EVOLVE ELSEVIER HESI MED SURG
EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM
WITH 450 test bank EXAM verified QUESTIONS
AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ EVOLVE HESI
MEDICAL SURGICAL LATEST EXAM 2025 (latest)
ACE YOUR TEST GRADED A+ -PDF
A 48-year-old client with endometrial cancer is being discharged after a total hysterectomy and
bilateral salpingo-oophorectomy. Which client statement indicates that further teaching is needed?
Well, I don't have to worry about getting pregnant anymore.
I can't wait to go on the cruise that I have planned for this summer.
I know I will miss having sexual intercourse with my husband.
I have asked my daughter to stay with me next week after I am discharged. –
ANS :I know I will miss having sexual intercourse with my husband.
TEST BANK 1
, EVOLVE ELSEVIER HESI MED SURG
Further teaching is needed in response to the client's misunderstanding of sexuality after a
hysterectomy that is reflected in statement (C). The client's knowledge about reproduction (A), a
positive outlook with plans for the future (B), and her anticipated need for assistance and support
during recovery (D) indicate she understands the present status of her recovery.
An older adult client begins wearing binaural hearing aids due to presbycusis. Which instruction
should the nurse provide to assist the client in adapting to the new hearing aids?
Begin wearing the aids in quiet environments to experiment with adjustments.
Wear the hearing aids for an hour a day at first, gradually increasing the time.
Keep the volume on low until the conditions with noises are audible.
Use one hearing aid until comfortable, then add the second aid.
- ANS :Begin wearing the aids in quiet environments to experiment with adjustments.
Initially, the use of hearing aids should be restricted to quiet situations in the home (A). As
adjustments occur, the client should gradually be exposed to conditions with background noise and
the outdoors. Time restriction (B) is not necessary. (C and D) do not help the client adjust as well as
gradually introducing various sound conditions. Category: Medical-Surgical
What instrument should the nurse use to determine the presence of deep tendon reflexes?
Goniometer.
Wood's lamp.
Reflex hammer.
Transilluminator –
ANS :Reflex hammer.
Deep tendon reflexes are assessed using a reflex hammer (C). (A) is used to assess the degree of joint
flexion and extension. (B) determines the presence of fungi. (D) is a light source that helps detect the
presence of fluid in the sinus cavities. Category: Medical-Surgical
TEST BANK 2
, EVOLVE ELSEVIER HESI MED SURG
The nurse is teaching a client about precautions for a new prescription for lovastatin (Mevacor).
Which symptom should the nurse instruct the client to report to the healthcare provider
immediately?
Terrible nightmares.
Increased nocturia.
Severe muscle pain.
Visual disturbances. –
ANS :Severe muscle pain.
A potential, serious side effect of statin therapy that is used to lower both LDL-C and triglyceride
levels is rhabdomyolysis, which is manifested by severe muscle pain and aching (C). (A) is a side
effect, but not life threatening. (B) is not related to statin therapy. Blurred vision (D) is a transient
side effect that does not need immediate medical treatment.
A client with osteoarthritis receives a prescription for Naproxen (Naprosyn). Which potential side
effect should the nurse provide to the client about this medication?
Sensitivity to sunlight.
Muscle fasciculations.
Increased urinary frequency.
Gastrointestinal disturbance.
- ANS :Gastrointestinal disturbance
Prostaglandin synthesis inhibitors such as naproxen can have gastrointestinal side effects such as
nausea and gastric burning (D). It is recommended that this drug be taken with food to avoid
gastrointestinal upset. Naproxen (Naprosyn) does not cause sensitivity to sunlight (A), muscle
fasciculations (B), or urinary frequency (C).
TEST BANK 3
, EVOLVE ELSEVIER HESI MED SURG
The nurse is providing instructions about log rolling to a client who returns to the postoperative
unit after a lumbar laminectomy. Which explanation should the nurse give the client about this
technique?
Helps to minimize pain and anxiety.
Maintains correct spinal alignment to protect the surgical area.
Prevents dizziness while stabilizing the spine.
Allows the nurse to move the client freely without assistance.
- ANS :Maintains correct spinal alignment to protect the surgical area
Log-rolling technique maintains the spine in a straight superior-inferior plane that aligns the spine
without movement while protecting the surgical area (B), which is especially important when the
procedure involves bone grafts that may several weeks for the bone to fuse. (A) is best managed
with client teaching, preparation before procedures, relaxation techniques, and pain management,
not log-rolling. (C and D) are not accurate.
A nurse is preparing a teaching plan for a client who is post-menopausal. Which measure is most
important for the nurse to include to prevent osteoporosis?
Take a multivitamin daily.
Use only low fat milk products.
Perform weight resistance exercises.
Bicycle for at least 3 miles every day.
- ANS :Perform weight resistance exercises.
Weight bearing on the skeletal system stimulates bone formation, so recommending weight
resistance exercises (C) is most important in the prevention of osteoporosis in post-menopausal
women. Although (A, B, and D) provide common health maintenance behaviors, weight bearing
exercise provides the best preventive measure in preventing calcium mobilization out of the bone.
TEST BANK 4
EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM
WITH 450 test bank EXAM verified QUESTIONS
AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ EVOLVE HESI
MEDICAL SURGICAL LATEST EXAM 2025 (latest)
ACE YOUR TEST GRADED A+ -PDF
A 48-year-old client with endometrial cancer is being discharged after a total hysterectomy and
bilateral salpingo-oophorectomy. Which client statement indicates that further teaching is needed?
Well, I don't have to worry about getting pregnant anymore.
I can't wait to go on the cruise that I have planned for this summer.
I know I will miss having sexual intercourse with my husband.
I have asked my daughter to stay with me next week after I am discharged. –
ANS :I know I will miss having sexual intercourse with my husband.
TEST BANK 1
, EVOLVE ELSEVIER HESI MED SURG
Further teaching is needed in response to the client's misunderstanding of sexuality after a
hysterectomy that is reflected in statement (C). The client's knowledge about reproduction (A), a
positive outlook with plans for the future (B), and her anticipated need for assistance and support
during recovery (D) indicate she understands the present status of her recovery.
An older adult client begins wearing binaural hearing aids due to presbycusis. Which instruction
should the nurse provide to assist the client in adapting to the new hearing aids?
Begin wearing the aids in quiet environments to experiment with adjustments.
Wear the hearing aids for an hour a day at first, gradually increasing the time.
Keep the volume on low until the conditions with noises are audible.
Use one hearing aid until comfortable, then add the second aid.
- ANS :Begin wearing the aids in quiet environments to experiment with adjustments.
Initially, the use of hearing aids should be restricted to quiet situations in the home (A). As
adjustments occur, the client should gradually be exposed to conditions with background noise and
the outdoors. Time restriction (B) is not necessary. (C and D) do not help the client adjust as well as
gradually introducing various sound conditions. Category: Medical-Surgical
What instrument should the nurse use to determine the presence of deep tendon reflexes?
Goniometer.
Wood's lamp.
Reflex hammer.
Transilluminator –
ANS :Reflex hammer.
Deep tendon reflexes are assessed using a reflex hammer (C). (A) is used to assess the degree of joint
flexion and extension. (B) determines the presence of fungi. (D) is a light source that helps detect the
presence of fluid in the sinus cavities. Category: Medical-Surgical
TEST BANK 2
, EVOLVE ELSEVIER HESI MED SURG
The nurse is teaching a client about precautions for a new prescription for lovastatin (Mevacor).
Which symptom should the nurse instruct the client to report to the healthcare provider
immediately?
Terrible nightmares.
Increased nocturia.
Severe muscle pain.
Visual disturbances. –
ANS :Severe muscle pain.
A potential, serious side effect of statin therapy that is used to lower both LDL-C and triglyceride
levels is rhabdomyolysis, which is manifested by severe muscle pain and aching (C). (A) is a side
effect, but not life threatening. (B) is not related to statin therapy. Blurred vision (D) is a transient
side effect that does not need immediate medical treatment.
A client with osteoarthritis receives a prescription for Naproxen (Naprosyn). Which potential side
effect should the nurse provide to the client about this medication?
Sensitivity to sunlight.
Muscle fasciculations.
Increased urinary frequency.
Gastrointestinal disturbance.
- ANS :Gastrointestinal disturbance
Prostaglandin synthesis inhibitors such as naproxen can have gastrointestinal side effects such as
nausea and gastric burning (D). It is recommended that this drug be taken with food to avoid
gastrointestinal upset. Naproxen (Naprosyn) does not cause sensitivity to sunlight (A), muscle
fasciculations (B), or urinary frequency (C).
TEST BANK 3
, EVOLVE ELSEVIER HESI MED SURG
The nurse is providing instructions about log rolling to a client who returns to the postoperative
unit after a lumbar laminectomy. Which explanation should the nurse give the client about this
technique?
Helps to minimize pain and anxiety.
Maintains correct spinal alignment to protect the surgical area.
Prevents dizziness while stabilizing the spine.
Allows the nurse to move the client freely without assistance.
- ANS :Maintains correct spinal alignment to protect the surgical area
Log-rolling technique maintains the spine in a straight superior-inferior plane that aligns the spine
without movement while protecting the surgical area (B), which is especially important when the
procedure involves bone grafts that may several weeks for the bone to fuse. (A) is best managed
with client teaching, preparation before procedures, relaxation techniques, and pain management,
not log-rolling. (C and D) are not accurate.
A nurse is preparing a teaching plan for a client who is post-menopausal. Which measure is most
important for the nurse to include to prevent osteoporosis?
Take a multivitamin daily.
Use only low fat milk products.
Perform weight resistance exercises.
Bicycle for at least 3 miles every day.
- ANS :Perform weight resistance exercises.
Weight bearing on the skeletal system stimulates bone formation, so recommending weight
resistance exercises (C) is most important in the prevention of osteoporosis in post-menopausal
women. Although (A, B, and D) provide common health maintenance behaviors, weight bearing
exercise provides the best preventive measure in preventing calcium mobilization out of the bone.
TEST BANK 4
