2026 EVOLVE ELSEVIER HESI MED SURG EXIT EXAM VERSION 1 / MED
SURG HESI EVOLVE ELSEVIER NEWEST 2026-2027 COMPLETE
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
The nurse is caring for a client with a continuous feeding through a percutaneous endoscopic
gastrostomy (PEG) tube. Which intervention should the nurse include in the plan of care?
A) Flush the tube with 50 ml of water q 8 hours.
B) Check for tube placement and residual volume q4 hours.
C) Obtain a daily x- ray to verify tube placement.
D) Position on left side with head of bed elevated 45 degrees.
A) Check for tube placement and residual volume q4 hours.
Tube placement and residual volume should be checked before each feeding (B). Tube placement is
checked by aspiration of stomach contents and measurement of pH. It is important to check for
residual volume because gastric emptying is often delayed during illness. There is an increased risk for
aspiration of the feeding with increased residual volume. (A, C, and D) are not correct
procedures to follow.
The nurse is taking a history of a newly diagnosed Type 2 diabetic who is beginning treatment. Which subjective
information is most important for the nurse to note?
A) A history of obesity.
B) An allergy to sulfa drugs.
C) Cessation of smoking three years ago.
D) Numbness in the soles of the feet.
B) An allergy to sulfa drugs.
An allergy to sulfa drugs may make the client unable to use some of the most common
antihyperglycemic agents (sulfonylureas). The nurse needs to highlight this allergy for the healthcare
provider. (A) is common and warrants counseling, but does not have the importance of (B). (C) does
increase the risk for vascular disease, but it is not as important to the treatment regimen as (B).
Diabetic neuropathy, as indicated by (D), is common with diabetics, but when the serum glucose is
decreased, new onset numbness can possibly improve.
,Small bowel obstruction is a condition characterized by which finding?
A) Severe fluid and electrolyte imbalances.
B) Metabolic acidosis.
C) Ribbon-like stools.
D) Intermittent lower abdominal cramping.
A) Severe fluid and electrolyte imbalances.
Among the findings characteristic of a small bowel obstruction is the presence of severe fluid and
electrolyte imbalances (A). (B, C, and D) are findings associated with large bowel obstruction.
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?
A) Chemotherapy affects the cells of the body that grow rapidly, both normal and malignant.
B) Alopecia is a common side effect you will experience during long-term steroid therapy.
C) Your hair will grow back completely after your course of chemotherapy is completed.
D) The chemotherapy causes permanent alterations in your hair follicles that lead to hair loss.
A) Chemotherapy affects the cells of the body that grow rapidly, both normal and malignant.
The common adverse effects of chemotherapy (nausea, vomiting, alopecia, bone marrow
depression) are due to chemotherapy's effect on the rapidly reproducing cells, both normal and
malignant (A). (B and D) do not provide correct information about chemotherapy-induced alopecia.
Although (D) is a true statement, it does not effectively answer the client's question.
A 20-year-old female client calls the nurse to report a lump she found in her breast. Which response is
the best for the nurse to provide?
A) Check it again in one month, and if it is still there schedule an appointment.
B) Most lumps are benign, but it is always best to come in for an examination.
C) Try not to worry too much about it, because usually, most lumps are benign.
D) If you are in your menstrual period it is not a good time to check for lumps.
B) Most lumps are benign, but it is always best to come in for an examination.
(B) provides the best response because it addresses the client's anxiety most effectively and
encourages prompt and immediate action for a potential problem. (A) postpones treatment if the lump
is malignant, and does not relieve the client's anxiety. (C and D) provide false reassurance and do not
help relieve anxiety.
, The nurse should be correct in withholding a dose of digoxin in a client with congestive heart failure
without specific instruction from the healthcare provider if the client's
A) serum digoxin level is 1.5.
B) blood pressure is 104/68.
C) serum potassium level is 3.
D) apical pulse is 68/min.
C) serum potassium level is 3.
Hypokalemia (C) can precipitate digitalis toxicity in persons receiving digoxin which will increase the
chance of dangerous dysrhythmias (normal potassium level is 3.5 to 5.5 mEq/L). The therapeutic range
for digoxin is 0.8 to 2 ng/ml (toxic levels= >2 ng/ml); (A) is within this range. (B) would not
warrant the nurse withholding the digoxin. The nurse should withhold the digoxin if the apical pulse is
less than 60/min (D).
SURG HESI EVOLVE ELSEVIER NEWEST 2026-2027 COMPLETE
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
The nurse is caring for a client with a continuous feeding through a percutaneous endoscopic
gastrostomy (PEG) tube. Which intervention should the nurse include in the plan of care?
A) Flush the tube with 50 ml of water q 8 hours.
B) Check for tube placement and residual volume q4 hours.
C) Obtain a daily x- ray to verify tube placement.
D) Position on left side with head of bed elevated 45 degrees.
A) Check for tube placement and residual volume q4 hours.
Tube placement and residual volume should be checked before each feeding (B). Tube placement is
checked by aspiration of stomach contents and measurement of pH. It is important to check for
residual volume because gastric emptying is often delayed during illness. There is an increased risk for
aspiration of the feeding with increased residual volume. (A, C, and D) are not correct
procedures to follow.
The nurse is taking a history of a newly diagnosed Type 2 diabetic who is beginning treatment. Which subjective
information is most important for the nurse to note?
A) A history of obesity.
B) An allergy to sulfa drugs.
C) Cessation of smoking three years ago.
D) Numbness in the soles of the feet.
B) An allergy to sulfa drugs.
An allergy to sulfa drugs may make the client unable to use some of the most common
antihyperglycemic agents (sulfonylureas). The nurse needs to highlight this allergy for the healthcare
provider. (A) is common and warrants counseling, but does not have the importance of (B). (C) does
increase the risk for vascular disease, but it is not as important to the treatment regimen as (B).
Diabetic neuropathy, as indicated by (D), is common with diabetics, but when the serum glucose is
decreased, new onset numbness can possibly improve.
,Small bowel obstruction is a condition characterized by which finding?
A) Severe fluid and electrolyte imbalances.
B) Metabolic acidosis.
C) Ribbon-like stools.
D) Intermittent lower abdominal cramping.
A) Severe fluid and electrolyte imbalances.
Among the findings characteristic of a small bowel obstruction is the presence of severe fluid and
electrolyte imbalances (A). (B, C, and D) are findings associated with large bowel obstruction.
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?
A) Chemotherapy affects the cells of the body that grow rapidly, both normal and malignant.
B) Alopecia is a common side effect you will experience during long-term steroid therapy.
C) Your hair will grow back completely after your course of chemotherapy is completed.
D) The chemotherapy causes permanent alterations in your hair follicles that lead to hair loss.
A) Chemotherapy affects the cells of the body that grow rapidly, both normal and malignant.
The common adverse effects of chemotherapy (nausea, vomiting, alopecia, bone marrow
depression) are due to chemotherapy's effect on the rapidly reproducing cells, both normal and
malignant (A). (B and D) do not provide correct information about chemotherapy-induced alopecia.
Although (D) is a true statement, it does not effectively answer the client's question.
A 20-year-old female client calls the nurse to report a lump she found in her breast. Which response is
the best for the nurse to provide?
A) Check it again in one month, and if it is still there schedule an appointment.
B) Most lumps are benign, but it is always best to come in for an examination.
C) Try not to worry too much about it, because usually, most lumps are benign.
D) If you are in your menstrual period it is not a good time to check for lumps.
B) Most lumps are benign, but it is always best to come in for an examination.
(B) provides the best response because it addresses the client's anxiety most effectively and
encourages prompt and immediate action for a potential problem. (A) postpones treatment if the lump
is malignant, and does not relieve the client's anxiety. (C and D) provide false reassurance and do not
help relieve anxiety.
, The nurse should be correct in withholding a dose of digoxin in a client with congestive heart failure
without specific instruction from the healthcare provider if the client's
A) serum digoxin level is 1.5.
B) blood pressure is 104/68.
C) serum potassium level is 3.
D) apical pulse is 68/min.
C) serum potassium level is 3.
Hypokalemia (C) can precipitate digitalis toxicity in persons receiving digoxin which will increase the
chance of dangerous dysrhythmias (normal potassium level is 3.5 to 5.5 mEq/L). The therapeutic range
for digoxin is 0.8 to 2 ng/ml (toxic levels= >2 ng/ml); (A) is within this range. (B) would not
warrant the nurse withholding the digoxin. The nurse should withhold the digoxin if the apical pulse is
less than 60/min (D).
