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HESI MED-SURG NEXT GEN EXAM (NEW 2025/ 2026
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Patient Scenario: A 68-year-old patient presents to the hospital with abdominal
pain and distension. The patient has a history of chronic alcohol abuse. Which
condition should the nurse suspect?
The nurse should suspect liver cirrhosis as the patient has a history of chronic
alcohol abuse and presents with abdominal pain and distension.
Patient Scenario: A 45-year-old patient with type 2 diabetes has a blood glucose
level of 360 mg/dL. The patient is experiencing symptoms of dehydration. What
should the nurse suspect?
The nurse should suspect hyperglycemia as the patient's blood glucose level is
significantly high, and symptoms of dehydration are present.
Patient Scenario: A 72-year-old patient presents to the emergency department
with chest pain and shortness of breath. The patient has a history of hypertension
and smoking. Which condition should the nurse suspect?
: The nurse should suspect a myocardial infarction (heart attack) as the patient
presents with chest pain and shortness of breath, and has a history of hypertension
and smoking
HESI MED-SURG NEXT GEN
HESIEXAM
MED-SURG
(NEW 2025-
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EXAMMED-SURG
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HESIEXAM
MED-SURG
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Patient Scenario: A 55-year-old patient is admitted to the hospital with a suspected
gastrointestinal bleed. The patient is experiencing abdominal pain, weakness, and
dizziness. What should the nurse suspect?
The nurse should suspect anemia as the patient is experiencing symptoms of
abdominal pain, weakness, and dizziness, which are common in patients with a
gastrointestinal bleed.
Patient Scenario: A 65-year-old patient presents to the emergency department
with acute onset of confusion and lethargy. The patient has a history of
hypertension and diabetes. Which condition should the nurse suspect?
The nurse should suspect hyperglycemia or hypoglycemia as the patient has a
history of hypertension and diabetes and is experiencing acute onset of confusion
and lethargy.
Patient Scenario: A 50-year-old patient with a history of asthma presents to the
clinic with shortness of breath and wheezing. What is the appropriate nursing
intervention?
The appropriate nursing intervention is to administer a bronchodilator medication
and assess the patient's oxygen saturation levels.
Patient Scenario: A 60-year-old patient with a history of heart failure presents to
the clinic with edema in the legs and difficulty breathing. What is the appropriate
nursing intervention?
The appropriate nursing intervention is to administer diuretic medication and
monitor the patient's fluid intake and output.
HESI MED-SURG NEXT GEN
HESIEXAM
MED-SURG
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HESI
EXAMMED-SURG
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