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Med Surg Evolve HESI Exam Questions with Correct Verified Solutions 2025

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An adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea. the client appears anxious, restless, and mildly cyanotic. the nurse should further assess the client for which condition? -Correct Answer Pulmonary embolism which information should the nurse obtain when performing an initial assessment of a client who presents to the emergency department with a painful ankle injury? (select all that apply) -Correct Answer Quality of the pain Signs of inflammation Ankle range of motion Visible deformities of the joint Which description of pain is consistent with a diagnosis of rheumatoid arthritis? -Correct Answer Joint pain is worse in the morning and involves symmetric joints Which physical assessment finding should the nurse anticipate in a client with long-term gastroesophagealreflux disease (GERD)? -Correct Answer Hoarseness A client presents with chronic venous insufficiency. Which assessment finding should the nurse anticipate? -Correct Answer Bilateral lower leg stasis dermatitis A client has been hospitalized with a femur fracture and is being treated with traction. which action by the nurse is the priority when caring for this client? -Correct Answer Assess neurovascular status Which statement made by a client with chronic pancreatitis indicates that further education is needed? -Correct Answer I will cut back on smoking cigarettes daily The nurse is teaching a female client who uses a contraceptive diaphragm about reducing the risk for toxic shock syndrome (TSS). Which information should the nurse include? (Select all that apply) -Correct Answer Do not leave the diaphragm in place longer than 8 hours after intercourse Replace the old diaphragm every 3 months A male client who smokes two packs of cigarettes a day states he understands that smoking cigarettes is contributing to the difficulty that he and his wife are having in getting pregnant and wants to know if other factors could be contributing to their difficulty. Which information is best for the nurse to provide? (Select all that apply). -Correct Answer Alcohol consumption can cause erectile dysfunction Low testosterone levels affect sperm production Cessation of smoking improves general health and fertility Twenty four hours after a client returns from surgical gastric bypass, the registered nurse (RN) observes large amounts of blood in the nasogastric tube (NGT) cannister. Which assessment finding should the RN report as early signs of hypovolemic shock? -Correct Answer lethargy the registered nurse (RN) is assessing a male client who arrives at the clinic with severe abdominal cramping, pain, tenesmus, and dehydration. the RN discovers that the client has had 14 to 20 loose stools with rectal bleeding. When taking the client's medical history, which information is most for the nurse to obtain? -Correct Answer Ulcerative colitis A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing the client's basic knowledge about the disease process. Which statement by the client conveys an understanding of the etiology of diverticula? -Correct Answer Chronic constipation causes weakening of colon wall which results in out pouching sacs

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EVOLVE MED SURG HESI



Med Surg Evolve HESI Exam Questions with
Correct Verified Solutions 2025
An adult client who is hospitalized after surgery reports sudden onset of chest pain
and dyspnea. the client appears anxious, restless, and mildly cyanotic. the nurse
should further assess the client for which condition? -Correct Answer ✔Pulmonary
embolism

which information should the nurse obtain when performing an initial assessment
of a client who presents to the emergency department with a painful ankle injury?
(select all that apply) -Correct Answer ✔Quality of the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint

Which description of pain is consistent with a diagnosis of rheumatoid arthritis? -
Correct Answer ✔Joint pain is worse in the morning and involves symmetric joints

Which physical assessment finding should the nurse anticipate in a client with
long-term gastroesophagealreflux disease (GERD)? -Correct Answer ✔Hoarseness

A client presents with chronic venous insufficiency. Which assessment finding
should the nurse anticipate? -Correct Answer ✔Bilateral lower leg stasis dermatitis

A client has been hospitalized with a femur fracture and is being treated with
traction. which action by the nurse is the priority when caring for this client? -
Correct Answer ✔Assess neurovascular status

Which statement made by a client with chronic pancreatitis indicates that further
education is needed? -Correct Answer ✔I will cut back on smoking cigarettes daily

The nurse is teaching a female client who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the

EVOLVE MED SURG HESI

,EVOLVE MED SURG HESI


nurse include? (Select all that apply) -Correct Answer ✔Do not leave the
diaphragm in place longer than 8 hours after intercourse

Replace the old diaphragm every 3 months

A male client who smokes two packs of cigarettes a day states he understands that
smoking cigarettes is contributing to the difficulty that he and his wife are having
in getting pregnant and wants to know if other factors could be contributing to their
difficulty. Which information is best for the nurse to provide? (Select all that
apply). -Correct Answer ✔Alcohol consumption can cause erectile dysfunction

Low testosterone levels affect sperm production

Cessation of smoking improves general health and fertility

Twenty four hours after a client returns from surgical gastric bypass, the registered
nurse (RN) observes large amounts of blood in the nasogastric tube (NGT)
cannister. Which assessment finding should the RN report as early signs of
hypovolemic shock? -Correct Answer ✔lethargy

the registered nurse (RN) is assessing a male client who arrives at the clinic with
severe abdominal cramping, pain, tenesmus, and dehydration. the RN discovers
that the client has had 14 to 20 loose stools with rectal bleeding. When taking the
client's medical history, which information is most for the nurse to obtain? -Correct
Answer ✔Ulcerative colitis

A client is newly diagnosed with diverticulosis. The registered nurse (RN) is
assessing the client's basic knowledge about the disease process. Which statement
by the client conveys an understanding of the etiology of diverticula? -Correct
Answer ✔Chronic constipation causes weakening of colon wall which results in
out pouching sacs




EVOLVE MED SURG HESI

, EVOLVE MED SURG HESI


The registered nurse (RN) is assessing a client who was discharged home after
management of chronic hypertension. Which equipment should the RN instruct the
client to use at home? -Correct Answer ✔Sphygmomanometer

A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in the
abdominopelvic region and is scheduled for radiation therapy (RT). The client
expresses concern about becoming infertile. How should the nurse respond? -
Correct Answer ✔Propose sperm banking before RT then artificial insemination is
an option

A client's susceptibility to ulcerative colitis is most likely due to which aspect in
the client's history? -Correct Answer ✔Jewish European ancestry

Small bowl obstruction is a condition characterized by which finding? -Correct
Answer ✔Severe fluid and electrolyte imbalances

Which client should the nurse recognize as most likely to experience sleep apnea? -
Correct Answer ✔Obese older male client with a short, thick neck

Which milestone indicates to the nurse successful achievement of young
adulthood? -Correct Answer ✔Completes education and becomes self-supporting

A client who has heart failure is admitted with a serum potassium level of 2.9
mEq/L (2.9 mmol/L). Which action is most important for the nurse to implement? -
Correct Answer ✔Initiate continuous cardiac monitoring

Which postmenopausal client's complaint should the nurse refer to the HCP? -
Correct Answer ✔episodes of vaginal bleeding

The nurse is teaching a female client about the best time to plan sexual intercourse
in order to conceive. Which information should the nurse provide? -Correct
Answer ✔Two weeks before menstruation



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