age 1 of 54
EVOLVE MED SURG HESI ACTUAL EXAM QUESTIONS
AND VERIFIED CORRECT ANSWERS ALREADY GRADED
A+ WITH RATIONALES |GUARANTEED SUCCESS
|EVOLVE: HESI MED SURG PRACTICE EXAM 475
LATEST UPDATE 2025/2026 | [BRAND NEW!!]
Which method elicits the most accurate information during a
physical assessment of an older client? ......ANSWER........Use
reliable assessment tools for older adults
A client who has just tested positive for HIV does not appear to
hear what the nurse is saying during post-test counseling. Which
information should the nurse offer to facilitate the client's
adjustment to HIV infection? ......ANSWER........Discuss retesting to
verify the results, which will ensure continuing contact and give
the patient support and hope, as well as time to cope
,age 2 of 54
The nurse is caring for a client with HIV who develops
Mycobacterium avium complex. What is the most significant
desired outcome for this patient? ......ANSWER........Return to pre-
illness weight
MAC is an opportunistic infection that presents like TB
MAC is a major contributing factor to development of wasting
syndrome so adequate nutrition and return to pre-illness weight
is priority
A client who had abdominal surgery two days ago has
prescriptions for IV morphine sulfate 4 mg every 2 hours and
clear liquid diet. Client complains of feeling distended and has
sharp, cramping gas pains. What nursing intervention should be
implemented? ......ANSWER........Assist the client to ambulate in
the hall
A client with Meniere's disease is incapacitated by vertigo and is
lying in bed grasping the side rails and staring at the television.
,age 3 of 54
Which nursing intervention should the nurse implement?
......ANSWER........Turn off the television and darken the room.
Any visual stimuli or rotational movement should be minimized
A client who has chronic cough with blood-tinged sputum returns
to the unit after a bronchoscopy. What nursing interventions
should be implemented in the immediate post-procedural
period? ......ANSWER........NPO until gag reflex returns
Prior to bronchoscopy the nasal pharynx and pharynx are
anesthetized and bronchoscope is coated with lidocaine to
inhibit gag reflex during insertion.
The nurse is assessing a client with a cuffed tracheostomy tube in
place who is breathing spontaneously. To evaluate if the client
can tolerate cuff deflation to promote speaking and swallowing,
what action should the nurse implement?
......ANSWER........Observe the client for coughing colored sputum
after drinking a small amount of colored water
, age 4 of 54
What assessment finding should the nurse identify that indicates
a client with an acute asthma exacerbation is beginning to
improve after treatment? ......ANSWER........Wheezing becomes
louder as airways (that were initially so restricted wheezing was
absent) successfully respond to bronchodilators
A client with sickle cell anemia is admitted with severe
abdominal pain and the diagnosis is sickle cell crisis. What is the
most important nursing action to implement?
......ANSWER........Evaluate the effectiveness of narcotic
analgesics because pain management is priority for patient
during sickle cell crisis
The nurse is caring for a client with non-Hodgkin's lymphoma who
is receiving chemotherapy. Lab results reveal platelet count of
10,000/mL. What action should the nurse implement?
......ANSWER........Check stools for occult blood because platelets
EVOLVE MED SURG HESI ACTUAL EXAM QUESTIONS
AND VERIFIED CORRECT ANSWERS ALREADY GRADED
A+ WITH RATIONALES |GUARANTEED SUCCESS
|EVOLVE: HESI MED SURG PRACTICE EXAM 475
LATEST UPDATE 2025/2026 | [BRAND NEW!!]
Which method elicits the most accurate information during a
physical assessment of an older client? ......ANSWER........Use
reliable assessment tools for older adults
A client who has just tested positive for HIV does not appear to
hear what the nurse is saying during post-test counseling. Which
information should the nurse offer to facilitate the client's
adjustment to HIV infection? ......ANSWER........Discuss retesting to
verify the results, which will ensure continuing contact and give
the patient support and hope, as well as time to cope
,age 2 of 54
The nurse is caring for a client with HIV who develops
Mycobacterium avium complex. What is the most significant
desired outcome for this patient? ......ANSWER........Return to pre-
illness weight
MAC is an opportunistic infection that presents like TB
MAC is a major contributing factor to development of wasting
syndrome so adequate nutrition and return to pre-illness weight
is priority
A client who had abdominal surgery two days ago has
prescriptions for IV morphine sulfate 4 mg every 2 hours and
clear liquid diet. Client complains of feeling distended and has
sharp, cramping gas pains. What nursing intervention should be
implemented? ......ANSWER........Assist the client to ambulate in
the hall
A client with Meniere's disease is incapacitated by vertigo and is
lying in bed grasping the side rails and staring at the television.
,age 3 of 54
Which nursing intervention should the nurse implement?
......ANSWER........Turn off the television and darken the room.
Any visual stimuli or rotational movement should be minimized
A client who has chronic cough with blood-tinged sputum returns
to the unit after a bronchoscopy. What nursing interventions
should be implemented in the immediate post-procedural
period? ......ANSWER........NPO until gag reflex returns
Prior to bronchoscopy the nasal pharynx and pharynx are
anesthetized and bronchoscope is coated with lidocaine to
inhibit gag reflex during insertion.
The nurse is assessing a client with a cuffed tracheostomy tube in
place who is breathing spontaneously. To evaluate if the client
can tolerate cuff deflation to promote speaking and swallowing,
what action should the nurse implement?
......ANSWER........Observe the client for coughing colored sputum
after drinking a small amount of colored water
, age 4 of 54
What assessment finding should the nurse identify that indicates
a client with an acute asthma exacerbation is beginning to
improve after treatment? ......ANSWER........Wheezing becomes
louder as airways (that were initially so restricted wheezing was
absent) successfully respond to bronchodilators
A client with sickle cell anemia is admitted with severe
abdominal pain and the diagnosis is sickle cell crisis. What is the
most important nursing action to implement?
......ANSWER........Evaluate the effectiveness of narcotic
analgesics because pain management is priority for patient
during sickle cell crisis
The nurse is caring for a client with non-Hodgkin's lymphoma who
is receiving chemotherapy. Lab results reveal platelet count of
10,000/mL. What action should the nurse implement?
......ANSWER........Check stools for occult blood because platelets
