Evolve HESI Med Surgical Practice Exam Prep
EVOLVE HESI MED SURGICAL PRACTICE EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 130 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+|BRAND NEW VERSION!!
A client in an ambulatory clinic describes awaking in the middle of the night with
difficulty breathing and shortness of breath related to paroxysmal nocturnal
dyspnea. Which underlying condition should the nurse identify in the client's
history?
a. Chronic bronchitis.
b. Gastroesophageal reflux disease (GERD).
c. Heart failure (HF).
d. Chronic pancreatitis. - Correct Answer-c. Heart failure (HF).
Paroxysmal nocturnal dyspnea is classic sign of heart failure and is secondary to
fluid overload associated with heart failure which causes pulmonary edema
A client's prostate-specific antigen (PSA) exam result showed a PSA density of 0.13
ng/mL. Which conclusion regarding this lab data is accurate?
a. Probable prostatitis.
b. Low risk for prostate cancer.
c. The presence of cancer cells.
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, Evolve HESI Med Surgical Practice Exam Prep
d. A biopsy of the prostate is indicated. - Correct Answer-b. Low risk for prostate
cancer.
Clients with a PSA density of less than 0.15 ng/mL are considered at low risk for
prostate cancer.
The nurse is teaching a client diagnosed with peripheral arterial disease. Which
genitourinary system complication should the nurse include in the teaching?
a. Altered sexual response.
b. Sterility.
c. Urinary incontinence.
d. Decreased pelvic muscle tone. - Correct Answer-a. Altered sexual response.
Peripheral arterial disease (PAD) is a cardiovascular condition characterized by
narrowing of the arteries and reduced blood flow to the extremities. PAD is known
to alter the blood flow to the male's penis and is associated with erectile
dysfunction in men.
A client with acute appendicitis is experiencing anxiety and loss of sleep about
missing the final examination week at college. Which outcome is most important
for the nurse to include in the plan of care?
a. Sleeping six to eight hours.
b. Achieve a sense of control.
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, Evolve HESI Med Surgical Practice Exam Prep
c. Utilize problem-solving skills.
d. Increased focus of attention. - Correct Answer-b. Achieve a sense of control.
The experience of psychological discomfort may be as real as physical pain for the
client and should be seen as a priority in care. Because the client is experiencing
anxiety, achieving a sense of control is the overall outcome of this client's nursing
care plan.
A couple trying to cope with an infertility problem wants to know what can be
done to preserve emotional equilibrium. Which is the best response for the nurse
to provide?
a. "Tell your friends and family so that they can help you."
b. "Get involved with a support group. I will give you some names."
c. "Talk only to other friends who are infertile since only they can help."
d. "Start adoption proceedings immediately since obtaining an infant is very
difficult." - Correct Answer-b. "Get involved with a support group. I will give you
some names."
A support group provides a safe haven for the couple to share their feelings and
experience and gain insight from others dealing with the same experience and let's
them know they are not alone in their situation.
The nurse is caring for a client who returns to the unit following a colonoscopy.
Which finding should the nurse report to the healthcare provider immediately?
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, Evolve HESI Med Surgical Practice Exam Prep
a. Large amounts of expelled flatus with mucus.
b. Tympanic abdomen and hyperactive bowel sounds.
c. Increased abdominal pain with rebound tenderness.
d. Complaint of feeling weak with watery diarrheal stools. - Correct Answer-c.
Increased abdominal pain with rebound tenderness.
Positive rebound tenderness following a colonoscopy may be an indication of
perforation and the development of peritonitis and requires follow-up
immediately.
A client has been told that there is cataract formation over his both eyes. Which
finding should the nurse expect when assessing the client?
a. Decreased color perception.
b. Presence of floaters.
c. Loss of central vision.
d. Reduced peripheral vision. - Correct Answer-a. Decreased color perception.
Decreased color perception occurs with cataract formation. Cataract formation is
also associated with blurred vision and a global loss of vision that is so gradual
that the client may not be aware of it.
A client is admitted to the hospital with a traumatic brain injury after his head
violently struck a brick wall during a gang fight. Which finding is most important
for the nurse to assess further?
4|Page
EVOLVE HESI MED SURGICAL PRACTICE EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 130 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+|BRAND NEW VERSION!!
A client in an ambulatory clinic describes awaking in the middle of the night with
difficulty breathing and shortness of breath related to paroxysmal nocturnal
dyspnea. Which underlying condition should the nurse identify in the client's
history?
a. Chronic bronchitis.
b. Gastroesophageal reflux disease (GERD).
c. Heart failure (HF).
d. Chronic pancreatitis. - Correct Answer-c. Heart failure (HF).
Paroxysmal nocturnal dyspnea is classic sign of heart failure and is secondary to
fluid overload associated with heart failure which causes pulmonary edema
A client's prostate-specific antigen (PSA) exam result showed a PSA density of 0.13
ng/mL. Which conclusion regarding this lab data is accurate?
a. Probable prostatitis.
b. Low risk for prostate cancer.
c. The presence of cancer cells.
1|Page
, Evolve HESI Med Surgical Practice Exam Prep
d. A biopsy of the prostate is indicated. - Correct Answer-b. Low risk for prostate
cancer.
Clients with a PSA density of less than 0.15 ng/mL are considered at low risk for
prostate cancer.
The nurse is teaching a client diagnosed with peripheral arterial disease. Which
genitourinary system complication should the nurse include in the teaching?
a. Altered sexual response.
b. Sterility.
c. Urinary incontinence.
d. Decreased pelvic muscle tone. - Correct Answer-a. Altered sexual response.
Peripheral arterial disease (PAD) is a cardiovascular condition characterized by
narrowing of the arteries and reduced blood flow to the extremities. PAD is known
to alter the blood flow to the male's penis and is associated with erectile
dysfunction in men.
A client with acute appendicitis is experiencing anxiety and loss of sleep about
missing the final examination week at college. Which outcome is most important
for the nurse to include in the plan of care?
a. Sleeping six to eight hours.
b. Achieve a sense of control.
2|Page
, Evolve HESI Med Surgical Practice Exam Prep
c. Utilize problem-solving skills.
d. Increased focus of attention. - Correct Answer-b. Achieve a sense of control.
The experience of psychological discomfort may be as real as physical pain for the
client and should be seen as a priority in care. Because the client is experiencing
anxiety, achieving a sense of control is the overall outcome of this client's nursing
care plan.
A couple trying to cope with an infertility problem wants to know what can be
done to preserve emotional equilibrium. Which is the best response for the nurse
to provide?
a. "Tell your friends and family so that they can help you."
b. "Get involved with a support group. I will give you some names."
c. "Talk only to other friends who are infertile since only they can help."
d. "Start adoption proceedings immediately since obtaining an infant is very
difficult." - Correct Answer-b. "Get involved with a support group. I will give you
some names."
A support group provides a safe haven for the couple to share their feelings and
experience and gain insight from others dealing with the same experience and let's
them know they are not alone in their situation.
The nurse is caring for a client who returns to the unit following a colonoscopy.
Which finding should the nurse report to the healthcare provider immediately?
3|Page
, Evolve HESI Med Surgical Practice Exam Prep
a. Large amounts of expelled flatus with mucus.
b. Tympanic abdomen and hyperactive bowel sounds.
c. Increased abdominal pain with rebound tenderness.
d. Complaint of feeling weak with watery diarrheal stools. - Correct Answer-c.
Increased abdominal pain with rebound tenderness.
Positive rebound tenderness following a colonoscopy may be an indication of
perforation and the development of peritonitis and requires follow-up
immediately.
A client has been told that there is cataract formation over his both eyes. Which
finding should the nurse expect when assessing the client?
a. Decreased color perception.
b. Presence of floaters.
c. Loss of central vision.
d. Reduced peripheral vision. - Correct Answer-a. Decreased color perception.
Decreased color perception occurs with cataract formation. Cataract formation is
also associated with blurred vision and a global loss of vision that is so gradual
that the client may not be aware of it.
A client is admitted to the hospital with a traumatic brain injury after his head
violently struck a brick wall during a gang fight. Which finding is most important
for the nurse to assess further?
4|Page
