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Medical-Surgical Nursing Exit Exam – HESI 2023 Version 2, Complete Q&A, A++ Guaranteed

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This document contains all 55 questions and answers from the 2023 HESI Medical-Surgical (Med Surg) Exit Exam Version 2 (V2). It covers comprehensive Med-Surg nursing content, including patient care, pharmacology, disease management, and clinical decision-making, designed for exam preparation and practice. The material is structured for quick review and focused study to help students achieve high scores.

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2025/2026
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2023 Hesi Medical Surgical (Med Surg) Exit
Exam Version 2 (V2) All 55 Q&A
A++ Guaranteed


ALL 55 QUESTIONS &
ANSWERS
(ALL ANSWERS ARE 100%
CORRECT)

problems. This is especially important in subjects like proof-based mathematics.Calculation and Accuracy: Mathematical exams test a student’s ability to perform
accurate calculations and apply mathematical principles in the correct sequence to reach a solution.Understanding of Concepts: Beyond solving
problems, mathematics exams test students’ conceptual understanding of core topics, such as algebra, geometry, calc

, 1.
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?

Answer: The nurse should suspect liver cirrhosis as the patient has a history of chronic alcohol abuse and presents with
abdominal pain and distension.

2. 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?

Answer: The nurse should suspect hyperglycemia as the patient's blood glucose level is significantly high, and symptoms
of dehydration are present.
problems. This is especially important in subjects like proof-based mathematics.Calculation and Accuracy: Mathematical exams test a student’s ability to perform accurate calculations and apply mathematical principles
in the correct sequence to reach a solution.Understanding of Concepts: Beyond solving problems, mathematics exams test students’ conceptual understanding of core topics, such as algebra, geometry, calc


3. 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?

Answer: 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.

4. 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?

Answer: 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.

5. 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?

Answer: 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.

6. 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?

Answer: The appropriate nursing intervention is to administer a bronchodilator medication and assess the patient's
oxygen saturation levels.

7. 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?

Answer: The appropriate nursing intervention is to administer diuretic medication and monitor the patient's fluid intake
and output.

8. Patient Scenario: A 45-year-old patient with a history of rheumatoid arthritis presents to the clinic with joint pain
and stiffness. What is the appropriate nursing intervention?

Answer: The appropriate nursing intervention is to administer non-steroidal anti-inflammatory drugs (NSAIDs) and assess
the patient's range of motion and mobility.

9. Patient Scenario: A 70-year-old patient with a history of chronic obstructive pulmonary disease (COPD) presents
to the clinic with increased difficulty breathing and coughing up blood. What is the appropriate nursing
intervention?

Answer: The appropriate nursing intervention is to administer bronchodilator medication and oxygen therapy, monitor
the patient's respiratory status, and assess for signs of respiratory distress.

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