EVOLVE ELSEVIER HESI MED SURG LATEST 2026 TEST BANK| COMPLETE 350 REAL EXAM QUESTIONS AND CORRECT ANSWERS WITH WELL-ELABORATED RATIONALES/ EVOLVE HESI MEDICAL SURGICAL LATEST EXAM 2026 (BRAND NEW!!)

EVOLVE ELSEVIER HESI MED SURG LATEST 2026 TEST BANK| COMPLETE 350 REAL EXAM QUESTIONS AND CORRECT ANSWERS WITH WELL-ELABORATED RATIONALES/ EVOLVE HESI MEDICAL SURGICAL LATEST EXAM 2026 (BRAND NEW!!) 1. An adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea. the client appears anxious, restless, and mildly cyanotic. the nurse should further assess the client for which condition? - ANSWER Pulmonary embolism 2. which information should the nurse obtain when performing an initial assessment of a client who presents to the emergency department with a painful ankle injury? (select all that apply) - ANSWER Quality of the pain Signs of inflammation Ankle range of motion Visible deformities of the joint 3. Which description of pain is consistent with a diagnosis of rheumatoid arthritis? - ANSWER Joint pain is worse in the morning and involves symmetric joints 4. Which physical assessment finding should the nurse anticipate in a client with long-term gastroesophagealreflux disease (GERD)? - ANSWER Hoarseness 5. A client presents with chronic venous insufficiency. Which assessment finding should the nurse anticipate? - ANSWER Bilateral lower leg stasis dermatitis 6. A client has been hospitalized with a femur fracture and is being treated with traction. which action by the nurse is the priority when caring for this client? - ANSWER Assess neurovascular status 7. Which statement made by a client with chronic pancreatitis indicates that further education is needed? - ANSWER I will cut back on smoking cigarettes daily 8. The nurse is teaching a female client who uses a contraceptive diaphragm about reducing the risk for toxic shock syndrome (TSS). Which information should the nurse include? (Select all that apply) - ANSWER Do not leave the diaphragm in place longer than 8 hours after intercourse 9. Replace the old diaphragm every 3 months 10. A male client who smokes two packs of cigarettes a day states he understands that smoking cigarettes is contributing to the difficulty that he and his wife are having in getting pregnant and wants to know if other factors could be contributing to their difficulty. Which information is best for the nurse to provide? (Select all that apply). - ANSWER Alcohol consumption can cause erectile dysfunction 11. Low testosterone levels affect sperm production 12. Cessation of smoking improves general health and fertility 13. Twenty four hours after a client returns from surgical gastric bypass, the registered nurse (RN) observes large amounts of blood in the nasogastric tube (NGT) cannister. Which assessment finding should the RN report as early signs of hypovolemic shock? - ANSWER lethargy 14. the registered nurse (RN) is assessing a male client who arrives at the clinic with severe abdominal cramping, pain, tenesmus, and dehydration. the RN discovers that the client has had 14 to 20 loose stools with rectal bleeding. When taking the client's medical history, which information is most for the nurse to obtain? - ANSWER Ulcerative colitis 15. A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing the client's basic knowledge about the disease process. Which statement by the client conveys an understanding of the etiology of diverticula? - ANSWER Chronic constipation causes weakening of colon wall which results in out pouching sacs 16. The registered nurse (RN) is assessing a client who was discharged home after management of chronic hypertension. Which equipment should the RN instruct the client to use at home? - ANSWER Sphygmomanometer 17. A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in the abdominopelvic region and is scheduled for radiation therapy (RT). The client expresses concern about becoming infertile. How should the nurse respond? - ANSWER Propose sperm banking before RT then artificial insemination is an option 18. A client's susceptibility to ulcerative colitis is most likely due to which aspect in the client's history? - ANSWER Jewish European ancestry 19. Small bowl obstruction is a condition characterized by which finding? - ANSWER Severe fluid and electrolyte imbalances 20. Which client should the nurse recognize as most likely to experience sleep apnea? - ANSWER Obese older male client with a short, thick neck 21. Which milestone indicates to the nurse successful achievement of young adulthood? - ANSWER Completes education and becomes self-supporting 22. A client who has heart failure is admitted with a serum potassium level of 2.9 mEq/L (2.9 mmol/L). Which action is most important for the nurse to implement? - ANSWER Initiate continuous cardiac monitoring 23. Which postmenopausal client's complaint should the nurse refer to the HCP? - ANSWER episodes of vaginal bleeding 24. The nurse is teaching a female client about the best time to plan sexual intercourse in order to conceive. Which information should the nurse provide? - ANSWER Two weeks before menstruation 25. A postmenopausal client asks the nurse why she is experiencing discomfort during intercourse. Which response is best for the nurse to provide? - ANSWER Estrogen deficiency causes the vaginal tissue to become dry and thinner 26. Which discharge instruction is most important for a client after a kidney transplant? - ANSWER Use daily reminders to take immunosuppressants 27. The nurse is assessing a client with chronic kidney disease (CKD). Which finding is most important for the nurse to respond to first? - ANSWER Potassium 6.0 mEq 28. Which finding should the nurse identify as most significant for a client diagnosed with polycystic kidney disease (PKD)? - ANSWER 3+ bacteria in urine 29. The nurse is planning care for a client with newly diagnosed diabetes mellitus that requires insulin. Which assessment should the nurse identify before beginning the teaching session? - ANSWER Willingness of the client to learn the injections sites 30. When providing discharge teaching for a client with osteoporosis, the nurse should reinforce which home care activity? - ANSWER Elimination of hazards to home safety 31. A client with gastroesophageal reflux disease (GERD) has been experiencing severe reflux during sleep. Which recommendation by the nurse is most effective to assist the client? - ANSWER Raising the head of the bed on blocks 32. An older adult female client is brought to the clinic by her daughter for a flu shot. She has lost significant weight since the last visit. She has poor personal hygiene and inadequate clothing for the weather. the client states that she lives alone and denies problems or concerns. Which action should the nurse implement? - ANSWER Collect further data to determine whether self-neglect is occuring 33. The nurse is assisting a client out of bed for the first time after surgery. Which action should the nurse do first? - ANSWER Allow the client to sit with the bed in a high Fowler's position 34. After checking the urinary drainage system for kinks in the tubing, the nurse determines that a client who has returned from the post-anesthesia care has a dark, concentrated urinary output of 54 ml for the last 2 hours. What priority nursing action should be implemented? - ANSWER Report the findings to the surgeon 35. A client who is fully awake after a gastroscopy asks the nurse for something to drink. After confirming that liquids are allowed, which assessment action should the nurse consider a priority? - ANSWER Check the client's gag and swallow reflexes 36. During an interview with a client planning elective surgery, the client asks the nurse, "What is the advantage of having a preferred provider organization insurance plan?" Which response is best for the nurse to provide? - ANSWER An individual may select healthcare providers from outside of the PPO network 37. The nurse is providing dietary instructions to a 69 year old client who is at high risk for development of coronary heart disease (CHD). Which information should the nurse include? - ANSWER Increase intake of soluble fiber to 10 to 25 grams per day 38. A male client receives a local anesthetic during surgery. During the post operative assessment, the nurse notices the client is slurring his speech. Which action should the nurse take? - ANSWER Evaluate his blood pressure, pulse, and respiratory status 39. A client who is sexually active with several partners requests an intrauterine device (IUD) as a contraceptive method. Which information should the nurse provide? - ANSWER Using an IUD offers no protection against sexually transmitted disease (STD), which increase the risk for pelvic inflammatory disease (PID). 40. A female client requests information about using the calendar method of contraception. Which assessment is most important for the nurse to obtain? - ANSWER An accurate menstrual cycle diary for the past 6 to 12 months 41. A 32 year old female client complains of severe abdominal pain each month before her menstrual period, painful intercourse, and painful defecation. Which additional history should the nurse obtain that is consistent with the client's complaints? - ANSWER Inability to get pregnant 42. A 20 year old female client calls the nurse to report a lump she found in her breast. Which response is the best for the nurse to provide? - ANSWER Most lumps are benign, but it is always best to come in form an examination. 43. The nurse is working with a 71-year-old obese client with bilateral osteoarthritis (OA) of the hips. What recommendation should the nurse make that is most beneficial in protecting the client's joints? - ANSWER Initiate a weight-reduction diet to achieve a health body weight 44. A 58 year old client who has been post menopausal for five years is concerned about the risk of osteoporosis because her mother has the condition. Which information should the nurse offer? - ANSWER Calcium loss from bones can be slowed by increasing calcium intake and exercise 45. During assessment of a client with amyotrophic lateral sclerosis (ALS), which finding should the nurse identify when planning care for this client? - ANSWER muscle weakness 46. The nurse formulates the nursing problem of urinary retention related to sensorimotor deficit for a client with multiple sclerosis. Which nursing intervention should the nurse implement? - ANSWER Teach the client techniques of intermittent self-catheterization 47. The nurse is caring for a client with a stroke resulting in right-sided paresis and aphasia. The client attempts to use the left hand for feeding and other self-care activities. The spouse becomes frustrated and insists on doing everything for the client. Based on this data, which nursing problem should the nurse document for this client? - ANSWER Disabled family coping related to dissonant coping style of significant person 48. A client with a completed ischemic stroke has a blood pressure of 180/90 mm Hg. Which action should the nurse implement? - ANSWER Give an antihypertensive medication 49. A client with a 16-year history of diabetes mellitus is having renal function tests because of recent fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which finding should the nurse conclude as an early symptom of renal insufficiency? - ANSWER Nocturia 50. The nurse is caring for a client with a continuous feeding through a percutaneous endoscopic gastrostomy (PEG) tube. Which intervention should the nurse include in the plan of care? - ANSWER Check for tube placement and residual volume q4 hours 51. The nurse is planning care to prevent complications for a client with multiple myeloma. Which intervention is most important for the nurse to include? - ANSWER Maintain a fluid intake of 3 to 4 L per day 52. The nurse teaches a client with type 2 diabetes nutritional strategies to decrease obesity. Which food items chosen by the client indicate understanding of the teaching? (Select all that apply.) A. White bread B. Salmon C. Broccoli D. Whole milk E. Banana - ANSWER Salmon, Broccoli, and Banana