EVOLVE: HESI MED SURG
PRACTICE EXAM 475 WITH 100%
CORRECT ANSWERS 2025/2026
Which description of symptoms is characteristic of a client
diagnosed with trigeminal neuralgia (tic douloureux)? correct
answers >> B) Sudden, stabbing, severe pain over the lip and
chin.
A 67-year-old woman who lives alone is admitted after tripping on
a rug in her home and fractures her hip. Which predisposing
factor probably led to the fracture in the proximal end of her
femur? correct answers >> C) Osteoporosis resulting from
hormonal changes.
The nurse is assisting a client out of bed for the first time after
surgery. What action should the nurse do first? correct
answers >> D) Allow the client to sit with the bed in a high
Fowler's position.
A 20-year-old female client calls the nurse to report a lump she
found in her breast. Which response is the best for the nurse to
provide? correct answers >> B) Most lumps are benign, but it
is always best to come in for an examination.
A female client is brought to the clinic by her daughter for a flu
shot. She has lost significant weight since the last visit. She has
poor personal hygiene and inadequate clothing for the weather.
,The client states that she lives alone and denies problems or
concerns. What action should the nurse implement? correct
answers >> D) Collect further data to determine whether self-
neglect is occurring.
A client is admitted to the medical intensive care unit with a
diagnosis of myocardial infarction. The client's history indicates
the infarction occurred ten hours ago. Which laboratory test result
should the nurse expect this client to exhibit? correct answers
>> C) Elevated CK-MB.
A splint is prescribed for nighttime use by a client with
rheumatoid arthritis. Which statement by the nurse provides the
most accurate explanation for use of the splints? correct
answers >> A) Prevention of deformities.
The nurse should be correct in withholding a dose of digoxin in a
client with congestive heart failure without specific instruction
from the healthcare provider if the client's correct answers >>
C) serum potassium level is 3.
Despite several eye surgeries, a 78-year-old client who lives alone
has persistent vision problems. The visiting nurse is discussing
painting the house with the client. The nurse suggests that the
edge of the steps should be painted which color?
A) Black.
B) White.
C) Light green.
D) Medium yellow. correct answers >> D) Medium yellow.
, Yellow is the easiest for a person with failing vision to see (D). (A)
will be almost impossible to see at night because the shadows of
the steps will be too difficult to determine, and would pose a
safety hazard. (B) is very hard to see with a glare from the sun
and it could hurt the eyes in the daytime to look at them. (C) is a
pastel color and is difficult for elderly clients to see.
During CPR, when attempting to ventilate a client's lungs, the
nurse notes that the chest is not moving. What action should the
nurse take first? correct answers >> B) Reposition the head
to validate that the head is in the proper position to open the
airway.
The nurse is assessing a client with bacterial meningitis. Which
assessment finding indicates the client may have developed
septic emboli?
. correct answers >> A) Cyanosis of the fingertips.
In assessing a client diagnosed with primary hyperaldosteronism,
the nurse expects the laboratory test results to indicate a
decreased serum level of which substance? correct answers
>> C) Potassium.
A client with diabetes mellitus is experiencing polyphagia. Which
outcome statement is the priority for this client? correct
answers >> D) Adequate cellular nourishment.
Based on the analysis of the client's atrial fibrillation, the nurse
should prepare the client for which treatment protocol? correct
answers >> C) Anticoagulation therapy.
PRACTICE EXAM 475 WITH 100%
CORRECT ANSWERS 2025/2026
Which description of symptoms is characteristic of a client
diagnosed with trigeminal neuralgia (tic douloureux)? correct
answers >> B) Sudden, stabbing, severe pain over the lip and
chin.
A 67-year-old woman who lives alone is admitted after tripping on
a rug in her home and fractures her hip. Which predisposing
factor probably led to the fracture in the proximal end of her
femur? correct answers >> C) Osteoporosis resulting from
hormonal changes.
The nurse is assisting a client out of bed for the first time after
surgery. What action should the nurse do first? correct
answers >> D) Allow the client to sit with the bed in a high
Fowler's position.
A 20-year-old female client calls the nurse to report a lump she
found in her breast. Which response is the best for the nurse to
provide? correct answers >> B) Most lumps are benign, but it
is always best to come in for an examination.
A female client is brought to the clinic by her daughter for a flu
shot. She has lost significant weight since the last visit. She has
poor personal hygiene and inadequate clothing for the weather.
,The client states that she lives alone and denies problems or
concerns. What action should the nurse implement? correct
answers >> D) Collect further data to determine whether self-
neglect is occurring.
A client is admitted to the medical intensive care unit with a
diagnosis of myocardial infarction. The client's history indicates
the infarction occurred ten hours ago. Which laboratory test result
should the nurse expect this client to exhibit? correct answers
>> C) Elevated CK-MB.
A splint is prescribed for nighttime use by a client with
rheumatoid arthritis. Which statement by the nurse provides the
most accurate explanation for use of the splints? correct
answers >> A) Prevention of deformities.
The nurse should be correct in withholding a dose of digoxin in a
client with congestive heart failure without specific instruction
from the healthcare provider if the client's correct answers >>
C) serum potassium level is 3.
Despite several eye surgeries, a 78-year-old client who lives alone
has persistent vision problems. The visiting nurse is discussing
painting the house with the client. The nurse suggests that the
edge of the steps should be painted which color?
A) Black.
B) White.
C) Light green.
D) Medium yellow. correct answers >> D) Medium yellow.
, Yellow is the easiest for a person with failing vision to see (D). (A)
will be almost impossible to see at night because the shadows of
the steps will be too difficult to determine, and would pose a
safety hazard. (B) is very hard to see with a glare from the sun
and it could hurt the eyes in the daytime to look at them. (C) is a
pastel color and is difficult for elderly clients to see.
During CPR, when attempting to ventilate a client's lungs, the
nurse notes that the chest is not moving. What action should the
nurse take first? correct answers >> B) Reposition the head
to validate that the head is in the proper position to open the
airway.
The nurse is assessing a client with bacterial meningitis. Which
assessment finding indicates the client may have developed
septic emboli?
. correct answers >> A) Cyanosis of the fingertips.
In assessing a client diagnosed with primary hyperaldosteronism,
the nurse expects the laboratory test results to indicate a
decreased serum level of which substance? correct answers
>> C) Potassium.
A client with diabetes mellitus is experiencing polyphagia. Which
outcome statement is the priority for this client? correct
answers >> D) Adequate cellular nourishment.
Based on the analysis of the client's atrial fibrillation, the nurse
should prepare the client for which treatment protocol? correct
answers >> C) Anticoagulation therapy.
