1|Page
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 .
The nurse is providing instructions to a 68 year old client who is
at high risk for development of coronary heart disease (CHD).
Which intervention should the nurse include?-ANSWER-
Increase intake of soluble fiber to 10 to 25 grams per day.
An Adult client is admitted to the hospital burn unit with
second and third degree burns over 40% of the body surface
area. In assessing the potential for skin regeneration, what
should the nurse remember about thrid degree burns?-
ANSWER-Regenerative function of the skin is absent because
the dermal layer has bbeen destroyed.
,2|Page
Which description of symptoms is charcteristic of a client
diagnosed with trigeminal neuralgia (Tic dououreux)?-ANSWER-
Sudden, stabbing, severe pain over the lip and chin.
Prior to a cardiac catherization, which activity should the nurse
have the client practice?-ANSWER-Valsalva's manuever and
coughing.
A client is placed on respirator following a cerebral
hemmorhage, and vecuronium bromide (Norcuron) .04mg/kg q
12h IV is prescribed. Which nursing diagnosis is the priority?-
ANSWER-Impaired communication related to paralysis of
skeletal muscles.
Which client should the nurse recognize as most likely to
experience sleep apnea?-ANSWER-Obese older male client
with a short, thick neck.
A client receiving cholestyramine (Questran) for hyperlipidemia
should be evaluated for what vitamin deficency?-ANSWER-Vit
K (Thse drugs reduce the absorption of the fat soluble
vitamins ADEK.
,3|Page
The nurse identifies bright red drainage, about 6 cm in
diameter, on the dresssing of a client who is one day post
abdominal surgery. Which action should the nurse take next?-
ANSWER-Mark the drainage on the dressing and take vital
signs.
A client is admitted to the hospital with a diagnosis of severe
acute diverticulitis. Which assessment finding should the nurse
expect this client ot exhibit?-ANSWER-Lower left quadrant
pain an da low–grade fever. (sigmoid most common site)
The nurse is assessing the lab results for a client who is
admitted with renal failure and osteodystrophy. Which findings
are consistent with this client's clinical picture?-ANSWER-
Serum Potassium of 5.5 mEq and total calcium of 6mg/dl.
Renal failure (hyperKalemia and Hypocalcemia)
The nurse is assessing a client lab values following
administration of chemotherapy. Which lab values leads the
nurse to suspect that the client is experiencing tumor lysis
syndrome?-ANSWER-Serum calcium 5.0mg/dl.
TLS results in hyperkalemia, hypocalcemia, and
hyperuricemia.
, 4|Page
A client who is HIV positive ask the nurse, "How will I know
when I have Aids"? Which response is best for the nurse to
provide?-ANSWER-Aids is diagnosed when a specifc
oppurtunistic infection is found in an other wise healthy
individual.
A splint is prescribed for nightitme use by a client with
rhuematoid arthritis. Which statement by the nurse provides
the most accurate explanation for use of the splints.-ANSWER-
Prevention of deformities.
Then nurse is planning care for a client who has a right
hemispheric stroke. Which nursing diagnosis should the nurse
include in the plan of care?-ANSWER-Risk for injury related to
denial of deficits and impulsiveness. Right brain damage=
difficulty in judgement and spatial perception. Left=speech
issues and language deficits
Then nurse knows that lab values sometimes vary for the older
client. Which data should the nurse expect to find when
reveiwing lab values of an 80 year old male?-ANSWER-
Increased protein in the urine, slightly increased serum
glucose levels.
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 .
The nurse is providing instructions to a 68 year old client who is
at high risk for development of coronary heart disease (CHD).
Which intervention should the nurse include?-ANSWER-
Increase intake of soluble fiber to 10 to 25 grams per day.
An Adult client is admitted to the hospital burn unit with
second and third degree burns over 40% of the body surface
area. In assessing the potential for skin regeneration, what
should the nurse remember about thrid degree burns?-
ANSWER-Regenerative function of the skin is absent because
the dermal layer has bbeen destroyed.
,2|Page
Which description of symptoms is charcteristic of a client
diagnosed with trigeminal neuralgia (Tic dououreux)?-ANSWER-
Sudden, stabbing, severe pain over the lip and chin.
Prior to a cardiac catherization, which activity should the nurse
have the client practice?-ANSWER-Valsalva's manuever and
coughing.
A client is placed on respirator following a cerebral
hemmorhage, and vecuronium bromide (Norcuron) .04mg/kg q
12h IV is prescribed. Which nursing diagnosis is the priority?-
ANSWER-Impaired communication related to paralysis of
skeletal muscles.
Which client should the nurse recognize as most likely to
experience sleep apnea?-ANSWER-Obese older male client
with a short, thick neck.
A client receiving cholestyramine (Questran) for hyperlipidemia
should be evaluated for what vitamin deficency?-ANSWER-Vit
K (Thse drugs reduce the absorption of the fat soluble
vitamins ADEK.
,3|Page
The nurse identifies bright red drainage, about 6 cm in
diameter, on the dresssing of a client who is one day post
abdominal surgery. Which action should the nurse take next?-
ANSWER-Mark the drainage on the dressing and take vital
signs.
A client is admitted to the hospital with a diagnosis of severe
acute diverticulitis. Which assessment finding should the nurse
expect this client ot exhibit?-ANSWER-Lower left quadrant
pain an da low–grade fever. (sigmoid most common site)
The nurse is assessing the lab results for a client who is
admitted with renal failure and osteodystrophy. Which findings
are consistent with this client's clinical picture?-ANSWER-
Serum Potassium of 5.5 mEq and total calcium of 6mg/dl.
Renal failure (hyperKalemia and Hypocalcemia)
The nurse is assessing a client lab values following
administration of chemotherapy. Which lab values leads the
nurse to suspect that the client is experiencing tumor lysis
syndrome?-ANSWER-Serum calcium 5.0mg/dl.
TLS results in hyperkalemia, hypocalcemia, and
hyperuricemia.
, 4|Page
A client who is HIV positive ask the nurse, "How will I know
when I have Aids"? Which response is best for the nurse to
provide?-ANSWER-Aids is diagnosed when a specifc
oppurtunistic infection is found in an other wise healthy
individual.
A splint is prescribed for nightitme use by a client with
rhuematoid arthritis. Which statement by the nurse provides
the most accurate explanation for use of the splints.-ANSWER-
Prevention of deformities.
Then nurse is planning care for a client who has a right
hemispheric stroke. Which nursing diagnosis should the nurse
include in the plan of care?-ANSWER-Risk for injury related to
denial of deficits and impulsiveness. Right brain damage=
difficulty in judgement and spatial perception. Left=speech
issues and language deficits
Then nurse knows that lab values sometimes vary for the older
client. Which data should the nurse expect to find when
reveiwing lab values of an 80 year old male?-ANSWER-
Increased protein in the urine, slightly increased serum
glucose levels.
