HESI MED SURG NURSING EVOLVE EXAM |ACTUAL
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
An older client is seen in the clinic for an annual physical exam. Which finding should the
practical nurse report to the healthcare provider for follow-up?
A) Hemoglobin 9.1 grams/dl with positive occult blood in stool.
B) Serum carcinoembryonic antigen (CEA) level is low.
C) Bowel sounds auscultated with occasional borborygmi.
D) Abdominal tympany with negative rebound tenderness.
CORRECT ANSWER
A) Hemoglobin 9.1 grams/dl with positive occult blood in stool.
Question 2
An older client who is at a health fair goes to the First Aid station and reports feeling tired
after a recent screening test revealed a hemoglobin of 10.1 grams. The client asks the
practical nurse (PN) what could he do to feel better. What information should the PN
offer?
A) Eat food high in iron, for example red meat.
B) Take an over-the-counter iron supplement.
C) Practice daily stress-relieving measures.
D) Make appointment with healthcare provider.
CORRECT ANSWER
D) Make appointment with healthcare provider.
1
,Question 3
The practical nurse (PN) is caring for a client with trigeminal neuralgia associated with
Cranial Nerve V pathology. While reinforcing the discharge teaching instructions, the PN
should include which information?
A) Encourage a soft diet to minimize chewing.
B) Instruct the client to thicken all oral liquids.
C) Take deep breaths to minimize respiratory effort.
D) Ambulate with a walker to reduce the risk of falling.
CORRECT ANSWER
A) Encourage a soft diet to minimize chewing.
Question 4
Which information should the practical nurse (PN) reinforce with a female client who has a
history of frequent urinary tract infections (UTI)?
A) Drink a glass of cranberry juice daily.
B) Use unscented soap for a bubble bath.
C) Void every 8 hours while awake.
D) Empty bladder before showering.
CORRECT ANSWER
A) Drink a glass of cranberry juice daily.
Question 5
2
, A male client who arrives at the clinic for an eye examination tells the practical nurse (PN)
that he has recently experienced blurred vision. Which finding is most important for the
PN to report to the healthcare provider?
A) Inability to identify the colors of numbers on an eye chart.
B) Left pupil consensual response to pen light exposure in right eye.
C) Small rapid, rhythmic, oscillating movements of eyeballs.
D) Pupils constrict when focusing on a distant object that moves to the face.
CORRECT ANSWER
C) Small rapid, rhythmic, oscillating movements of eyeballs.
Question 6
A client who is one-day post-thyroidectomy begins to develop a stridor. Which priority
action should the practical nurse implement?
A) Prepare for emergency tracheotomy at the bedside.
B) Insert a large bore needle for IV access.
C) Give the client oxygen per face mask.
D) Assess the client for signs of hypocalcemia.
CORRECT ANSWER
A) Prepare for emergency tracheotomy at the bedside.
Question 7
A client with chronic kidney disease (CKD) has a serum potassium level of 7.0 mEq/L.
Which prescription should the practical nurse administer?
A) Diuretics and IV fluids at keep open rate.
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QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
An older client is seen in the clinic for an annual physical exam. Which finding should the
practical nurse report to the healthcare provider for follow-up?
A) Hemoglobin 9.1 grams/dl with positive occult blood in stool.
B) Serum carcinoembryonic antigen (CEA) level is low.
C) Bowel sounds auscultated with occasional borborygmi.
D) Abdominal tympany with negative rebound tenderness.
CORRECT ANSWER
A) Hemoglobin 9.1 grams/dl with positive occult blood in stool.
Question 2
An older client who is at a health fair goes to the First Aid station and reports feeling tired
after a recent screening test revealed a hemoglobin of 10.1 grams. The client asks the
practical nurse (PN) what could he do to feel better. What information should the PN
offer?
A) Eat food high in iron, for example red meat.
B) Take an over-the-counter iron supplement.
C) Practice daily stress-relieving measures.
D) Make appointment with healthcare provider.
CORRECT ANSWER
D) Make appointment with healthcare provider.
1
,Question 3
The practical nurse (PN) is caring for a client with trigeminal neuralgia associated with
Cranial Nerve V pathology. While reinforcing the discharge teaching instructions, the PN
should include which information?
A) Encourage a soft diet to minimize chewing.
B) Instruct the client to thicken all oral liquids.
C) Take deep breaths to minimize respiratory effort.
D) Ambulate with a walker to reduce the risk of falling.
CORRECT ANSWER
A) Encourage a soft diet to minimize chewing.
Question 4
Which information should the practical nurse (PN) reinforce with a female client who has a
history of frequent urinary tract infections (UTI)?
A) Drink a glass of cranberry juice daily.
B) Use unscented soap for a bubble bath.
C) Void every 8 hours while awake.
D) Empty bladder before showering.
CORRECT ANSWER
A) Drink a glass of cranberry juice daily.
Question 5
2
, A male client who arrives at the clinic for an eye examination tells the practical nurse (PN)
that he has recently experienced blurred vision. Which finding is most important for the
PN to report to the healthcare provider?
A) Inability to identify the colors of numbers on an eye chart.
B) Left pupil consensual response to pen light exposure in right eye.
C) Small rapid, rhythmic, oscillating movements of eyeballs.
D) Pupils constrict when focusing on a distant object that moves to the face.
CORRECT ANSWER
C) Small rapid, rhythmic, oscillating movements of eyeballs.
Question 6
A client who is one-day post-thyroidectomy begins to develop a stridor. Which priority
action should the practical nurse implement?
A) Prepare for emergency tracheotomy at the bedside.
B) Insert a large bore needle for IV access.
C) Give the client oxygen per face mask.
D) Assess the client for signs of hypocalcemia.
CORRECT ANSWER
A) Prepare for emergency tracheotomy at the bedside.
Question 7
A client with chronic kidney disease (CKD) has a serum potassium level of 7.0 mEq/L.
Which prescription should the practical nurse administer?
A) Diuretics and IV fluids at keep open rate.
3
