EVOLVE ELSEVIER HESI MED SURG
EXAM 2026 Questions and Answers
An adult client who is hospitalized after surgery reports sudden onset of chest pain
and dyspnea. the client appears anxious, restless, and mildly cyanotic. the nurse
should further assess the client for which condition? - Correct answer-Pulmonary
embolism
which information should the nurse obtain when performing an initial assessment
of a client who presents to the emergency department with a painful ankle injury?
(select all that apply) - Correct answer-Quality of the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid arthritis? -
Correct answer-Joint pain is worse in the morning and involves symmetric joints
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,Which physical assessment finding should the nurse anticipate in a client with
long-term gastroesophagealreflux disease (GERD)? - Correct answer-Hoarseness
A client presents with chronic venous insufficiency. Which assessment finding
should the nurse anticipate? - Correct answer-Bilateral lower leg stasis dermatitis
A client has been hospitalized with a femur fracture and is being treated with
traction. which action by the nurse is the priority when caring for this client? -
Correct answer-Assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates that further
education is needed? - Correct answer-I will cut back on smoking cigarettes daily
The nurse is teaching a female client who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the
nurse include? (Select all that apply) - Correct answer-Do not leave the diaphragm
in place longer than 8 hours after intercourse
Replace the old diaphragm every 3 months
A male client who smokes two packs of cigarettes a day states he understands that
smoking cigarettes is contributing to the difficulty that he and his wife are having
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, in getting pregnant and wants to know if other factors could be contributing to their
difficulty. Which information is best for the nurse to provide? (Select all that
apply). - Correct answer-Alcohol consumption can cause erectile dysfunction
Low testosterone levels affect sperm production
Cessation of smoking improves general health and fertility
Twenty four hours after a client returns from surgical gastric bypass, the registered
nurse (RN) observes large amounts of blood in the nasogastric tube (NGT)
cannister. Which assessment finding should the RN report as early signs of
hypovolemic shock? - Correct answer-lethargy
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. When taking the
client's medical history, which information is most for the nurse to obtain? -
Correct answer-Ulcerative colitis
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
EXAM 2026 Questions and Answers
An adult client who is hospitalized after surgery reports sudden onset of chest pain
and dyspnea. the client appears anxious, restless, and mildly cyanotic. the nurse
should further assess the client for which condition? - Correct answer-Pulmonary
embolism
which information should the nurse obtain when performing an initial assessment
of a client who presents to the emergency department with a painful ankle injury?
(select all that apply) - Correct answer-Quality of the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid arthritis? -
Correct answer-Joint pain is worse in the morning and involves symmetric joints
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Which physical assessment finding should the nurse anticipate in a client with
long-term gastroesophagealreflux disease (GERD)? - Correct answer-Hoarseness
A client presents with chronic venous insufficiency. Which assessment finding
should the nurse anticipate? - Correct answer-Bilateral lower leg stasis dermatitis
A client has been hospitalized with a femur fracture and is being treated with
traction. which action by the nurse is the priority when caring for this client? -
Correct answer-Assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates that further
education is needed? - Correct answer-I will cut back on smoking cigarettes daily
The nurse is teaching a female client who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the
nurse include? (Select all that apply) - Correct answer-Do not leave the diaphragm
in place longer than 8 hours after intercourse
Replace the old diaphragm every 3 months
A male client who smokes two packs of cigarettes a day states he understands that
smoking cigarettes is contributing to the difficulty that he and his wife are having
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, in getting pregnant and wants to know if other factors could be contributing to their
difficulty. Which information is best for the nurse to provide? (Select all that
apply). - Correct answer-Alcohol consumption can cause erectile dysfunction
Low testosterone levels affect sperm production
Cessation of smoking improves general health and fertility
Twenty four hours after a client returns from surgical gastric bypass, the registered
nurse (RN) observes large amounts of blood in the nasogastric tube (NGT)
cannister. Which assessment finding should the RN report as early signs of
hypovolemic shock? - Correct answer-lethargy
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. When taking the
client's medical history, which information is most for the nurse to obtain? -
Correct answer-Ulcerative colitis
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
