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MED-SURG HESI EXIT TEST BANK 2025/ 2026 |
VERIFIED QUESTIONS AND DETAILED ANSWERS
FOR NURSING EXAM SUCCESS/ LATEST EXAM!!!!
1. While assessing a client with diabetes mellitus, the
nurse observes an absence of hair growth
on the client's legs. What additional assessment provides
further data to support this
finding?
a. Palpate for the presence of femoral pulses bilaterally.
b. Assess for the presence of a positive Homan's sign.
c. Observe the appearance of the skin on the client's legs.
d. Watch the client's posture and balance during
ambulation - Answer-ANS: C
Signs of chronic arterial insufficiency include decreased
hair growth in the legs and feet,
absent or decreased pedal pulses, infection in the foot,
poor wound healing, thickened nails,
and a shiny appearance of the skin (C). Femoral pulses
(A) should still be palpable in the
diabetic with chronic arterial insufficiency. A positive
Homan's sign is an indicator of deep
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vein thrombosis (B). (D) would probably not be affected
significantly by chronic arterial
insufficiency.
2. The healthcare provider prescribes 15 mg/kg of
Streptomycin for an infant weighing 4 pounds.
The drug is diluted in 25 ml of D5W to run over 8 hours.
How much Streptomycin will the
infant receive?
a. 9 mg.
b. 18 mg.
c. 27 mg.
d. 36 mg - Answer-ANS: C
4 lbs / 2.2 = 1.8 kg. 1.8 x 15 = 27 mg (C).
NOTE, the fact that the drug is diluted in 25 ml of D5W, is
not relevant to the calculation
requested
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;
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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. - Answer-
ANS: C
The client is exhibiting symptoms of magnesium sulfate
toxicity--decreased reflexes (normal is
+2), a low normal respiratory rate (normal is 12 to 20
breaths/min), a less than average
urinary output (30 ml/hour is average), and a low
magnesium sulfate level (normal is 4 to
8mg/dl). Based on these findings, the nurse should stop
the infusion (C). (A) is
contraindicated. (B) would not fully alleviate the
magnesium sulfate toxicity symptoms. (D)
(the antagonist for magnesium sulfate) would be indicated
if the respiratory rate were less
than 12 breaths/minute.
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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 - Answer-
ANS: A
This medication causes paralysis (A) following intravenous
injection. Peak effects persist for
35 to 60 minutes. (B and C) would not be possible if the
medication is effective. The Glasgow
coma scale is used to evaluate the neurological status of
the client and does not evaluate the
effectiveness (D) of this medication.
5. 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
MED-SURG HESI EXIT TEST BANK 2025/ 2026 |
VERIFIED QUESTIONS AND DETAILED ANSWERS
FOR NURSING EXAM SUCCESS/ LATEST EXAM!!!!
1. While assessing a client with diabetes mellitus, the
nurse observes an absence of hair growth
on the client's legs. What additional assessment provides
further data to support this
finding?
a. Palpate for the presence of femoral pulses bilaterally.
b. Assess for the presence of a positive Homan's sign.
c. Observe the appearance of the skin on the client's legs.
d. Watch the client's posture and balance during
ambulation - Answer-ANS: C
Signs of chronic arterial insufficiency include decreased
hair growth in the legs and feet,
absent or decreased pedal pulses, infection in the foot,
poor wound healing, thickened nails,
and a shiny appearance of the skin (C). Femoral pulses
(A) should still be palpable in the
diabetic with chronic arterial insufficiency. A positive
Homan's sign is an indicator of deep
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vein thrombosis (B). (D) would probably not be affected
significantly by chronic arterial
insufficiency.
2. The healthcare provider prescribes 15 mg/kg of
Streptomycin for an infant weighing 4 pounds.
The drug is diluted in 25 ml of D5W to run over 8 hours.
How much Streptomycin will the
infant receive?
a. 9 mg.
b. 18 mg.
c. 27 mg.
d. 36 mg - Answer-ANS: C
4 lbs / 2.2 = 1.8 kg. 1.8 x 15 = 27 mg (C).
NOTE, the fact that the drug is diluted in 25 ml of D5W, is
not relevant to the calculation
requested
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;
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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. - Answer-
ANS: C
The client is exhibiting symptoms of magnesium sulfate
toxicity--decreased reflexes (normal is
+2), a low normal respiratory rate (normal is 12 to 20
breaths/min), a less than average
urinary output (30 ml/hour is average), and a low
magnesium sulfate level (normal is 4 to
8mg/dl). Based on these findings, the nurse should stop
the infusion (C). (A) is
contraindicated. (B) would not fully alleviate the
magnesium sulfate toxicity symptoms. (D)
(the antagonist for magnesium sulfate) would be indicated
if the respiratory rate were less
than 12 breaths/minute.
, 4|Page
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 - Answer-
ANS: A
This medication causes paralysis (A) following intravenous
injection. Peak effects persist for
35 to 60 minutes. (B and C) would not be possible if the
medication is effective. The Glasgow
coma scale is used to evaluate the neurological status of
the client and does not evaluate the
effectiveness (D) of this medication.
5. 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
