EVOLVE ELSEVIER HESI MED SURG
EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM
WITH 550 test bank EXAM verified QUESTIONS
AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ EVOLVE HESI
MEDICAL SURGICAL LATEST EXAM 2024-2025
(latest) ACE YOUR TEST GRADED A+ -PDF
The nurse is caring for a client with a small bowel obstruction. The client is vomiting foul smelling
fecal-like material. Which action should the nurse implement?
A: Administer antiemetics every 2 to 3 hours.
B: Position on the left side with knees drawn up.
C: Encourage ice chips sparingly.
D: Give IV fluids with electrolytes. –
ANS :D: Give IV fluids with electrolytes.
When the bowel is obstructed, electrolytes and fluids are not absorbed, so parenteral fluids with sodium
chloride, bicarbonate, and potassium should be administered to prevent electrolyte imbalance and
dehydration.
TEST BANK 1
, EVOLVE ELSEVIER HESI MED SURG
The healthcare provider prescribes high-protein, high-fat, low-carbohydrate diet with limited fluids
during meals for a client recovering from gastric surgery. The client asks the nurse what the
purpose is for this type of diet. Which rationale should be included in the nurse's explanation to this
client?
A: It is quickly digested.
B: It does not cause diarrhea.
C: It does not dilate the stomach.
D: It is slow to leave the stomach.
- ANS :D: It is slow to leave the stomach.
This type of diet is slowly digested and is slow to leave the stomach, thereby the possibility of dumping
syndrome is reduced as a result of its density from proteins and fats, and the reduction of fluids.
The nurse is caring for a client scheduled to undergo insertion of a percutaneous endoscopic
gastrostomy (PEG) tube. The client asks the nurse to explain how a PEG tube differs from a
gastrostomy tube (GT). Which explanation best describes how they are different?
A: Method of insertion.
B: Location of the tubes.
C: Diameter of the tubes.
D: Procedure for feedings. –
ANS :A: Method of insertion.
The best explanation of how a percutaneous endoscopic gastrostomy (PEG) tube differs from a
gastrostomy tube (GT) is by the method of insertion. GT insertion involves making an incision in the
wall of the abdomen and suturing the tube to the gastric wall. A PEG tube is more commonly used as it
does not require general anesthesia and is less invasive. Insertion is performed with endoscopic
TEST BANK 2
, EVOLVE ELSEVIER HESI MED SURG
visualization through the esophagus into the stomach and then pulled through a small incision in the
abdominal wall. It is held in place by a tiny plastic device called a "bumper" that holds the g-tube in
place with a small water-filled balloon securing it against the abdominal wall.
The nurse is preparing an adult client for an upper gastrointestinal (UGI) series. Which
information should the nurse include in the teaching plan?
A: The x-ray procedure may last for several hours.
B: A nasogastric tube (NGT) is inserted to instill the barium.
C: Enemas are given to empty the bowel after the procedure.
D: Nothing by mouth is allowed for 6 to 8 hours before the study.
- ANS :D: Nothing by mouth is allowed for 6 to 8 hours before the study.
The client should be NPO, to include smoking or chewing gum for at least 6 hours before the UGI
study.
A client with osteoarthritis requests information from the nurse about what type of exercise
regimen would be most beneficial for him. The nurse should communicate which information?
A: Low impact exercise like walking, swimming, and water aerobics.
B: Repetitive strength-building exercises with weights or resistance bands.
C: Circuit training alternating with frequent rest periods.
D: High-impact aerobic exercise.
- ANS :A: Low impact exercise like walking, swimming, and water aerobics.
Low impact exercises that do not put additional pressure and strain or cause further harm to damaged
joints, such as walking or swimming, are most beneficial to clients with osteoarthritis.Strength-
TEST BANK 3
, EVOLVE ELSEVIER HESI MED SURG
building exercises, circuit training, and high-impact aerobics may cause too much stress on the joint
areas and subsequently increase inflammation and damage.
A client in the preoperative holding area receives a prescription for midazolam IV. The nurse
determines that the surgical consent form needs to be signed by the client. Which action should the
nurse implement?
A: Give the drug and allow the client to read and sign the consent form.
B: Counter-sign the client's initials on the consent form after giving the drug.
C: Withhold the drug until the client validates understanding of the surgical procedure and signs
the consent form.
D: Call the healthcare provider to explain the surgical procedure before the client signs the consent.
- ANS :C: Withhold the drug until the client validates understanding of the surgical procedure and
signs the consent form.
Midazolam, a benzodiazepine sedative, is commonly used for conscious-sedation intraoperatively and
interferes with the client's cognition and level of consciousness, so the consent form should be signed
before the drug is administered.
A 48-year-old client with endometrial cancer is being discharged after a total hysterectomy and
bilateral salpingo-oophorectomy. Which client statement indicates that further teaching is needed?
A: "Well, I don't have to worry about getting pregnant anymore."
B: "I can't wait to go on the cruise that I have planned for this summer."
C: "I know I will miss having sexual intercourse with my husband."
D: "I have asked my daughter to stay with me next week after I am discharged.
" - ANS :C: "I know I will miss having sexual intercourse with my husband."
TEST BANK 4
EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM
WITH 550 test bank EXAM verified QUESTIONS
AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ EVOLVE HESI
MEDICAL SURGICAL LATEST EXAM 2024-2025
(latest) ACE YOUR TEST GRADED A+ -PDF
The nurse is caring for a client with a small bowel obstruction. The client is vomiting foul smelling
fecal-like material. Which action should the nurse implement?
A: Administer antiemetics every 2 to 3 hours.
B: Position on the left side with knees drawn up.
C: Encourage ice chips sparingly.
D: Give IV fluids with electrolytes. –
ANS :D: Give IV fluids with electrolytes.
When the bowel is obstructed, electrolytes and fluids are not absorbed, so parenteral fluids with sodium
chloride, bicarbonate, and potassium should be administered to prevent electrolyte imbalance and
dehydration.
TEST BANK 1
, EVOLVE ELSEVIER HESI MED SURG
The healthcare provider prescribes high-protein, high-fat, low-carbohydrate diet with limited fluids
during meals for a client recovering from gastric surgery. The client asks the nurse what the
purpose is for this type of diet. Which rationale should be included in the nurse's explanation to this
client?
A: It is quickly digested.
B: It does not cause diarrhea.
C: It does not dilate the stomach.
D: It is slow to leave the stomach.
- ANS :D: It is slow to leave the stomach.
This type of diet is slowly digested and is slow to leave the stomach, thereby the possibility of dumping
syndrome is reduced as a result of its density from proteins and fats, and the reduction of fluids.
The nurse is caring for a client scheduled to undergo insertion of a percutaneous endoscopic
gastrostomy (PEG) tube. The client asks the nurse to explain how a PEG tube differs from a
gastrostomy tube (GT). Which explanation best describes how they are different?
A: Method of insertion.
B: Location of the tubes.
C: Diameter of the tubes.
D: Procedure for feedings. –
ANS :A: Method of insertion.
The best explanation of how a percutaneous endoscopic gastrostomy (PEG) tube differs from a
gastrostomy tube (GT) is by the method of insertion. GT insertion involves making an incision in the
wall of the abdomen and suturing the tube to the gastric wall. A PEG tube is more commonly used as it
does not require general anesthesia and is less invasive. Insertion is performed with endoscopic
TEST BANK 2
, EVOLVE ELSEVIER HESI MED SURG
visualization through the esophagus into the stomach and then pulled through a small incision in the
abdominal wall. It is held in place by a tiny plastic device called a "bumper" that holds the g-tube in
place with a small water-filled balloon securing it against the abdominal wall.
The nurse is preparing an adult client for an upper gastrointestinal (UGI) series. Which
information should the nurse include in the teaching plan?
A: The x-ray procedure may last for several hours.
B: A nasogastric tube (NGT) is inserted to instill the barium.
C: Enemas are given to empty the bowel after the procedure.
D: Nothing by mouth is allowed for 6 to 8 hours before the study.
- ANS :D: Nothing by mouth is allowed for 6 to 8 hours before the study.
The client should be NPO, to include smoking or chewing gum for at least 6 hours before the UGI
study.
A client with osteoarthritis requests information from the nurse about what type of exercise
regimen would be most beneficial for him. The nurse should communicate which information?
A: Low impact exercise like walking, swimming, and water aerobics.
B: Repetitive strength-building exercises with weights or resistance bands.
C: Circuit training alternating with frequent rest periods.
D: High-impact aerobic exercise.
- ANS :A: Low impact exercise like walking, swimming, and water aerobics.
Low impact exercises that do not put additional pressure and strain or cause further harm to damaged
joints, such as walking or swimming, are most beneficial to clients with osteoarthritis.Strength-
TEST BANK 3
, EVOLVE ELSEVIER HESI MED SURG
building exercises, circuit training, and high-impact aerobics may cause too much stress on the joint
areas and subsequently increase inflammation and damage.
A client in the preoperative holding area receives a prescription for midazolam IV. The nurse
determines that the surgical consent form needs to be signed by the client. Which action should the
nurse implement?
A: Give the drug and allow the client to read and sign the consent form.
B: Counter-sign the client's initials on the consent form after giving the drug.
C: Withhold the drug until the client validates understanding of the surgical procedure and signs
the consent form.
D: Call the healthcare provider to explain the surgical procedure before the client signs the consent.
- ANS :C: Withhold the drug until the client validates understanding of the surgical procedure and
signs the consent form.
Midazolam, a benzodiazepine sedative, is commonly used for conscious-sedation intraoperatively and
interferes with the client's cognition and level of consciousness, so the consent form should be signed
before the drug is administered.
A 48-year-old client with endometrial cancer is being discharged after a total hysterectomy and
bilateral salpingo-oophorectomy. Which client statement indicates that further teaching is needed?
A: "Well, I don't have to worry about getting pregnant anymore."
B: "I can't wait to go on the cruise that I have planned for this summer."
C: "I know I will miss having sexual intercourse with my husband."
D: "I have asked my daughter to stay with me next week after I am discharged.
" - ANS :C: "I know I will miss having sexual intercourse with my husband."
TEST BANK 4
