4/13/25, 5:33 PM MEDSURG HESI
MEDSURG HESI ACTUAL EXIT EXAM NEWEST
VERSION 2025 \\COMPLETE EXAM WITH
UPDATED QUESTIONS AND CORRECT
DETAILED ANSWERS \\VERIFIED ANSWERS
GRADED A+
Two hours before a B
client's scheduled
surgery, the nurse is
completing the
preoperative checklist.
Which information requires
the most immediate action
by the nurse?
A. Surgical consent form is not
signed
B. Preoperative serum
potassium level is 2.8 mEq/L
(2.8mmol/L)
C. Preoperative chest x-ray
report is not available
D. Client's pulse oximeter
reading is 96%
One hour after major C
abdominal surgery, a client
in the post anesthesia
care unit
(PACU) has a blood pressure
(BP) of 136/80 mmHg. Fifteen
minutes later it is 114/72
mmHg. Which action should
the nurse take first?
A. Increase frequency of BP
assessments
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,4/13/25, 5:33 PM MEDSURG HESI
B. Review the client's baseline
BP trends
C. Check the abdominal
surgical dressing
D. Encourage the client to
breathe deeply
The nurse is assessing a client's B
arteriovenous (AV) fistula.
Which finding provides
evidence of its normal
function?
A. Ecchymotic area
B. Enlarged vein
C. Pulselessness
D. Redness
Which instruction should the C
nurse include in the
discharge teaching for a
client who has
gastroesophageal reflux?
A. Encourage the client to
lie down and rest after
meals
B. Remind the client to
avoid high-fiber foods
C. Teach the client to
elevate the head of the
bed on blocks
D. Instruct the client to use
antacids only as
a last resort
2/32
,4/13/25, 5:33 PM MEDSURG HESI
Following a transurethral B
resection of the
prostate (TURP), a client is
discharged from the
hospital with an indwelling
urinary
catheter. Which instruction
is important for the nurse
to include in the
discharge
teaching plan?
A. Avoid driving a car for 2
weeks
B. Drink 3 liters of water each
day
C. Eliminate all spicy foods
from your diet
D. Clamp the catheter
when taking a shower
A client with chronic cirrhosis A
has
esophageal varies. It is most
important for the nurse to
monitor the client for the
onset of which problem?
A. Brown, foamy urine
B. Anorexia
C. Clay-colored stool
D. Hematemesis
After three days of B
persistent epigastric pain,
a female client presents to
the clinic. She has been
taking oral antacids without
relief. Her vital signs are
heart rate 122
beats/min, respirations 16
breaths/minute, oxygen
saturation 96%, and blood
pressure 116/70mmHg. The
3/32
, 4/13/25, 5:33 PM MEDSURG HESI
nurse obtains a 12-lead
electrocardiogram (ECG).
Which
assessment finding is most
critical?
A. Irregular pulse rate
B. ST elevation in three leads
C. Complaint of radiating jaw
pain
D. Bile colored emesis
4/32
MEDSURG HESI ACTUAL EXIT EXAM NEWEST
VERSION 2025 \\COMPLETE EXAM WITH
UPDATED QUESTIONS AND CORRECT
DETAILED ANSWERS \\VERIFIED ANSWERS
GRADED A+
Two hours before a B
client's scheduled
surgery, the nurse is
completing the
preoperative checklist.
Which information requires
the most immediate action
by the nurse?
A. Surgical consent form is not
signed
B. Preoperative serum
potassium level is 2.8 mEq/L
(2.8mmol/L)
C. Preoperative chest x-ray
report is not available
D. Client's pulse oximeter
reading is 96%
One hour after major C
abdominal surgery, a client
in the post anesthesia
care unit
(PACU) has a blood pressure
(BP) of 136/80 mmHg. Fifteen
minutes later it is 114/72
mmHg. Which action should
the nurse take first?
A. Increase frequency of BP
assessments
1/32
,4/13/25, 5:33 PM MEDSURG HESI
B. Review the client's baseline
BP trends
C. Check the abdominal
surgical dressing
D. Encourage the client to
breathe deeply
The nurse is assessing a client's B
arteriovenous (AV) fistula.
Which finding provides
evidence of its normal
function?
A. Ecchymotic area
B. Enlarged vein
C. Pulselessness
D. Redness
Which instruction should the C
nurse include in the
discharge teaching for a
client who has
gastroesophageal reflux?
A. Encourage the client to
lie down and rest after
meals
B. Remind the client to
avoid high-fiber foods
C. Teach the client to
elevate the head of the
bed on blocks
D. Instruct the client to use
antacids only as
a last resort
2/32
,4/13/25, 5:33 PM MEDSURG HESI
Following a transurethral B
resection of the
prostate (TURP), a client is
discharged from the
hospital with an indwelling
urinary
catheter. Which instruction
is important for the nurse
to include in the
discharge
teaching plan?
A. Avoid driving a car for 2
weeks
B. Drink 3 liters of water each
day
C. Eliminate all spicy foods
from your diet
D. Clamp the catheter
when taking a shower
A client with chronic cirrhosis A
has
esophageal varies. It is most
important for the nurse to
monitor the client for the
onset of which problem?
A. Brown, foamy urine
B. Anorexia
C. Clay-colored stool
D. Hematemesis
After three days of B
persistent epigastric pain,
a female client presents to
the clinic. She has been
taking oral antacids without
relief. Her vital signs are
heart rate 122
beats/min, respirations 16
breaths/minute, oxygen
saturation 96%, and blood
pressure 116/70mmHg. The
3/32
, 4/13/25, 5:33 PM MEDSURG HESI
nurse obtains a 12-lead
electrocardiogram (ECG).
Which
assessment finding is most
critical?
A. Irregular pulse rate
B. ST elevation in three leads
C. Complaint of radiating jaw
pain
D. Bile colored emesis
4/32
