Page 1 of 16
23 June 2026
EVOLVE ELSEVIER HESI MED SURG EXAM 2026 LATEST
EXAM TEST UNDER NEW GUIDELINE 150 QUESTIONS AND CORRECT
ANSWERS WITH EXPLANATIONS PERFECT TO PASS EVOLVE
ELSEVIER HESI MED SURG TEST EXAM
Overview:
This test bank mirrors the actual Evolve Elsevier HESI Medical-Surgical
Nursing Exam structure and difficulty, helping learners prepare with realistic,
updated, and guideline-based practice questions. Each item reinforces essential
concepts in adult health nursing, medical-surgical conditions, patient
assessment, clinical judgment, pharmacology, prioritization, and evidence-based
nursing care — building knowledge and confidence before the exam.
Key Features:
✅ Verified Evolve Elsevier HESI Med-Surg practice questions with correct
answers
✅ Updated for the 2026/2027 exam cycle under current nursing guidelines
✅ A+ structured exam prep format for comprehensive review and mastery
✅ Covers major medical-surgical nursing concepts and core competencies
✅ Includes cardiovascular, respiratory, neurological, renal, endocrine,
gastrointestinal, and immune disorders
✅ Includes nursing interventions, safety priorities, patient education, and
clinical decision-making
✅ Ideal for nursing students, self-assessment, study groups, and HESI exam
preparation
✅ With realistic practice questions and correct answers, the EVOLVE
ELSEVIER HESI MED-SURG PREP TESTBANK 2026/2027 is a
comprehensive study resource designed to strengthen clinical reasoning and
improve readiness for the HESI Medical-Surgical Nursing exam.
Which description of pain is consistent with a diagnosis of rheumatoid arthritis? - CORRECT
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)? - CORRECT ANSWER-Hoarseness
, Page 2 of 16
23 June 2026
A client presents with chronic venous insufficiency. Which assessment finding should the nurse
anticipate? - CORRECT ANSWER-Bilateral lower leg stasis dermatitis
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? - CORRECT ANSWER-Assess
neurovascular status
An adult client is admitted to the hospital burn unit with partial-thickness and full-thickness burns
over 40% of the body surface area. In assessing the potential for skin regeneration, what should
the nurse remember about full-thickness burns? - CORRECT ANSWER-Regenerative function of
the skin is absent because the dermal layer has been destroyed
A client is admitted to the medical intensive care unit with a diagnosis of myocardial infarction.
The client's history indicates the infarction occurred ten hours ago. Which lab test result would the
nurse expect this client to exhibit? - CORRECT ANSWER-Elevated CK-MB
The nurse is assessing a client who smokes cigarettes and has been diagnosed with emphysema.
Which finding would the nurse expect this client to exhibit? - CORRECT ANSWER-Normal skin
coloring
A splint is prescribed for nighttime use by a client with rheumatoid arthritis. Which statement by the
nurse provides the most accurate explanation for use of the splints? - CORRECT
ANSWERPrevention of deformities
A client who was in a motor vehicle collision was admitted to the hospital and the right knee was
placed in skeletal traction. The nurse has documented this nursing diagnosis in the client's medical
record: "Potential for impairment of skin integrity related to immobility from traction." Which
nursing intervention is indicated based on this diagnosis statement? - CORRECT ANSWER-Provide
back and skin care while maintaining the traction
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? - CORRECT 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) -
CORRECT ANSWER-Quality of the pain
Signs of inflammation
, Page 3 of 16
23 June 2026
Ankle range of motion
Visible deformities of the joint
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? -
CORRECT ANSWER-Difficulty in handwriting
A client taking furosemide (Lasix), reports difficulty sleeping. What question is important for the
nurse to ask the client? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER-Digoxin
A client receiving cholestyramine (Questran) for hyperlipidemia should be evaluated for what
vitamin deficiency? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER-Question the HCP's prescription
23 June 2026
EVOLVE ELSEVIER HESI MED SURG EXAM 2026 LATEST
EXAM TEST UNDER NEW GUIDELINE 150 QUESTIONS AND CORRECT
ANSWERS WITH EXPLANATIONS PERFECT TO PASS EVOLVE
ELSEVIER HESI MED SURG TEST EXAM
Overview:
This test bank mirrors the actual Evolve Elsevier HESI Medical-Surgical
Nursing Exam structure and difficulty, helping learners prepare with realistic,
updated, and guideline-based practice questions. Each item reinforces essential
concepts in adult health nursing, medical-surgical conditions, patient
assessment, clinical judgment, pharmacology, prioritization, and evidence-based
nursing care — building knowledge and confidence before the exam.
Key Features:
✅ Verified Evolve Elsevier HESI Med-Surg practice questions with correct
answers
✅ Updated for the 2026/2027 exam cycle under current nursing guidelines
✅ A+ structured exam prep format for comprehensive review and mastery
✅ Covers major medical-surgical nursing concepts and core competencies
✅ Includes cardiovascular, respiratory, neurological, renal, endocrine,
gastrointestinal, and immune disorders
✅ Includes nursing interventions, safety priorities, patient education, and
clinical decision-making
✅ Ideal for nursing students, self-assessment, study groups, and HESI exam
preparation
✅ With realistic practice questions and correct answers, the EVOLVE
ELSEVIER HESI MED-SURG PREP TESTBANK 2026/2027 is a
comprehensive study resource designed to strengthen clinical reasoning and
improve readiness for the HESI Medical-Surgical Nursing exam.
Which description of pain is consistent with a diagnosis of rheumatoid arthritis? - CORRECT
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)? - CORRECT ANSWER-Hoarseness
, Page 2 of 16
23 June 2026
A client presents with chronic venous insufficiency. Which assessment finding should the nurse
anticipate? - CORRECT ANSWER-Bilateral lower leg stasis dermatitis
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? - CORRECT ANSWER-Assess
neurovascular status
An adult client is admitted to the hospital burn unit with partial-thickness and full-thickness burns
over 40% of the body surface area. In assessing the potential for skin regeneration, what should
the nurse remember about full-thickness burns? - CORRECT ANSWER-Regenerative function of
the skin is absent because the dermal layer has been destroyed
A client is admitted to the medical intensive care unit with a diagnosis of myocardial infarction.
The client's history indicates the infarction occurred ten hours ago. Which lab test result would the
nurse expect this client to exhibit? - CORRECT ANSWER-Elevated CK-MB
The nurse is assessing a client who smokes cigarettes and has been diagnosed with emphysema.
Which finding would the nurse expect this client to exhibit? - CORRECT ANSWER-Normal skin
coloring
A splint is prescribed for nighttime use by a client with rheumatoid arthritis. Which statement by the
nurse provides the most accurate explanation for use of the splints? - CORRECT
ANSWERPrevention of deformities
A client who was in a motor vehicle collision was admitted to the hospital and the right knee was
placed in skeletal traction. The nurse has documented this nursing diagnosis in the client's medical
record: "Potential for impairment of skin integrity related to immobility from traction." Which
nursing intervention is indicated based on this diagnosis statement? - CORRECT ANSWER-Provide
back and skin care while maintaining the traction
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? - CORRECT 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) -
CORRECT ANSWER-Quality of the pain
Signs of inflammation
, Page 3 of 16
23 June 2026
Ankle range of motion
Visible deformities of the joint
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? -
CORRECT ANSWER-Difficulty in handwriting
A client taking furosemide (Lasix), reports difficulty sleeping. What question is important for the
nurse to ask the client? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER-Digoxin
A client receiving cholestyramine (Questran) for hyperlipidemia should be evaluated for what
vitamin deficiency? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER-Question the HCP's prescription
