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EVOLVE ELSEVIER HESI MED SURG EXAM
LATEST (2026) COMPLETE QUESTIONS With 100% Verified Solutions||EVOLVE ELSEVIER
HESI MED SURG EXAM LATEST (2026)
- Question: Twenty-four hours after a client returns from surgical gastric bypass, the
registered nurse (RN) observes large amounts of blood in the nasogastric tube (NGT) canister. Which assessment finding should the RN report as early signs of hypovolemic shock?
Correct Answer: Lethargy
2. Question: A male client who smokes two packs of cigarettes a day states he
understands that smoking cigarettes is contributing to the difficulty that he and his wife are having in getting pregnant and wants to know if other factors could be contributing to their difficulty. Which information is best for the nurse to provide? (Select all that apply)
Correct Answers:
• Alcohol consumption can cause erectile dysfunction • Low testosterone levels affect sperm production • Cessation of smoking improves general health and fertility
- Question: The nurse is teaching a female client who uses a contraceptive diaphragm
about reducing the risk for toxic shock syndrome (TSS). Which information should the nurse include? (Select all that apply)
Correct Answers:
• Do not leave the diaphragm in place longer than 8 hours after intercourse • Replace the old diaphragm every 3 months
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- Question: Which statement made by a client with chronic pancreatitis indicates that
further education is needed?
Correct Answer: "I will cut back on smoking cigarettes daily"
- Question: A client has been hospitalized with a femur fracture and is being treated with
traction. Which action by the nurse is the priority when caring for this client?
Correct Answer: Assess neurovascular status
- Question: A client presents with chronic venous insufficiency. Which assessment
finding should the nurse anticipate?
Correct Answer: Bilateral lower leg stasis dermatitis
- Question: Which physical assessment finding should the nurse anticipate in a client
with long-term gastroesophageal reflux disease (GERD)?
Correct Answer: Hoarseness
- Question: Which description of pain is consistent with a diagnosis of rheumatoid
- Question: Which information should the nurse obtain when performing an initial
arthritis?Correct Answer: Joint pain is worse in the morning and involves symmetric joints
assessment of a client who presents to the emergency department with a painful ankle injury? (Select all that apply)
Correct Answers:
• Quality of the pain • Signs of inflammation • Ankle range of motion • Visible deformities of the joint
- Question: An adult client who is hospitalized after surgery reports sudden onset of
chest pain and dyspnea. The client appears anxious, restless, and mildly cyanotic. The nurse should further assess the client for which condition?
Correct Answer: Pulmonary embolism
- Question: The registered nurse (RN) is assessing a male client who arrives at the clinic
with severe abdominal cramping, pain, tenesmus, and dehydration. The RN discovers that
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the client has had 14 to 20 loose stools with rectal bleeding. When taking the client's medical history, which information is most important for the nurse to obtain?
Correct Answer: History of Ulcerative colitis
- Question: A client is newly diagnosed with diverticulosis. The registered nurse (RN) is
- Question: The registered nurse (RN) is assessing a client who was discharged home
assessing the client's basic knowledge about the disease process. Which statement by the client conveys an understanding of the etiology of diverticula?Correct Answer: Chronic constipation causes weakening of colon wall which results in out-pouching sacs
after management of chronic hypertension. Which equipment should the RN instruct the client to use at home?
Correct Answer: Sphygmomanometer
- Question: A young adult male is diagnosed with stage 4 Hodgkin's lymphoma in the
- Question: A client's susceptibility to ulcerative colitis is most likely due to which
abdominopelvic region and is scheduled for radiation therapy (RT). The client expresses concern about becoming infertile. How should the nurse respond?Correct Answer: Propose sperm banking before RT, then artificial insemination is an option
aspect in the client's history?
Correct Answer: Jewish European ancestry
- Question: Small bowel obstruction is a condition characterized by which finding?
Correct Answer: Severe fluid and electrolyte imbalances
- Question: Which client should the nurse recognize as most likely to experience sleep
apnea?
Correct Answer: Obese older male client with a short, thick neck
- Question: Which milestone indicates to the nurse successful achievement of young
adulthood?
Correct Answer: Completes education and becomes self-supporting
- Question: A client who has heart failure is admitted with a serum potassium level of 2.9
mEq/L (2.9 mmol/L). Which action is most important for the nurse to implement?
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Correct Answer: Initiate continuous cardiac monitoring
- Question: Which postmenopausal client's complaint should the nurse refer to the
HCP?
Correct Answer: Episodes of vaginal bleeding
- Question: The nurse is teaching a female client about the best time to plan sexual
intercourse in order to conceive. Which information should the nurse provide?
Correct Answer: Two weeks before menstruation
- Question: A postmenopausal client asks the nurse why she is experiencing discomfort
- Question: Which discharge instruction is most important for a client after a kidney
during intercourse. Which response is best for the nurse to provide?Correct Answer: Estrogen deficiency causes the vaginal tissue to become dry and thinner
transplant?
Correct Answer: Use daily reminders to take immunosuppressants
- Question: The nurse is assessing a client with chronic kidney disease (CKD). Which
finding is most important for the nurse to respond to first?
Correct Answer: Potassium 6.0 mEq
- Question: Which finding should the nurse identify as most significant for a client
diagnosed with polycystic kidney disease (PKD)?
Correct Answer: 3+ bacteria in urine
- Question: The nurse is planning care for a client with newly diagnosed diabetes
mellitus that requires insulin. Which assessment should the nurse identify before beginning the teaching session?
Correct Answer: Willingness of the client to learn the injections sites
- Question: When providing discharge teaching for a client with osteoporosis, the nurse
should reinforce which home care activity?
Correct Answer: Elimination of hazards to home safety
- Question: A client with gastroesophageal reflux disease (GERD) has been experiencing
severe reflux during sleep. Which recommendation by the nurse is most effective to assist the client?
