Page 1 of 91
EVOLVE ELSEVIER HESI MED SURG/ MED SURG
NCLEX- RN HESI PRACTICE EXAM QUESTION BANK
NEWEST 2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {370 Q & A} ALREADY
GRADED A+/ EVOLVE HESI MEDICAL SURGICAL
EXAM/ FREQUENTLY TESTED EXAM | BRAND NEW! |
100% GUARANTEED PASS
The nurse is planning care for a client with diabetes mellitus who
has gangrene of the toes to the midfoot. Which goal should be
included in this client's plan of care?
A.Restore skin integrity.
B.Prevent infection.
C.Promote healing.
D.Improve nutrition.
B
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The prevention of infection is a priority goal for this client (B).
Gangrene is the result of necrosis (tissue death). If infection
develops, there is insufficient circulation to fight the infection and
the infection can result in osteomyelitis or sepsis. Because
tissue death has already occurred, (A and C) are unattainable
goals. (D) is important but of less priority than (B).
The nurse is assessing a male client with acute pancreatitis.
Which finding requires the MOST immediate intervention by the
nurse?
A.The client's amylase level is three times higher than the normal
level.
B.While the nurse is taking the client's blood pressure, he has a
carpal spasm.
C.On a 1 to 10 scale, the client tells the nurse that his epigastric
pain is at 7.
D.The client states that he will continue to drink alcohol after
going home.
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B
A positive Trousseau sign (B) indicates hypocalcemia and always
requires further assessment and intervention, regardless of the
cause (40% to 75% of those with acute pancreatitis experience
hypocalcemia, which can have serious, systemic effects). A key
diagnostic finding of pancreatitis is serum amylase and lipase
levels that are two to five times higher than the normal value (A).
Severe boring pain is an expected symptom for this diagnosis (C),
but dealing with the hypocalcemia is a priority over administering
an analgesic. Long-term planning and teaching (D) do not have
the same immediate importance as a positive Trousseau sign.
A client in the emergency department is bleeding profusely from
a gunshot wound to the abdomen. In what position should the
nurse immediately place the client to promote maintenance of
the client's blood pressure above a systolic pressure of 90 mm
Hg?
A.Place the client in a 45-degree Trendelenburg position to
promote cerebral blood flow.
B.Turn the client prone to place pressure on the abdominal
wound to help staunch the bleeding.
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C.Maintain the client in a supine position to reduce diaphragmatic
pressure and visualize the wound.
D.Put the client on the right side to apply pressure to the liver
and spleen to stop hemorrhaging.
C
Placing the client in a supine position (C) reduces diaphragmatic
pressure, thereby enhancing oxygenation, and allows for
visualization of the abdominal wound. (A) compromises
diaphragmatic expansion and inhibits pressoreceptor activity. (B)
places the client at risk of evisceration of the abdominal wound
and increased bleeding. (D) will not stop internal bleeding in the
liver and spleen caused by the gunshot wound.
The nurse is conducting an osteoporosis screening clinic at a
health fair. What information should the nurse provide to
individuals who are at risk for osteoporosis? (Select all that
apply.)
A.Encourage alcohol and smoking cessation.
B.Suggest supplementing diet with vitamin E.
EVOLVE ELSEVIER HESI MED SURG/ MED SURG
NCLEX- RN HESI PRACTICE EXAM QUESTION BANK
NEWEST 2026 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {370 Q & A} ALREADY
GRADED A+/ EVOLVE HESI MEDICAL SURGICAL
EXAM/ FREQUENTLY TESTED EXAM | BRAND NEW! |
100% GUARANTEED PASS
The nurse is planning care for a client with diabetes mellitus who
has gangrene of the toes to the midfoot. Which goal should be
included in this client's plan of care?
A.Restore skin integrity.
B.Prevent infection.
C.Promote healing.
D.Improve nutrition.
B
,Page 2 of 91
The prevention of infection is a priority goal for this client (B).
Gangrene is the result of necrosis (tissue death). If infection
develops, there is insufficient circulation to fight the infection and
the infection can result in osteomyelitis or sepsis. Because
tissue death has already occurred, (A and C) are unattainable
goals. (D) is important but of less priority than (B).
The nurse is assessing a male client with acute pancreatitis.
Which finding requires the MOST immediate intervention by the
nurse?
A.The client's amylase level is three times higher than the normal
level.
B.While the nurse is taking the client's blood pressure, he has a
carpal spasm.
C.On a 1 to 10 scale, the client tells the nurse that his epigastric
pain is at 7.
D.The client states that he will continue to drink alcohol after
going home.
,Page 3 of 91
B
A positive Trousseau sign (B) indicates hypocalcemia and always
requires further assessment and intervention, regardless of the
cause (40% to 75% of those with acute pancreatitis experience
hypocalcemia, which can have serious, systemic effects). A key
diagnostic finding of pancreatitis is serum amylase and lipase
levels that are two to five times higher than the normal value (A).
Severe boring pain is an expected symptom for this diagnosis (C),
but dealing with the hypocalcemia is a priority over administering
an analgesic. Long-term planning and teaching (D) do not have
the same immediate importance as a positive Trousseau sign.
A client in the emergency department is bleeding profusely from
a gunshot wound to the abdomen. In what position should the
nurse immediately place the client to promote maintenance of
the client's blood pressure above a systolic pressure of 90 mm
Hg?
A.Place the client in a 45-degree Trendelenburg position to
promote cerebral blood flow.
B.Turn the client prone to place pressure on the abdominal
wound to help staunch the bleeding.
, Page 4 of 91
C.Maintain the client in a supine position to reduce diaphragmatic
pressure and visualize the wound.
D.Put the client on the right side to apply pressure to the liver
and spleen to stop hemorrhaging.
C
Placing the client in a supine position (C) reduces diaphragmatic
pressure, thereby enhancing oxygenation, and allows for
visualization of the abdominal wound. (A) compromises
diaphragmatic expansion and inhibits pressoreceptor activity. (B)
places the client at risk of evisceration of the abdominal wound
and increased bleeding. (D) will not stop internal bleeding in the
liver and spleen caused by the gunshot wound.
The nurse is conducting an osteoporosis screening clinic at a
health fair. What information should the nurse provide to
individuals who are at risk for osteoporosis? (Select all that
apply.)
A.Encourage alcohol and smoking cessation.
B.Suggest supplementing diet with vitamin E.
