Med-Surg HESI EXIT EXAM 2024/2025 WITH CORRECT ANSWERS

Med-Surg HESI
A 55-year-old male client has been admitted to the hospital with a medical diagnosis of
chronic obstructive pulmonary disease (COPD). Which risk factor is the most significant in
the development of this client's COPD?
C. The client smokes one to two packs of cigarettes per day.
A 25-year-old client was admitted yesterday after a motor vehicle collision. Neurodiagnostic
studies showed a basal skull fracture in the middle fossa. Assessment on admission revealed
both halo and Battle signs. Which new symptom indicates that the client is likely to be
experiencing a common life-threatening complication associated with a basal skull fracture?
B. Oral temperature of 102° F
The nurse is administering a nystatin suspension for stomatitis. Which instruction will the
nurse provide to the client when administering this medication?
A. "Hold the medication in your mouth for a few minutes before swallowing it."
A 62-year-old woman who lives alone tripped on a rug in her home and fractured her hip.
Which predisposing factor most likely contributed to the fracture in the proximal end of her
femur?-
C. Osteoporosis resulting from declining hormone levels
The nurse is observing an unlicensed assistive personnel (UAP) performing morning care for
a bedridden client with Huntington disease. Which care measure is most important for the
nurse to supervise?
A. Oral care
After attending a class on reducing cancer risk factors, a client selects bran flakes with 2%
milk and orange slices from a breakfast menu. In evaluating the client's learning, the nurse
affirms that the client has made good choices and makes what additional recommendation?
A. Switch to skim milk.
Which description of symptoms is characteristic of a client diagnosed with trigeminal
neuralgia (tic douloureux)?
B. Sudden, stabbing, severe pain over the lip and chin
Based on the clinical manifestations of Cushing syndrome, which nursing intervention would
be appropriate for a client who is newly diagnosed with Cushing syndrome?
A. Monitor blood glucose levels daily.
In caring for a client with acute diverticulitis, which assessment data warrants immediate
nursing intervention?
A. The client has a rigid hard abdomen and elevated WBC.
A 63-year-old client with type 2 diabetes mellitus is admitted for treatment of an ulcer on the
heel of the left foot that has not healed with wound care. The nurse observes that the entire
left foot is darker in color than the right foot. Which additional symptom should the nurse
expect to find?
A. Pedal pulses will be weak or absent in the left foot.
During the change of shift report, the charge nurse reviews the infusions being received by
clients on the oncology unit. The client receiving which infusion should be assessed first?
C. Continuous epidural infusion of morphine
The nurse is assessing a 75-year-old client for symptoms of hyperglycemia. Which symptom
of hyperglycemia is an older adult most likely to exhibit?
D. Infection
The nurse is assessing a client who presents w