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