HESI MED SURG EXAM LATEST (2025)
COMPLETE QUESTIONS With 100%
Verified Solutions||EVOLVE ELSEVIER
HESI MED SURG EXAM LATEST (2025)
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) cannister.
Which assessment finding should the RN report as early signs of hypovolemic shock? -
ANSWER/lethargy
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 the client
has had 14 to 20 loose stools with rectal bleeding. When taking the client's medical
history, which information is most for the nurse to obtain? - ANSWER/Ulcerative colitis
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? - ANSWER/Assess
neurovascular status
Which statement made by a client with chronic pancreatitis indicates that further
education is needed? - ANSWER/I will cut back on smoking cigarettes daily
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) - ANSWER/Do not leave the diaphragm in place longer
than 8 hours after intercourse
Replace the old diaphragm every 3 months
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). -
ANSWER/Alcohol consumption can cause erectile dysfunction
Low testosterone levels affect sperm production
Cessation of smoking improves general health and fertility
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) cannister.
Which assessment finding should the RN report as early signs of hypovolemic shock? -
ANSWER/lethargy
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 the client
has had 14 to 20 loose stools with rectal bleeding. When taking the client's medical
history, which information is most for the nurse to obtain? - ANSWER/Ulcerative colitis
A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing
the client's basic knowledge about the disease process. Which statement by the client
conveys an understanding of the etiology of diverticula? - ANSWER/Chronic
constipation causes weakening of colon wall which results in out pouching sacs
The registered nurse (RN) is assessing a client who was discharged home after
management of chronic hypertension. Which equipment should the RN instruct the
client to use at home? - ANSWER/Sphygmomanometer
A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in the
abdominopelvic region and is scheduled for radiation therapy (RT). The client expresses
concern about becoming infertile. How should the nurse respond? - ANSWER/Propose
sperm banking before RT then artificial insemination is an option
A client's susceptibility to ulcerative colitis is most likely due to which aspect in the
client's history? - ANSWER/Jewish European ancestry
Small bowl obstruction is a condition characterized by which finding? -
ANSWER/Severe fluid and electrolyte imbalances
Which client should the nurse recognize as most likely to experience sleep apnea? -
ANSWER/Obese older male client with a short, thick neck
Which milestone indicates to the nurse successful achievement of young adulthood? -
ANSWER/Completes education and becomes self-supporting
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? -
ANSWER/Initiate continuous cardiac monitoring
, Which postmenopausal client's complaint should the nurse refer to the HCP? -
ANSWER/episodes of vaginal bleeding
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? - ANSWER/Two weeks
before menstruation
A postmenopausal client asks the nurse why she is experiencing discomfort during
intercourse. Which response is best for the nurse to provide? - ANSWER/Estrogen
deficiency causes the vaginal tissue to become dry and thinner
Which discharge instruction is most important for a client after a kidney transplant? -
ANSWER/Use daily reminders to take immunosuppressants
The nurse is assessing a client with chronic kidney disease (CKD). Which finding is
most important for the nurse to respond to first? - ANSWER/Potassium 6.0 mEq
Which finding should the nurse identify as most significant for a client diagnosed with
polycystic kidney disease (PKD)? - ANSWER/3+ bacteria in urine
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? - ANSWER/Willingness of the client to learn the injections sites
When providing discharge teaching for a client with osteoporosis, the nurse should
reinforce which home care activity? - ANSWER/Elimination of hazards to home safety
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? - ANSWER/Raising the head of the bed on blocks
An older adult female client is brought to the clinic by her daughter for a flu shot. She
has lost significant weight since the last visit. She has poor personal hygiene and
inadequate clothing for the weather. the client states that she lives alone and denies
problems or concerns. Which action should the nurse implement? - ANSWER/Collect
further data to determine whether self-neglect is occuring
The nurse is assisting a client out of bed for the first time after surgery. Which action
should the nurse do first? - ANSWER/Allow the client to sit with the bed in a high
Fowler's position
After checking the urinary drainage system for kinks in the tubing, the nurse determines
that a client who has returned from the post-anesthesia care has a dark, concentrated
urinary output of 54 ml for the last 2 hours. What priority nursing action should be
implemented? - ANSWER/Report the findings to the surgeon
COMPLETE QUESTIONS With 100%
Verified Solutions||EVOLVE ELSEVIER
HESI MED SURG EXAM LATEST (2025)
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) cannister.
Which assessment finding should the RN report as early signs of hypovolemic shock? -
ANSWER/lethargy
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 the client
has had 14 to 20 loose stools with rectal bleeding. When taking the client's medical
history, which information is most for the nurse to obtain? - ANSWER/Ulcerative colitis
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? - ANSWER/Assess
neurovascular status
Which statement made by a client with chronic pancreatitis indicates that further
education is needed? - ANSWER/I will cut back on smoking cigarettes daily
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) - ANSWER/Do not leave the diaphragm in place longer
than 8 hours after intercourse
Replace the old diaphragm every 3 months
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). -
ANSWER/Alcohol consumption can cause erectile dysfunction
Low testosterone levels affect sperm production
Cessation of smoking improves general health and fertility
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) cannister.
Which assessment finding should the RN report as early signs of hypovolemic shock? -
ANSWER/lethargy
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 the client
has had 14 to 20 loose stools with rectal bleeding. When taking the client's medical
history, which information is most for the nurse to obtain? - ANSWER/Ulcerative colitis
A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing
the client's basic knowledge about the disease process. Which statement by the client
conveys an understanding of the etiology of diverticula? - ANSWER/Chronic
constipation causes weakening of colon wall which results in out pouching sacs
The registered nurse (RN) is assessing a client who was discharged home after
management of chronic hypertension. Which equipment should the RN instruct the
client to use at home? - ANSWER/Sphygmomanometer
A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in the
abdominopelvic region and is scheduled for radiation therapy (RT). The client expresses
concern about becoming infertile. How should the nurse respond? - ANSWER/Propose
sperm banking before RT then artificial insemination is an option
A client's susceptibility to ulcerative colitis is most likely due to which aspect in the
client's history? - ANSWER/Jewish European ancestry
Small bowl obstruction is a condition characterized by which finding? -
ANSWER/Severe fluid and electrolyte imbalances
Which client should the nurse recognize as most likely to experience sleep apnea? -
ANSWER/Obese older male client with a short, thick neck
Which milestone indicates to the nurse successful achievement of young adulthood? -
ANSWER/Completes education and becomes self-supporting
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? -
ANSWER/Initiate continuous cardiac monitoring
, Which postmenopausal client's complaint should the nurse refer to the HCP? -
ANSWER/episodes of vaginal bleeding
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? - ANSWER/Two weeks
before menstruation
A postmenopausal client asks the nurse why she is experiencing discomfort during
intercourse. Which response is best for the nurse to provide? - ANSWER/Estrogen
deficiency causes the vaginal tissue to become dry and thinner
Which discharge instruction is most important for a client after a kidney transplant? -
ANSWER/Use daily reminders to take immunosuppressants
The nurse is assessing a client with chronic kidney disease (CKD). Which finding is
most important for the nurse to respond to first? - ANSWER/Potassium 6.0 mEq
Which finding should the nurse identify as most significant for a client diagnosed with
polycystic kidney disease (PKD)? - ANSWER/3+ bacteria in urine
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? - ANSWER/Willingness of the client to learn the injections sites
When providing discharge teaching for a client with osteoporosis, the nurse should
reinforce which home care activity? - ANSWER/Elimination of hazards to home safety
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? - ANSWER/Raising the head of the bed on blocks
An older adult female client is brought to the clinic by her daughter for a flu shot. She
has lost significant weight since the last visit. She has poor personal hygiene and
inadequate clothing for the weather. the client states that she lives alone and denies
problems or concerns. Which action should the nurse implement? - ANSWER/Collect
further data to determine whether self-neglect is occuring
The nurse is assisting a client out of bed for the first time after surgery. Which action
should the nurse do first? - ANSWER/Allow the client to sit with the bed in a high
Fowler's position
After checking the urinary drainage system for kinks in the tubing, the nurse determines
that a client who has returned from the post-anesthesia care has a dark, concentrated
urinary output of 54 ml for the last 2 hours. What priority nursing action should be
implemented? - ANSWER/Report the findings to the surgeon
