Med surg HESI
v v
EXIT EXAM
v v
Updated
2023TestBank
v v
,Med surg HESI EXIT EXAM Updated 2023Test Bank
v v v v v v v
1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he
v v v v v v v v v v v v v
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What
v v v v v v v v v v v v v v v v v
is the best follow-up action by the nurse?
v v v v v v v v
• Review with the client the need to avoid foods that are rich in milk and cream
v v v v v v v v v v v v v v v
2. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
v v v v v v v v v v
admitted client who has a seizure disorder. The client is supine and the UAP is placing
v v v v v v v v v v v v v v v
soft pillows along the side rails. What action should the nurse implement?
v v v v v v v v v v v v
• Instruct the UAP to obtain soft blankets to secure to the side rails instead of
v v v v v v v v v v v v v v
pillows. v
3. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
v v v v v v v v v v v
vthe past 12 days. Which assessment finding requires immediate follow-up?
v v v v v v v v v
• Describes life without purpose v v v
4. A 60-year-old female client with a positive family history of ovarian cancer has
v v v v v v v v v v v v
vdeveloped an abdominal mass and is being evaluated for possible ovarian cancer. Her
v v v v v v v v v v v v
vPapanicolau (Pap) smear results are negative. What information should the nurse include
v v v v v v v v v v v
vin the client’s teaching plan?
v v v v
• Further evaluation involving surgery may be needed v v v v v v
5. A client who recently underwear a tracheostomy is being prepared for discharge to home.
v v v v v v v v v v v v v
vWhich instructions is most important for the nurse to include in the discharge plan?
v v v v v v v v v v v v v
• Teach tracheal suctioning techniques v v v
6. In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen
v v v v v v v v v v v v v v v
reservoir bag does not deflate completely during inspiration and the client’s respiratory
v v v v v v v v v v v
vrate is 14 breaths / minute. What action should the nurse implement?
v v v v v v v v v v v
• Document the assessment data v v v
• Rational: reservoir bag should not deflate completely during inspiration and the
client’s respiratory rate is within normal limits.
v v v v v v v v v v
v v v v v v v
7. During shift report, the central electrocardiogram (EKG) monitoring system alarms.
v v v v v v v v v
vWhich client alarm should the nurse investigate firs?
v v v v v v v
, • Respiratory apnea of 30 seconds v v v v
8. During a home visit, the nurse observed an elderly client with diabetes slip and fall. What
v v v v v v v v v v v v v v v
v action should the nurse take first?
v v v v v
• Check the client for lacerations or fractures v v v v v v
9. At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the
v v v v v v v v v v v v v
client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid
v v v v v v v v v v v v v v v v v
v getting a headache. Which action should the nurse take first?
v v v v v v v v v
• Inform the anesthesia care provider v v v v
10. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart
v v v v v v v v v v v v v v v
sounds. To determine if an S3 heart sound is present, what action should the nurse take
v v v v v v v v v v v v v v v
v first?
• Listen with the bell at the same location v v v v v v v
11. A 66-year-old woman is retiring and will no longer have a health insurance through her
v v v v v v v v v v v v v v
place of employment. Which agency should the client be referred to by the employee
v v v v v v v v v v v v v
v health nurse for health insurance needs?
v v v v v
• Medicare
12. A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
v v v v v v v v v v v v v v
v What snack should the nurse instruct the client to take with the tetracycline?
v v v v v v v v v v v v
• Toasted wheat bread and jelly v v v v
13. Following a lumbar puncture, a client voices several complaints. What complaint
v v v v v v v v v v
v indicated to the nurse that the client is experiencing a complication?
v v v v v v v v v v
• “I have a headache that gets worse when I sit up”
v v v v v v v v v v
• “I am having pain in my lower back when I move my legs”
v v v v v v v v v v v v
• “My throat hurts when I swallow”
v v v v v
• “I feel sick to my stomach and am going to throw up”
v v v v v v v v v v v
14. An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
v v v v v v v v v v v v v
vwith incontinence. Which action should the nurse implement?
v v v v v v v
• Obtain a clean catch mid-stream specimen v v v v v
15. The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
v v v v v v v v v v v v v
vfoods that are in keeping with the child’s dietary restrictions. Which foods are
v v v v v v v v v v v v
vcontraindicated for this child? v v v
• Foods sweetened with aspartame v v v
16. Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks
v v v v v v v v v v v v v v v v
vthe circulating nurse if a 3 minute surgical hand scrub is adequate preparation for this
v v v v v v v v v v v v v v
vclient. Which response should the circulating nurse provide?
v v v v v v v
• Direct the nurse to continue the surgical hand scrub for a 5 minute duration
v v v v v v v v v v v v v
17. Which breakfast selection indicates that the client understands the nurse’s instructions
v v v v v v v v v v
about the dietary management of osteoporosis?
v v v v v
• Bagel with jelly and skim milk v v v v v
, 18. The charge nurse of a critical care unit is informed at the beginning of the shift that
v v v v v v v v v v v v v v v v
vless than the optimal number of registered nurses will be working that shift. In
v v v v v v v v v v v v v
vplanning assignments, which client should receive the most care hours by a registered
v v v v v v v v v v v v
vnurse (RN)? v
• An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a
Foley catheter and soft wrist restrains applied
v v v v v v v v v v
v v v v v v v
19. A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
v v v v v v v v v v v v v v v
vpediatrician’s office. Upon inspection, the nurse notes that the nail went through the
v v v v v v v v v v v v
vshoe and pierced the bottom of the child’s foot. Which action should the nurse implement
v v v v v v v v v v v v v v
vfirst?
• Cleanse the foot with soap and water and apply an antibiotic ointment
v v v v v v v v v v v
• Provide teaching about the need for a tetanus booster within the next 72 hours.
v v v v v v v v v v v v v
• have the mother check the child's temperature q4h for the next 24 hours
v v v v v v v v v v v v
• transfer the child to the emergency department to receive a gamma globulin
injection
v v v v v v v v v v v
v
20. The mother of an adolescent tells the clinic nurse, “My son has athlete’s foot, I have been
v v v v v v v v v v v v v v v v
vapplying triple antibiotic ointment for two days, but there has been no improvement.”
v v v v v v v v v v v v
vWhat instruction should the nurse provide?
v v v v v
• Stop using the ointment and encourage complete drying of the feet and wearing
clean socks.
v v v v v v v v v v v v
v v
21. A 26-year-old female client is admitted to the hospital for treatment of a simple goiter,
v v v v v v v v v v v v v v
vand levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to
v v v v v v v v v
vthe nurse that the prescribed dosage is too high for this client? The client
v v v v v v v v v v v v v
vexperiences
• Bradycardia and constipation v v
• Lethargy and lack of appetite v v v v
• Muscle cramping and dry, flushed skin v v v v v
• Palpitations and shortness of breath v v v v
22. A client with a history of heart failure presents to the clinic with a nausea, vomiting,
v v v v v v v v v v v v v v v
vyellow vision and palpitations. Which finding is most important for the nurse to assess
v v v v v v v v v v v v v
vto the client?
v v
• Obtain a list of medications taken for cardiac history
v v v v v v v v
23. The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250
v v v v v v v v v v v v v
ml of D5W at 300 mcg/hour. The nurse should program the infusion pump to deliver how
v v v v v v v v v v v v v v v
vmany ml/hour? (Enter numeric value only.)
v v v v v
• 75
• Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour /
1,000 mcg x 250 ml = 3/1 x 25 = 75 ml/hour
v v v v v v v v v v v v v v
v v v v v v v v v v v v
24. The pathophysiological mechanism are responsible for ascites related to liver failure?
v v v v v v v v v v
v(Select all that apply) v v v
• Fluid shifts from intravascular to interstitial area due to decreased serum protein
v v v v v v v v v v v
• Increased hydrostatic pressure in portal circulation increases fluid shifts into
abdomen
v v v v v v v v v
v
• Increased circulating aldosterone levels that increase sodium and water retention
v v v v v v v v v
25. The nurse is auscultating a client’s heart sounds. Which description should the nurse use
v v v v v v v v v v v v v
to document this sound? (Please listen to the audio first to select the option that applies)
v v v v v v v v v v v v v v v
• Murmur
v v
EXIT EXAM
v v
Updated
2023TestBank
v v
,Med surg HESI EXIT EXAM Updated 2023Test Bank
v v v v v v v
1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he
v v v v v v v v v v v v v
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What
v v v v v v v v v v v v v v v v v
is the best follow-up action by the nurse?
v v v v v v v v
• Review with the client the need to avoid foods that are rich in milk and cream
v v v v v v v v v v v v v v v
2. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
v v v v v v v v v v
admitted client who has a seizure disorder. The client is supine and the UAP is placing
v v v v v v v v v v v v v v v
soft pillows along the side rails. What action should the nurse implement?
v v v v v v v v v v v v
• Instruct the UAP to obtain soft blankets to secure to the side rails instead of
v v v v v v v v v v v v v v
pillows. v
3. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
v v v v v v v v v v v
vthe past 12 days. Which assessment finding requires immediate follow-up?
v v v v v v v v v
• Describes life without purpose v v v
4. A 60-year-old female client with a positive family history of ovarian cancer has
v v v v v v v v v v v v
vdeveloped an abdominal mass and is being evaluated for possible ovarian cancer. Her
v v v v v v v v v v v v
vPapanicolau (Pap) smear results are negative. What information should the nurse include
v v v v v v v v v v v
vin the client’s teaching plan?
v v v v
• Further evaluation involving surgery may be needed v v v v v v
5. A client who recently underwear a tracheostomy is being prepared for discharge to home.
v v v v v v v v v v v v v
vWhich instructions is most important for the nurse to include in the discharge plan?
v v v v v v v v v v v v v
• Teach tracheal suctioning techniques v v v
6. In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen
v v v v v v v v v v v v v v v
reservoir bag does not deflate completely during inspiration and the client’s respiratory
v v v v v v v v v v v
vrate is 14 breaths / minute. What action should the nurse implement?
v v v v v v v v v v v
• Document the assessment data v v v
• Rational: reservoir bag should not deflate completely during inspiration and the
client’s respiratory rate is within normal limits.
v v v v v v v v v v
v v v v v v v
7. During shift report, the central electrocardiogram (EKG) monitoring system alarms.
v v v v v v v v v
vWhich client alarm should the nurse investigate firs?
v v v v v v v
, • Respiratory apnea of 30 seconds v v v v
8. During a home visit, the nurse observed an elderly client with diabetes slip and fall. What
v v v v v v v v v v v v v v v
v action should the nurse take first?
v v v v v
• Check the client for lacerations or fractures v v v v v v
9. At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the
v v v v v v v v v v v v v
client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid
v v v v v v v v v v v v v v v v v
v getting a headache. Which action should the nurse take first?
v v v v v v v v v
• Inform the anesthesia care provider v v v v
10. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart
v v v v v v v v v v v v v v v
sounds. To determine if an S3 heart sound is present, what action should the nurse take
v v v v v v v v v v v v v v v
v first?
• Listen with the bell at the same location v v v v v v v
11. A 66-year-old woman is retiring and will no longer have a health insurance through her
v v v v v v v v v v v v v v
place of employment. Which agency should the client be referred to by the employee
v v v v v v v v v v v v v
v health nurse for health insurance needs?
v v v v v
• Medicare
12. A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
v v v v v v v v v v v v v v
v What snack should the nurse instruct the client to take with the tetracycline?
v v v v v v v v v v v v
• Toasted wheat bread and jelly v v v v
13. Following a lumbar puncture, a client voices several complaints. What complaint
v v v v v v v v v v
v indicated to the nurse that the client is experiencing a complication?
v v v v v v v v v v
• “I have a headache that gets worse when I sit up”
v v v v v v v v v v
• “I am having pain in my lower back when I move my legs”
v v v v v v v v v v v v
• “My throat hurts when I swallow”
v v v v v
• “I feel sick to my stomach and am going to throw up”
v v v v v v v v v v v
14. An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
v v v v v v v v v v v v v
vwith incontinence. Which action should the nurse implement?
v v v v v v v
• Obtain a clean catch mid-stream specimen v v v v v
15. The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
v v v v v v v v v v v v v
vfoods that are in keeping with the child’s dietary restrictions. Which foods are
v v v v v v v v v v v v
vcontraindicated for this child? v v v
• Foods sweetened with aspartame v v v
16. Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks
v v v v v v v v v v v v v v v v
vthe circulating nurse if a 3 minute surgical hand scrub is adequate preparation for this
v v v v v v v v v v v v v v
vclient. Which response should the circulating nurse provide?
v v v v v v v
• Direct the nurse to continue the surgical hand scrub for a 5 minute duration
v v v v v v v v v v v v v
17. Which breakfast selection indicates that the client understands the nurse’s instructions
v v v v v v v v v v
about the dietary management of osteoporosis?
v v v v v
• Bagel with jelly and skim milk v v v v v
, 18. The charge nurse of a critical care unit is informed at the beginning of the shift that
v v v v v v v v v v v v v v v v
vless than the optimal number of registered nurses will be working that shift. In
v v v v v v v v v v v v v
vplanning assignments, which client should receive the most care hours by a registered
v v v v v v v v v v v v
vnurse (RN)? v
• An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a
Foley catheter and soft wrist restrains applied
v v v v v v v v v v
v v v v v v v
19. A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
v v v v v v v v v v v v v v v
vpediatrician’s office. Upon inspection, the nurse notes that the nail went through the
v v v v v v v v v v v v
vshoe and pierced the bottom of the child’s foot. Which action should the nurse implement
v v v v v v v v v v v v v v
vfirst?
• Cleanse the foot with soap and water and apply an antibiotic ointment
v v v v v v v v v v v
• Provide teaching about the need for a tetanus booster within the next 72 hours.
v v v v v v v v v v v v v
• have the mother check the child's temperature q4h for the next 24 hours
v v v v v v v v v v v v
• transfer the child to the emergency department to receive a gamma globulin
injection
v v v v v v v v v v v
v
20. The mother of an adolescent tells the clinic nurse, “My son has athlete’s foot, I have been
v v v v v v v v v v v v v v v v
vapplying triple antibiotic ointment for two days, but there has been no improvement.”
v v v v v v v v v v v v
vWhat instruction should the nurse provide?
v v v v v
• Stop using the ointment and encourage complete drying of the feet and wearing
clean socks.
v v v v v v v v v v v v
v v
21. A 26-year-old female client is admitted to the hospital for treatment of a simple goiter,
v v v v v v v v v v v v v v
vand levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to
v v v v v v v v v
vthe nurse that the prescribed dosage is too high for this client? The client
v v v v v v v v v v v v v
vexperiences
• Bradycardia and constipation v v
• Lethargy and lack of appetite v v v v
• Muscle cramping and dry, flushed skin v v v v v
• Palpitations and shortness of breath v v v v
22. A client with a history of heart failure presents to the clinic with a nausea, vomiting,
v v v v v v v v v v v v v v v
vyellow vision and palpitations. Which finding is most important for the nurse to assess
v v v v v v v v v v v v v
vto the client?
v v
• Obtain a list of medications taken for cardiac history
v v v v v v v v
23. The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250
v v v v v v v v v v v v v
ml of D5W at 300 mcg/hour. The nurse should program the infusion pump to deliver how
v v v v v v v v v v v v v v v
vmany ml/hour? (Enter numeric value only.)
v v v v v
• 75
• Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour /
1,000 mcg x 250 ml = 3/1 x 25 = 75 ml/hour
v v v v v v v v v v v v v v
v v v v v v v v v v v v
24. The pathophysiological mechanism are responsible for ascites related to liver failure?
v v v v v v v v v v
v(Select all that apply) v v v
• Fluid shifts from intravascular to interstitial area due to decreased serum protein
v v v v v v v v v v v
• Increased hydrostatic pressure in portal circulation increases fluid shifts into
abdomen
v v v v v v v v v
v
• Increased circulating aldosterone levels that increase sodium and water retention
v v v v v v v v v
25. The nurse is auscultating a client’s heart sounds. Which description should the nurse use
v v v v v v v v v v v v v
to document this sound? (Please listen to the audio first to select the option that applies)
v v v v v v v v v v v v v v v
• Murmur
