• HESI MED SURG 09/14/2026
EXAM
EVOLVE ELSEVIER HESI MED SURG 2 LATEST 2025/
2026 TEST BANK| COMPLETE 350 REAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
WELL-ELABORATED RATIONALES/ GRADED A+|
EVOLVE HESI MEDICAL SURGICAL LATEST EXAM
(BRAND NEW!!)
While caring for a client who has esophageal varices, which nursing intervention is most important for the
registered nurse (RN) to implement?
Monitor infusing IV fluids and any replacement blood products.
Prepare for esophagogastroduodenoscopy (EGD).
Maintain the client on strict bedrest.
Insert a nasogastric tube (NGT) for intermittent suction.
P 1
, • HESI MED SURG 09/14/2026
EXAM
- Correct Answer :Monitor infusing IV fluids and any replacement blood products.
Maintaining hemodynamic stability in a client with esophageal varicescan precipitatea 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.
The registered nurse (RN) is caring for an older client who has been bedridden for two weeks. Which assessment
findings indicate to the RN that the client is developing a complication related to immobility?
Decreased pedal pulses.
Edema in upper extremities.
Loss of appetite for food.
Stiffness in right ankle joint. –
Correct Answer :Stiffness in right ankle joint.
Stiffness in joints is an early sign of contractures and muscle atrophy related to inactivity and immobility.
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. Which condition should the RN ask the client about his medical history?
Irritable bowel syndrome.
Diverticulitis.
Crohn's disease.
Ulcerative colitis.
- Correct Answer :Ulcerative colitis.
The RN should ask the client if he has a history of ulcerative colitis, which is characterized by severe abdominal
cramping, pain, tenesmus, and dehydration .
The registered nurse (RN) is evaluating a client who presents with symptoms of viral gastroenteritis. Which
assessment finding should the RN report to the healthcare provider?
P 2
, • HESI MED SURG 09/14/2026
EXAM
Dry mucous membranes and lips.
Rebound abdominal tenderness over right lower quadrant.
Dizziness when client ambulates from a sitting position.
Poor skin turgor over client's wrist.
- Correct Answer :Rebound abdominal tenderness over right lower quadrant.
RLQ rebound abdominal tenderness may be related to acute appendicitis and should be reported to the
healthcare provider.
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 registered nurse (RN) anticipate to be elevated if the client
experienced myocardial damage?
Creatine Kinase (CK-MB).
Serum troponin.
Myoglobin.
Ischemia modified albumin
. - Correct Answer :Serum troponin.
Troponin is the most sensitive and specific test for myocardial damage. Troponin elevation is more specific than
CK-MB.
While reviewing the client's electronic medical record (EMR), the registered nurse (RN) assesses a client who is
at risk for a possible interaction with an over-the-counter (OTC) decongestant. Which client health history should
the RN report to the healthcare provider concerning the OTC medication? (Select all that apply).
Type I diabetes mellitus (DM).
Closed angle glaucoma.
Chronic hypertension.
Rheumatoid arthritis.
Crohn's disease. –
P 3
, • HESI MED SURG 09/14/2026
EXAM
Correct Answer :Closed angle glaucoma.
Chronic hypertension.
OTC decongestants can increase intraocular pressure and should be avoided in clients with closed angle
glaucoma. Decongestants also can increase the heart rate and elevate blood pressure which can impact the
client's management of chronic hypertension.
The registered nurse (RN) is caring for a client who has taken atenolol for 2 years. The healthcare provider
recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should
the RN provide the client regarding the new medication?
Take the medication at bedtime.
Report presence of increased bruising.
Check pulse before taking medication.
Rise slowly when getting out of bed or chair.
- Correct Answer :Rise slowly when getting out of bed or chair.
The client's new medication is an angiotensin-converting enzyme (ACE) inhibitor, which has the side effect
oforthostatic hypotension. Instructing the client to rise slowly from a sitting or lying down position is important
to teach the client to avoid dizziness and potentially falling.
A female client is recently diagnosed with Sarcoidosis. The client tells the registered nurse (RN) that she does
not understand why she has this. When teaching about the occurrence of sarcoidosis, the RN should include
that sarcoidosis most commonly occurs with which ethnic group of women?
African American women.
Caucasian women.
Asian women.
Hispanic women. - Correct Answer :African American women
Sarcoidosis, an autoimmune inflammatory disease affecting multiple organs and has shown familial tendency
due to multiple genes that together increase the susceptibility of developing the disease. In research studies it
occurs more commonly in African American women (10-80 out of 100,000); compare to Caucasian women of
the United States (8 out of 100,000).
P 4
EXAM
EVOLVE ELSEVIER HESI MED SURG 2 LATEST 2025/
2026 TEST BANK| COMPLETE 350 REAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
WELL-ELABORATED RATIONALES/ GRADED A+|
EVOLVE HESI MEDICAL SURGICAL LATEST EXAM
(BRAND NEW!!)
While caring for a client who has esophageal varices, which nursing intervention is most important for the
registered nurse (RN) to implement?
Monitor infusing IV fluids and any replacement blood products.
Prepare for esophagogastroduodenoscopy (EGD).
Maintain the client on strict bedrest.
Insert a nasogastric tube (NGT) for intermittent suction.
P 1
, • HESI MED SURG 09/14/2026
EXAM
- Correct Answer :Monitor infusing IV fluids and any replacement blood products.
Maintaining hemodynamic stability in a client with esophageal varicescan precipitatea 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.
The registered nurse (RN) is caring for an older client who has been bedridden for two weeks. Which assessment
findings indicate to the RN that the client is developing a complication related to immobility?
Decreased pedal pulses.
Edema in upper extremities.
Loss of appetite for food.
Stiffness in right ankle joint. –
Correct Answer :Stiffness in right ankle joint.
Stiffness in joints is an early sign of contractures and muscle atrophy related to inactivity and immobility.
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. Which condition should the RN ask the client about his medical history?
Irritable bowel syndrome.
Diverticulitis.
Crohn's disease.
Ulcerative colitis.
- Correct Answer :Ulcerative colitis.
The RN should ask the client if he has a history of ulcerative colitis, which is characterized by severe abdominal
cramping, pain, tenesmus, and dehydration .
The registered nurse (RN) is evaluating a client who presents with symptoms of viral gastroenteritis. Which
assessment finding should the RN report to the healthcare provider?
P 2
, • HESI MED SURG 09/14/2026
EXAM
Dry mucous membranes and lips.
Rebound abdominal tenderness over right lower quadrant.
Dizziness when client ambulates from a sitting position.
Poor skin turgor over client's wrist.
- Correct Answer :Rebound abdominal tenderness over right lower quadrant.
RLQ rebound abdominal tenderness may be related to acute appendicitis and should be reported to the
healthcare provider.
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 registered nurse (RN) anticipate to be elevated if the client
experienced myocardial damage?
Creatine Kinase (CK-MB).
Serum troponin.
Myoglobin.
Ischemia modified albumin
. - Correct Answer :Serum troponin.
Troponin is the most sensitive and specific test for myocardial damage. Troponin elevation is more specific than
CK-MB.
While reviewing the client's electronic medical record (EMR), the registered nurse (RN) assesses a client who is
at risk for a possible interaction with an over-the-counter (OTC) decongestant. Which client health history should
the RN report to the healthcare provider concerning the OTC medication? (Select all that apply).
Type I diabetes mellitus (DM).
Closed angle glaucoma.
Chronic hypertension.
Rheumatoid arthritis.
Crohn's disease. –
P 3
, • HESI MED SURG 09/14/2026
EXAM
Correct Answer :Closed angle glaucoma.
Chronic hypertension.
OTC decongestants can increase intraocular pressure and should be avoided in clients with closed angle
glaucoma. Decongestants also can increase the heart rate and elevate blood pressure which can impact the
client's management of chronic hypertension.
The registered nurse (RN) is caring for a client who has taken atenolol for 2 years. The healthcare provider
recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should
the RN provide the client regarding the new medication?
Take the medication at bedtime.
Report presence of increased bruising.
Check pulse before taking medication.
Rise slowly when getting out of bed or chair.
- Correct Answer :Rise slowly when getting out of bed or chair.
The client's new medication is an angiotensin-converting enzyme (ACE) inhibitor, which has the side effect
oforthostatic hypotension. Instructing the client to rise slowly from a sitting or lying down position is important
to teach the client to avoid dizziness and potentially falling.
A female client is recently diagnosed with Sarcoidosis. The client tells the registered nurse (RN) that she does
not understand why she has this. When teaching about the occurrence of sarcoidosis, the RN should include
that sarcoidosis most commonly occurs with which ethnic group of women?
African American women.
Caucasian women.
Asian women.
Hispanic women. - Correct Answer :African American women
Sarcoidosis, an autoimmune inflammatory disease affecting multiple organs and has shown familial tendency
due to multiple genes that together increase the susceptibility of developing the disease. In research studies it
occurs more commonly in African American women (10-80 out of 100,000); compare to Caucasian women of
the United States (8 out of 100,000).
P 4
