The HESI Medical-Surgical Exam 1 is designed to evaluate a nurse’s proficiency in providing holistic and evidence-based care for adults with a wide range of medical and surgical conditions. This exam encompasses critical thinking and clinical reasoning skills in scenarios requiring the prioritization of care, particularly for clients with acute and chronic illnesses. It covers essential topics such as pharmacological interventions, diagnostic test preparation, and emergency response measures. Nurses are tested on their ability to manage complex conditions like diabetes, cardiac issues, respiratory illnesses, and neurological disorders.
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Below are sample questions from this exam.
Q1: A client with a seizure disorder is seen at the clinic for a follow-up visit and a prescription renewal for phenytoin. Which assessment finding warrants immediate intervention by the nurse?
Q2: A young adult client with osteoarthritis of both knees expresses the desire to continue daily walks in the park with friends. How should the nurse respond?
Q3: The nurse is preparing a client for surgery who was admitted to the emergency center following a motor vehicle collision. The client has a fracture of the femur and is bleeding at the bone protrusion site. During the preoperative assessment, the nurse determines that the client currently receives heparin subcutaneously daily. Which is the priority nursing action?
Q4: A client experiences an ABO incompatibility reaction after multiple blood transfusions. Which finding should the nurse report immediately to the healthcare provider?
Q5: The nurse is caring for a client admitted to the hospital with a tentative diagnosis of bacterial meningitis. Which diagnostic procedure should the nurse prepare the client for the healthcare provider?
