2025 EVOLVE ELSEVIER HESI MED SURG EXAM
2025 EVOLVE ELSEVIER HESI MED SURG EXAM NEWEST
2025/2026 COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
During the shift report, the charge nurse informs a nurse that she has been
assigned to another unit for the day. The nurse begins to sigh deeply and tosses
about her belongings as she prepares to leave, making it known that she is very
unhappy about being floated to the other unit. What is the best immediate action
for the charge nurse to take?
A. Continue with the shift report and talk to the nurse about the incident at a later
time.
B. Ask the nurse to call the house supervisor to see if she must be reassigned.
C. Stop the shift report and remind the nurse that all staff are floated equally.
D. Inform the nurse that her behavior is disruptive to the rest of the staff.
Correct Answer A
Rationale: Continuing with the shift report is the best immediate action because it
allows the nurse who was floated some cooling off time. At a later time (after the
nurse has cooled off) the charge nurse should discuss the conduct of the nurse in
private. Option B encourages the nurse to shirk the float assignment. Option C is
disruptive. Reprimanding the nurse in front of the staff would increase the nurse's
hostility, so the nurse should be counseled in private.
The nurse is counseling a healthy 30-year-old female client regarding osteoporosis
prevention. Which activity would be most beneficial in achieving the client's goal
of osteoporosis prevention?
A. Cross-country skiing
B. Scuba diving
C. Horseback riding
D. Kayaking
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, 2025 EVOLVE ELSEVIER HESI MED SURG EXAM
Correct Answer A
Rationale: Weight-bearing exercise is an important measure to reduce the risk of
osteoporosis. Of the activities listed, cross-country skiing includes the most
weight-bearing, whereas options B, C, and D involve less.
The nurse is interviewing a client who is taking interferon-alfa-2a (Roferon-A) and
ribavirin (Virazole) combination therapy for hepatitis C. The client reports
experiencing overwhelming feelings of depression. Which action should the nurse
implement first?
A.Recommend mental health counseling.
B. Review the medication actions and interactions.
C. Assess for the client's daily activity level.
D. Provide information regarding a support group.
Correct Answer B
Rationale: Interferon-alfa-2a and ribavirin combination therapy can cause severe
depression; therefore, it is most important for the nurse to review the medication
effects and report these to the health care provider. Options A, C, and D might be
implemented after the physiologic aspects of the situation have been assessed.
The nurse is giving preoperative instructions to a 14-year-old client scheduled for
surgery to correct a spinal curvature. Which statement by the client best
demonstrates that learning has taken place?
A.
"I will read all the teaching booklets you gave me before surgery."
B.
"I have had surgery before, so I know what to expect afterward."
C.
"All the things people have told me will help me take care of my back."
D.
"Let me show you the method of turning I will use after surgery."
Correct Answer D
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, 2025 EVOLVE ELSEVIER HESI MED SURG EXAM
Rationale: The outcome of learning is best demonstrated when the client not only
verbalizes an understanding but can also provide a return demonstration. A 14-
year-old client may or may not follow through with option A, and there is no
measurement of learning. Option B may help the client understand the surgical
process, but the type of surgery may have been very different, with differing
postoperative care. In option C, the client may be saying what the nurse wants to
hear without expressing any real understanding of what to do after surgery.
Client census is often used to determine staffing needs. Which method of
obtaining census determination for a particular unit provides the best formula for
determining long-range staffing patterns?
A.
Midnight census
B.
Oncoming shift census
C.
Average daily census
D.
Hourly census
Correct Answer C
Rationale: An average daily census is determined by trend data and takes into
account seasonal and daily fluctuations, so it is the best method for determining
staffing needs. Options A and B provide data at a certain point in time, and that
data could change quickly. It is unrealistic to expect to obtain an hourly census,
and such data would only provide information about a certain point in time.
Which consideration is most important when the nurse is assigning a room for a
client being admitted with progressive systemic sclerosis (scleroderma)?
A.
Provide a room that can be kept warm.
B.
Make sure that the room can be kept dark.
C.
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, 2025 EVOLVE ELSEVIER HESI MED SURG EXAM
Keep the client close to the nursing unit.
D.
Select a room that is visible from the nurses' desk.
Correct Answer A
Rationale: Abnormal blood flow in response to cold (Raynaud phenomenon) is
precipitated in clients with scleroderma. Option B is not a significant factor. Stress
can also precipitate the severe pain of Raynaud phenomenon, so a quiet
environment is preferred to option C, which is often very noisy. Option D is not
necessary.
When developing a discharge teaching plan for a client after the insertion of a
permanent pacemaker, the nurse writes a goal of "The client will verbalize
symptoms of pacemaker failure." Which behavior indicates that the goal has been
met?
A.
The client demonstrates the procedures to change the rate of the pacemaker
using a magnet.
B.
The client carries a card in his wallet stating the type and serial number of the
pacemaker.
C.
The client tells the nurse that it is important to report redness and tenderness at
the insertion site.
D.
The client states that changes in the pulse and feelings of dizziness are significant
changes.
Correct Answer D
Rationale: Changes in pulse rate and/or rhythm may indicate pacer failure.
Feelings of dizziness may be caused by a decreased heart rate, leading to
decreased cardiac output. The rate of a pacemaker is not changed by a client,
although the client may be familiar with this procedure as explained by his health
4|Page
2025 EVOLVE ELSEVIER HESI MED SURG EXAM NEWEST
2025/2026 COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
During the shift report, the charge nurse informs a nurse that she has been
assigned to another unit for the day. The nurse begins to sigh deeply and tosses
about her belongings as she prepares to leave, making it known that she is very
unhappy about being floated to the other unit. What is the best immediate action
for the charge nurse to take?
A. Continue with the shift report and talk to the nurse about the incident at a later
time.
B. Ask the nurse to call the house supervisor to see if she must be reassigned.
C. Stop the shift report and remind the nurse that all staff are floated equally.
D. Inform the nurse that her behavior is disruptive to the rest of the staff.
Correct Answer A
Rationale: Continuing with the shift report is the best immediate action because it
allows the nurse who was floated some cooling off time. At a later time (after the
nurse has cooled off) the charge nurse should discuss the conduct of the nurse in
private. Option B encourages the nurse to shirk the float assignment. Option C is
disruptive. Reprimanding the nurse in front of the staff would increase the nurse's
hostility, so the nurse should be counseled in private.
The nurse is counseling a healthy 30-year-old female client regarding osteoporosis
prevention. Which activity would be most beneficial in achieving the client's goal
of osteoporosis prevention?
A. Cross-country skiing
B. Scuba diving
C. Horseback riding
D. Kayaking
1|Page
, 2025 EVOLVE ELSEVIER HESI MED SURG EXAM
Correct Answer A
Rationale: Weight-bearing exercise is an important measure to reduce the risk of
osteoporosis. Of the activities listed, cross-country skiing includes the most
weight-bearing, whereas options B, C, and D involve less.
The nurse is interviewing a client who is taking interferon-alfa-2a (Roferon-A) and
ribavirin (Virazole) combination therapy for hepatitis C. The client reports
experiencing overwhelming feelings of depression. Which action should the nurse
implement first?
A.Recommend mental health counseling.
B. Review the medication actions and interactions.
C. Assess for the client's daily activity level.
D. Provide information regarding a support group.
Correct Answer B
Rationale: Interferon-alfa-2a and ribavirin combination therapy can cause severe
depression; therefore, it is most important for the nurse to review the medication
effects and report these to the health care provider. Options A, C, and D might be
implemented after the physiologic aspects of the situation have been assessed.
The nurse is giving preoperative instructions to a 14-year-old client scheduled for
surgery to correct a spinal curvature. Which statement by the client best
demonstrates that learning has taken place?
A.
"I will read all the teaching booklets you gave me before surgery."
B.
"I have had surgery before, so I know what to expect afterward."
C.
"All the things people have told me will help me take care of my back."
D.
"Let me show you the method of turning I will use after surgery."
Correct Answer D
2|Page
, 2025 EVOLVE ELSEVIER HESI MED SURG EXAM
Rationale: The outcome of learning is best demonstrated when the client not only
verbalizes an understanding but can also provide a return demonstration. A 14-
year-old client may or may not follow through with option A, and there is no
measurement of learning. Option B may help the client understand the surgical
process, but the type of surgery may have been very different, with differing
postoperative care. In option C, the client may be saying what the nurse wants to
hear without expressing any real understanding of what to do after surgery.
Client census is often used to determine staffing needs. Which method of
obtaining census determination for a particular unit provides the best formula for
determining long-range staffing patterns?
A.
Midnight census
B.
Oncoming shift census
C.
Average daily census
D.
Hourly census
Correct Answer C
Rationale: An average daily census is determined by trend data and takes into
account seasonal and daily fluctuations, so it is the best method for determining
staffing needs. Options A and B provide data at a certain point in time, and that
data could change quickly. It is unrealistic to expect to obtain an hourly census,
and such data would only provide information about a certain point in time.
Which consideration is most important when the nurse is assigning a room for a
client being admitted with progressive systemic sclerosis (scleroderma)?
A.
Provide a room that can be kept warm.
B.
Make sure that the room can be kept dark.
C.
3|Page
, 2025 EVOLVE ELSEVIER HESI MED SURG EXAM
Keep the client close to the nursing unit.
D.
Select a room that is visible from the nurses' desk.
Correct Answer A
Rationale: Abnormal blood flow in response to cold (Raynaud phenomenon) is
precipitated in clients with scleroderma. Option B is not a significant factor. Stress
can also precipitate the severe pain of Raynaud phenomenon, so a quiet
environment is preferred to option C, which is often very noisy. Option D is not
necessary.
When developing a discharge teaching plan for a client after the insertion of a
permanent pacemaker, the nurse writes a goal of "The client will verbalize
symptoms of pacemaker failure." Which behavior indicates that the goal has been
met?
A.
The client demonstrates the procedures to change the rate of the pacemaker
using a magnet.
B.
The client carries a card in his wallet stating the type and serial number of the
pacemaker.
C.
The client tells the nurse that it is important to report redness and tenderness at
the insertion site.
D.
The client states that changes in the pulse and feelings of dizziness are significant
changes.
Correct Answer D
Rationale: Changes in pulse rate and/or rhythm may indicate pacer failure.
Feelings of dizziness may be caused by a decreased heart rate, leading to
decreased cardiac output. The rate of a pacemaker is not changed by a client,
although the client may be familiar with this procedure as explained by his health
4|Page
