HESI MED SURGICAL PRACTICE
(EVOLVE) EXAM WITH 100%
CORRECT ANSWERS 2025/2026
Which assessment is most important for the nurse to perform on a client who is
hospitalized for Guillain-Barre syndrome that is rapidly progressing?
a. Respiratory effort.
b. Unsteady gait.
c. Intensity of pain.
d. Ability to eat. correct answers >> a. Respiratory effort.
Guillain-Barre syndrome causes paralysis or weakness that typically starts at the
feet and progresses upwards. As the condition progresses, the nurse must ensure
that the client is able to breathe effectively.
While caring for a client who has esophageal varices, which nursing intervention is
most important for the nurse to implement?
a. Monitor infusing IV fluids and any replacement blood products.
b. Prepare for esophagogastroduodenoscopy (EGD).
c. Maintain the client on strict bedrest.
d. Insert a nasogastric tube (NGT) for intermittent suction. correct answers >>
a. Monitor infusing IV fluids and any replacement blood products.
,Maintaining hemodynamic stability in a client with esophageal varices can
precipitate a life-threatening crisis if esophageal varies leak or rupture and can
result in hemorrhage. The priority is assessing and monitoring infusions of IV fluids
and any replacement blood products.
A client with chest pain, dizziness, and vomiting for the last 2 hours is admitted for
evaluation for Acute Coronary Syndrome (ACS). Which cardiac biomarker should
the nurse anticipate to be elevated if the client experienced myocardial damage?
a. Creatine Kinase (CK-MB).
b. Serum troponin.
c. Myoglobin.
d. Ischemia-modified albumin. correct answers >> b. Serum troponin
Troponin is the most sensitive and specific test for myocardial damage. Troponin
elevation is more specific than CK-MB.
A nurse is preparing a teaching plan for a client who is postmenopausal. Which
measure is most important for the nurse to include to prevent osteoporosis?
a. Take a multivitamin daily.
b. Use only low fat milk products.
c. Perform weight resistance exercises.
d. Bicycle for at least 3 miles every day. correct answers >> c. Perform weight
resistance exercises.
,Weight-bearing on the skeletal system stimulates bone formation, so
recommending weight-resistance exercise is the most important in the prevention
of osteoporosis in postmenopausal women.
The unlicensed assistive personnel (UAP) reports that an 87-year-old female client
who is sitting in a chair at the bedside has an oral temperature of 97.2 °F (36.2 °C).
Which intervention should the nurse implement?
a. Document the temperature reading on the vital sign graphic sheet.
b. Report the temperature to the healthcare provider immediately.
c. Instruct the UAP to take the client's temperature again in 30 minutes.
d. Advise the UAP to assist the client in returning to her bed. correct answers >>
a. Document the temperature reading on the vital sign graphic sheet.
A subnormal temperature of 97.2 °F (36.2 °C) (orally) is a common finding in older
clients, so the nurse should document the findings and continue with the plan of
care.
Based on an analysis of the client's rhythm, atrial fibrillation, the nurse should
prepare the client for which treatment protocol?
a. Diuretic therapy.
b. Pacemaker implantation.
c. Anticoagulation therapy.
d. Cardiac catheterization. correct answers >> c. Anticoagulation therapy.
, The client is experiencing atrial fibrillation, and the nurse should prepare the client
for anticoagulation therapy which should be prescribed before rhythm control
therapies to prevent cardioembolic events which result from blood pooling in the
fibrillating atria.
Which dietary assessment finding is most important for the nurse to address when
caring for a client with diabetic nephropathy?
a. Drinks a six-pack of beer every day.
b. Enjoys a hamburger once a month.
c. Eats fortified breakfast cereal daily.
d. Consumes beans and rice every day. correct answers >> a. Drinks a six-pack
of beer every day.
Drinking six beers every day is the dietary assessment finding most important for
the nurse to address when caring for a client with diabetic nephropathy. The usual
can of beer is 12 ounces (360 mL). Clients with diabetes are recommended to drink
no more than 12 ounces of beer per day because beer contains carbohydrates that
can create unhealthy fluctuations in blood glucose and promote poor glucose
control. Nephropathy is exacerbated by poor blood glucose control.
When planning care for a client with right renal calculi, which nursing problem has
the highest priority?
a. Acute pain related to movement of the stone.
b. Impaired urinary elimination related to the obstructed flow of urine.
c. Risk for infection related to urinary stasis.
(EVOLVE) EXAM WITH 100%
CORRECT ANSWERS 2025/2026
Which assessment is most important for the nurse to perform on a client who is
hospitalized for Guillain-Barre syndrome that is rapidly progressing?
a. Respiratory effort.
b. Unsteady gait.
c. Intensity of pain.
d. Ability to eat. correct answers >> a. Respiratory effort.
Guillain-Barre syndrome causes paralysis or weakness that typically starts at the
feet and progresses upwards. As the condition progresses, the nurse must ensure
that the client is able to breathe effectively.
While caring for a client who has esophageal varices, which nursing intervention is
most important for the nurse to implement?
a. Monitor infusing IV fluids and any replacement blood products.
b. Prepare for esophagogastroduodenoscopy (EGD).
c. Maintain the client on strict bedrest.
d. Insert a nasogastric tube (NGT) for intermittent suction. correct answers >>
a. Monitor infusing IV fluids and any replacement blood products.
,Maintaining hemodynamic stability in a client with esophageal varices can
precipitate a life-threatening crisis if esophageal varies leak or rupture and can
result in hemorrhage. The priority is assessing and monitoring infusions of IV fluids
and any replacement blood products.
A client with chest pain, dizziness, and vomiting for the last 2 hours is admitted for
evaluation for Acute Coronary Syndrome (ACS). Which cardiac biomarker should
the nurse anticipate to be elevated if the client experienced myocardial damage?
a. Creatine Kinase (CK-MB).
b. Serum troponin.
c. Myoglobin.
d. Ischemia-modified albumin. correct answers >> b. Serum troponin
Troponin is the most sensitive and specific test for myocardial damage. Troponin
elevation is more specific than CK-MB.
A nurse is preparing a teaching plan for a client who is postmenopausal. Which
measure is most important for the nurse to include to prevent osteoporosis?
a. Take a multivitamin daily.
b. Use only low fat milk products.
c. Perform weight resistance exercises.
d. Bicycle for at least 3 miles every day. correct answers >> c. Perform weight
resistance exercises.
,Weight-bearing on the skeletal system stimulates bone formation, so
recommending weight-resistance exercise is the most important in the prevention
of osteoporosis in postmenopausal women.
The unlicensed assistive personnel (UAP) reports that an 87-year-old female client
who is sitting in a chair at the bedside has an oral temperature of 97.2 °F (36.2 °C).
Which intervention should the nurse implement?
a. Document the temperature reading on the vital sign graphic sheet.
b. Report the temperature to the healthcare provider immediately.
c. Instruct the UAP to take the client's temperature again in 30 minutes.
d. Advise the UAP to assist the client in returning to her bed. correct answers >>
a. Document the temperature reading on the vital sign graphic sheet.
A subnormal temperature of 97.2 °F (36.2 °C) (orally) is a common finding in older
clients, so the nurse should document the findings and continue with the plan of
care.
Based on an analysis of the client's rhythm, atrial fibrillation, the nurse should
prepare the client for which treatment protocol?
a. Diuretic therapy.
b. Pacemaker implantation.
c. Anticoagulation therapy.
d. Cardiac catheterization. correct answers >> c. Anticoagulation therapy.
, The client is experiencing atrial fibrillation, and the nurse should prepare the client
for anticoagulation therapy which should be prescribed before rhythm control
therapies to prevent cardioembolic events which result from blood pooling in the
fibrillating atria.
Which dietary assessment finding is most important for the nurse to address when
caring for a client with diabetic nephropathy?
a. Drinks a six-pack of beer every day.
b. Enjoys a hamburger once a month.
c. Eats fortified breakfast cereal daily.
d. Consumes beans and rice every day. correct answers >> a. Drinks a six-pack
of beer every day.
Drinking six beers every day is the dietary assessment finding most important for
the nurse to address when caring for a client with diabetic nephropathy. The usual
can of beer is 12 ounces (360 mL). Clients with diabetes are recommended to drink
no more than 12 ounces of beer per day because beer contains carbohydrates that
can create unhealthy fluctuations in blood glucose and promote poor glucose
control. Nephropathy is exacerbated by poor blood glucose control.
When planning care for a client with right renal calculi, which nursing problem has
the highest priority?
a. Acute pain related to movement of the stone.
b. Impaired urinary elimination related to the obstructed flow of urine.
c. Risk for infection related to urinary stasis.
