MED-SURG HESI EXIT TEST BANK / HESI MED-SURG EXIT EXAM
LATEST 2025 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
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The nurse is preparing an adult client for an upper gastrointestinal
(UGI) series. Which information should the nurse include in the
teaching plan? - ANSWER-Nothing by mouth is allowed for 6 to 8
hours before the study.
The client should be NPO, to include smoking or chewing
gum for at least 6 hours before the UGI study.
A client with osteoarthritis requests information from the nurse
about what type of exercise regimen would be most beneficial for
him. The nurse should communicate which information? -
ANSWER-Low impact exercise like walking, swimming, and water
aerobics
Low impact exercises that do not put additional pressure and
strain or cause further harm to damaged joints, such as
walking or swimming, are most beneficial to clients with
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osteoarthritis.Strength-building exercises, circuit training,
and high-impact aerobics may cause too much stress on the
joint areas and subsequently increase inflammation and
damage.
A client in the preoperative holding area receives a prescription
for midazolam IV. The nurse determines that the surgical consent
form needs to be signed by the client. Which action should the
nurse implement? - ANSWER-Withhold the drug until the client
validates understanding of the surgical procedure and signs the
consent form.
Midazolam, a benzodiazepine sedative, is commonly used for
conscious-sedation intraoperatively and interferes with the
client's cognition and level of consciousness, so the consent
form should be signed before the drug is administered
A 48-year-old client with endometrial cancer is being discharged
after a total hysterectomy and bilateral salpingo-oophorectomy.
Which client statement indicates that further teaching is needed? -
ANSWER-"I know I will miss having sexual intercourse with my
husband.
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Further teaching is needed in response to the client's
misunderstanding of not being able to have sexual
intercourse after a hysterectomy.
Which client is at highest risk for compromised psychological
adjustment after a hysterectomy - ANSWER-A 29-year-old woman
whose uterus ruptured after giving birth to her first child.
The client who is a primipara and is still in her childbearing
years and is at highest risk for unresolved conflicts about the
end of her childbearing opportunities
The nurse directs an unlicensed assistive personnel (UAP) to
obtain the vital signs for a client who returns to the unit after
having a mastectomy for cancer. Which information should the
nurse provide the UAP? - ANSWER-Apply the blood pressure cuff
to the arm on the nonoperative side
Postoperatively, the nurse should instruct the UAP that blood
pressure readings should be obtained from the arm on the
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nonoperative side to reduce the risk of injury due to
compromised lymphatic drainage. The arm on the operative
side of the mastectomy should be elevated on a pillow above
the level of the right atrium to facilitate lymphatic drainage.
The nurse is providing postoperative instructions for a female
client after a mastectomy. Which information should the nurse
include in the teaching plan? (Select all that apply.) - ANSWER-
Report inflammation of the incision site or the affected arm.
Avoid lifting more than 4.5 kg (10 lb) or reaching above her
head.
Part of a client's s/p mastectomy teaching plan should
include reporting evidence of inflammation at the incision
site or the affected arm, and to avoid lifting or reaching
above their head.
A couple trying to cope with an infertility problem wants to know
what can be done to preserve emotional equilibrium. What is the