Evolve Elsevier HESI Med-Surg Exam
2025/2026 Accurate Questions with 100%
Correct Answers and Rationales Expert
Verified Complete Update Sure Pass A+
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? - answer-Pulmonary embolism
which information should the nurse obtain when performing an initial assessment of a client
who presents to the emergency department with a painful ankle injury? (select all that apply) -
answer-Quality of the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid arthritis? - answer-Joint
pain is worse in the morning and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a client with long-term
gastroesophagealreflux disease (GERD)? - answer-Hoarseness
A client presents with chronic venous insufficiency. Which assessment finding should the nurse
anticipate? - answer-Bilateral lower leg stasis dermatitis
A client has been hospitalized with a femur fracture and is being treated with traction. which
1
,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
2
, 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
3
2025/2026 Accurate Questions with 100%
Correct Answers and Rationales Expert
Verified Complete Update Sure Pass A+
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? - answer-Pulmonary embolism
which information should the nurse obtain when performing an initial assessment of a client
who presents to the emergency department with a painful ankle injury? (select all that apply) -
answer-Quality of the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid arthritis? - answer-Joint
pain is worse in the morning and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a client with long-term
gastroesophagealreflux disease (GERD)? - answer-Hoarseness
A client presents with chronic venous insufficiency. Which assessment finding should the nurse
anticipate? - answer-Bilateral lower leg stasis dermatitis
A client has been hospitalized with a femur fracture and is being treated with traction. which
1
,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
2
, 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
3
