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MED-SURG HESI EXIT TEST BANK / HESI MED-SURG EXIT EXAM
NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
The nurse is caring for a client who returns to the unit following a
colonoscopy. Which finding should the nurse report to the
healthcare provider immediately? - ANSWER-Increased
abdominal pain with rebound tenderness
Positive rebound tenderness following a colonoscopy may be an
indication of a perforation and the development of peritonitis and
requires follow-up immediately.
A client with acute appendicitis is experiencing anxiety and loss of
sleep about missing final examination week at college. Which
outcome is most important for the nurse to include in the plan of
care? - ANSWER-Achieve a sense of control
The experience of psychological discomfort may be as real as
physical pain for the client and should be seen as a priority in
care. Because the client is experiencing anxiety, achieving a
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sense of control is the overall outcome of this client's nursing care
plan.
A client with type II diabetes arrives at the clinic with a blood
glucose of 50 mg/dL. The nurse provides the client with 6 ounces
of orange juice. In 15 minutes the client's capillary glucose is 74
mg/dL. What action should the nurse take? - ANSWER-Provide
cheese and bread to eat
Once blood glucose is greater than 70 mg/dL, the client should
eat a regularly scheduled meal or a snack that contains protein
and carbohydrates to help prevent hypoglycemia from recurring.
The unlicensed assistive personnel (UAP) reports that an 87-
year-old client who is sitting in a chair at the bedside has an oral
temperature of 97.2°F (36.4°C). Which intervention should the
nurse implement? - ANSWER-Document the temperature reading
on the vital sign graphic sheet
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A subnormal oral temperature of 97.2°F (36.4°C) is a common
finding in elderly clients, so the nurse should document the
findings and continue with the plan of care.
The nurse is assessing a client who is bedfast and refuses to turn
or move from a supine position. How should the nurse assess the
client for possible dependent edema? - ANSWER-Compress the
flank and upper buttocks
Dependent edema collects in dependent areas, such as the flank
and upper buttocks of the client who is persistently flat in bed. By
compressing these areas, the nurse can determine if any pitting
edema is present.
An 85-year-old male client comes to the clinic for his annual
physical exam and renewal of antihypertensive medication
prescriptions. The client's radial pulse rate is 104 beats/minute.
Which additional assessment should the nurse complete? -
ANSWER-Measure blood pressure
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Elderly clients who take antihypertensive medications often
experience side effects, such as hypotension, which causes
tachycardia, a compensatory mechanism to maintain adequate
cardiac output, so the client's blood pressure should be
measured.
The nurse is completing the health assessment of a 79-year-old
client who denies any significant health problems. Which finding
requires the most immediate follow-up assessment? - ANSWER-
Yellowish discoloration of the sclerae
In a geriatric client, a yellowish discoloration (jaundice) of the
sclerae is not a normal finding and may indicate liver damage and
requires further assessment.
The nurse is assessing a client with a chest tube that is attached
to suction and a closed drainage system. Which finding is most
important for the nurse to further assess? - ANSWER-Upper chest
subcutaneous emphysema
MED-SURG HESI EXIT TEST BANK / HESI MED-SURG EXIT EXAM
NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
The nurse is caring for a client who returns to the unit following a
colonoscopy. Which finding should the nurse report to the
healthcare provider immediately? - ANSWER-Increased
abdominal pain with rebound tenderness
Positive rebound tenderness following a colonoscopy may be an
indication of a perforation and the development of peritonitis and
requires follow-up immediately.
A client with acute appendicitis is experiencing anxiety and loss of
sleep about missing final examination week at college. Which
outcome is most important for the nurse to include in the plan of
care? - ANSWER-Achieve a sense of control
The experience of psychological discomfort may be as real as
physical pain for the client and should be seen as a priority in
care. Because the client is experiencing anxiety, achieving a
,2|Page
sense of control is the overall outcome of this client's nursing care
plan.
A client with type II diabetes arrives at the clinic with a blood
glucose of 50 mg/dL. The nurse provides the client with 6 ounces
of orange juice. In 15 minutes the client's capillary glucose is 74
mg/dL. What action should the nurse take? - ANSWER-Provide
cheese and bread to eat
Once blood glucose is greater than 70 mg/dL, the client should
eat a regularly scheduled meal or a snack that contains protein
and carbohydrates to help prevent hypoglycemia from recurring.
The unlicensed assistive personnel (UAP) reports that an 87-
year-old client who is sitting in a chair at the bedside has an oral
temperature of 97.2°F (36.4°C). Which intervention should the
nurse implement? - ANSWER-Document the temperature reading
on the vital sign graphic sheet
,3|Page
A subnormal oral temperature of 97.2°F (36.4°C) is a common
finding in elderly clients, so the nurse should document the
findings and continue with the plan of care.
The nurse is assessing a client who is bedfast and refuses to turn
or move from a supine position. How should the nurse assess the
client for possible dependent edema? - ANSWER-Compress the
flank and upper buttocks
Dependent edema collects in dependent areas, such as the flank
and upper buttocks of the client who is persistently flat in bed. By
compressing these areas, the nurse can determine if any pitting
edema is present.
An 85-year-old male client comes to the clinic for his annual
physical exam and renewal of antihypertensive medication
prescriptions. The client's radial pulse rate is 104 beats/minute.
Which additional assessment should the nurse complete? -
ANSWER-Measure blood pressure
, 4|Page
Elderly clients who take antihypertensive medications often
experience side effects, such as hypotension, which causes
tachycardia, a compensatory mechanism to maintain adequate
cardiac output, so the client's blood pressure should be
measured.
The nurse is completing the health assessment of a 79-year-old
client who denies any significant health problems. Which finding
requires the most immediate follow-up assessment? - ANSWER-
Yellowish discoloration of the sclerae
In a geriatric client, a yellowish discoloration (jaundice) of the
sclerae is not a normal finding and may indicate liver damage and
requires further assessment.
The nurse is assessing a client with a chest tube that is attached
to suction and a closed drainage system. Which finding is most
important for the nurse to further assess? - ANSWER-Upper chest
subcutaneous emphysema
