EVOLVE HESI MEDICAL SURGICAL NURSING EXAM
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
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 ANSWER
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.
Question 2
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.
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,d. Insert a nasogastric tube (NGT) for intermittent suction.
CORRECT ANSWER
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.
Question 3
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 ANSWER
b. Serum troponin
Troponin is the most sensitive and specific test for myocardial damage. Troponin
elevation is more specific than CK-MB.
Question 4
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?
2
,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 ANSWER
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.
Question 5
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 ANSWER
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.
Question 6
3
, 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 ANSWER
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.
Question 7
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 ANSWER
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
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|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
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 ANSWER
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.
Question 2
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.
1
,d. Insert a nasogastric tube (NGT) for intermittent suction.
CORRECT ANSWER
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.
Question 3
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 ANSWER
b. Serum troponin
Troponin is the most sensitive and specific test for myocardial damage. Troponin
elevation is more specific than CK-MB.
Question 4
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?
2
,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 ANSWER
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.
Question 5
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 ANSWER
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.
Question 6
3
, 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 ANSWER
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.
Question 7
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 ANSWER
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
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