EVOLVE ELSEVIER HESI MED SURG ACTUAL
EXAM WITH 150 REAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH WELL-ELABORATED
RATIONALES/ EVOLVE HESI MEDICAL
SURGICAL LATEST EXAM 2025-2026 .(BRAND
NEW!!)
4 symptoms of pneumonia that maybe be noted on a physical
exam
ANSWER-Tachypnea
fever c chills
productive cough
bronchial breathe sounds
S&Sx of pneumonia expected in older clients:-ANSWER-
Confusion
Lethargy
1|Page
,Anorexia
Rapid RR
O2 flow rate for a COPD client:-ANSWER-1 – 2 L per Nasal
Cannula (b/c too much O2 may eliminate COPD clients hypoxic
stimulus to breathe)
Prevent hypoxia during suctioning by:-ANSWER-Oxygenating
100% before and after each endotrach. suctioning
3 interventions for mech. ventilation:-ANSWER-Monitor resp.
status
Establish communication mech
Keep airway clear c coughing and suctioning
Visible S&Sx of Emphysema:-ANSWER-Barrel chest
Cough (dry or productive)
Decreased breath sounds
Dyspnea
Crackles in lung fields
2|Page
,NSG care fo Pre–Op laryngectomy;-ANSWER-Involve pt/fam to
manipulate trach. equipment
Plan for communication method
Speech Pathologist referral
Rehab discussion
5 NSG interventions after chest tube insertion:-ANSWER-Dry
occlusive dsg
Tight/Taped tubing connections
Monitor Cx status
Encourage periodic deep breathing
Monitor fluid drainage and mark the time of measurement
and fluid level
Immediate action to be taken if chest tube becomes d/c from
appliance? If d/c from client?-ANSWER-d/c from appliance–
place end of tube in sterile water @ 2cm lvl
d/c from client– apply occlusive dsg & notify MD
Instructions to be given following radiation therapy:-ANSWER-
Don't wash off lines
3|Page
, Wear soft cotton garments
Avoid powders and creams @ radiation site
Precautions required for TB when placed on respiratory
isolation-ANSWER-Private room
Masks for all entering & for pt when exiting
4 components of TB teaching-ANSWER-Cough into tissues &
dispose immediately in special bags
Long–Term need for daily meds
Hand washing
Report S&Sx of deterioration
Acute Renal Failure (ARF) vs. Chronic Renal Failure (CRF):-
ANSWER-ARF– usually reversible, abrupt kidney fx
deterioration
CRF– irreversible, slow kidney fx deterioration
Characterized by ^BUN and CREAT (dialysis required
eventually)
4|Page
EXAM WITH 150 REAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH WELL-ELABORATED
RATIONALES/ EVOLVE HESI MEDICAL
SURGICAL LATEST EXAM 2025-2026 .(BRAND
NEW!!)
4 symptoms of pneumonia that maybe be noted on a physical
exam
ANSWER-Tachypnea
fever c chills
productive cough
bronchial breathe sounds
S&Sx of pneumonia expected in older clients:-ANSWER-
Confusion
Lethargy
1|Page
,Anorexia
Rapid RR
O2 flow rate for a COPD client:-ANSWER-1 – 2 L per Nasal
Cannula (b/c too much O2 may eliminate COPD clients hypoxic
stimulus to breathe)
Prevent hypoxia during suctioning by:-ANSWER-Oxygenating
100% before and after each endotrach. suctioning
3 interventions for mech. ventilation:-ANSWER-Monitor resp.
status
Establish communication mech
Keep airway clear c coughing and suctioning
Visible S&Sx of Emphysema:-ANSWER-Barrel chest
Cough (dry or productive)
Decreased breath sounds
Dyspnea
Crackles in lung fields
2|Page
,NSG care fo Pre–Op laryngectomy;-ANSWER-Involve pt/fam to
manipulate trach. equipment
Plan for communication method
Speech Pathologist referral
Rehab discussion
5 NSG interventions after chest tube insertion:-ANSWER-Dry
occlusive dsg
Tight/Taped tubing connections
Monitor Cx status
Encourage periodic deep breathing
Monitor fluid drainage and mark the time of measurement
and fluid level
Immediate action to be taken if chest tube becomes d/c from
appliance? If d/c from client?-ANSWER-d/c from appliance–
place end of tube in sterile water @ 2cm lvl
d/c from client– apply occlusive dsg & notify MD
Instructions to be given following radiation therapy:-ANSWER-
Don't wash off lines
3|Page
, Wear soft cotton garments
Avoid powders and creams @ radiation site
Precautions required for TB when placed on respiratory
isolation-ANSWER-Private room
Masks for all entering & for pt when exiting
4 components of TB teaching-ANSWER-Cough into tissues &
dispose immediately in special bags
Long–Term need for daily meds
Hand washing
Report S&Sx of deterioration
Acute Renal Failure (ARF) vs. Chronic Renal Failure (CRF):-
ANSWER-ARF– usually reversible, abrupt kidney fx
deterioration
CRF– irreversible, slow kidney fx deterioration
Characterized by ^BUN and CREAT (dialysis required
eventually)
4|Page
