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Exam (elaborations)

HESI Med Surg Exit Exam 2024: Study Guide & Practice Questions (Evolve Elsevier)

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Prepare for your HESI Med-Surg Exit Exam with the newest Evolve Elsevier resources. This guide covers essential medical-surgical nursing topics, detailed rationales, and practice questions to help you predict your NCLEX-RN® success and identify areas for final review before graduation.

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Number of pages
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Written in
2025/2026
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age 1 of 39




EVOLVE ELSEVIER HESI MED – SURG EXAM NEWEST

2025/2026 TESTING ACTUAL EXAM WITH 150

QUESTIONS AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) ALREADY GRADED A+ (BRAND

NEW) GUARANTEED PASS WITH RATIONALES

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? ......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)

......ANSWER........Quality of the pain

Signs of inflammation

Ankle range of motion

,age 2 of 39




Visible deformities of the joint

Which description of pain is consistent with a diagnosis of

rheumatoid arthritis? ......ANSWER........Joint pain is worse in the

morning and involves symmetric joints

Which physical assessment finding should the nurse anticipate in

a client with long-term gastroesophagealreflux disease (GERD)?

......ANSWER........Hoarseness

A client presents with chronic venous insufficiency. Which

assessment finding should the nurse anticipate?

......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? ......ANSWER........Assess neurovascular

status

,age 3 of 39




Which statement made by a client with chronic pancreatitis

indicates that further education is needed? ......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) ......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 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). ......ANSWER........Alcohol consumption can

cause erectile dysfunction

, age 4 of 39




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? ......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?

......ANSWER........Ulcerative colitis

A client is newly diagnosed with diverticulosis. The registered

nurse (RN) is assessing the client's basic knowledge about the

disease process. Which statement by the client conveys an
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