HESI RN Med Surg Exit Exam 2024 –
Version 2 | 55 Questions with
Correct Detailed Answers &
Rationales | Verified & A+ Graded
The nurse is teaching a client with glomerulonephritis
about self care. Which dietary recommendations should
the nurse encourage the client to follow?
A. Increase intake of high-fiber foods, such as bran
cereal
B. Restrict protein intake by limiting meats and other
high-protein foods.
C. Limit oral fluid intake of 500ml per day
D. Increase intake of potassium rich foods such as
bananas and cantaloupe. - ...-ANSWER-...B. Restrict
protein intake by limiting meats and other high-protein
foods.
An overweight, young adult male who was recently
diagnosed with type 2 diabetes mellitus is admitted for a
,hernia repair. He tells the nurse that he is feeling very
weak and jittery. Which actions should the nurse
implement? (Select all that apply)
A. Check his fingerstick glucose
B. Assess his skin temperature and moisture
C. Measure his pulse and BP
D. Document anxiety on the surgical checklist.
E. Administer a PRN dose of regular insulin. -
...-ANSWER-...A,B,C
A. Check his fingerstick glucose
B. Assess his skin temperature and moisture
C. Measure his pulse and BP
A client with Cushing's Syndrome is recovering from an
elective laparoscopic procedure. Which assessment
finding warrants immediate intervention by the nurse?
A. Irregular apical pulse
B. Purple marks on skin of the abdomen.
C. Quarter sized blood spot on the dressing
,D. Pitting ankle edema. - ...-ANSWER-...A. Irregular
apical pulse.
An adult woman with primary Raynaud phenomenon
develops pallor and then cyanosis of her fingers. After
warming her hands, the fingers turn red and the client
reports a burning sensation. What action should the
nurse take?
A. Apply a cool compress to the affected fingers for 20
minutes
B. Secure a pulse oximeter to monitor the clients oxygen
saturation
C. Report the finding to the HCP as soon as possible.
D. Continue to monitor the fingers until color returns to
normal. - ...-ANSWER-...D. continue to monitor the
fingers until color returns to normal.
A male client with muscular dystrophy fell in his home
and is admitted with a right hip fracture. His right foot is
cool, with palpable pedal pulses. Lungs are coarse with
diminished bibasilar breath sounds. Vital signs are
, temperature 101 degrees F, heart rate 128 beats/minute,
respirations 28 breaths/minute, and blood pressure
122/82. Which intervention is most important for the
nurse to implement first?
A. Obtain oxygen saturation level.
B. Encourage incentive spirometry.
C. Assess lower extremity circulation
D. Administer PRN oral antipyretic. - ...-ANSWER-...D.
Administer PRN oral antipyretic
The nurse is completing the preoperative assessment of
a client who is scheduled for a laparoscopic
cholecystectomyunder general anesthesia. Which
finding warrants notification of the HCP prior to
proceeding with the scheduled procedure?
A. Light yellow coloring of the clients skin and eyes.
B. The clients blood pressure reading 184/88 mm Hg.
C. The client vomits 20 ml of clear yellowish fluid.
D. The IV insertion site is red, swollen, and leaking IV
Version 2 | 55 Questions with
Correct Detailed Answers &
Rationales | Verified & A+ Graded
The nurse is teaching a client with glomerulonephritis
about self care. Which dietary recommendations should
the nurse encourage the client to follow?
A. Increase intake of high-fiber foods, such as bran
cereal
B. Restrict protein intake by limiting meats and other
high-protein foods.
C. Limit oral fluid intake of 500ml per day
D. Increase intake of potassium rich foods such as
bananas and cantaloupe. - ...-ANSWER-...B. Restrict
protein intake by limiting meats and other high-protein
foods.
An overweight, young adult male who was recently
diagnosed with type 2 diabetes mellitus is admitted for a
,hernia repair. He tells the nurse that he is feeling very
weak and jittery. Which actions should the nurse
implement? (Select all that apply)
A. Check his fingerstick glucose
B. Assess his skin temperature and moisture
C. Measure his pulse and BP
D. Document anxiety on the surgical checklist.
E. Administer a PRN dose of regular insulin. -
...-ANSWER-...A,B,C
A. Check his fingerstick glucose
B. Assess his skin temperature and moisture
C. Measure his pulse and BP
A client with Cushing's Syndrome is recovering from an
elective laparoscopic procedure. Which assessment
finding warrants immediate intervention by the nurse?
A. Irregular apical pulse
B. Purple marks on skin of the abdomen.
C. Quarter sized blood spot on the dressing
,D. Pitting ankle edema. - ...-ANSWER-...A. Irregular
apical pulse.
An adult woman with primary Raynaud phenomenon
develops pallor and then cyanosis of her fingers. After
warming her hands, the fingers turn red and the client
reports a burning sensation. What action should the
nurse take?
A. Apply a cool compress to the affected fingers for 20
minutes
B. Secure a pulse oximeter to monitor the clients oxygen
saturation
C. Report the finding to the HCP as soon as possible.
D. Continue to monitor the fingers until color returns to
normal. - ...-ANSWER-...D. continue to monitor the
fingers until color returns to normal.
A male client with muscular dystrophy fell in his home
and is admitted with a right hip fracture. His right foot is
cool, with palpable pedal pulses. Lungs are coarse with
diminished bibasilar breath sounds. Vital signs are
, temperature 101 degrees F, heart rate 128 beats/minute,
respirations 28 breaths/minute, and blood pressure
122/82. Which intervention is most important for the
nurse to implement first?
A. Obtain oxygen saturation level.
B. Encourage incentive spirometry.
C. Assess lower extremity circulation
D. Administer PRN oral antipyretic. - ...-ANSWER-...D.
Administer PRN oral antipyretic
The nurse is completing the preoperative assessment of
a client who is scheduled for a laparoscopic
cholecystectomyunder general anesthesia. Which
finding warrants notification of the HCP prior to
proceeding with the scheduled procedure?
A. Light yellow coloring of the clients skin and eyes.
B. The clients blood pressure reading 184/88 mm Hg.
C. The client vomits 20 ml of clear yellowish fluid.
D. The IV insertion site is red, swollen, and leaking IV
