HESI Med Surg Exit Exam V1 2026 (Version 1) Actual Exam
Questions with Correct Answers | Guaranteed Success | Latest
Update 2026/2027 | With NGN.
1. In assessing a client with preeclampsia who is receiving magnesium sulfate, the nurse
determines that her deep tendon reflexes are 1+; respiratory rate is 12 breaths/minute;
urinary output is 90 ml in 4 hours; magnesium sulfate level is 9 mg/dl. Based on these
findings, what intervention should the nurse implement? a. Continue the magnesium
sulfate infusion as prescribed.
b. Decrease the magnesium sulfate infusion by one-half.
c. Stop the magnesium sulfate infusion immediately.
d. Administer calcium gluconate immediately.
1. A client is on a mechanical ventilator. Which client response indicates that the
neuromuscular blocker tubocurarine chloride (Tubarine) is effective? a. The client’s
expremities are paralyzed.
b. The peripheral nerve stimulator causes twitching.
c. The client clinches fist upon command.
d. The client’s Glagow Coma Scale score is 14.
2. An elderly female client comes to the clinic for a regular check-up. The client tells
the nurse that she has increased her daily doses of acetaminophen (Tylenol) for the
past month to control joint pain. Based on this client's comment, what previous lab
values should the nurse compare with today's lab report?
a. Look at last quarter's hemoglobin and hematocrit, expecting an
, increase today due to dehydration.
b. Look for an increase in today's LDH compared to the previous one to assess
for possible liver damage.
3. Expect to find an increase in today's APTT as compared to last quarter's due to
bleeding. Aspirin is prescribed for a 9-year-old child with rheumatic fever to
control the inflammatory process, promote comfort, and reduce fever. What
intervention is most important for the nurse to implement?
a. Instruct the parents to hold the aspirin until the child has first had a tepid
sponge bath.
b. Administer the aspirin with at least two ounces of water or juice.
c. Notify the healthcare provider if the child complains of ringing in the ears.
d. Advise the parents to question the child about seeing yellow halos around
objects.
4. Which signs or symptoms are characteristic of an adult client diagnosed with
Cushing's syndrome?
a. Husky voice and complaints of hoarseness.
b. Warm, soft, moist, salmon-colored skin.
c. Visible swelling of the neck, with no pain.
d. Central-type obesity, with thin extremities.
5. A charge nurse agrees to cover another nurse’s assignment during a lunch
break. Based on the status report provided by the nurse who is leaving for
lunch, which client should be checked first by the charge nurse? The client
a. admitted yesterday with diabetec ketoacidosis whose blood glucose level
is now 195 mg/dl.
, b. with an ileal conduit created two days ago with a scant amount of
blood in the drainage pouch.
c. post-triple coronary bypass four days ago who has
serosanguinous drainage in the chest tube.
d. with a pneumothorax secondary to a gunshot wound with a
current pulse oximeter reading of 90%.
6. An outcome for treatment of peripheral vascular disease is, "The client will have
decreased venous congestion." What client behavior would indicate to the nurse
that this outcome has been met?
a. Avoids prolonged sitting or standing.
b. Avoids trauma and irritation to skin.
c. Wears protective shoes.
d. Quits smoking.
, 11. The nurse formulates a nursing diagnosis of, "High risk for ineffective airway
clearance" for a client with myasthenia gravis. What is the most likely etiology for
this nursing diagnosis? a. Pain when coughing.
b. Diminished cough effort.
c. Thick dry secretions.
d. Excessive inflammation.
12. Following a CVA, the nurse assess that a client developed dysphagia, hypoactive
bowel sounds and firm, distended abdomen. Which prescription for the client should
the nurse question?
a. Continous tube feeding at 65 ml/hr via gastrostomy.
b. Total parenteral nutrition to be infused at 125 ml/hour.
c. Nasogastric tube connected to low intermittent suction.
d. Metoclopramide (Reglan) intermittent piggyback.
13. A client's telemetry monitor indicates the sudden onset of ventricular fibrillation.
Which assessment finding should the nurse anticipate? a. Bounding erratic pulse.
b. Regularly irregular pulse.
c. Thready irregular pulse.
d. No palpable pulse.
Questions with Correct Answers | Guaranteed Success | Latest
Update 2026/2027 | With NGN.
1. In assessing a client with preeclampsia who is receiving magnesium sulfate, the nurse
determines that her deep tendon reflexes are 1+; respiratory rate is 12 breaths/minute;
urinary output is 90 ml in 4 hours; magnesium sulfate level is 9 mg/dl. Based on these
findings, what intervention should the nurse implement? a. Continue the magnesium
sulfate infusion as prescribed.
b. Decrease the magnesium sulfate infusion by one-half.
c. Stop the magnesium sulfate infusion immediately.
d. Administer calcium gluconate immediately.
1. A client is on a mechanical ventilator. Which client response indicates that the
neuromuscular blocker tubocurarine chloride (Tubarine) is effective? a. The client’s
expremities are paralyzed.
b. The peripheral nerve stimulator causes twitching.
c. The client clinches fist upon command.
d. The client’s Glagow Coma Scale score is 14.
2. An elderly female client comes to the clinic for a regular check-up. The client tells
the nurse that she has increased her daily doses of acetaminophen (Tylenol) for the
past month to control joint pain. Based on this client's comment, what previous lab
values should the nurse compare with today's lab report?
a. Look at last quarter's hemoglobin and hematocrit, expecting an
, increase today due to dehydration.
b. Look for an increase in today's LDH compared to the previous one to assess
for possible liver damage.
3. Expect to find an increase in today's APTT as compared to last quarter's due to
bleeding. Aspirin is prescribed for a 9-year-old child with rheumatic fever to
control the inflammatory process, promote comfort, and reduce fever. What
intervention is most important for the nurse to implement?
a. Instruct the parents to hold the aspirin until the child has first had a tepid
sponge bath.
b. Administer the aspirin with at least two ounces of water or juice.
c. Notify the healthcare provider if the child complains of ringing in the ears.
d. Advise the parents to question the child about seeing yellow halos around
objects.
4. Which signs or symptoms are characteristic of an adult client diagnosed with
Cushing's syndrome?
a. Husky voice and complaints of hoarseness.
b. Warm, soft, moist, salmon-colored skin.
c. Visible swelling of the neck, with no pain.
d. Central-type obesity, with thin extremities.
5. A charge nurse agrees to cover another nurse’s assignment during a lunch
break. Based on the status report provided by the nurse who is leaving for
lunch, which client should be checked first by the charge nurse? The client
a. admitted yesterday with diabetec ketoacidosis whose blood glucose level
is now 195 mg/dl.
, b. with an ileal conduit created two days ago with a scant amount of
blood in the drainage pouch.
c. post-triple coronary bypass four days ago who has
serosanguinous drainage in the chest tube.
d. with a pneumothorax secondary to a gunshot wound with a
current pulse oximeter reading of 90%.
6. An outcome for treatment of peripheral vascular disease is, "The client will have
decreased venous congestion." What client behavior would indicate to the nurse
that this outcome has been met?
a. Avoids prolonged sitting or standing.
b. Avoids trauma and irritation to skin.
c. Wears protective shoes.
d. Quits smoking.
, 11. The nurse formulates a nursing diagnosis of, "High risk for ineffective airway
clearance" for a client with myasthenia gravis. What is the most likely etiology for
this nursing diagnosis? a. Pain when coughing.
b. Diminished cough effort.
c. Thick dry secretions.
d. Excessive inflammation.
12. Following a CVA, the nurse assess that a client developed dysphagia, hypoactive
bowel sounds and firm, distended abdomen. Which prescription for the client should
the nurse question?
a. Continous tube feeding at 65 ml/hr via gastrostomy.
b. Total parenteral nutrition to be infused at 125 ml/hour.
c. Nasogastric tube connected to low intermittent suction.
d. Metoclopramide (Reglan) intermittent piggyback.
13. A client's telemetry monitor indicates the sudden onset of ventricular fibrillation.
Which assessment finding should the nurse anticipate? a. Bounding erratic pulse.
b. Regularly irregular pulse.
c. Thready irregular pulse.
d. No palpable pulse.
