RN Evolve Hesi Medical Surgical Exam
Versions A & B
RN Evolve Hesi Medical Surgical Exam
Versions A & B Each Version with Verified
questions and Correct answers with Detailed
Rationales/ RN Hesi Med Surg Exam Prep Test
Bank / Hesi Medical Surgical Practice Test
Bank
A home health nurse is assessing a 70-year-old male client who is convalescing at home
following a hip replacement. The nurse is concerned that the client may develop pressure
ulcers. Which physical characteristic of aging puts the client at risk?
A. 16% increase in overall body fat
B. Reduced melanin production
C. Thinning of the skin, with loss of elasticity
D. Calcium loss in the bones
- Correct Answer :C
Thin nonelastic skin is an important factor in pressure formation. The proportion of body fat
to lean mass increases with age and might help decrease ulcer tendency. Option B causes
gray hair. Option D can contribute to broken bones, but it is probably not a factor in pressure
ulcer formation.
A client is placed on a mechanical ventilator following a cerebral hemorrhage. What are the
priority nursing actions for this client? (Select all that apply.)
A. Assess lung sounds.
A+ TEST BANK 1
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
B. Look for equal and bilateral expansion of the chest.
C. Monitor skin color.
D. Evaluate the need for suctioning.
E. Tell the family the client is expected to fully recover.
F. Make sure the ventilator alarms are set.
- Correct Answer :A, B, C, D, F
The outcome of the client is too early to relay to the family. The nurse must not offer false
reassurance. The remaining actions are correct for a client on a ventilator.
When assigning clients on a medical-surgical floor to an RN and a PN, it is best for the charge
nurse to assign which client to the PN?
A. A young adult with bacterial meningitis with recent seizures
B. An older adult client with pneumonia and viral meningitis
C. A female client in isolation with meningococcal meningitis
D. A male client 1 day postoperative after drainage of a brain abscess
- Correct Answer :B
The most stable client is option B. Options A, C, and D are all at high risk for increased
intracranial pressure and require the expertise of the RN for assessment and management of
care.
A+ TEST BANK 2
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
While at a home game, the mother of a 6-year-old is heard screaming, "My child is having an
asthma attack! Can anyone help?" The nurse arrives and finds the child gasping for breath
with circumoral cyanosis. What are the nurse's next actions? (Select all that apply.)
A. Yell, "Call 911."
B. Ask the mother if she has the child's bronchodilator.
C. Start cardiopulmonary respirations.
D. Ask the mother if the child is allergic to bee stings.
E. Stay with the child and mother until the ambulance arrives.
F. Sit the child straight up in Fowler's position.
- Correct Answer :A, B, E, F
CPR is not needed at this time as the child is still moving air. An allergy to bee stings is related
to anaphylactic shock, which is not the situation here. The remaining actions are correct for
asthma.
The client returns to the unit after abdominal surgery with a 5″ × 9″ absorbent dressing in
place to the mid abdomen. The nurse notes a spot of red staining centrally on the dressing.
What is the nurse's next action?
A. Note the size of the stain in the chart.
B. Circle the stain with an ink pen.
C. Remove the dressing to assess the source of the bleeding.
D. Place a pressure dressing on the existing dressing.
- Correct Answer :B
A+ TEST BANK 3
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
By circling the existing stain upon admission to the unit, the nurse can then assess any
increase, though subtle, in the amount of drainage over time. The size of the stain will need to
be noted in the chart, but it is not the first action. The nurse removes the dressing under the
prescription of the health care provider or in an emergency. Neither of those conditions exist
in the question. The dressing in place is an absorbent dressing. There is no need for a further
dressing until the existing dressing becomes saturated.
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
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.
The nurse receives the client's next scheduled bag of TPN labeled with the additive NPH
insulin. Which action should the nurse implement?
A. Hang the solution at the current rate.
A+ TEST BANK 4
Versions A & B
RN Evolve Hesi Medical Surgical Exam
Versions A & B Each Version with Verified
questions and Correct answers with Detailed
Rationales/ RN Hesi Med Surg Exam Prep Test
Bank / Hesi Medical Surgical Practice Test
Bank
A home health nurse is assessing a 70-year-old male client who is convalescing at home
following a hip replacement. The nurse is concerned that the client may develop pressure
ulcers. Which physical characteristic of aging puts the client at risk?
A. 16% increase in overall body fat
B. Reduced melanin production
C. Thinning of the skin, with loss of elasticity
D. Calcium loss in the bones
- Correct Answer :C
Thin nonelastic skin is an important factor in pressure formation. The proportion of body fat
to lean mass increases with age and might help decrease ulcer tendency. Option B causes
gray hair. Option D can contribute to broken bones, but it is probably not a factor in pressure
ulcer formation.
A client is placed on a mechanical ventilator following a cerebral hemorrhage. What are the
priority nursing actions for this client? (Select all that apply.)
A. Assess lung sounds.
A+ TEST BANK 1
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
B. Look for equal and bilateral expansion of the chest.
C. Monitor skin color.
D. Evaluate the need for suctioning.
E. Tell the family the client is expected to fully recover.
F. Make sure the ventilator alarms are set.
- Correct Answer :A, B, C, D, F
The outcome of the client is too early to relay to the family. The nurse must not offer false
reassurance. The remaining actions are correct for a client on a ventilator.
When assigning clients on a medical-surgical floor to an RN and a PN, it is best for the charge
nurse to assign which client to the PN?
A. A young adult with bacterial meningitis with recent seizures
B. An older adult client with pneumonia and viral meningitis
C. A female client in isolation with meningococcal meningitis
D. A male client 1 day postoperative after drainage of a brain abscess
- Correct Answer :B
The most stable client is option B. Options A, C, and D are all at high risk for increased
intracranial pressure and require the expertise of the RN for assessment and management of
care.
A+ TEST BANK 2
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
While at a home game, the mother of a 6-year-old is heard screaming, "My child is having an
asthma attack! Can anyone help?" The nurse arrives and finds the child gasping for breath
with circumoral cyanosis. What are the nurse's next actions? (Select all that apply.)
A. Yell, "Call 911."
B. Ask the mother if she has the child's bronchodilator.
C. Start cardiopulmonary respirations.
D. Ask the mother if the child is allergic to bee stings.
E. Stay with the child and mother until the ambulance arrives.
F. Sit the child straight up in Fowler's position.
- Correct Answer :A, B, E, F
CPR is not needed at this time as the child is still moving air. An allergy to bee stings is related
to anaphylactic shock, which is not the situation here. The remaining actions are correct for
asthma.
The client returns to the unit after abdominal surgery with a 5″ × 9″ absorbent dressing in
place to the mid abdomen. The nurse notes a spot of red staining centrally on the dressing.
What is the nurse's next action?
A. Note the size of the stain in the chart.
B. Circle the stain with an ink pen.
C. Remove the dressing to assess the source of the bleeding.
D. Place a pressure dressing on the existing dressing.
- Correct Answer :B
A+ TEST BANK 3
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
By circling the existing stain upon admission to the unit, the nurse can then assess any
increase, though subtle, in the amount of drainage over time. The size of the stain will need to
be noted in the chart, but it is not the first action. The nurse removes the dressing under the
prescription of the health care provider or in an emergency. Neither of those conditions exist
in the question. The dressing in place is an absorbent dressing. There is no need for a further
dressing until the existing dressing becomes saturated.
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
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.
The nurse receives the client's next scheduled bag of TPN labeled with the additive NPH
insulin. Which action should the nurse implement?
A. Hang the solution at the current rate.
A+ TEST BANK 4
