Med-Surg Evolve HESI Practice Quiz
CAC MED-SURG EVOLVE HESI
PRACTICE QUESTION AND
ANSWERS
1. The nurse is teaching a client with maple syrup urine disease (MSUD), an autosomal recessive
disorder, about inheritance pattern. Which information should the nurse provide? - correct
answer <<<<<<.💖💖💖💖✔<<<<<Both genes of a pair must be abnormal for the disorder to
occur.
2. A 58y/o client who has been post-menopausal for 5 years is concerned about the risk for
osteoporosis because her mother has the condition. Which information should the nurse offer?
- correct answer <<<<<<.💖💖💖💖✔<<<<<Calcium loss from bones can be slowed by
increasing calcium intake and exercise.
3. After the 4th dose of gentamicin (Garamycin) IV, the nurse plans to draw blood samples to
determine peak and trough levels. What are the best times to draw these samples? - correct
answer <<<<<<.💖💖💖💖✔<<<<<5 minute before and 30 minutes after the next dose.
4. A client who is HIV positive asked the nurse, ¨How will I know when I have AIDS?¨ How should
the nurse respond? - correct answer <<<<<<.💖💖💖💖✔<<<<<AIDS is diagnosed when a
specific opportunistic infection is found in an otherwise health individual
5. During CPR, when attempting to ventilate a client's lungs, the nurse notes that the chest is not
moving. Which action should the nurse take FIRST? - correct answer
<<<<<<.💖💖💖💖✔<<<<<Reposition the head and validate that the head is in the proper
position to open the airway.
6. Which intervention should the nurse plan to implement when caring for a client who has just
undergone a right above-the-knee amputation? - correct answer
<<<<<<.💖💖💖💖✔<<<<<Place a large tourniquet at the bedside
, 7. When preparing a client who has had a total laryngectomy for discharge, which instruction is
most important to include in discharge teaching? - correct answer
<<<<<<.💖💖💖💖✔<<<<<Tell the client to carry a medical alert card stating that he is a
total neck breather.
8. When working with a 70y/o obese client with bilateral osteoarthritis (OA) of the hips, what
should the nurse recommend that is most beneficial in protecting the client's joints? - correct
answer <<<<<<.💖💖💖💖✔<<<<<Initiate a weight-reduction diet to achieve a healthy body
weight
9. A 58y/o client who has no health problems asks the nurse about the Pneumovax vaccine. The
response should be based on which information? - correct answer
<<<<<<.💖💖💖💖✔<<<<<The vaccine is administered once to older adults or persons with
a history of chronic illnesses.
10. Which information about mammograms is most important to provide a post-menopausal
female client? - correct answer <<<<<<.💖💖💖💖✔<<<<<Yearly mammograms should be
done regardless of previous normal x-rays.
11. Physical exams of a comatose clients reveals decorticate posturing. Which statement is accurate
regarding the client's status? - correct answer <<<<<<.💖💖💖💖✔<<<<<Severe
dysfunction of the cerebral cortex has occurred
12. A 77y/o female client is admitted to the hospital. She is confused, has no appetite, is N/V, and is
complaining of a headache. Her pulse rate is 43 bpm. Which question is priority for the nurse to
ask the client/family on admission? - correct answer <<<<<<.💖💖💖💖✔<<<<<Does the
client take digitalis?
13. A client with a completed ischemic stroke has blood pressure of 180/90. Which action should
the nurse implement? - correct answer <<<<<<.💖💖💖💖✔<<<<<Give antihypertensive
medications.
14. After checking the urinary drainage system for kinks in the tubing, the nurse determines the
postanesthesia client has dark, concentrated urinary output of 54 mL for the last 2 hours. What
CAC MED-SURG EVOLVE HESI
PRACTICE QUESTION AND
ANSWERS
1. The nurse is teaching a client with maple syrup urine disease (MSUD), an autosomal recessive
disorder, about inheritance pattern. Which information should the nurse provide? - correct
answer <<<<<<.💖💖💖💖✔<<<<<Both genes of a pair must be abnormal for the disorder to
occur.
2. A 58y/o client who has been post-menopausal for 5 years is concerned about the risk for
osteoporosis because her mother has the condition. Which information should the nurse offer?
- correct answer <<<<<<.💖💖💖💖✔<<<<<Calcium loss from bones can be slowed by
increasing calcium intake and exercise.
3. After the 4th dose of gentamicin (Garamycin) IV, the nurse plans to draw blood samples to
determine peak and trough levels. What are the best times to draw these samples? - correct
answer <<<<<<.💖💖💖💖✔<<<<<5 minute before and 30 minutes after the next dose.
4. A client who is HIV positive asked the nurse, ¨How will I know when I have AIDS?¨ How should
the nurse respond? - correct answer <<<<<<.💖💖💖💖✔<<<<<AIDS is diagnosed when a
specific opportunistic infection is found in an otherwise health individual
5. During CPR, when attempting to ventilate a client's lungs, the nurse notes that the chest is not
moving. Which action should the nurse take FIRST? - correct answer
<<<<<<.💖💖💖💖✔<<<<<Reposition the head and validate that the head is in the proper
position to open the airway.
6. Which intervention should the nurse plan to implement when caring for a client who has just
undergone a right above-the-knee amputation? - correct answer
<<<<<<.💖💖💖💖✔<<<<<Place a large tourniquet at the bedside
, 7. When preparing a client who has had a total laryngectomy for discharge, which instruction is
most important to include in discharge teaching? - correct answer
<<<<<<.💖💖💖💖✔<<<<<Tell the client to carry a medical alert card stating that he is a
total neck breather.
8. When working with a 70y/o obese client with bilateral osteoarthritis (OA) of the hips, what
should the nurse recommend that is most beneficial in protecting the client's joints? - correct
answer <<<<<<.💖💖💖💖✔<<<<<Initiate a weight-reduction diet to achieve a healthy body
weight
9. A 58y/o client who has no health problems asks the nurse about the Pneumovax vaccine. The
response should be based on which information? - correct answer
<<<<<<.💖💖💖💖✔<<<<<The vaccine is administered once to older adults or persons with
a history of chronic illnesses.
10. Which information about mammograms is most important to provide a post-menopausal
female client? - correct answer <<<<<<.💖💖💖💖✔<<<<<Yearly mammograms should be
done regardless of previous normal x-rays.
11. Physical exams of a comatose clients reveals decorticate posturing. Which statement is accurate
regarding the client's status? - correct answer <<<<<<.💖💖💖💖✔<<<<<Severe
dysfunction of the cerebral cortex has occurred
12. A 77y/o female client is admitted to the hospital. She is confused, has no appetite, is N/V, and is
complaining of a headache. Her pulse rate is 43 bpm. Which question is priority for the nurse to
ask the client/family on admission? - correct answer <<<<<<.💖💖💖💖✔<<<<<Does the
client take digitalis?
13. A client with a completed ischemic stroke has blood pressure of 180/90. Which action should
the nurse implement? - correct answer <<<<<<.💖💖💖💖✔<<<<<Give antihypertensive
medications.
14. After checking the urinary drainage system for kinks in the tubing, the nurse determines the
postanesthesia client has dark, concentrated urinary output of 54 mL for the last 2 hours. What
