EVOLVE ELSEVIER HESI MED-SURG EXAM QUESTION BANK
NEWEST 2025 ACTUAL EXAM WITH COMPLETE 370
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) CURRENLY TESTING EXAM | GUARANTEED PASS |
HESI MED-SURG EVOLVE ELSEVIER BANK 2025
Which instruction should the nurse teach a female client about the prevention of toxic
shock syndrome?
A."Get immunization against human papillomavirus (HPV)."
B."Change your tampon frequently."
C."Empty your bladder after intercourse."
D."Obtain a yearly flu vaccination."
B
Certain strains of Staphylococcus aureus produce a toxin that can enter the
bloodstream through the vaginal mucosa. Changing the tampon frequently (B) reduces
the exposure to these toxins, which are the primary cause of toxic shock syndrome. (A)
helps prevent cervical cancer, not toxic shock syndrome. (C) can lessen the incidence of
urinary tract infection. (D) can help prevent some
individuals from contracting the flu and pneumonia, but no relationship to toxic shock
syndrome has been proven.
,The nurse is caring for a critically ill client with cirrhosis of the liver who has a
nasogastric tube draining bright red blood. The nurse notes that the client's serum
hemoglobin and hematocrit levels are decreased. Which additional change in
laboratory data should the nurse expect?
A.Increased serum albumin level
B.Decreased serum creatinine
C.Decreased serum ammonia level
D.Increased liver function test results
C
The breakdown of glutamine in the intestine and the increased activity of
colonic bacteria from the digestion of proteins increase ammonia levels in
clients with advanced liver disease, so removal of blood, a protein source, from the
intestine results in a reduced level of ammonia (C). (A, B, and D) will not be
significantly affected by the removal of blood.
An 81-year-old male client has emphysema. He lives at home with his cat and manages
self-care with no difficulty. When making a home visit, the nurse notices that this client's
tongue is somewhat cracked and his eyeballs appear sunken into his head. Which
nursing intervention is indicated?
A.Help the client determine ways to increase his fluid intake.
B.Obtain an appointment for the client to have an eye examination.
C.Instruct the client to use oxygen at night and increase the humidification.
,D.Schedule the client for tests to determine his sensitivity to cat hair.
A
Clients with COPD should ingest 3 L of fluids daily but may experience a fluid deficit
because of shortness of breath. The nurse should suggest creative methods to
increase the intake of fluids (A), such as having fruit juices in
disposable containers readily available. (B) is not indicated. Humidified oxygen will
not effectively treat the client's fluid deficit, and there is no indication that the client
needs supplemental oxygen at night (C). These symptoms are not
indicative of (D) and may unnecessarily upset the client, who depends on his pet for
socialization.
A postoperative client receives a Schedule II opioid analgesic for pain. Which assessment
finding requires the most immediate intervention by the nurse?
A.Hypoactive bowel sounds with abdominal distention B.Client
reports continued pain of 8 on a 10-point scale
C.Respiratory rate of 12 breaths/min, with O2 saturation of 85%
D.Client reports nausea after receiving the medication
C
Administration of a Schedule II opioid analgesic can result in respiratory
depression (C), which requires immediate intervention by the nurse to prevent
respiratory arrest. (A, B, and D) require action by the nurse but are of less priority than
(C).
, A client is being discharged following radioactive seed implantation for prostate cancer.
What is the most important information that the nurse should provide to this client's
family?
A. Follow exposure precautions.
B. Encourage regular meals.
C. Collect all urine.
D. Avoid touching the client.
A
Clients being treated for prostate cancer with radioactive seed implants should be
instructed regarding the amount of time and distance needed to prevent excessive
exposure (A) that would pose a hazard to others. (B) is a good suggestion to
promote adequate nutrition but is not as important as (A). (C) is unnecessary.
Contact with the client (D) IS permitted but should be BRIEF to limit radiation
exposure.
An emaciated homeless client presents to the emergency department complaining of a
productive cough, with blood-tinged sputum and night sweats.
Which action is most important for the emergency department triage nurse to implement
for this client?
A. Initiate airborne infection precautions.
B. Place a surgical mask on the client.
NEWEST 2025 ACTUAL EXAM WITH COMPLETE 370
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) CURRENLY TESTING EXAM | GUARANTEED PASS |
HESI MED-SURG EVOLVE ELSEVIER BANK 2025
Which instruction should the nurse teach a female client about the prevention of toxic
shock syndrome?
A."Get immunization against human papillomavirus (HPV)."
B."Change your tampon frequently."
C."Empty your bladder after intercourse."
D."Obtain a yearly flu vaccination."
B
Certain strains of Staphylococcus aureus produce a toxin that can enter the
bloodstream through the vaginal mucosa. Changing the tampon frequently (B) reduces
the exposure to these toxins, which are the primary cause of toxic shock syndrome. (A)
helps prevent cervical cancer, not toxic shock syndrome. (C) can lessen the incidence of
urinary tract infection. (D) can help prevent some
individuals from contracting the flu and pneumonia, but no relationship to toxic shock
syndrome has been proven.
,The nurse is caring for a critically ill client with cirrhosis of the liver who has a
nasogastric tube draining bright red blood. The nurse notes that the client's serum
hemoglobin and hematocrit levels are decreased. Which additional change in
laboratory data should the nurse expect?
A.Increased serum albumin level
B.Decreased serum creatinine
C.Decreased serum ammonia level
D.Increased liver function test results
C
The breakdown of glutamine in the intestine and the increased activity of
colonic bacteria from the digestion of proteins increase ammonia levels in
clients with advanced liver disease, so removal of blood, a protein source, from the
intestine results in a reduced level of ammonia (C). (A, B, and D) will not be
significantly affected by the removal of blood.
An 81-year-old male client has emphysema. He lives at home with his cat and manages
self-care with no difficulty. When making a home visit, the nurse notices that this client's
tongue is somewhat cracked and his eyeballs appear sunken into his head. Which
nursing intervention is indicated?
A.Help the client determine ways to increase his fluid intake.
B.Obtain an appointment for the client to have an eye examination.
C.Instruct the client to use oxygen at night and increase the humidification.
,D.Schedule the client for tests to determine his sensitivity to cat hair.
A
Clients with COPD should ingest 3 L of fluids daily but may experience a fluid deficit
because of shortness of breath. The nurse should suggest creative methods to
increase the intake of fluids (A), such as having fruit juices in
disposable containers readily available. (B) is not indicated. Humidified oxygen will
not effectively treat the client's fluid deficit, and there is no indication that the client
needs supplemental oxygen at night (C). These symptoms are not
indicative of (D) and may unnecessarily upset the client, who depends on his pet for
socialization.
A postoperative client receives a Schedule II opioid analgesic for pain. Which assessment
finding requires the most immediate intervention by the nurse?
A.Hypoactive bowel sounds with abdominal distention B.Client
reports continued pain of 8 on a 10-point scale
C.Respiratory rate of 12 breaths/min, with O2 saturation of 85%
D.Client reports nausea after receiving the medication
C
Administration of a Schedule II opioid analgesic can result in respiratory
depression (C), which requires immediate intervention by the nurse to prevent
respiratory arrest. (A, B, and D) require action by the nurse but are of less priority than
(C).
, A client is being discharged following radioactive seed implantation for prostate cancer.
What is the most important information that the nurse should provide to this client's
family?
A. Follow exposure precautions.
B. Encourage regular meals.
C. Collect all urine.
D. Avoid touching the client.
A
Clients being treated for prostate cancer with radioactive seed implants should be
instructed regarding the amount of time and distance needed to prevent excessive
exposure (A) that would pose a hazard to others. (B) is a good suggestion to
promote adequate nutrition but is not as important as (A). (C) is unnecessary.
Contact with the client (D) IS permitted but should be BRIEF to limit radiation
exposure.
An emaciated homeless client presents to the emergency department complaining of a
productive cough, with blood-tinged sputum and night sweats.
Which action is most important for the emergency department triage nurse to implement
for this client?
A. Initiate airborne infection precautions.
B. Place a surgical mask on the client.
