MedsurgHESI
EXITEXAM
Updated
2023TestBank
,Med surg HESI EXIT EXAM Updated 2023Test Bank
1. FollowingHdischargeHteaching,HaHmaleHclientHwithHduodenalHulcerHtellsHtheHnurseHtheHheHwi
llHdrinkHplentyHofHdairyHproducts,HsuchHasHmilk,HtoHhelpHcoatHandHprotectHhisHulcer.HWhatHis
HtheHbestHfollow-upHactionHbyHtheHnurse?
• ReviewHwithHtheHclientHtheHneedHtoHavoidHfoodsHthatHareHrichHinHmilkHandHcream
2. TheHnurseHobservesHanHunlicensedHassistiveHpersonnelH(UAP)HpositioningHaHnewly
admittedHclientHwhoHhasHaHseizureHdisorder.HTheHclientHisHsupineHandHtheHUAPHisHplaci
ngHsoftHpillowsHalongHtheHsideHrails.HWhatHactionHshouldHtheHnurseHimplement?
• InstructHtheHUAPHtoHobtainHsoftHblanketsHtoHsecureHtoHtheHsideHrailsHinsteadH
ofHpillows.
3. AnHadolescentHwithHmajorHdepressiveHdisorderHhasHbeenHtakingHduloxetineH(Cymbalta)Hf
orHtheHpastH12Hdays.HWhichHassessmentHfindingHrequiresHimmediateHfollow-up?
• DescribesHlifeHwithoutHpurpose
4. AH60-year-
oldHfemaleHclientHwithHaHpositiveHfamilyHhistoryHofHovarianHcancerHhasHdevelopedHanHab
dominalHmassHandHisHbeingHevaluatedHforHpossibleHovarianHcancer.HHerHPapanicolauH(Pa
p)HsmearHresultsHareHnegative.HWhatHinformationHshouldHtheHnurseHincludeHinHtheHclient’s
HteachingHplan?
• FurtherHevaluationHinvolvingHsurgeryHmayHbeHneeded
5. AHclientHwhoHrecentlyHunderwearHaHtracheostomyHisHbeingHpreparedHforHdischargeHtoHhom
e.HWhichHinstructionsHisHmostHimportantHforHtheHnurseHtoHincludeHinHtheHdischargeHplan?
• TeachHtrachealHsuctioningHtechniques
6. InHassessingHanHadultHclientHwithHaHpartialHrebreatherHmask,HtheHnurseHnotesHthatHtheHoxygen
reservoirHbagHdoesHnotHdeflateHcompletelyHduringHinspirationHandHtheHclient’sHrespiratoryH
rateHisH14HbreathsH/Hminute.HWhatHactionHshouldHtheHnurseHimplement?
• DocumentHtheHassessmentHdata
• Rational:HreservoirHbagHshouldHnotHdeflateHcompletelyHduringHinspirationHandHth
eHclient’sHrespiratoryHrateHisHwithinHnormalHlimits.
7. DuringHshiftHreport,HtheHcentralHelectrocardiogramH(EKG)HmonitoringHsystemHalarm
s.HWhichHclientHalarmHshouldHtheHnurseHinvestigateHfirs?
, • RespiratoryHapneaHofH30Hseconds
8. DuringHaHhomeHvisit,HtheHnurseHobservedHanHelderlyHclientHwithHdiabetesHslipHandHfall.HWh
atHactionHshouldHtheHnurseHtakeHfirst?
• CheckHtheHclientHforHlacerationsHorHfractures
9. AtH0600HwhileHadmittingHaHwomanHforHaHscheduleHrepeatHcesareanHsectionH(C-Section),Hthe
clientHtellsHtheHnurseHthatHsheHdrankHaHcupHaHcoffeeHatH0400HbecauseHsheHwantedHtoHavoidHg
ettingHaHheadache.HWhichHactionHshouldHtheHnurseHtakeHfirst?
• InformHtheHanesthesiaHcareHprovider
10. AfterHplacingHaHstethoscopeHasHseenHinHtheHpicture,HtheHnurseHauscultatesHS1HandHS2Hheart
sounds.HToHdetermineHifHanHS3HheartHsoundHisHpresent,HwhatHactionHshouldHtheHnurseHtakeH
first?
• ListenHwithHtheHbellHatHtheHsameHlocation
11. AH66-year-oldHwomanHisHretiringHandHwillHnoHlongerHhaveHaHhealthHinsuranceHthroughHher
placeHofHemployment.HWhichHagencyHshouldHtheHclientHbeHreferredHtoHbyHtheHemployeeHh
ealthHnurseHforHhealthHinsuranceHneeds?
• Medicare
12. AHclientHwhoHisHtakingHanHoralHdoseHofHaHtetracyclineHcomplainsHofHgastrointestinalHupse
t.HWhatHsnackHshouldHtheHnurseHinstructHtheHclientHtoHtakeHwithHtheHtetracycline?
• ToastedHwheatHbreadHandHjelly
13. FollowingHaHlumbarHpuncture,HaHclientHvoicesHseveralHcomplaints.HWhatHcomplai
ntHindicatedHtoHtheHnurseHthatHtheHclientHisHexperiencingHaHcomplication?
• “IHhaveHaHheadacheHthatHgetsHworseHwhenHIHsitHup”
• “IHamHhavingHpainHinHmyHlowerHbackHwhenHIHmoveHmyHlegs”
• “MyHthroatHhurtsHwhenHIHswallow”
• “IHfeelHsickHtoHmyHstomachHandHamHgoingHtoHthrowHup”
14. AnHelderlyHclientHseemsHconfusedHandHreportsHtheHonsetHofHnausea,Hdysuria,HandHurgenc
yHwithHincontinence.HWhichHactionHshouldHtheHnurseHimplement?
• ObtainHaHcleanHcatchHmid-streamHspecimen
15. TheHnurseHisHassistingHtheHmotherHofHaHchildHwithHphenylketonuriaH(PKU)HtoHselectHfoo
dsHthatHareHinHkeepingHwithHtheHchild’sHdietaryHrestrictions.HWhichHfoodsHareHcontraindic
atedHforHthisHchild?
• FoodsHsweetenedHwithHaspartame
16. BeforeHpreparingHaHclientHforHtheHfirstHsurgicalHcaseHofHtheHday,HaHpart-
timeHscrubHnurseHasksHtheHcirculatingHnurseHifHaH3HminuteHsurgicalHhandHscrubHisHadequat
eHpreparationHforHthisHclient.HWhichHresponseHshouldHtheHcirculatingHnurseHprovide?
• DirectHtheHnurseHtoHcontinueHtheHsurgicalHhandHscrubHforHaH5HminuteHduration
17. WhichHbreakfastHselectionHindicatesHthatHtheHclientHunderstandsHtheHnurse’sHinstructions
aboutHtheHdietaryHmanagementHofHosteoporosis?
• BagelHwithHjellyHandHskimHmilk
, 18. TheHchargeHnurseHofHaHcriticalHcareHunitHisHinformedHatHtheHbeginningHofHtheHshiftHthatHle
ssHthanHtheHoptimalHnumberHofHregisteredHnursesHwillHbeHworkingHthatHshift.HInHplanningH
assignments,HwhichHclientHshouldHreceiveHtheHmostHcareHhoursHbyHaHregisteredHnurseH(RN
)?
• AnH82-year-oldHclientHwithHAlzheimer’sHdiseaseHnewly-
fracturesHfemurHwhoHhasHaHFoleyHcatheterHandHsoftHwristHrestrainsHapplied
19. AHmotherHbringsHherH6-year-
oldHchild,HwhoHhasHjustHsteppedHonHaHrustyHnail,HtoHtheHpediatrician’sHoffice.HUponHinspec
tion,HtheHnurseHnotesHthatHtheHnailHwentHthroughHtheHshoeHandHpiercedHtheHbottomHofHtheHc
hild’sHfoot.HWhichHactionHshouldHtheHnurseHimplementHfirst?
• CleanseHtheHfootHwithHsoapHandHwaterHandHapplyHanHantibioticHointment
• ProvideHteachingHaboutHtheHneedHforHaHtetanusHboosterHwithinHtheHnextH72Hhours.
• haveHtheHmotherHcheckHtheHchild'sHtemperatureHq4hHforHtheHnextH24Hhours
• transferHtheHchildHtoHtheHemergencyHdepartmentHtoHreceiveHaHgammaHglobuli
nHinjection
20. TheHmotherHofHanHadolescentHtellsHtheHclinicHnurse,H“MyHsonHhasHathlete’sHfoot,HIHhaveHbe
enHapplyingHtripleHantibioticHointmentHforHtwoHdays,HbutHthereHhasHbeenHnoHimprovement
.”HWhatHinstructionHshouldHtheHnurseHprovide?
• StopHusingHtheHointmentHandHencourageHcompleteHdryingHofHtheHfeetHandHwearin
gHcleanHsocks.
21. AH26-year-
oldHfemaleHclientHisHadmittedHtoHtheHhospitalHforHtreatmentHofHaHsimpleHgoiter,HandHlevo
thyroxineHsodiumH(Synthroid)HisHprescribed.HWhichHsymptomsHindicateHtoHtheHnurseHt
hatHtheHprescribedHdosageHisHtooHhighHforHthisHclient?HTheHclientHexperiences
• BradycardiaHandHconstipation
• LethargyHandHlackHofHappetite
• MuscleHcrampingHandHdry,HflushedHskin
• PalpitationsHandHshortnessHofHbreath
22. AHclientHwithHaHhistoryHofHheartHfailureHpresentsHtoHtheHclinicHwithHaHnausea,Hvomiting,Hy
ellowHvisionHandHpalpitations.HWhichHfindingHisHmostHimportantHforHtheHnurseHtoHassessHt
oHtheHclient?
• ObtainHaHlistHofHmedicationsHtakenHforHcardiacHhistory
23. TheHhealthcareHproviderHprescribesHanHIVHsolutionHofHisoproterenolH(Isuprel)H1HmgHinH250
mlHofHD5WHatH300Hmcg/hour.HTheHnurseHshouldHprogramHtheHinfusionHpumpHtoHdeliverHho
wHmanyHml/hour?H(EnterHnumericHvalueHonly.)
• 75
• Rationale:HConvertHmgHtoHmcgHandHuseHtheHformulaHD/HHxHQ.H300Hmcg/hour
H/H1,000HmcgHxH250HmlH=H3/1HxH25H=H75Hml/hour
24. TheHpathophysiologicalHmechanismHareHresponsibleHforHascitesHrelatedHtoHliverHfailure
?H(SelectHallHthatHapply)
• FluidHshiftsHfromHintravascularHtoHinterstitialHareaHdueHtoHdecreasedHserumHprotein
• IncreasedHhydrostaticHpressureHinHportalHcirculationHincreasesHfluidHshiftsHint
oHabdomen
• IncreasedHcirculatingHaldosteroneHlevelsHthatHincreaseHsodiumHandHwaterHretention
25. TheHnurseHisHauscultatingHaHclient’sHheartHsounds.HWhichHdescriptionHshouldHtheHnurseHuse
toHdocumentHthisHsound?H(PleaseHlistenHtoHtheHaudioHfirstHtoHselectHtheHoptionHthatHapplies)
• Murmur
EXITEXAM
Updated
2023TestBank
,Med surg HESI EXIT EXAM Updated 2023Test Bank
1. FollowingHdischargeHteaching,HaHmaleHclientHwithHduodenalHulcerHtellsHtheHnurseHtheHheHwi
llHdrinkHplentyHofHdairyHproducts,HsuchHasHmilk,HtoHhelpHcoatHandHprotectHhisHulcer.HWhatHis
HtheHbestHfollow-upHactionHbyHtheHnurse?
• ReviewHwithHtheHclientHtheHneedHtoHavoidHfoodsHthatHareHrichHinHmilkHandHcream
2. TheHnurseHobservesHanHunlicensedHassistiveHpersonnelH(UAP)HpositioningHaHnewly
admittedHclientHwhoHhasHaHseizureHdisorder.HTheHclientHisHsupineHandHtheHUAPHisHplaci
ngHsoftHpillowsHalongHtheHsideHrails.HWhatHactionHshouldHtheHnurseHimplement?
• InstructHtheHUAPHtoHobtainHsoftHblanketsHtoHsecureHtoHtheHsideHrailsHinsteadH
ofHpillows.
3. AnHadolescentHwithHmajorHdepressiveHdisorderHhasHbeenHtakingHduloxetineH(Cymbalta)Hf
orHtheHpastH12Hdays.HWhichHassessmentHfindingHrequiresHimmediateHfollow-up?
• DescribesHlifeHwithoutHpurpose
4. AH60-year-
oldHfemaleHclientHwithHaHpositiveHfamilyHhistoryHofHovarianHcancerHhasHdevelopedHanHab
dominalHmassHandHisHbeingHevaluatedHforHpossibleHovarianHcancer.HHerHPapanicolauH(Pa
p)HsmearHresultsHareHnegative.HWhatHinformationHshouldHtheHnurseHincludeHinHtheHclient’s
HteachingHplan?
• FurtherHevaluationHinvolvingHsurgeryHmayHbeHneeded
5. AHclientHwhoHrecentlyHunderwearHaHtracheostomyHisHbeingHpreparedHforHdischargeHtoHhom
e.HWhichHinstructionsHisHmostHimportantHforHtheHnurseHtoHincludeHinHtheHdischargeHplan?
• TeachHtrachealHsuctioningHtechniques
6. InHassessingHanHadultHclientHwithHaHpartialHrebreatherHmask,HtheHnurseHnotesHthatHtheHoxygen
reservoirHbagHdoesHnotHdeflateHcompletelyHduringHinspirationHandHtheHclient’sHrespiratoryH
rateHisH14HbreathsH/Hminute.HWhatHactionHshouldHtheHnurseHimplement?
• DocumentHtheHassessmentHdata
• Rational:HreservoirHbagHshouldHnotHdeflateHcompletelyHduringHinspirationHandHth
eHclient’sHrespiratoryHrateHisHwithinHnormalHlimits.
7. DuringHshiftHreport,HtheHcentralHelectrocardiogramH(EKG)HmonitoringHsystemHalarm
s.HWhichHclientHalarmHshouldHtheHnurseHinvestigateHfirs?
, • RespiratoryHapneaHofH30Hseconds
8. DuringHaHhomeHvisit,HtheHnurseHobservedHanHelderlyHclientHwithHdiabetesHslipHandHfall.HWh
atHactionHshouldHtheHnurseHtakeHfirst?
• CheckHtheHclientHforHlacerationsHorHfractures
9. AtH0600HwhileHadmittingHaHwomanHforHaHscheduleHrepeatHcesareanHsectionH(C-Section),Hthe
clientHtellsHtheHnurseHthatHsheHdrankHaHcupHaHcoffeeHatH0400HbecauseHsheHwantedHtoHavoidHg
ettingHaHheadache.HWhichHactionHshouldHtheHnurseHtakeHfirst?
• InformHtheHanesthesiaHcareHprovider
10. AfterHplacingHaHstethoscopeHasHseenHinHtheHpicture,HtheHnurseHauscultatesHS1HandHS2Hheart
sounds.HToHdetermineHifHanHS3HheartHsoundHisHpresent,HwhatHactionHshouldHtheHnurseHtakeH
first?
• ListenHwithHtheHbellHatHtheHsameHlocation
11. AH66-year-oldHwomanHisHretiringHandHwillHnoHlongerHhaveHaHhealthHinsuranceHthroughHher
placeHofHemployment.HWhichHagencyHshouldHtheHclientHbeHreferredHtoHbyHtheHemployeeHh
ealthHnurseHforHhealthHinsuranceHneeds?
• Medicare
12. AHclientHwhoHisHtakingHanHoralHdoseHofHaHtetracyclineHcomplainsHofHgastrointestinalHupse
t.HWhatHsnackHshouldHtheHnurseHinstructHtheHclientHtoHtakeHwithHtheHtetracycline?
• ToastedHwheatHbreadHandHjelly
13. FollowingHaHlumbarHpuncture,HaHclientHvoicesHseveralHcomplaints.HWhatHcomplai
ntHindicatedHtoHtheHnurseHthatHtheHclientHisHexperiencingHaHcomplication?
• “IHhaveHaHheadacheHthatHgetsHworseHwhenHIHsitHup”
• “IHamHhavingHpainHinHmyHlowerHbackHwhenHIHmoveHmyHlegs”
• “MyHthroatHhurtsHwhenHIHswallow”
• “IHfeelHsickHtoHmyHstomachHandHamHgoingHtoHthrowHup”
14. AnHelderlyHclientHseemsHconfusedHandHreportsHtheHonsetHofHnausea,Hdysuria,HandHurgenc
yHwithHincontinence.HWhichHactionHshouldHtheHnurseHimplement?
• ObtainHaHcleanHcatchHmid-streamHspecimen
15. TheHnurseHisHassistingHtheHmotherHofHaHchildHwithHphenylketonuriaH(PKU)HtoHselectHfoo
dsHthatHareHinHkeepingHwithHtheHchild’sHdietaryHrestrictions.HWhichHfoodsHareHcontraindic
atedHforHthisHchild?
• FoodsHsweetenedHwithHaspartame
16. BeforeHpreparingHaHclientHforHtheHfirstHsurgicalHcaseHofHtheHday,HaHpart-
timeHscrubHnurseHasksHtheHcirculatingHnurseHifHaH3HminuteHsurgicalHhandHscrubHisHadequat
eHpreparationHforHthisHclient.HWhichHresponseHshouldHtheHcirculatingHnurseHprovide?
• DirectHtheHnurseHtoHcontinueHtheHsurgicalHhandHscrubHforHaH5HminuteHduration
17. WhichHbreakfastHselectionHindicatesHthatHtheHclientHunderstandsHtheHnurse’sHinstructions
aboutHtheHdietaryHmanagementHofHosteoporosis?
• BagelHwithHjellyHandHskimHmilk
, 18. TheHchargeHnurseHofHaHcriticalHcareHunitHisHinformedHatHtheHbeginningHofHtheHshiftHthatHle
ssHthanHtheHoptimalHnumberHofHregisteredHnursesHwillHbeHworkingHthatHshift.HInHplanningH
assignments,HwhichHclientHshouldHreceiveHtheHmostHcareHhoursHbyHaHregisteredHnurseH(RN
)?
• AnH82-year-oldHclientHwithHAlzheimer’sHdiseaseHnewly-
fracturesHfemurHwhoHhasHaHFoleyHcatheterHandHsoftHwristHrestrainsHapplied
19. AHmotherHbringsHherH6-year-
oldHchild,HwhoHhasHjustHsteppedHonHaHrustyHnail,HtoHtheHpediatrician’sHoffice.HUponHinspec
tion,HtheHnurseHnotesHthatHtheHnailHwentHthroughHtheHshoeHandHpiercedHtheHbottomHofHtheHc
hild’sHfoot.HWhichHactionHshouldHtheHnurseHimplementHfirst?
• CleanseHtheHfootHwithHsoapHandHwaterHandHapplyHanHantibioticHointment
• ProvideHteachingHaboutHtheHneedHforHaHtetanusHboosterHwithinHtheHnextH72Hhours.
• haveHtheHmotherHcheckHtheHchild'sHtemperatureHq4hHforHtheHnextH24Hhours
• transferHtheHchildHtoHtheHemergencyHdepartmentHtoHreceiveHaHgammaHglobuli
nHinjection
20. TheHmotherHofHanHadolescentHtellsHtheHclinicHnurse,H“MyHsonHhasHathlete’sHfoot,HIHhaveHbe
enHapplyingHtripleHantibioticHointmentHforHtwoHdays,HbutHthereHhasHbeenHnoHimprovement
.”HWhatHinstructionHshouldHtheHnurseHprovide?
• StopHusingHtheHointmentHandHencourageHcompleteHdryingHofHtheHfeetHandHwearin
gHcleanHsocks.
21. AH26-year-
oldHfemaleHclientHisHadmittedHtoHtheHhospitalHforHtreatmentHofHaHsimpleHgoiter,HandHlevo
thyroxineHsodiumH(Synthroid)HisHprescribed.HWhichHsymptomsHindicateHtoHtheHnurseHt
hatHtheHprescribedHdosageHisHtooHhighHforHthisHclient?HTheHclientHexperiences
• BradycardiaHandHconstipation
• LethargyHandHlackHofHappetite
• MuscleHcrampingHandHdry,HflushedHskin
• PalpitationsHandHshortnessHofHbreath
22. AHclientHwithHaHhistoryHofHheartHfailureHpresentsHtoHtheHclinicHwithHaHnausea,Hvomiting,Hy
ellowHvisionHandHpalpitations.HWhichHfindingHisHmostHimportantHforHtheHnurseHtoHassessHt
oHtheHclient?
• ObtainHaHlistHofHmedicationsHtakenHforHcardiacHhistory
23. TheHhealthcareHproviderHprescribesHanHIVHsolutionHofHisoproterenolH(Isuprel)H1HmgHinH250
mlHofHD5WHatH300Hmcg/hour.HTheHnurseHshouldHprogramHtheHinfusionHpumpHtoHdeliverHho
wHmanyHml/hour?H(EnterHnumericHvalueHonly.)
• 75
• Rationale:HConvertHmgHtoHmcgHandHuseHtheHformulaHD/HHxHQ.H300Hmcg/hour
H/H1,000HmcgHxH250HmlH=H3/1HxH25H=H75Hml/hour
24. TheHpathophysiologicalHmechanismHareHresponsibleHforHascitesHrelatedHtoHliverHfailure
?H(SelectHallHthatHapply)
• FluidHshiftsHfromHintravascularHtoHinterstitialHareaHdueHtoHdecreasedHserumHprotein
• IncreasedHhydrostaticHpressureHinHportalHcirculationHincreasesHfluidHshiftsHint
oHabdomen
• IncreasedHcirculatingHaldosteroneHlevelsHthatHincreaseHsodiumHandHwaterHretention
25. TheHnurseHisHauscultatingHaHclient’sHheartHsounds.HWhichHdescriptionHshouldHtheHnurseHuse
toHdocumentHthisHsound?H(PleaseHlistenHtoHtheHaudioHfirstHtoHselectHtheHoptionHthatHapplies)
• Murmur
