HESI MED SURGICAL PRACTICE
(EVOLVE) EXAM WITH
100%VERIFIED QUESTIONS AND
ANSWERS 2026/2027
Which assessment is most important for the nurse to perform on a client who is hospitalized for
Guillain-Barre syndrome that is rapidly progressing?
a. Respiratory effort.
b. Unsteady gait.
c. Intensity of pain.
d. Ability to eat. - ANSWER-a. Respiratory effort.
Guillain-Barre syndrome causes paralysis or weakness that typically starts at the feet and progresses
upwards. As the condition progresses, the nurse must ensure that the client is able to breathe
effectively.
While caring for a client who has esophageal varices, which nursing intervention is most important for
the nurse to implement?
a. Monitor infusing IV fluids and any replacement blood products.
b. Prepare for esophagogastroduodenoscopy (EGD).
c. Maintain the client on strict bedrest.
d. Insert a nasogastric tube (NGT) for intermittent suction. - ANSWER-a. Monitor infusing IV fluids and
any replacement blood products.
,Maintaining hemodynamic stability in a client with esophageal varices can precipitate a life-threatening
crisis if esophageal varies leak or rupture and can result in hemorrhage. The priority is assessing and
monitoring infusions of IV fluids and any replacement blood products.
A client with chest pain, dizziness, and vomiting for the last 2 hours is admitted for evaluation for Acute
Coronary Syndrome (ACS). Which cardiac biomarker should the nurse anticipate to be elevated if the
client experienced myocardial damage?
a. Creatine Kinase (CK-MB).
b. Serum troponin.
c. Myoglobin.
d. Ischemia-modified albumin. - ANSWER-b. Serum troponin
Troponin is the most sensitive and specific test for myocardial damage. Troponin elevation is more
specific than CK-MB.
A nurse is preparing a teaching plan for a client who is postmenopausal. Which measure is most
important for the nurse to include to prevent osteoporosis?
a. Take a multivitamin daily.
b. Use only low fat milk products.
c. Perform weight resistance exercises.
d. Bicycle for at least 3 miles every day. - ANSWER-c. Perform weight resistance exercises.
Weight-bearing on the skeletal system stimulates bone formation, so recommending weight-resistance
exercise is the most important in the prevention of osteoporosis in postmenopausal women.
,The unlicensed assistive personnel (UAP) reports that an 87-year-old female client who is sitting in a
chair at the bedside has an oral temperature of 97.2 °F (36.2 °C). Which intervention should the nurse
implement?
a. Document the temperature reading on the vital sign graphic sheet.
b. Report the temperature to the healthcare provider immediately.
c. Instruct the UAP to take the client's temperature again in 30 minutes.
d. Advise the UAP to assist the client in returning to her bed. - ANSWER-a. Document the temperature
reading on the vital sign graphic sheet.
A subnormal temperature of 97.2 °F (36.2 °C) (orally) is a common finding in older clients, so the nurse
should document the findings and continue with the plan of care.
Based on an analysis of the client's rhythm, atrial fibrillation, the nurse should prepare the client for
which treatment protocol?
a. Diuretic therapy.
b. Pacemaker implantation.
c. Anticoagulation therapy.
d. Cardiac catheterization. - ANSWER-c. Anticoagulation therapy.
The client is experiencing atrial fibrillation, and the nurse should prepare the client for anticoagulation
therapy which should be prescribed before rhythm control therapies to prevent cardioembolic events
which result from blood pooling in the fibrillating atria.
Which dietary assessment finding is most important for the nurse to address when caring for a client
with diabetic nephropathy?
a. Drinks a six-pack of beer every day.
, b. Enjoys a hamburger once a month.
c. Eats fortified breakfast cereal daily.
d. Consumes beans and rice every day. - ANSWER-a. Drinks a six-pack of beer every day.
Drinking six beers every day is the dietary assessment finding most important for the nurse to address
when caring for a client with diabetic nephropathy. The usual can of beer is 12 ounces (360 mL). Clients
with diabetes are recommended to drink no more than 12 ounces of beer per day because beer contains
carbohydrates that can create unhealthy fluctuations in blood glucose and promote poor glucose
control. Nephropathy is exacerbated by poor blood glucose control.
When planning care for a client with right renal calculi, which nursing problem has the highest priority?
a. Acute pain related to movement of the stone.
b. Impaired urinary elimination related to the obstructed flow of urine.
c. Risk for infection related to urinary stasis.
d. Deficient knowledge related to the need for prevention of recurrence of calculi. - ANSWER-a. Acute
pain related to movement of the stone.
The nursing problem of the highest priority is "Acute pain related to the renal calculi's movement".
The nurse is caring for a client scheduled to undergo the insertion of a percutaneous endoscopic
gastrostomy (PEG) tube. The client asks the nurse to explain how a PEG tube differs from a gastrostomy
tube (GT). Which explanation best describes how they are different?
a. Method of insertion.
b. Location of the tubes.
c. Diameter of the tubes.
d. Procedure for feedings. - ANSWER-a. Method of insertion.
(EVOLVE) EXAM WITH
100%VERIFIED QUESTIONS AND
ANSWERS 2026/2027
Which assessment is most important for the nurse to perform on a client who is hospitalized for
Guillain-Barre syndrome that is rapidly progressing?
a. Respiratory effort.
b. Unsteady gait.
c. Intensity of pain.
d. Ability to eat. - ANSWER-a. Respiratory effort.
Guillain-Barre syndrome causes paralysis or weakness that typically starts at the feet and progresses
upwards. As the condition progresses, the nurse must ensure that the client is able to breathe
effectively.
While caring for a client who has esophageal varices, which nursing intervention is most important for
the nurse to implement?
a. Monitor infusing IV fluids and any replacement blood products.
b. Prepare for esophagogastroduodenoscopy (EGD).
c. Maintain the client on strict bedrest.
d. Insert a nasogastric tube (NGT) for intermittent suction. - ANSWER-a. Monitor infusing IV fluids and
any replacement blood products.
,Maintaining hemodynamic stability in a client with esophageal varices can precipitate a life-threatening
crisis if esophageal varies leak or rupture and can result in hemorrhage. The priority is assessing and
monitoring infusions of IV fluids and any replacement blood products.
A client with chest pain, dizziness, and vomiting for the last 2 hours is admitted for evaluation for Acute
Coronary Syndrome (ACS). Which cardiac biomarker should the nurse anticipate to be elevated if the
client experienced myocardial damage?
a. Creatine Kinase (CK-MB).
b. Serum troponin.
c. Myoglobin.
d. Ischemia-modified albumin. - ANSWER-b. Serum troponin
Troponin is the most sensitive and specific test for myocardial damage. Troponin elevation is more
specific than CK-MB.
A nurse is preparing a teaching plan for a client who is postmenopausal. Which measure is most
important for the nurse to include to prevent osteoporosis?
a. Take a multivitamin daily.
b. Use only low fat milk products.
c. Perform weight resistance exercises.
d. Bicycle for at least 3 miles every day. - ANSWER-c. Perform weight resistance exercises.
Weight-bearing on the skeletal system stimulates bone formation, so recommending weight-resistance
exercise is the most important in the prevention of osteoporosis in postmenopausal women.
,The unlicensed assistive personnel (UAP) reports that an 87-year-old female client who is sitting in a
chair at the bedside has an oral temperature of 97.2 °F (36.2 °C). Which intervention should the nurse
implement?
a. Document the temperature reading on the vital sign graphic sheet.
b. Report the temperature to the healthcare provider immediately.
c. Instruct the UAP to take the client's temperature again in 30 minutes.
d. Advise the UAP to assist the client in returning to her bed. - ANSWER-a. Document the temperature
reading on the vital sign graphic sheet.
A subnormal temperature of 97.2 °F (36.2 °C) (orally) is a common finding in older clients, so the nurse
should document the findings and continue with the plan of care.
Based on an analysis of the client's rhythm, atrial fibrillation, the nurse should prepare the client for
which treatment protocol?
a. Diuretic therapy.
b. Pacemaker implantation.
c. Anticoagulation therapy.
d. Cardiac catheterization. - ANSWER-c. Anticoagulation therapy.
The client is experiencing atrial fibrillation, and the nurse should prepare the client for anticoagulation
therapy which should be prescribed before rhythm control therapies to prevent cardioembolic events
which result from blood pooling in the fibrillating atria.
Which dietary assessment finding is most important for the nurse to address when caring for a client
with diabetic nephropathy?
a. Drinks a six-pack of beer every day.
, b. Enjoys a hamburger once a month.
c. Eats fortified breakfast cereal daily.
d. Consumes beans and rice every day. - ANSWER-a. Drinks a six-pack of beer every day.
Drinking six beers every day is the dietary assessment finding most important for the nurse to address
when caring for a client with diabetic nephropathy. The usual can of beer is 12 ounces (360 mL). Clients
with diabetes are recommended to drink no more than 12 ounces of beer per day because beer contains
carbohydrates that can create unhealthy fluctuations in blood glucose and promote poor glucose
control. Nephropathy is exacerbated by poor blood glucose control.
When planning care for a client with right renal calculi, which nursing problem has the highest priority?
a. Acute pain related to movement of the stone.
b. Impaired urinary elimination related to the obstructed flow of urine.
c. Risk for infection related to urinary stasis.
d. Deficient knowledge related to the need for prevention of recurrence of calculi. - ANSWER-a. Acute
pain related to movement of the stone.
The nursing problem of the highest priority is "Acute pain related to the renal calculi's movement".
The nurse is caring for a client scheduled to undergo the insertion of a percutaneous endoscopic
gastrostomy (PEG) tube. The client asks the nurse to explain how a PEG tube differs from a gastrostomy
tube (GT). Which explanation best describes how they are different?
a. Method of insertion.
b. Location of the tubes.
c. Diameter of the tubes.
d. Procedure for feedings. - ANSWER-a. Method of insertion.
