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RN HESI Medsurg Nursing 1 Exam 2(HU NSG123/128)

RN Nursing Exam(s) 49 Questions 🔒 Premium Content

Exam is a standardized assessment tool designed to evaluate nursing students’ clinical knowledge and critical thinking skills in adult medical-surgical nursing. The exam covers core systems, disease processes, diagnostic interpretation, nursing interventions, and prioritization of care based on real-life patient scenarios.

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Sample Questions with Detailed Explanations

Below are sample questions from this exam.

Q1: A male client, newly diagnosed with idiopathic epilepsy, is preparing for discharge from the hospital. Which instruction should the nurse provide to the client and his family prior to discharge?

A. Investigate local state laws related to operating a motor vehicle.
B. Surgery may be Indicated to remove the epileptogenic focus.
C. When seizure free for 1 year, the medications may be discontinued,
D. Investigate resources that provide disability payments.
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Q2: Following an ileal conduit urinary diversion. a client voices several concerns. Which finding indicates to me ruse that the experiencing a complication?

A. Amber colored urine coming out of the stoma,
B. A dark purplish colored stoma.
C. A small amount of bleeding at the stoma site.
D. A bright red, moist ostomy site.
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Q3: A 36-year-old female arrives at the clinic with reports of fatigue, palpitations, ringing in the ears, and excessive tiredness with activity. 

A. . • Neurological: Alert and oriented to person, place, time and situation. Reported generalized fatigue. Mild headache. Ringing in ears described as "roaring." • Cardiovascular: Normal heart tones. Denies chest pain. Radial pulses 3+, pedal pulses 2+, dorsalis pedis 2+, Capillary refill 2 seconds. • Respiratory: Clear breath sounds throughout bilateral lungs. Denies orthopnea. Reports dyspnea with exertion but denies dyspnea with rest. • Gastrointestinal: Denies nausea, vomiting, and diarrhea. Mild anorexia with 8 lb (3.6 kg) unintentional weight loss over 2 months. Denies blood in stool. • Genitourinary: Reported chronic dysmenorrhea with heavy menstrual bleeding. Denies pain with urination. Denies blood in urine. Uterus is palpated one finger breadth above pubic symphysis. • Musculoskeletal: Generalized weakness. Full range of motion. Denies pain. • Integumentary: Slightly pale in appearance. No lesions or jaundice.
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Q4: A 36-year-old female arrives at the clinic with reports of fatigue, palpitations, ringing in the ears, and excessive tiredness with activity.

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Q5: A client who weighs 60 kg receives a prescription for dobutamine 8 mcg/kg/min IV. The IV bag contains dobutamine 500 mg in 250 ml DSW How many mL/hour should the nurse program the infusion pump? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

A. 14
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Exam Details
Total Questions: 49 practice questions
Category: RN Nursing Exam(s)
Subcategory: HESI Exam(s)
Domain: Hesi MedSurg
Last Updated: Nov 29, 2025
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