2026/2027 QUESTIONS WITH ANSWERS EVOLVE
ELSEVIER HESI MED SURG EXIT EXAM VERSION 1 / MED
SURG HESI EVOLVE ELSEVIER NEWEST
COMPLETE QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BR
An adult client who is hospitalized after surge
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̣ ry reports sudden onset of chest pain and dys
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pnea. the client appears anxious, restless, and mildly cyanotic. the nurse should further ass
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ess the client for which condition? - ans-Pulmonary embolism
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which information should the nurse obtain when performing ̣ an initial assessment of a client
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who presents to the emerge
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̣ ncy department with a painful ankle injury? zx zx zx zx zx zx zx zx zx
(select all that apply) - ans-Quality of the pain
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Signs
̣ of inflammation zx zx
Ankle range ̣ of motion zx zx zx
Visible deformities of the joint zx zx zx zx
Which description of pain is consistent with a diagnosis
zx
̣ of rheumatoid arthritis? - ans- zx zx zx zx zx zx zx zx zx zx zx zx
Joint pain is worse in the morning ̣ and involves symmetric joints
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Which physical assessment finding ̣ should the nurse anticipate in a client with long-̣
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term ga
̣ stroesophage
̣ alreflux disease (GERD)? - ans-Hoarseness
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A client presents with chronic venous insufficiency. Which assessment finding ̣ should the n
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urse anticipate? - ans-Bilateral lower leg ̣ stasis dermatitis
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A client has been hospitalized with a femur fracture and is being ̣ treated with traction. which
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action by the nurse is the priority when caring ̣ for this client? - ans-
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Assess neurovascular status zx zx
Which statement made by a client with chronic pancreatitis indicates that further education i
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s needed? - ans-I will cut back on smoking ̣ ciga
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̣ rettes daily zx zx zx zx zx zx zx zx zx
The nurse is teaching ̣ a female client who uses a contraceptive diaphragm
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̣ about reducing ̣ t
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he risk for toxic shock syndrome (TSS). Which information should the nurse include?
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(Select all that apply) - ans-
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Do not leave the diaphragm
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̣ in place longe
̣ r than 8 hours after intercourse
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Replace the old diaphragm
̣ every 3 months zx zx zx zx zx zx
, A male client who smokes two packs of ciga
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̣ rettes a day states he understands that smokin
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g ̣ cigarettes
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̣ is contributing ̣ to the difficulty that he and his wife are having ̣ in getting
zx
̣ ̣ pregnant
̣zx zx zx zx zx zx zx zx zx zx zx zx zx zx z
and wants to know if other factors could be contributing ̣ to their difficulty. Which information
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is best for the nurse to provide? (Select all that apply). - ans-
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Alcohol consumption can cause erectile dysfunctionzx zx zx zx zx zx
Low testosterone levels affect sperm production
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Cessation of smoking ̣ improves ge
̣ neral health and fertility zx zx zx zx zx zx zx
Twenty four hours after a client returns from surgị cal ga
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̣ stric bypass, the regị stered nurse (
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RN) observes large ̣ amounts
zx of blood in the nasog astric
̣ tube (NGT) cannister. Which asse zx zx zx zx zx zx zx zx zx zx zx zx
ssment finding ̣ should the RN report as early sign
̣ s of hypovolemic shock? - ans-lethargỵ
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the regị stered nurse (RN) is assessing ̣ a male client who arrives at the clinic with severe ab
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dominal cramping,̣ pain, tenesmus, and dehydration. the RN discovers that the client has h
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ad 14 to 20 loose stools with rectal bleeding.̣ When taking ̣ the client's medical history, which
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information is most for the nurse to obtain? - ans-Ulcerative colitis
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A client is newly diagnosed
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̣ with diverticulosis. The registered
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̣ nurse (RN) is assessing ̣ the c
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lient's basic knowledge ̣ about the
zx disease process. Which statement by the client conveys
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an understanding ̣ of the etiologỵ of diverticula? - ans-
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Chronic constipation causes weakening ̣ of colon wall which results in out pouching ̣ sacs
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The registered
̣ nurse (RN) is assessing ̣ a client who was discharged
zx
̣ home after managem ̣ zx zx zx zx zx zx zx zx zx zx zx zx
ent of chronic hypertension. Which equipment should the RN instruct the client to use at h
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o me? - ans-Sphygm ̣ omanometer zx zx
A young ̣ adult mail is diagnosed
zx
̣ with stage
̣ 4 Hodgkin's
̣ zx lymphoma in the abdominopelvic re zx zx zx zx zx zx zx zx zx zx zx zx
gion
̣ and is scheduledzxfor radiation therapy (RT). The client
zx expresses concern about beco
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ming ̣ infertile. How should the nurse respond? - ans-
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Propose sperm banking ̣ before RT then artificial insemination is an option
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A client's susceptibility to ulcerative colitis is most likely due to which aspect in the client's hi
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story? - ans-Jewish European ancestry zx zx zx zx
Small bowl obstruction is a condition characterized by which finding?
zx
̣ - ans- zx zx zx zx zx zx zx zx zx zx
Severe fluid and electrolyte imbalances zx zx zx zx
Which client should the nurse recogṇ ize as most likely to experience sleep apnea? - ans-
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Obese older male client with a short, thick neck
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Which milestone indicates to the nurse successful achievement of young ̣ adulthood? - ans-
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Completes education and becomes self-supporting ̣ zx zx zx zx