1 of 34
2025 EVOLVE ELSEVIER HESI MED SURG EXAM NEWEST 2025/2026
COMPLETE 130 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
A client who is sexually active with several partners requests an intrauterine device (IUD)
as a contraceptive method. Which information should the nurse provide?
- ......ANSWER........Using an IUD offers no protection against sexually transmitted disease
(STD), which increase the risk for pelvic inflammatory disease (PID).
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?
- ......ANSWER........Provide back and skin care while maintaining the traction
A client with a 16-year history of diabetes mellitus is having renal function tests because of
recent fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels.
Which finding should the nurse conclude as an early symptom of renal insufficiency?
- ......ANSWER........Nocturia
A client with a completed ischemic stroke has a blood pressure of 180/90 mm Hg. Which
action should the nurse implement? - ......ANSWER........Give an antihypertensive
medication
A client with cirrhosis develops increasing pedal edema and ascites. What dietary
modification is most important for the nurse to teach this client?
- ......ANSWER........Restrict salt and fluid intake
A client with diabetes mellitus is experiencing polyphagia. Which outcome statement is
the priority for this client? - ......ANSWER........Adequate cellular nourishment
,2 of 34
A client with early breast cancer receives the results of a breast biopsy and asks the nurse
to explain the meaning of staging and the type of receptors found on the cancer cells.
Which explanation should the nurse provide? - ......ANSWER........The tumor's estrogen
receptor guides treatment options
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
A client with heart disease is on a continuous telemetry monitor and has developed sinus
bradycardia. In determining the possible cause of the bradycardia, the nurse assesses the
client's medication record. Which medication is most likely the cause of the bradycardia?
- ......ANSWER........Propranolol
A client with multiple sclerosis has experienced an exacerbation of symptoms, including
paresthesia's, diplopia, and nystagmus. Which instruction should the nurse provide?
- ......ANSWER........Schedule extra rest periods
A client's susceptibility to ulcerative colitis is most likely due to which aspect in the client's
history? - ......ANSWER........Jewish European ancestry
A female client receiving IV vasopressin (Pitressin) for esophageal varices rupture reports
to the nurse that she feels substernal tightness and pressure across her chest. Which PRN
protocol should the nurse initiate? - ......ANSWER........Start an IV nitroglycerin infusion
A female client requests information about using the calendar method of contraception.
Which assessment is most important for the nurse to obtain? - ......ANSWER........An
accurate menstrual cycle diary for the past 6 to 12 months
,3 of 34
A female client taking oral contraceptives reports to the nurse that she is experiencing calf
pain. What action should the nurse implement? - ......ANSWER........Advise the client to
notify the HCP for immediate medication attention
A male client receives a local anesthetic during surgery. During the post-operative
assessment, the nurse notices the client is slurring his speech. Which action should the
nurse take? - ......ANSWER........Evaluate his blood pressure, pulse, and respiratory status
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
A middle-aged male client with diabetes continues to eat an abundance of foods that are
high in sugar and fat. According to the Health Belief Model, which event is most likely to
increase the client's willingness to become compliant with the prescribed diet?
- ......ANSWER........He visits his diabetic brother who just had surgery to amputate an
infected foot
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
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?
- ......ANSWER........Prevention of deformities
, 4 of 34
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
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
An 81-year-old male client has emphysema. He lives at home with his cat and manages
self-care with no difficulty. When making a home visit, the nurse notices that his tongue is
somewhat cracked and his eyeballs are sunken into his head. What nursing intervention is
indicated? - ......ANSWER........Help the client to determine ways to increase his fluid
intake
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?
- ......ANSWER........Regenerative function of the skin is absent because the dermal layer
has been destroyed
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
An elderly client is admitted with a diagnosis of bacterial pneumonia. When observing the
client for the first signs of decreasing oxygenation, the nurse should assess for which
clinical cues? - ......ANSWER........Confusion and tachycardia
2025 EVOLVE ELSEVIER HESI MED SURG EXAM NEWEST 2025/2026
COMPLETE 130 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
A client who is sexually active with several partners requests an intrauterine device (IUD)
as a contraceptive method. Which information should the nurse provide?
- ......ANSWER........Using an IUD offers no protection against sexually transmitted disease
(STD), which increase the risk for pelvic inflammatory disease (PID).
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?
- ......ANSWER........Provide back and skin care while maintaining the traction
A client with a 16-year history of diabetes mellitus is having renal function tests because of
recent fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels.
Which finding should the nurse conclude as an early symptom of renal insufficiency?
- ......ANSWER........Nocturia
A client with a completed ischemic stroke has a blood pressure of 180/90 mm Hg. Which
action should the nurse implement? - ......ANSWER........Give an antihypertensive
medication
A client with cirrhosis develops increasing pedal edema and ascites. What dietary
modification is most important for the nurse to teach this client?
- ......ANSWER........Restrict salt and fluid intake
A client with diabetes mellitus is experiencing polyphagia. Which outcome statement is
the priority for this client? - ......ANSWER........Adequate cellular nourishment
,2 of 34
A client with early breast cancer receives the results of a breast biopsy and asks the nurse
to explain the meaning of staging and the type of receptors found on the cancer cells.
Which explanation should the nurse provide? - ......ANSWER........The tumor's estrogen
receptor guides treatment options
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
A client with heart disease is on a continuous telemetry monitor and has developed sinus
bradycardia. In determining the possible cause of the bradycardia, the nurse assesses the
client's medication record. Which medication is most likely the cause of the bradycardia?
- ......ANSWER........Propranolol
A client with multiple sclerosis has experienced an exacerbation of symptoms, including
paresthesia's, diplopia, and nystagmus. Which instruction should the nurse provide?
- ......ANSWER........Schedule extra rest periods
A client's susceptibility to ulcerative colitis is most likely due to which aspect in the client's
history? - ......ANSWER........Jewish European ancestry
A female client receiving IV vasopressin (Pitressin) for esophageal varices rupture reports
to the nurse that she feels substernal tightness and pressure across her chest. Which PRN
protocol should the nurse initiate? - ......ANSWER........Start an IV nitroglycerin infusion
A female client requests information about using the calendar method of contraception.
Which assessment is most important for the nurse to obtain? - ......ANSWER........An
accurate menstrual cycle diary for the past 6 to 12 months
,3 of 34
A female client taking oral contraceptives reports to the nurse that she is experiencing calf
pain. What action should the nurse implement? - ......ANSWER........Advise the client to
notify the HCP for immediate medication attention
A male client receives a local anesthetic during surgery. During the post-operative
assessment, the nurse notices the client is slurring his speech. Which action should the
nurse take? - ......ANSWER........Evaluate his blood pressure, pulse, and respiratory status
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
A middle-aged male client with diabetes continues to eat an abundance of foods that are
high in sugar and fat. According to the Health Belief Model, which event is most likely to
increase the client's willingness to become compliant with the prescribed diet?
- ......ANSWER........He visits his diabetic brother who just had surgery to amputate an
infected foot
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
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?
- ......ANSWER........Prevention of deformities
, 4 of 34
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
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
An 81-year-old male client has emphysema. He lives at home with his cat and manages
self-care with no difficulty. When making a home visit, the nurse notices that his tongue is
somewhat cracked and his eyeballs are sunken into his head. What nursing intervention is
indicated? - ......ANSWER........Help the client to determine ways to increase his fluid
intake
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?
- ......ANSWER........Regenerative function of the skin is absent because the dermal layer
has been destroyed
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
An elderly client is admitted with a diagnosis of bacterial pneumonia. When observing the
client for the first signs of decreasing oxygenation, the nurse should assess for which
clinical cues? - ......ANSWER........Confusion and tachycardia
