• HESI MED SURG 09/14/2026
EXAM
EVOLVE ELSEVIER HESI MED SURG 1 LATEST 2025/
2026 TEST BANK| COMPLETE 350 REAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
WELL-ELABORATED RATIONALES/ GRADED A+|
EVOLVE HESI MEDICAL SURGICAL LATEST EXAM
(BRAND NEW!!)
HESI Evolve Website 11/20/2019
A client is admitted to the hospital with severe acute diverticulitis. Which assessment finding should the nurse
expect this client to exhibit?
P 1
, • HESI MED SURG 09/14/2026
EXAM
A. Severe pain at McBurney's point and nausea.
B. Lower left quadrant pain and a low grade fever.
C. Abdominal pain and intermittent tenesmus.
D. Exacerbations of severe diarrhea. –
Correct Answer :Answer: B
Left lower quadrant pain occurs with diverticulitis because the sigmoid colon is the most common area for
diverticula and the inflammation of diverticula causes a low grade fever.
A is indicative of appendicitis. C and D are indicitive of ulcerative colitis.
HESI Evolve Website 11/20/2019
A client is placed on a mechanical ventilator following a cerebral hemorrhage, and vecuronium bromide
(Norcuron) 0.04 mg/kg q12 hours IV is prescribed. What is the priority nursing diagnosis for this client?
A. Potential for injury related to impaired lung expansion.
B. Impaired communication related to paralysis of skeletal muscles.
C. High risk for infection related to increased intracranial pressure.
D. Social isolation related to inability to communicate. –
Correct Answer :Answer: B
To increase the client's tolerance of endotracheal intubation and/or mechanical ventilation, a skeletal-muscle
relaxant, such as vecuronium, is usually prescribed. Impaired communication is a serious outcome because the
client cannot communicate his/her needs due to intubation and diaphragmatic paralysis caused by the drug.
HESI Evolve Website 11/20/2019
P 2
, • HESI MED SURG 09/14/2026
EXAM
The nurse would be correct in withholding a dose of digoxin in a client with congestive heart failure without
specific instrucions from the healthcare provider if the client's
A. Serum potassium level is a 3
B. Blood pressure is 104/68
C. Serum digoxin level is 1.5
D. apical pulse is 68/min
- Correct Answer :Answer: A
Hypokalemia can precipitate digoxin toxicity in persons receiving digoxin which will increase the chance of
dangerous dysrhythmias. The therapeutic range for digoxin is 0.8 to 2 ng/ml. The nurse should also hold the
digoxin if the apical pulse is below 60/min.
HESI Evolve Website 11/20/2019
After the fourth dose of gentamicin sulfate (Garamycin) IV, the nurse plans to draw blood samples to determine
peak and trough levels. When are the best times to draw these samples?
A) 15 minutes before and 15 minutes after the next dose.
B) One hour before and one hour after the next dose.
C) 5 minutes before and 30 minutes after the next dose.
D) 30 minutes before and 30 minutes after the next dose. - Correct Answer :Answer: C
Peak drug serum levels are achieved 30 minutes after IV administration of aminoglycosides. The best time to
draw a trough is the closest time to the next administration.
HESI Evolve Website 11/20/2019
P 3
, • HESI MED SURG 09/14/2026
EXAM
In preparing a discharge plan for a 22-year-old male client diagnosed with Buerger's disease (thromboangiitis
obliterans), which referral is most important?
A. A twelve step recovery program.
B. Smoking cessation program.
C. Genetic counseling.
D. Clinical nutritionist. - Correct Answer :Answer: B
Buerger's disease is strongly related to smoking. The most effective means of controlling the symptoms and
disease progression is through smoking cessation.
HESI Evolve Website 11/20/2019
Which symptoms should the nurse expect a client to exhibit who is known to have a pheochromocytoma?
A) Numbness, tingling, and cramps in the extremities.
B) Headache, diaphoresis, and palpitations.
C) Cyanosis, fever, and classic signs of shock.
D) Nausea, vomiting, and muscular weakness. - Correct Answer :Answer: B
Pheochromocytoma is a catecholamine secreting tumor of the adrenal medulla and B is the typical triad of
symptoms depending upon the relative proportions of epinephrine and norepinephrine secretion.
A-hypoparathyroidism
C- addisonian adrenal crisis
D- hyperparathyroidism
P 4
EXAM
EVOLVE ELSEVIER HESI MED SURG 1 LATEST 2025/
2026 TEST BANK| COMPLETE 350 REAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
WELL-ELABORATED RATIONALES/ GRADED A+|
EVOLVE HESI MEDICAL SURGICAL LATEST EXAM
(BRAND NEW!!)
HESI Evolve Website 11/20/2019
A client is admitted to the hospital with severe acute diverticulitis. Which assessment finding should the nurse
expect this client to exhibit?
P 1
, • HESI MED SURG 09/14/2026
EXAM
A. Severe pain at McBurney's point and nausea.
B. Lower left quadrant pain and a low grade fever.
C. Abdominal pain and intermittent tenesmus.
D. Exacerbations of severe diarrhea. –
Correct Answer :Answer: B
Left lower quadrant pain occurs with diverticulitis because the sigmoid colon is the most common area for
diverticula and the inflammation of diverticula causes a low grade fever.
A is indicative of appendicitis. C and D are indicitive of ulcerative colitis.
HESI Evolve Website 11/20/2019
A client is placed on a mechanical ventilator following a cerebral hemorrhage, and vecuronium bromide
(Norcuron) 0.04 mg/kg q12 hours IV is prescribed. What is the priority nursing diagnosis for this client?
A. Potential for injury related to impaired lung expansion.
B. Impaired communication related to paralysis of skeletal muscles.
C. High risk for infection related to increased intracranial pressure.
D. Social isolation related to inability to communicate. –
Correct Answer :Answer: B
To increase the client's tolerance of endotracheal intubation and/or mechanical ventilation, a skeletal-muscle
relaxant, such as vecuronium, is usually prescribed. Impaired communication is a serious outcome because the
client cannot communicate his/her needs due to intubation and diaphragmatic paralysis caused by the drug.
HESI Evolve Website 11/20/2019
P 2
, • HESI MED SURG 09/14/2026
EXAM
The nurse would be correct in withholding a dose of digoxin in a client with congestive heart failure without
specific instrucions from the healthcare provider if the client's
A. Serum potassium level is a 3
B. Blood pressure is 104/68
C. Serum digoxin level is 1.5
D. apical pulse is 68/min
- Correct Answer :Answer: A
Hypokalemia can precipitate digoxin toxicity in persons receiving digoxin which will increase the chance of
dangerous dysrhythmias. The therapeutic range for digoxin is 0.8 to 2 ng/ml. The nurse should also hold the
digoxin if the apical pulse is below 60/min.
HESI Evolve Website 11/20/2019
After the fourth dose of gentamicin sulfate (Garamycin) IV, the nurse plans to draw blood samples to determine
peak and trough levels. When are the best times to draw these samples?
A) 15 minutes before and 15 minutes after the next dose.
B) One hour before and one hour after the next dose.
C) 5 minutes before and 30 minutes after the next dose.
D) 30 minutes before and 30 minutes after the next dose. - Correct Answer :Answer: C
Peak drug serum levels are achieved 30 minutes after IV administration of aminoglycosides. The best time to
draw a trough is the closest time to the next administration.
HESI Evolve Website 11/20/2019
P 3
, • HESI MED SURG 09/14/2026
EXAM
In preparing a discharge plan for a 22-year-old male client diagnosed with Buerger's disease (thromboangiitis
obliterans), which referral is most important?
A. A twelve step recovery program.
B. Smoking cessation program.
C. Genetic counseling.
D. Clinical nutritionist. - Correct Answer :Answer: B
Buerger's disease is strongly related to smoking. The most effective means of controlling the symptoms and
disease progression is through smoking cessation.
HESI Evolve Website 11/20/2019
Which symptoms should the nurse expect a client to exhibit who is known to have a pheochromocytoma?
A) Numbness, tingling, and cramps in the extremities.
B) Headache, diaphoresis, and palpitations.
C) Cyanosis, fever, and classic signs of shock.
D) Nausea, vomiting, and muscular weakness. - Correct Answer :Answer: B
Pheochromocytoma is a catecholamine secreting tumor of the adrenal medulla and B is the typical triad of
symptoms depending upon the relative proportions of epinephrine and norepinephrine secretion.
A-hypoparathyroidism
C- addisonian adrenal crisis
D- hyperparathyroidism
P 4
