergency department. Which action will the
nurse expect to take?
a. Administer IV furosemide (Lasix).
