1|Page
MED-SURG HESI EXIT TEST BANK NEWEST 2026 /
HESI MED-SURG EXIT EXAM COMPLETE 230
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST EXAM!!
The nurse is preparing an adult client for an upper
gastrointestinal (UGI) series. Which information should the
nurse include in the teaching plan? - ANSWER-Nothing by
mouth is allowed for 6 to 8 hours before the study.
The client should be NPO, to include smoking or chewing
gum for at least 6 hours before the UGI study.
A client with osteoarthritis requests information from the
nurse about what type of exercise regimen would be most
beneficial for him. The nurse should communicate which
information? - ANSWER-Low impact exercise like walking,
swimming, and water aerobics
Low impact exercises that do not put additional pressure
and strain or cause further harm to damaged joints, such
as walking or swimming, are most beneficial to clients with
osteoarthritis.Strength-building exercises, circuit training,
and high-impact aerobics may cause too much stress on
,2|Page
the joint areas and subsequently increase inflammation
and damage.
A client in the preoperative holding area receives a
prescription for midazolam IV. The nurse determines that
the surgical consent form needs to be signed by the client.
Which action should the nurse implement? - ANSWER-
Withhold the drug until the client validates understanding
of the surgical procedure and signs the consent form.
Midazolam, a benzodiazepine sedative, is commonly used
for conscious-sedation intraoperatively and interferes with
the client's cognition and level of consciousness, so the
consent form should be signed before the drug is
administered
A 48-year-old client with endometrial cancer is being
discharged after a total hysterectomy and bilateral
salpingo-oophorectomy. Which client statement indicates
that further teaching is needed? - ANSWER-"I know I will
miss having sexual intercourse with my husband.
,3|Page
Further teaching is needed in response to the client's
misunderstanding of not being able to have sexual
intercourse after a hysterectomy.
Which client is at highest risk for compromised
psychological adjustment after a hysterectomy -
ANSWER-A 29-year-old woman whose uterus ruptured
after giving birth to her first child.
The client who is a primipara and is still in her childbearing
years and is at highest risk for unresolved conflicts about
the end of her childbearing opportunities
The nurse directs an unlicensed assistive personnel (UAP)
to obtain the vital signs for a client who returns to the unit
after having a mastectomy for cancer. Which information
should the nurse provide the UAP? - ANSWER-Apply the
blood pressure cuff to the arm on the nonoperative side
Postoperatively, the nurse should instruct the UAP that
blood pressure readings should be obtained from the arm
on the nonoperative side to reduce the risk of injury due to
compromised lymphatic drainage. The arm on the
operative side of the mastectomy should be elevated on a
, 4|Page
pillow above the level of the right atrium to facilitate
lymphatic drainage.
The nurse is providing postoperative instructions for a
female client after a mastectomy. Which information
should the nurse include in the teaching plan? (Select all
that apply.) - ANSWER-Report inflammation of the incision
site or the affected arm.
Avoid lifting more than 4.5 kg (10 lb) or reaching above her
head.
Part of a client's s/p mastectomy teaching plan should
include reporting evidence of inflammation at the incision
site or the affected arm, and to avoid lifting or reaching
above their head.
A couple trying to cope with an infertility problem wants to
know what can be done to preserve emotional equilibrium.
What is the best response for the nurse to provide? -
ANSWER-"Get involved with a support group. I will give
you some names."
MED-SURG HESI EXIT TEST BANK NEWEST 2026 /
HESI MED-SURG EXIT EXAM COMPLETE 230
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST EXAM!!
The nurse is preparing an adult client for an upper
gastrointestinal (UGI) series. Which information should the
nurse include in the teaching plan? - ANSWER-Nothing by
mouth is allowed for 6 to 8 hours before the study.
The client should be NPO, to include smoking or chewing
gum for at least 6 hours before the UGI study.
A client with osteoarthritis requests information from the
nurse about what type of exercise regimen would be most
beneficial for him. The nurse should communicate which
information? - ANSWER-Low impact exercise like walking,
swimming, and water aerobics
Low impact exercises that do not put additional pressure
and strain or cause further harm to damaged joints, such
as walking or swimming, are most beneficial to clients with
osteoarthritis.Strength-building exercises, circuit training,
and high-impact aerobics may cause too much stress on
,2|Page
the joint areas and subsequently increase inflammation
and damage.
A client in the preoperative holding area receives a
prescription for midazolam IV. The nurse determines that
the surgical consent form needs to be signed by the client.
Which action should the nurse implement? - ANSWER-
Withhold the drug until the client validates understanding
of the surgical procedure and signs the consent form.
Midazolam, a benzodiazepine sedative, is commonly used
for conscious-sedation intraoperatively and interferes with
the client's cognition and level of consciousness, so the
consent form should be signed before the drug is
administered
A 48-year-old client with endometrial cancer is being
discharged after a total hysterectomy and bilateral
salpingo-oophorectomy. Which client statement indicates
that further teaching is needed? - ANSWER-"I know I will
miss having sexual intercourse with my husband.
,3|Page
Further teaching is needed in response to the client's
misunderstanding of not being able to have sexual
intercourse after a hysterectomy.
Which client is at highest risk for compromised
psychological adjustment after a hysterectomy -
ANSWER-A 29-year-old woman whose uterus ruptured
after giving birth to her first child.
The client who is a primipara and is still in her childbearing
years and is at highest risk for unresolved conflicts about
the end of her childbearing opportunities
The nurse directs an unlicensed assistive personnel (UAP)
to obtain the vital signs for a client who returns to the unit
after having a mastectomy for cancer. Which information
should the nurse provide the UAP? - ANSWER-Apply the
blood pressure cuff to the arm on the nonoperative side
Postoperatively, the nurse should instruct the UAP that
blood pressure readings should be obtained from the arm
on the nonoperative side to reduce the risk of injury due to
compromised lymphatic drainage. The arm on the
operative side of the mastectomy should be elevated on a
, 4|Page
pillow above the level of the right atrium to facilitate
lymphatic drainage.
The nurse is providing postoperative instructions for a
female client after a mastectomy. Which information
should the nurse include in the teaching plan? (Select all
that apply.) - ANSWER-Report inflammation of the incision
site or the affected arm.
Avoid lifting more than 4.5 kg (10 lb) or reaching above her
head.
Part of a client's s/p mastectomy teaching plan should
include reporting evidence of inflammation at the incision
site or the affected arm, and to avoid lifting or reaching
above their head.
A couple trying to cope with an infertility problem wants to
know what can be done to preserve emotional equilibrium.
What is the best response for the nurse to provide? -
ANSWER-"Get involved with a support group. I will give
you some names."
