HESI MED-SURG EVOLVE ACTUAL EXAM| 100 REAL EXAM QUESTIONS WITH CORRECT ANSWERS AND WELL-ELABORATED RATIONALES | LATEST 2025/2026 UPDATE.

HESI MED-SURG EVOLVE ACTUAL EXAM| 100i,- i,- i,- i,- i,- i,-




REAL EXAM QUESTIONS WITH CORRECT i,- i,- i,- i,- i,-




ANSWERS AND WELL-ELABORATED i,- i,- i,-




RATIONALES | LATEST 2025/2026 UPDATE. i,- i,- i,- i,-




The nurse witnesses a baseball player receive a blunt trauma to
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the back of the head with a softball. What assessment data
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should the nurse collect immediately?
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A. Reactivity of deep tendon reflexes, comparing upper with lower
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extremities
B. Vital sign readings, excluding blood pressure if needed
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equipment is unavailable i,- i,-




C. Memory of events that occurred before and after the blow to
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the head i,-




D. Ability to open the eyes spontaneously before any tactile
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stimuli are given D i,- i,- i,-i,- i,-




Rationale: The level of consciousness (LOC) should be established
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immediately when a head injury has occurred. Spontaneous eye i,- i,- i,- i,- i,- i,- i,- i,- i,-



opening is a simple measure of alertness that indicates that
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arousal mechanisms are intact. Option A is not the best indicator
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of LOC. Although option B is important, vital signs are not the
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best indicators of LOC and can be evaluated after the client's LOC
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has been determined. Option C can be assessed after LOC has
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been established by assessing eye opening.
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,A client diagnosed with angina pectoris complains of chest pain
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while ambulating in the hallway. Which action should the nurse
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implement first? i,-




A. Support the client to a sitting position.
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B. Ask the client to walk slowly back to the room.
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C. Administer a sublingual nitroglycerin tablet.
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D. Provide oxygen via nasal cannula.
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Rationale: The nurse should safely assist the client to a resting
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position and then perform options C and D. The client must cease
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all activity immediately, which will decrease the oxygen
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requirement of the myocardial muscle. After these interventions i,- i,- i,- i,- i,- i,- i,- i,-



are implemented, the client can be escorted back to the room via
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wheelchair or stretcher. i,- i,-




In assessing a client with an arteriovenous (AV) shunt who is
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scheduled for dialysis today, the nurse notes the absence of a
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thrill or bruit at the shunt site. What action should the nurse take?
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A. Advise the client that the shunt is intact and ready for dialysis
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as scheduled.
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B. Encourage the client to keep the shunt site elevated above the
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level of the heart.i,- i,- i,-




C. Notify the health care provider of the findings immediately.
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,D. Flush the site at least once with a heparinized saline solution.
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C i,-




Rationale: Absence of a thrill or bruit indicates that the shunt may
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be obstructed. The nurse should notify the health care provider
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so that intervention can be initiated to restore function of the
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shunt. Option A is incorrect. Option B will not resolve the
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obstruction. An AV shunt is internal and cannot be flushed i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



without access using special needles. i,- i,- i,- i,-




The nurse initiates neurologic checks for a client who is at risk for
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neurologic compromise. Which manifestation typically provides
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the first indication of altered neurologic function?
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A. Change in level of consciousness
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B. Increasing muscular weakness
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C. Changes in pupil size bilaterally
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D. Progressive nuchal rigidity
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Rationale: A decrease or change in the level of consciousness is
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usually the first indication of neurologic deterioration. Options B
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and C may also occur but are much less likely to be the first sign
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of neurologic compromise. Option D is often a sign of meningitis.
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What is the most important nursing priority for a client who has
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been admitted for a possible kidney stone?
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A. Reducing dairy products in the diet
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, B. Straining all urine
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C. Measuring intake and output
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D. Increasing fluid intake
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Rationale: Straining all urine is the most important nursing action
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to take in this case. Encouraging fluid intake is important for any
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client who may have a kidney stone, but it is even more
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important to strain all urine. Straining urine will enable the nurse
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to determine when the kidney stone has been passed and may
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prevent the need for surgery. Option C is not the highest priority
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action. Option A is usually not recommended until the stone is
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obtained and the content of the stone is determined. Even then,
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dietary restrictions are controversial.
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When educating a client after a total laryngectomy, which
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instruction would be most important for the nurse to include in
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the discharge teaching?
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A. Recommend that the client carry suction equipment at all times.
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B. Instruct the client to have writing materials with him at all times.
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C. Tell the client to carry a medical alert card that explains his
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condition.
D. Caution the client not to travel outside the United States alone.
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i,- C i,-




Rationale: Neck breathers carry a medical alert card that notifies
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health care personnel of the need to use mouth to stoma
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