2023 HESI Medical Surgical Exit Exam With Answers (116 Solved Questions)
Improve your exam techniques with 2023 HESI Medical Surgical Exit Exam With Answers, featuring real past questions.
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1. Which assessment is most important for the nurse to perform on a client who is
hospitalized for Guillain-Barre syndrome that is rapidly progressing?
A. Respiratory effort.
B. Unsteady gait.
C. Intensity of pain.
D. Ability to eat.
2. A male client comes into the clinic with a history of penile discharge with painful, burning
urination. Which action should the nurse implement?
A. Collect a culture of the penile discharge.
B. Palpate the inguinal lymph nodes gently.
C. Observe for scrotal swelling and redness.
D. Express the discharge to determine color.
3. A client with history of atrial fibrillation is admitted to the telemetry unit with sudden onset
of shortness of breath. The nurse observes a new irregular heart rhythm and should
perform which assessment at this time?
A. Check for a pulse deficit.
B. Palpate the apical impulse.
C. Inspect jugular vein pulse.
D. Examine for a carotid bruit.
4. Which client should be further assessed for an ectopic pregnancy?
A. A 24-year-old with shoulder and lower abdominal quadrant pain.
B. A 33-year-old with intermittent lower abdominal cramping.
C. A 20-year-old with fever and right lower abdominal colic.
D. A 40-year-old with jaundice and right lower abdominal pain.
5. Which dietary assessment finding is most important for the nurse to address when caring for
a client with diabetic nephropathy?
A. Drinks a six pack of beer every day.
B. Enjoys a hamburger once a month.
C. Eats fortified breakfast cereal daily.
D. Consumes beans and rice every day.
6. Which assessment finding is of greatest concern to the nurse who is caring for a
client with stomatitis?
A. Cough brought on by swallowing.
B. Sore throat caused by speaking.
C. Painful and dry oral cavity.
D. Unintended weight loss.
7. The nurse is teaching a client diagnosed with peripheral arterial disease. Which
genitourinary system complication should the nurse include in the teaching?
A. Altered sexual response.
B. Sterility.
C. Urinary incontinence.
D. Decreased pelvic muscle tone.
8. A 40-year-old female client has a history of smoking. Which finding should the nurse identify
as a risk factor for myocardial infarction?
A. Oral contraceptives.
B. Senile osteopenia.
C. Levothyroxine therapy.
ATI HESI MED SURG EXIT EXAM QUESTIONS 2023
hospitalized for Guillain-Barre syndrome that is rapidly progressing?
A. Respiratory effort.
B. Unsteady gait.
C. Intensity of pain.
D. Ability to eat.
2. A male client comes into the clinic with a history of penile discharge with painful, burning
urination. Which action should the nurse implement?
A. Collect a culture of the penile discharge.
B. Palpate the inguinal lymph nodes gently.
C. Observe for scrotal swelling and redness.
D. Express the discharge to determine color.
3. A client with history of atrial fibrillation is admitted to the telemetry unit with sudden onset
of shortness of breath. The nurse observes a new irregular heart rhythm and should
perform which assessment at this time?
A. Check for a pulse deficit.
B. Palpate the apical impulse.
C. Inspect jugular vein pulse.
D. Examine for a carotid bruit.
4. Which client should be further assessed for an ectopic pregnancy?
A. A 24-year-old with shoulder and lower abdominal quadrant pain.
B. A 33-year-old with intermittent lower abdominal cramping.
C. A 20-year-old with fever and right lower abdominal colic.
D. A 40-year-old with jaundice and right lower abdominal pain.
5. Which dietary assessment finding is most important for the nurse to address when caring for
a client with diabetic nephropathy?
A. Drinks a six pack of beer every day.
B. Enjoys a hamburger once a month.
C. Eats fortified breakfast cereal daily.
D. Consumes beans and rice every day.
6. Which assessment finding is of greatest concern to the nurse who is caring for a
client with stomatitis?
A. Cough brought on by swallowing.
B. Sore throat caused by speaking.
C. Painful and dry oral cavity.
D. Unintended weight loss.
7. The nurse is teaching a client diagnosed with peripheral arterial disease. Which
genitourinary system complication should the nurse include in the teaching?
A. Altered sexual response.
B. Sterility.
C. Urinary incontinence.
D. Decreased pelvic muscle tone.
8. A 40-year-old female client has a history of smoking. Which finding should the nurse identify
as a risk factor for myocardial infarction?
A. Oral contraceptives.
B. Senile osteopenia.
C. Levothyroxine therapy.
ATI HESI MED SURG EXIT EXAM QUESTIONS 2023
D. Pernicious anemia.
9. A client has been told that there is cataract formation over both eyes. Which finding should
the nurse expect when assessing the client?
A. Decreased color perception.
B. Presence of floaters.
C. Loss of central vision.
D. Reduced peripheral vision.
10. Which assessment finding should most concern the nurse who is monitoring a client two
hours after a thoracentesis?
A. New onset of coughing.
B. Low resting heart rate.
C. Distended neck veins.
D. Decreased shallow respirations.
11. While caring for a client who has esophageal varices, which nursing intervention is most
important for the registered nurse (RN) to implement?
A. Monitor infusing IV fluids and any replacement blood products.
B. Prepare for esophagogastroduodenoscopy (EGD).
C. Maintain the client on strict bedrest.
D. Insert a nasogastric tube (NGT) for intermittent suction.
12. The registered nurse (RN) is caring for a client who developed oliguria and was diagnosed
with sepsis and dehydration 48 hours ago. Which assessment finding indicates to the RN
that the client is stabilizing?
A. Urine output of 40 mL/hour.
B. Apical pulse 100 and blood pressure 76/42.
C. Urine specific gravity 1.001.
D. Tented skin on dorsal surface of hands.
13. After a liver biopsy is performed at the bedside, the registered nurse (RN) is assigned the
care of the client. Which nursing intervention is most important for the RN to implement?
A. Position client on left side with pillow placed under the costal margin.
B. Assist the client with voiding immediately after the procedure.
C. Evaluate vital signs q10 to 20 minutes for 2 hours after procedure.
D. Ambulate client 3 times in first hour with pillow held at abdomen.
14. The registered nurse (RN) is caring for a client with aplastic anemia who is hospitalized for
weight loss and generalized weakness. Laboratory values show a white blood count (WBC)
of 2,500/mm 3
and a platelet countof 160,000/mm 3
. Which intervention is the primary focus in
the client's plan of care for the RN to implement?
A. Assist with frequent ambulation.
B. Encourage visitors to visit.
C. Maintain strict protective precautions.
D. Avoid peripheral injections.
15. The registered nurse (RN) is caring for a young adult who is having an oral glucose
tolerance tests (OGTT). Which laboratory result should the RN assess as a normal value
for the two hour postprandial result?
A. 140 mg/dl.
B. 160 mg/dl.
C. 180 mg/dl.
D. 200 mg/dl.
16. The registered nurse (RN) is caring for an older client who recently experienced a fractured
pelvis from a fall. Which assessment finding is most important for the RN to report the
9. A client has been told that there is cataract formation over both eyes. Which finding should
the nurse expect when assessing the client?
A. Decreased color perception.
B. Presence of floaters.
C. Loss of central vision.
D. Reduced peripheral vision.
10. Which assessment finding should most concern the nurse who is monitoring a client two
hours after a thoracentesis?
A. New onset of coughing.
B. Low resting heart rate.
C. Distended neck veins.
D. Decreased shallow respirations.
11. While caring for a client who has esophageal varices, which nursing intervention is most
important for the registered nurse (RN) to implement?
A. Monitor infusing IV fluids and any replacement blood products.
B. Prepare for esophagogastroduodenoscopy (EGD).
C. Maintain the client on strict bedrest.
D. Insert a nasogastric tube (NGT) for intermittent suction.
12. The registered nurse (RN) is caring for a client who developed oliguria and was diagnosed
with sepsis and dehydration 48 hours ago. Which assessment finding indicates to the RN
that the client is stabilizing?
A. Urine output of 40 mL/hour.
B. Apical pulse 100 and blood pressure 76/42.
C. Urine specific gravity 1.001.
D. Tented skin on dorsal surface of hands.
13. After a liver biopsy is performed at the bedside, the registered nurse (RN) is assigned the
care of the client. Which nursing intervention is most important for the RN to implement?
A. Position client on left side with pillow placed under the costal margin.
B. Assist the client with voiding immediately after the procedure.
C. Evaluate vital signs q10 to 20 minutes for 2 hours after procedure.
D. Ambulate client 3 times in first hour with pillow held at abdomen.
14. The registered nurse (RN) is caring for a client with aplastic anemia who is hospitalized for
weight loss and generalized weakness. Laboratory values show a white blood count (WBC)
of 2,500/mm 3
and a platelet countof 160,000/mm 3
. Which intervention is the primary focus in
the client's plan of care for the RN to implement?
A. Assist with frequent ambulation.
B. Encourage visitors to visit.
C. Maintain strict protective precautions.
D. Avoid peripheral injections.
15. The registered nurse (RN) is caring for a young adult who is having an oral glucose
tolerance tests (OGTT). Which laboratory result should the RN assess as a normal value
for the two hour postprandial result?
A. 140 mg/dl.
B. 160 mg/dl.
C. 180 mg/dl.
D. 200 mg/dl.
16. The registered nurse (RN) is caring for an older client who recently experienced a fractured
pelvis from a fall. Which assessment finding is most important for the RN to report the
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