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HESI MED SURG EXIT VERSION (V2) ALL 55 QUESTIONS AND ANSWERS 2024/2025 GRADED A+

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ANSWERS 2024/2025 GRADED A+ lOMoAR cPSD| 1. Patient Scenario: A 68−year−old patient presents to the hospital with abdominal pain and distension. The patient has a history of chronic alcohol abuse. Which condition should the nurse suspect? Answer: The nurse should suspect liver cirrhosis asthe patient has a history of chronic alcohol abuse and presents with abdominal pain and distension. 2. Patient Scenario: A 45−year−old patient with type 2 diabetes has a blood glucose level of 360 mg/dL. The patient is experiencing symptoms of dehydration. What should the nurse suspect? Answer: The nurse should suspect hyperglycemia asthe patient's blood glucose level issignificantly high, and symptoms of dehydration are present. 3. Patient Scenario: A 72−year−old patient presents to the emergency department with chest pain and shortness of breath. The patient has a history of hypertension and smoking. Which condition should the nurse suspect? Answer: The nurse should suspect a myocardial infarction (heart attack) as the patient presents with chest pain and shortness of breath, and has a history of hypertension and smoking. 4. Patient Scenario: A 55−year−old patient is admitted to the hospital with a suspected gastrointestinal bleed. The patient is experiencing abdominal pain, weakness, and dizziness. What should the nurse suspect? Answer: The nurse should suspect anemia asthe patient is experiencing symptoms of abdominal pain, weakness, and dizziness, which are common in patients with a gastrointestinal bleed. 5. Patient Scenario: A 65−year−old patient presents to the emergency department with acute onset of confusion and lethargy. The patient has a history of hypertension and diabetes. Which condition should the nurse suspect? Answer: The nurse should suspect hyperglycemia or hypoglycemia asthe patient has a history of hypertension and diabetes and is experiencing acute onset of confusion and lethargy. 6. Patient Scenario: A 50−year−old patient with a history of asthma presents to the clinic with shortness of breath and wheezing. What is the appropriate nursing intervention? Answer: The appropriate nursing intervention isto administer a bronchodilator medication and assessthe patient's oxygen saturation levels. 7. Patient Scenario: A 60−year−old patient with a history of heart failure presents to the clinic with edema in the legs and difficulty breathing. What is the appropriate nursing intervention? Answer: The appropriate nursing intervention isto administer diuretic medication and monitor the patient's fluid intake and output. 8. Patient Scenario: A 45−year−old patient with a history of rheumatoid arthritis presents to the clinic with joint pain and stiffness. What is the appropriate nursing intervention? Answer: The appropriate nursing intervention is to administer non−steroidal anti−inflammatory drugs (NSAlDs) and assess the patient's range of motion and mobility. 9. Patient Scenario: A 70−year−old patient with a history of chronic obstructive pulmonary disease (COPD) presents to the clinic with increased difficulty breathing and coughing up blood. What is the appropriate nursing intervention? Answer: The appropriate nursing intervention isto administer bronchodilatormedication and oxygen therapy, monitor lOMoAR cPSD| the patient's respiratory status, and assess for signs of respiratory distress. lOMoAR cPSD| 10. Patient Scenario: A 55−year−old patient with a history of chronic kidney disease presents to the clinic with decreased urine output and swelling in the legs. What is the appropriate nursing intervention? Answer: The appropriate nursing intervention istomonitorthe patient'sfluid intake and output, administer diuretic medication, and assess the patient's electrolyte levels. 11. A patient with a history of heart failure presents with shortness of breath, fatigue, and edema. Which of the following medications would you anticipate b

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lOMoAR cPSD| 12286418




HESI MED SURG EXIT

VERSION (V2) ALL 55

QUESTIONS AND

ANSWERS 2024/2025

GRADED A+

, lOMoAR cPSD| 12286418




1.
Patient Scenario: A 68−year−old patient presents to the hospital with abdominal pain and distension. The patient
has a history of chronic alcohol abuse. Which condition should the nurse suspect?

Answer: The nurse should suspect liver cirrhosis as the patient has a history of chronic alcohol abuse and presents with
abdominal pain and distension.

2. Patient Scenario: A 45−year−old patient with type 2 diabetes has a blood glucose level of 360 mg/dL. The patient
is experiencing symptoms of dehydration. What should the nurse suspect?

Answer: The nurse should suspect hyperglycemia as the patient's blood glucose level is significantly high, and symptoms
of dehydration are present.

3. Patient Scenario: A 72−year−old patient presents to the emergency department with chest pain and shortness of
breath. The patient has a history of hypertension and smoking. Which condition should the nurse suspect?

Answer: The nurse should suspect a myocardial infarction (heart attack) as the patient presents with chest pain and
shortness of breath, and has a history of hypertension and smoking.

4. Patient Scenario: A 55−year−old patient is admitted to the hospital with a suspected gastrointestinal bleed. The
patient is experiencing abdominal pain, weakness, and dizziness. What should the nurse suspect?

Answer: The nurse should suspect anemia as the patient is experiencing symptoms of abdominal pain, weakness, and
dizziness, which are common in patients with a gastrointestinal bleed.

5. Patient Scenario: A 65−year−old patient presents to the emergency department with acute onset of confusion
and lethargy. The patient has a history of hypertension and diabetes. Which condition should the nurse suspect?

Answer: The nurse should suspect hyperglycemia or hypoglycemia as the patient has a history of hypertension and
diabetes and is experiencing acute onset of confusion and lethargy.

6. Patient Scenario: A 50−year−old patient with a history of asthma presents to the clinic with shortness of breath
and wheezing. What is the appropriate nursing intervention?

Answer: The appropriate nursing intervention is to administer a bronchodilator medication and assess the patient's
oxygen saturation levels.

7. Patient Scenario: A 60−year−old patient with a history of heart failure presents to the clinic with edema in the legs
and difficulty breathing. What is the appropriate nursing intervention?

Answer: The appropriate nursing intervention is to administer diuretic medication and monitor the patient's fluid intake
and output.

8. Patient Scenario: A 45−year−old patient with a history of rheumatoid arthritis presents to the clinic with joint pain
and stiffness. What is the appropriate nursing intervention?

Answer: The appropriate nursing intervention is to administer non−steroidal anti−inflammatory drugs (NSAlDs) and assess
the patient's range of motion and mobility.

9. Patient Scenario: A 70−year−old patient with a history of chronic obstructive pulmonary disease (COPD) presents
to the clinic with increased difficulty breathing and coughing up blood. What is the appropriate nursing
intervention?

Answer: The appropriate nursing intervention is to administer bronchodilator medication and oxygen therapy, monitor

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