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Exam (elaborations)

HESI MEDICAL SURGICAL NEWEST EXAM 2025 ACTUAL EXAM COMPLETE REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

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HESI MEDICAL SURGICAL NEWEST EXAM 2025 ACTUAL EXAM COMPLETE REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

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Number of pages
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Written in
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HESIgRNgMed-SurggExamg(20gExamgSets,g1500+gQg&gA,gNewest-2022)g/gRNgHESIgMed-SurggExamg/gMed-
gSurggHESIgRNgExam g/gMed-

SurggRNgHESIgExamg/gHESIgRNgMedgSurggExamg/gRNgHESIgMedgSurggExamg/ggMedgSurggHESIgRNgExamg|C
ompletegDocumentgforgHESIgExamg|



1. Whatginstructiongshouldgthegnursegincludegingthegdischargegteachinggplang o
fg ag clientg whog hadg ag cataractg extractiong today?
a. Sexualg activitiesg mayg beg resumedg upong returng home
b. Lightghousekeepinggisgpermittedgbutgavoidgheavyglifting
c. Useg ag metalg eyeg shieldg ong operativeg eyeg duringgtheg day
d. Administerg eyeg ointmentg beforeg applyingg eyeg drops

2. Agmalegadultgcomesgtogthegurgentgcaregclinicg5gdaysgaftergbeinggdiagnosegwit
hginfluenza.gHegisgshortgofgbreath,g febrile,gandgcoughingggreengcoloredg sput
um.gWhichginterventiongshouldgthegnursegimplementgfirst?
a. Obtaingagsputumgsamplegforgculture
b. Checkg hisg oxygeng saturationg level
c. Administerg ang oralg antipyretic
d. Auscultateg bilateralg lungg sound

3. Angelderg maleg clientgtellsgthegnursegthatghegisgloosinggsleepgbecausegheg ha
sg tog getg upg severalg timesgatg nightgtog gog togtheg bathroomg thatg heg hasgtro
ubleg startingghisg urinaryg streamgandg thatghegdoesgnotg feelg likeghisgbladd
ergisgevergcompletelygempty.gWhichginterventiongshouldgthegnursegimple
ment?
a. collectg ag urineg specimeng forg cultureg analysis
b. obtaing ag fingerstickg bloodg glucoseg level
c. palpategthegbladdergabovegthegsymphysisgpubis
d. reviewgthegclientg fluidgintake

4. Angadultgclientgisgadmittedgwithgdiabeticgketoacidosisg(DKA)gandgagurinarygtr
actginfectiong(UTI)gPrescriptionsgforgintravenousgantibioticsgandginsulinginfu
siongareginitiated.gWhichgserumglaboratorygvaluegwarrantsgthegmostgimmedi
ateginterventiongbygthegnurse?
a. bloodg phg ofg 7.30
b. glucoseg ofg 350g mgg /dl
c. whiteg bloodg cellg countg ofg 15000mm
d. potassiumgofg2.5gmeq/l

5. Ag clientg withg sickleg cellg anemiag developsg ag feverg duringg theg lastg hourg of




TestBankWorld.org

,HESIgRNgMed-SurggExamg(20gExamgSets,g1500+gQg&gA,gNewest-2022)g/gRNgHESIgMed-SurggExamg/gMed-
gSurggHESIgRNgExam g/gMed-

SurggRNgHESIgExamg/gHESIgRNgMedgSurggExamg/gRNgHESIgMedgSurggExamg/ggMedgSurggHESIgRNgExamg|C
ompletegDocumentgforgHESIgExamg|

administrationgofgagunitgofgpackedgredgbloodgcell.gWhengnotifyinggtheghe
althcaregprovidergwhatginformationgshouldgthegnursegprovidegfirstgusin
gg theg SBARg communicationg process?
a. explaingspecificgreasongforgurgentgnotification




TestBankWorld.org

,HESIgRNgMed-SurggExamg(20gExamgSets,g1500+gQg&gA,gNewest-2022)g/gRNgHESIgMed-SurggExamg/gMed-
gSurggHESIgRNgExam g/gMed-

SurggRNgHESIgExamg/gHESIgRNgMedgSurggExamg/gRNgHESIgMedgSurggExamg/ggMedgSurggHESIgRNgExamg|C
ompletegDocumentgforgHESIgExamg|

b. prefacegthegreportgbygstatinggthegclientsgnamegandgadmittinggdi
agnosis
c. communicateg theg pre-transfusiong temperatures
d. optaing prng prescriptiong forg acetaminopheng forg feverg 101f

6. Ang adultg maleg clientg isgadmittedg forg pneumocystisg carinilg pneumoniag(PC
P)gsecondarygtogaids.g Whileg hospitalizeghegreceivesgIVgpentamidineg isethio
nategtherapy.gIngpreparinggthisgclientgforgdischargegwhatgimportantgaspectg r
egardingg hisg medicationg therapyg shouldg theg nurseg explain?
a. AZTgtherapygmustgbegstoppedgwhengIVgaerosolgpentaminegisgbeingg u
sed.
b. IVg pentamineg willg beg giveng untilg oralg pentamineg cang beg tolerated
c. ItgwillgbegnecessarygtogcontinuegprophylacticgdosesgofgIVgorg
aerosolgpentaminegeverygmonth
d. Ivgpentaminegmaygoffergprotectiongtogothersgaidsgrelatedgconditionsg s
uchgasgkaposisgsarcoma

7. Agclientgsubjectivegdatagincludesgdysuria,gurgency,gandg urinarygfrequency.g
Whatg actiong shouldg theg nurseg implementg next?
a. collectgagcleangcatchgspecimen
b. palpateg theg suprapubicg region
c. instructg tog wipeg fromg frontg tog back
d. inquireg aboutg recentg sexualg activity

8. Agclientgtellsgthegnursegthatghergbiopsygresultsgindicateg thatgthegcancerg c
ellsg areg wellg differentiatedg Howg shouldg theg nurseg respond?
a. offergthegclientgreassurancegthatgthisginformationgindicatesgthatgtheg cl
ientsgcancergcellsgaregbenign
b. explaingthatgthesegtissuegcellsgoftengrespondgmoregeffectivelygtog r
adiationgthangtogchemotherapy
c. askgthegclientgingtheghealthcaregproviderghasggivinggherganyg
informationgaboutgthegclassificationgofghergcancer
d. helpgthegclientgmakegplansgtogbeginginmediategtreatmentgsincegherg c
ancergisglikelygtogspreadg quickly

9. Agclientgwithgagchronicgkidneygdiseasegisgtreatedgonghemodialysis.gDuringg t
heg 1gtreatmentgclientsgbloodgpressuregdropsgfromg 150/90gtog 80/30gWhich
g actiong shouldg theg nurseg takeg first?

a. monitorg bpg q45g minutes
b. lowerg theg headg ofg theg chairg andg elevateg feet
c. stopgdialysisgtreatment
d. administerg5%albumingIV


TestBankWorld.org

, HESIgRNgMed-SurggExamg(20gExamgSets,g1500+gQg&gA,gNewest-2022)g/gRNgHESIgMed-SurggExamg/gMed-
gSurggHESIgRNgExam g/gMed-

SurggRNgHESIgExamg/gHESIgRNgMedgSurggExamg/gRNgHESIgMedgSurggExamg/ggMedgSurggHESIgRNgExamg|C
ompletegDocumentgforgHESIgExamg|

10. Agclientgwithgdeepgvaingthrombosisg(DVT)gisgreceivinggag continuesginfusio
ngofgheparingsodiumg25,000gunitging5%gdextroseginjectiong250ml.gThegpre
scriptiongindicatesgthegdosagegshouldgbegincreaseg900gunits/hr.gThegnurse
gshouldgprogram gtheginfusiongpumpgtogdeliverghowg manygml/hr?

=9

11. Thegnursegisgobtaininggthegadmissionghistorygforgagclientgwithgsuspectedgpe
pticgulcergdiseaseg(PUD).gWhichgsubjectivegdatagreportedgbygthegclientgsup
portsgthisgdiagnosis?
a. upperg midg abdominalg gnawingg andg burningg pain
b. severeg abdominalg crampsg andg diarrheag afterg eatingg spicyg foods
c. markedg lossg ofg weightg andg appetiteg overg theg lastg fewg months
d. useg ofg chewableg andg liquidg antacidsg forg indigestion


12. Thegnursegisgprovidinggpreoperativegeducationgforgagjewishgclientg sche
dulegtogreceivegagxenograftggraftgtogpromotegburnghealing.gWhichg infor
mationg shouldg theg nurseg provideg thisg client?
a. thegxenograftgisgtakengfromgnonhumangsources
b. graftingg increasesg theg riskg forg bacterialg infection
c. asgtheg burng healsg theg graftg permanentlyg attaches
d. graftsg areg laterg removedg byg debridingg procedure


13. Agclientgwhogtookgag campinggvacationg twog weeksgagoging ag countryg withgagtr
opicalg climateg comesgtog theg clinicg describingg vagueg symptomsg andgdiarrh
eagforgthegpastgweek.gWhichgfindingg isgmostgimportantgforgthegnurseg togrepor
t?
a. jaundicegsclera
b. intestinalg cramping
c. weaknessg andg fatigue
d. weightg loss


14. Duringgag homeg visitgtheg nurseg assessesgtheg sking ofgag clientgwithgeczemagw
hogreportsgthangangexacerbationgofgsymptomsghasgoccurredg duringgtheglast
gweek.gWhichginformation gisgmostgusefulgingdetermininggthegpossibleg cause

gofgthegsymptoms?

a. ang oldg friendg withg eczemag cameg forg visit
b. recentlyg receivedg ang influenzag immunization
c. corticosteroidg creamg wasgappliedg tog eczema
d. aggrandsongandghisgnewgdoggrecentlygvisited



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