MED/SURG NCLEX-RN HESI PRACTICE/ EVOLVE ELSEVIER HESI MED
SURG/ EVOLVE HESI MEDICAL SURGICAL COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES|| VERIFIED 100%
ACTUAL FINAL EXAM WITH VERIFIED ANSWERS & QUESTIONS ||
LATEST UPDATE 2026-2027
A client is diagnosed with an acute small bowel obstruction. Which
assessment finding requires the most immediate intervention by the
nurse?
A.Fever of 102° F
B.Blood pressure of 150/90 mm Hg
C.Abdominal cramping
D.Dry mucous membranes
A
A sudden increase in temperature is an indicator of peritonitis. The
nurse should notify the health care provider immediately (A). (B, C, and
D) are also findings that require intervention by the nurse, but are of
less priority than (A). (B) may indicate a hypertensive condition but is
not as acute a condition as peritonitis. (C) is an expected finding in
clients with small bowel obstruction and may require medication. (D)
indicates probable fluid volume deficit, which requires fluid volume
replacement.
,During assessment of a client in the intensive care unit, the nurse notes
that the client's ARE CLEAR UPON AUSCULTATION, but jugular vein
distention and muffled heart sounds are present. Which intervention
should the nurse implement?
A.Prepare the client for a pericardial tap.
B.Administer intravenous furosemide (Lasix).
C.Assist the client to cough and breathe deeply.
D.Instruct the client to restrict the oral fluid intake.
A
The client is exhibiting symptoms of cardiac tamponade, a collection of
fluid in the pericardial sac that results in a reduction in cardiac output,
which is a potentially fatal complication of pericarditis. Treatment for
tamponade is a pericardial tap (A). Lasix IV is not indicated for
treatment of pericarditis (B). Because the client's breath sounds are
clear, (C) is not a priority. Fluids are frequently increased (D) in the
initial treatment of tamponade to compensate for the decrease in
cardiac output, but this is not the same priority as (A).
After attending a class on reducing cancer risk factors, a client selects
bran flakes with 2% milk and orange slices from a breakfast menu. In
evaluating the client's learning, the nurse affirms that the client has
made good choices and makes what additional recommendation?
A.Switch to skim milk.
B.Switch to orange juice.
C.Add a source of protein.
D.Add herbal tea.
A
Dietary recommendations to reduce cancer risk include reduced
consumption of fats, with increased consumption of fruits, vegetables,
and fiber. (A) promotes reduced fat consumption. Orange slices
provide more fiber than orange juice (B, C, and D) are not standard
recommendations for reducing cancer risk.
,A client diagnosed with angina pectoris complains of chest pain while
ambulating in the hallway. Which action should the nurse implement
first?
A.Support the client to a sitting position.
B.Ask the client to walk slowly back to the room.
C.Administer a sublingual nitroglycerin tablet.
D.Provide oxygen via nasal cannula.
A
The nurse should safely assist the client to a resting position (A) and
then perform (C and D). The client must cease all activity immediately,
which will decrease the oxygen requirement of the myocardial muscle.
After these interventions are implemented, the client can be escorted
back to the room via wheelchair or stretcher (B).
, A tornado warning alarm has been activated at the local hospital.
Which action should the charge nurse working on a surgical unit
implement first?
A. Instruct the nursing staff to close all window blinds and curtains in
clients' rooms.
B. Move clients and visitors into the hallways and close all doors to
clients' rooms.
C. Visually confirm the location of the tornado by checking the windows
on the unit.
D. Assist all visitors with evacuation down the stairs in a calm and
orderly manner.
B
In the event of a tornado, all persons should be moved into the
hallways, away from windows, to prevent flying debris from causing
injury (B). Although (A) may help decrease the amount of flying debris,
it is not safe to leave clients in rooms with closed blinds; (B) is a higher
priority at this time. Hospital staff should stay away from windows to
avoid injury and should focus on client evacuation into hallways rather
than (C). (D) is not the first action that should be taken.
SURG/ EVOLVE HESI MEDICAL SURGICAL COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES|| VERIFIED 100%
ACTUAL FINAL EXAM WITH VERIFIED ANSWERS & QUESTIONS ||
LATEST UPDATE 2026-2027
A client is diagnosed with an acute small bowel obstruction. Which
assessment finding requires the most immediate intervention by the
nurse?
A.Fever of 102° F
B.Blood pressure of 150/90 mm Hg
C.Abdominal cramping
D.Dry mucous membranes
A
A sudden increase in temperature is an indicator of peritonitis. The
nurse should notify the health care provider immediately (A). (B, C, and
D) are also findings that require intervention by the nurse, but are of
less priority than (A). (B) may indicate a hypertensive condition but is
not as acute a condition as peritonitis. (C) is an expected finding in
clients with small bowel obstruction and may require medication. (D)
indicates probable fluid volume deficit, which requires fluid volume
replacement.
,During assessment of a client in the intensive care unit, the nurse notes
that the client's ARE CLEAR UPON AUSCULTATION, but jugular vein
distention and muffled heart sounds are present. Which intervention
should the nurse implement?
A.Prepare the client for a pericardial tap.
B.Administer intravenous furosemide (Lasix).
C.Assist the client to cough and breathe deeply.
D.Instruct the client to restrict the oral fluid intake.
A
The client is exhibiting symptoms of cardiac tamponade, a collection of
fluid in the pericardial sac that results in a reduction in cardiac output,
which is a potentially fatal complication of pericarditis. Treatment for
tamponade is a pericardial tap (A). Lasix IV is not indicated for
treatment of pericarditis (B). Because the client's breath sounds are
clear, (C) is not a priority. Fluids are frequently increased (D) in the
initial treatment of tamponade to compensate for the decrease in
cardiac output, but this is not the same priority as (A).
After attending a class on reducing cancer risk factors, a client selects
bran flakes with 2% milk and orange slices from a breakfast menu. In
evaluating the client's learning, the nurse affirms that the client has
made good choices and makes what additional recommendation?
A.Switch to skim milk.
B.Switch to orange juice.
C.Add a source of protein.
D.Add herbal tea.
A
Dietary recommendations to reduce cancer risk include reduced
consumption of fats, with increased consumption of fruits, vegetables,
and fiber. (A) promotes reduced fat consumption. Orange slices
provide more fiber than orange juice (B, C, and D) are not standard
recommendations for reducing cancer risk.
,A client diagnosed with angina pectoris complains of chest pain while
ambulating in the hallway. Which action should the nurse implement
first?
A.Support the client to a sitting position.
B.Ask the client to walk slowly back to the room.
C.Administer a sublingual nitroglycerin tablet.
D.Provide oxygen via nasal cannula.
A
The nurse should safely assist the client to a resting position (A) and
then perform (C and D). The client must cease all activity immediately,
which will decrease the oxygen requirement of the myocardial muscle.
After these interventions are implemented, the client can be escorted
back to the room via wheelchair or stretcher (B).
, A tornado warning alarm has been activated at the local hospital.
Which action should the charge nurse working on a surgical unit
implement first?
A. Instruct the nursing staff to close all window blinds and curtains in
clients' rooms.
B. Move clients and visitors into the hallways and close all doors to
clients' rooms.
C. Visually confirm the location of the tornado by checking the windows
on the unit.
D. Assist all visitors with evacuation down the stairs in a calm and
orderly manner.
B
In the event of a tornado, all persons should be moved into the
hallways, away from windows, to prevent flying debris from causing
injury (B). Although (A) may help decrease the amount of flying debris,
it is not safe to leave clients in rooms with closed blinds; (B) is a higher
priority at this time. Hospital staff should stay away from windows to
avoid injury and should focus on client evacuation into hallways rather
than (C). (D) is not the first action that should be taken.
