EVOLVE ELSEVIER HESI MED SURG
EXAM NEWEST 2025 COMPLETE
200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
The nurse assesses a client with advanced cirrhosis of the liver for signs of hepatic encephalopathy.
Which finding would the nurse consider an indication of progressive hepatic encephalopathy? - ANSWER
-Difficulty in handwriting
A client taking furosemide (Lasix), reports difficulty sleeping. What question is important for the nurse to
ask the client? - ANSWER -At what time do you take your medication
,A client taking a thiazide diuretic for the past six months has a serum potassium level of 3. The nurse
anticipates which change in prescription for the client? - ANSWER -A potassium supplement will be
prescribed
A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry unit. What initial
medication should the nurse anticipate administering to the client? - ANSWER -Digoxin
A client receiving cholestyramine (Questran) for hyperlipidemia should be evaluated for what vitamin
deficiency? - ANSWER -K
A client who is receiving chemotherapy asks the nurse, "Why is so much of my hair falling out each
day?" Which response by the nurse best explains the reason for alopecia? - ANSWER -Chemotherapy
affects the cells of the body that grow rapidly, both normal and malignant
The nurse is preparing a teaching plan for a client who is newly diagnosed with type 1 diabetes mellitus.
Which clinical cues should the nurse describe when teaching the client about hypoglycemia? - ANSWER -
Sweating, trembling, tachycardia
A female client taking oral contraceptives reports to the nurse that she is experiencing calf pain. What
action should the nurse implement? - ANSWER -Advise the client to notify the HCP for immediate
medication attention
The HCP prescribes aluminum and magnesium hydroxide, 1 tablet PO PRN, for a client with chronic
kidney disease (CKD) who is complaining of indigestion. which intervention should the nurse
implement? - ANSWER -Question the HCP's prescription
A client has been taking oral corticosteroids for the past five days because of seasonal allergies. Which
assessment finding is of most concern to the nurse? - ANSWER -Purulent sputum
A client with multiple sclerosis has experienced an exacerbation of symptoms, including paresthesias,
diplopia, and nystagmus. Which instruction should the nurse provide? - ANSWER -Schedule extra rest
periods
, The nurse is assessing a client with bacterial meningitis. Which assessment finding indicates the client
may have developed septic emboli? - ANSWER -Cyanosis of the fingertips
A 58 year old client, who has no health problems, asks the nurse about the Pneumovax vaccine. The
nurse's response to the client should be based on which information? - ANSWER -The immunization is
administered once to older adults or persons with a history of chronic illness
An elderly client is admitted with a diagnosis of bacterial pneumonia. When observing the client for the
first signs of decreasing oxygenation, the nurse should assess for which clinical cues? - ANSWER -
Confusion and tachycardia
An older adult male client comes to the geriatric screening clinic complaining of pain in his left calf. The
nurse notices a reddened area on the calf of his right leg which is warm to the touch and suspects it
might be thrombophlebitis. Which type of pain would further confirm this suspicion? - ANSWER -Pain in
the calf upon exertion who is relieved by rest and elevating the extremity
An 81-year-old male client has emphysema. He lives at home with his cat and manages self-care with no
difficulty. When making a home visit, the nurse notices that his tongue is somewhat cracked and his
eyeballs are sunken into his head. What nursing intervention is indicated? - ANSWER -Help the client to
determine ways to increase his fluid intake
A 77 year old female client is admitted to the hospital. She is confused, has no appetite, is nauseated
and vomiting, and is complaining of a headache. Her pulse rate is 43 beats per minute. It is most
important for the nurse to assess for which finding? - ANSWER -Takes digitalis
The nurse knows that lab values sometimes vary for the older client. Which data would the nurse expect
to find when reviewing lab values of an 80 year old male? - ANSWER -Increased protein in the urine,
slightly increased serum glucose levels
The nurse is planning to initiate a socialization group for older residents of a long-term facility. Which
information would be most useful to the nurse when planning activities for the group? - ANSWER -The
usual activity patterns of each member of the group
While working in the emergency room, the nurse is exposed to a client with active tuberculosis. When
should the nurse plan to obtain a tuberculin skin test? - ANSWER -Four to six weeks after the exposure
EXAM NEWEST 2025 COMPLETE
200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
The nurse assesses a client with advanced cirrhosis of the liver for signs of hepatic encephalopathy.
Which finding would the nurse consider an indication of progressive hepatic encephalopathy? - ANSWER
-Difficulty in handwriting
A client taking furosemide (Lasix), reports difficulty sleeping. What question is important for the nurse to
ask the client? - ANSWER -At what time do you take your medication
,A client taking a thiazide diuretic for the past six months has a serum potassium level of 3. The nurse
anticipates which change in prescription for the client? - ANSWER -A potassium supplement will be
prescribed
A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry unit. What initial
medication should the nurse anticipate administering to the client? - ANSWER -Digoxin
A client receiving cholestyramine (Questran) for hyperlipidemia should be evaluated for what vitamin
deficiency? - ANSWER -K
A client who is receiving chemotherapy asks the nurse, "Why is so much of my hair falling out each
day?" Which response by the nurse best explains the reason for alopecia? - ANSWER -Chemotherapy
affects the cells of the body that grow rapidly, both normal and malignant
The nurse is preparing a teaching plan for a client who is newly diagnosed with type 1 diabetes mellitus.
Which clinical cues should the nurse describe when teaching the client about hypoglycemia? - ANSWER -
Sweating, trembling, tachycardia
A female client taking oral contraceptives reports to the nurse that she is experiencing calf pain. What
action should the nurse implement? - ANSWER -Advise the client to notify the HCP for immediate
medication attention
The HCP prescribes aluminum and magnesium hydroxide, 1 tablet PO PRN, for a client with chronic
kidney disease (CKD) who is complaining of indigestion. which intervention should the nurse
implement? - ANSWER -Question the HCP's prescription
A client has been taking oral corticosteroids for the past five days because of seasonal allergies. Which
assessment finding is of most concern to the nurse? - ANSWER -Purulent sputum
A client with multiple sclerosis has experienced an exacerbation of symptoms, including paresthesias,
diplopia, and nystagmus. Which instruction should the nurse provide? - ANSWER -Schedule extra rest
periods
, The nurse is assessing a client with bacterial meningitis. Which assessment finding indicates the client
may have developed septic emboli? - ANSWER -Cyanosis of the fingertips
A 58 year old client, who has no health problems, asks the nurse about the Pneumovax vaccine. The
nurse's response to the client should be based on which information? - ANSWER -The immunization is
administered once to older adults or persons with a history of chronic illness
An elderly client is admitted with a diagnosis of bacterial pneumonia. When observing the client for the
first signs of decreasing oxygenation, the nurse should assess for which clinical cues? - ANSWER -
Confusion and tachycardia
An older adult male client comes to the geriatric screening clinic complaining of pain in his left calf. The
nurse notices a reddened area on the calf of his right leg which is warm to the touch and suspects it
might be thrombophlebitis. Which type of pain would further confirm this suspicion? - ANSWER -Pain in
the calf upon exertion who is relieved by rest and elevating the extremity
An 81-year-old male client has emphysema. He lives at home with his cat and manages self-care with no
difficulty. When making a home visit, the nurse notices that his tongue is somewhat cracked and his
eyeballs are sunken into his head. What nursing intervention is indicated? - ANSWER -Help the client to
determine ways to increase his fluid intake
A 77 year old female client is admitted to the hospital. She is confused, has no appetite, is nauseated
and vomiting, and is complaining of a headache. Her pulse rate is 43 beats per minute. It is most
important for the nurse to assess for which finding? - ANSWER -Takes digitalis
The nurse knows that lab values sometimes vary for the older client. Which data would the nurse expect
to find when reviewing lab values of an 80 year old male? - ANSWER -Increased protein in the urine,
slightly increased serum glucose levels
The nurse is planning to initiate a socialization group for older residents of a long-term facility. Which
information would be most useful to the nurse when planning activities for the group? - ANSWER -The
usual activity patterns of each member of the group
While working in the emergency room, the nurse is exposed to a client with active tuberculosis. When
should the nurse plan to obtain a tuberculin skin test? - ANSWER -Four to six weeks after the exposure
