HESI MED SURG EXIT QUESTIONS AND ANSWERS LATEST
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62. The nurse is caring for a client whose urine drug screen is positive for cocaine. What behavior
is this client likely to exhibit during cocaine withdrawal?
a. Intense cravings.
b. Increased energy.
c. Talkativeness.
d. Euphoria - CORRECT ANSWERS ANS: A
During cocaine withdrawal, the nurse should expect the client to experience cravings (A) and
a pattern of withdrawal symptoms similar to amphetamine use. (B, C, and D) are signs and
symptoms of a person who is high on cocaine rather than one who is experiencing withdrawal
63. The nurse enters the room of a client with a history of seizure activity and observes that the
unlicensed assistive personnel (UAP) is securing several pillows against the side rails to
protect the client. What action should the nurse implement?
a. Ensure that the UAP has placed the pillows effectively to protect the client.
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead
of pillows.
c. Assume responsibility for placing the pillows while the UAP completes another
task.
d. Ask the UAP to use some of the pillows to prop the client in a side-lying position. - CORRECT
ANSWERS ANS: B
The nurse should instruct the UAP to pad the side rails with soft blankets (B) because the use
of pillows (A) could result in suffocation. The nurse can delegate padding the side rails to the
UAP (C). A side-lying position (D) may help prevent aspiration during a seizure, but turning
the client is not the priority when implementing seizure precautions.
,HESI MED SURG EXIT QUESTIONS AND ANSWERS LATEST
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ANSWERS GET IT 100% CORRECT DETAILED BEST GRADED A+
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64. A 5-year-old child is admitted to the pediatric unit with fever and pain secondary to a sickle
cell crisis. Which intervention should the nurse implement first?
a. Initiate normal saline IV at 50 ml/hr.
b. Administer a loading dose of penicillin IM.
c. Obtain a culture of any sputum or wound drainage.
d. Administer the initial dose of folic acid PO - CORRECT ANSWERS ANS: A
The most important intervention is the initiation of IV fluids (A) because hydration promotes
hemodilution and RBC circulation. (B, C, and D) are also important interventions that should
be implemented by the nurse, but after initiating administration of the IV fluids
65. A client with a compound fracture of the left ankle is being discharged with a below-the-knee
cast. Before being discharged, the nurse should provide the client with what instruction?
a. Keep the left leg in a dependent position.
b. Apply heat to the left leg cast.
c. Do not attempt to scratch the skin under the cast.
d. Apply a cold pack to any "hot spots" on the cast - CORRECT ANSWERS ANS: C
Trying to scratch the skin under the cast (C) may cause a break in the skin and result in the
formation of a skin ulcer. Cool air from a hair dryer may alleviate an itch. The affected leg
should be elevated to help decrease edema (A). Ice bags or cold application devices should be
placed on each side of the cast to help decrease edema and pain (B). "Hot spots" (D), or warm
spots on the cast, may indicate infection and should be reported to the healthcare provider
immediately.
66. A client has 2nd degree electrical burns on both upper extremities. The nurse is preparing to
administer the first application of the topical antimicrobial agent mafenide acetate
,HESI MED SURG EXIT QUESTIONS AND ANSWERS LATEST
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ANSWERS GET IT 100% CORRECT DETAILED BEST GRADED A+
FOR SUCCESS
(Sulfamylon) to the burned area. Which intervention should the nurse implement first?
a. Premedicate the client prior to applying the medication.
b. Use sterile gloves when applying this medication.
c. Cleanse the burned area with sterile normal saline.
d. Assess the client's most recent arterial blood gas test results. - CORRECT ANSWERS ANS: A
Sulfamylon penetrates thick eschar and is excellent for treating electrical burns, but causes
pain that lasts about 30 to 40 minutes after being applied, so the nurse should premedicate the
client for pain (A). (B and C) should be implemented after premedicating the client. ABGs
(D) should be evaluated after treatment because this medication can cause metabolic acidosis,
but it will do no good to assess the client's ABGs prior to the first application.
67. The community health nurse must provide a primary prevention program in the community.Which
type of program addresses this need?a. Provide a nurse-practitioner to prescribe medications for clients
with heart disease.b. Arrange cardiac-prudent diets to be delivered to individuals using Meals on
Wheels.c. Incorporate an exercise program at a local Hispanic community center.d. Conduct a weekly
blood pressure screening at the Hispanic senior citizen center - CORRECT ANSWERS ANS: C
Primary prevention is providing health teaching to prevent disease, so an exercise class (C)
may help prevent heart disease, which is prevalent in the Hispanic population. (A) is tertiary
prevention. (B and D) are examples of secondary prevention
68. The nurse is conducting assessments at the beginning of the shift. Which client is most likely
to have an increased blood pressure since the last set of vital signs was recorded four hours
ago?
a. A young female with increased urinary output following administration of IV
furosemide (Lasix).
b. A middle-aged male receiving prazosin hydrochloride (Minipress).
c. An elderly male who received two units of packed red blood cells (RBCs).
, HESI MED SURG EXIT QUESTIONS AND ANSWERS LATEST
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ANSWERS GET IT 100% CORRECT DETAILED BEST GRADED A+
FOR SUCCESS
d. An adolescent who is receiving azathioprine (Imuran) following a
cardiac transplant - CORRECT ANSWERS ANS: C
Following an infusion of 2 units of RBCs (C), fluid volume in the vasculature increases, which
increases cardiac preload, thus increasing cardiac output, which is reflected in an increased
blood pressure. Administering (A), a loop diuretic, or (B), an alpha adrenergic blocking agent,
causes a lowering of the blood pressure. (D), an immunosuppressant, has no direct effect on
the blood pressure
69. A client is hemiplegic following a cerebrovascular accident. To prevent this client from
experiencing a painful shoulder, what intervention should the nurse include in the plan of
care?
a. Exercise the affected shoulder by using it when assisting the client out of bed.
b. Position the affected arm on pillows while the client is seated in a chair.
c. Keep the client's affected arm elevated above the level of the heart.
d. Avoid range of motion exercises on the affected shoulder until pain in the
shoulder has passed - CORRECT ANSWERS ANS: B
If the arm is paralyzed, subluxation at the shoulder can occur from overstretching of the joint
capsule and musculature by the force of gravity. This can be prevented by positioning and
supporting the affected arm (B). The nurse should never lift the client by the flaccid shoulder
or pull on the affected arm or shoulder (A). (C) would be ineffective against pain. To prevent
contractures, passive range of motion exercises should be performed supporting the arm
proximal to the joint being moved (D)
70. The pharmacist enters the wrong dose of a medication when transcribing prescriptions to a
client's medication administration record (MAR). Which action should the nurse take to
DOWNLOADED 2025/2026 A COMPLETE EXAM SOLUTION ALL
ANSWERS GET IT 100% CORRECT DETAILED BEST GRADED A+
FOR SUCCESS
62. The nurse is caring for a client whose urine drug screen is positive for cocaine. What behavior
is this client likely to exhibit during cocaine withdrawal?
a. Intense cravings.
b. Increased energy.
c. Talkativeness.
d. Euphoria - CORRECT ANSWERS ANS: A
During cocaine withdrawal, the nurse should expect the client to experience cravings (A) and
a pattern of withdrawal symptoms similar to amphetamine use. (B, C, and D) are signs and
symptoms of a person who is high on cocaine rather than one who is experiencing withdrawal
63. The nurse enters the room of a client with a history of seizure activity and observes that the
unlicensed assistive personnel (UAP) is securing several pillows against the side rails to
protect the client. What action should the nurse implement?
a. Ensure that the UAP has placed the pillows effectively to protect the client.
b. Instruct the UAP to obtain soft blankets to secure to the side rails instead
of pillows.
c. Assume responsibility for placing the pillows while the UAP completes another
task.
d. Ask the UAP to use some of the pillows to prop the client in a side-lying position. - CORRECT
ANSWERS ANS: B
The nurse should instruct the UAP to pad the side rails with soft blankets (B) because the use
of pillows (A) could result in suffocation. The nurse can delegate padding the side rails to the
UAP (C). A side-lying position (D) may help prevent aspiration during a seizure, but turning
the client is not the priority when implementing seizure precautions.
,HESI MED SURG EXIT QUESTIONS AND ANSWERS LATEST
DOWNLOADED 2025/2026 A COMPLETE EXAM SOLUTION ALL
ANSWERS GET IT 100% CORRECT DETAILED BEST GRADED A+
FOR SUCCESS
64. A 5-year-old child is admitted to the pediatric unit with fever and pain secondary to a sickle
cell crisis. Which intervention should the nurse implement first?
a. Initiate normal saline IV at 50 ml/hr.
b. Administer a loading dose of penicillin IM.
c. Obtain a culture of any sputum or wound drainage.
d. Administer the initial dose of folic acid PO - CORRECT ANSWERS ANS: A
The most important intervention is the initiation of IV fluids (A) because hydration promotes
hemodilution and RBC circulation. (B, C, and D) are also important interventions that should
be implemented by the nurse, but after initiating administration of the IV fluids
65. A client with a compound fracture of the left ankle is being discharged with a below-the-knee
cast. Before being discharged, the nurse should provide the client with what instruction?
a. Keep the left leg in a dependent position.
b. Apply heat to the left leg cast.
c. Do not attempt to scratch the skin under the cast.
d. Apply a cold pack to any "hot spots" on the cast - CORRECT ANSWERS ANS: C
Trying to scratch the skin under the cast (C) may cause a break in the skin and result in the
formation of a skin ulcer. Cool air from a hair dryer may alleviate an itch. The affected leg
should be elevated to help decrease edema (A). Ice bags or cold application devices should be
placed on each side of the cast to help decrease edema and pain (B). "Hot spots" (D), or warm
spots on the cast, may indicate infection and should be reported to the healthcare provider
immediately.
66. A client has 2nd degree electrical burns on both upper extremities. The nurse is preparing to
administer the first application of the topical antimicrobial agent mafenide acetate
,HESI MED SURG EXIT QUESTIONS AND ANSWERS LATEST
DOWNLOADED 2025/2026 A COMPLETE EXAM SOLUTION ALL
ANSWERS GET IT 100% CORRECT DETAILED BEST GRADED A+
FOR SUCCESS
(Sulfamylon) to the burned area. Which intervention should the nurse implement first?
a. Premedicate the client prior to applying the medication.
b. Use sterile gloves when applying this medication.
c. Cleanse the burned area with sterile normal saline.
d. Assess the client's most recent arterial blood gas test results. - CORRECT ANSWERS ANS: A
Sulfamylon penetrates thick eschar and is excellent for treating electrical burns, but causes
pain that lasts about 30 to 40 minutes after being applied, so the nurse should premedicate the
client for pain (A). (B and C) should be implemented after premedicating the client. ABGs
(D) should be evaluated after treatment because this medication can cause metabolic acidosis,
but it will do no good to assess the client's ABGs prior to the first application.
67. The community health nurse must provide a primary prevention program in the community.Which
type of program addresses this need?a. Provide a nurse-practitioner to prescribe medications for clients
with heart disease.b. Arrange cardiac-prudent diets to be delivered to individuals using Meals on
Wheels.c. Incorporate an exercise program at a local Hispanic community center.d. Conduct a weekly
blood pressure screening at the Hispanic senior citizen center - CORRECT ANSWERS ANS: C
Primary prevention is providing health teaching to prevent disease, so an exercise class (C)
may help prevent heart disease, which is prevalent in the Hispanic population. (A) is tertiary
prevention. (B and D) are examples of secondary prevention
68. The nurse is conducting assessments at the beginning of the shift. Which client is most likely
to have an increased blood pressure since the last set of vital signs was recorded four hours
ago?
a. A young female with increased urinary output following administration of IV
furosemide (Lasix).
b. A middle-aged male receiving prazosin hydrochloride (Minipress).
c. An elderly male who received two units of packed red blood cells (RBCs).
, HESI MED SURG EXIT QUESTIONS AND ANSWERS LATEST
DOWNLOADED 2025/2026 A COMPLETE EXAM SOLUTION ALL
ANSWERS GET IT 100% CORRECT DETAILED BEST GRADED A+
FOR SUCCESS
d. An adolescent who is receiving azathioprine (Imuran) following a
cardiac transplant - CORRECT ANSWERS ANS: C
Following an infusion of 2 units of RBCs (C), fluid volume in the vasculature increases, which
increases cardiac preload, thus increasing cardiac output, which is reflected in an increased
blood pressure. Administering (A), a loop diuretic, or (B), an alpha adrenergic blocking agent,
causes a lowering of the blood pressure. (D), an immunosuppressant, has no direct effect on
the blood pressure
69. A client is hemiplegic following a cerebrovascular accident. To prevent this client from
experiencing a painful shoulder, what intervention should the nurse include in the plan of
care?
a. Exercise the affected shoulder by using it when assisting the client out of bed.
b. Position the affected arm on pillows while the client is seated in a chair.
c. Keep the client's affected arm elevated above the level of the heart.
d. Avoid range of motion exercises on the affected shoulder until pain in the
shoulder has passed - CORRECT ANSWERS ANS: B
If the arm is paralyzed, subluxation at the shoulder can occur from overstretching of the joint
capsule and musculature by the force of gravity. This can be prevented by positioning and
supporting the affected arm (B). The nurse should never lift the client by the flaccid shoulder
or pull on the affected arm or shoulder (A). (C) would be ineffective against pain. To prevent
contractures, passive range of motion exercises should be performed supporting the arm
proximal to the joint being moved (D)
70. The pharmacist enters the wrong dose of a medication when transcribing prescriptions to a
client's medication administration record (MAR). Which action should the nurse take to
