• HESI MED SURG 09/14/2026
EXAM
EVOLVE ELSEVIER HESI MED SURG 2 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!!)
An elderly male client comes to the geriatric screening clinic complaining of pain in his left calf. The nurse notices
a reddened area on the calf of his right leg which is warm to the touch and suspects it might be
thrombophlebitis. Which type of pain should further confirm this suspicion?
A) Pain in the calf awakening him from a sound sleep.
P 1
, • HESI MED SURG 09/14/2026
EXAM
B) Calf pain on exertion which stops when standing in one place.
C) Pain in the calf upon exertion which is relieved by rest and elevating the extremity.
D) Pain upon arising in the morning which is relieved after some stretching and exercise. - Correct Answer :C)
Pain in the calf upon exertion which is relieved by rest and elevating the extremity.
Thrombophlebitis pain is relieved by rest and elevation of the extremity (C). It typically occurs with exercise at
the site of the thrombus, and is aggravated by placing the extremity in a dependent position, such as standing in
one place (B). (A and D) describe pain that is not common with thrombophlebitis.
A client with early breast cancer receives the results of a breast biopsy and asks the nurse to explain the meaning
of staging and the type of receptors found on the cancer cells. Which explanation should the nurse provide?
A) Lymph node involvement is not significant.
B) Small tumors are aggressive and indicate poor prognosis.
C) The tumor's estrogen receptor guides treatment options.
D) Stage I indicates metastasis. - Correct Answer :C) The tumor's estrogen receptor guides treatment options.
Treatment decisions (C) and prediction of prognosis are related to the tumor's receptor status, such as estrogen
and progesterone receptor status which commonly are well-differentiated, have a lower chance of recurrence,
and are receptive to hormonal therapy. Tumor staging designates tumor size and spread of breast cancer cells
into axillary lymph nodes, which is one of the most important prognostic factors in early-stage breast cancer, not
(A). Larger tumors are more likely to indicate poor prognosis, not (B). Stage I indicates the cancer is localized
and has not spread systemically (D).
Which healthcare practice is most important for the nurse to teach a postmenopausal client?
A) Wear layers of clothes if experiencing hot flashes.
B) Use a water-soluble lubricant for vaginal dryness.
C) Consume adequate foods rich in calcium.
D) Participate in stimulating mental exercises. - Correct Answer :C) Consume adequate foods rich in calcium.
Bone density loss associated with osteoporosis increases at a more rapid rate when estrogen levels begin to fall,
so the most important healthcare practice during menopause is ensuring an adequate calcium (C) intake to help
P 2
, • HESI MED SURG 09/14/2026
EXAM
maintain bone density and prevent osteoporosis. Although practices such as (A and B) may reduce some of the
discomforts for a postmenopausal female, calcium intake is more important than comfort measures. Although
social and mental exercises stimulate thought, there is no scientific evidence that mental exercises (D) prevent
dementia or common forgetfulness associated with reduced hormonal levels.
The nurse is preparing a teaching plan for a client who is newly diagnosed with Type 1 diabetes mellitus. Which
signs and symptoms should the nurse describe when teaching the client about hypoglycemia?
A) Sweating, trembling, tachycardia.
B) Polyuria, polydipsia, polyphagia.
C) Nausea, vomiting, anorexia.
D) Fruity breath, tachypnea, chest pain. - Correct Answer :A) Sweating, trembling, tachycardia.
Sweating, dizziness, and trembling are signs of hypoglycemic reactions related to the release of epinephrine as a
compensatory response to the low blood sugar (A). (B, C, and D) do not describe common symptoms of
hypoglycemia.
What is the correct procedure for performing an ophthalmoscopic examination on a client's right retina?
A) Instruct the client to look at examiner's nose and not move his/her eyes during the exam.
B) Set ophthalmoscope on the plus 2 to 3 lens and hold it in front of the examiner's right eye.
C) From a distance of 8 to 12 inches and slightly to the side, shine the light into the client's pupil.
D) For optimum visualization, keep the ophthalmoscope at least 3 inches from the client's eye. - Correct Answer
:D) For optimum visualization, keep the ophthalmoscope at least 3 inches from the client's eye.
The client should focus on a distant object in order to promote pupil dilation. The ophthalmoscope should be set
on the 0 lens to begin (creates no correction at the beginning of the exam), and should be held in front of the
examiner's left eye when examining the client's right eye. For optimum visualization, the ophthalmoscope
should be kept within one to three inches of the client's eye (D). (A and B) describe incorrect methods for
conducting an ophthalmoscopic examination. (C) should illicit a red reflex as the light travels through the
crystalline lens to the retina.
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?
P 3
, • HESI MED SURG 09/14/2026
EXAM
A) Two weeks before menstruation.
B) Vaginal mucous discharge is thick.
C) Low basal temperature.
D) First thing in the morning. - Correct Answer :A) Two weeks before menstruation.
Ovulation typically occurs 14 days before menstruation begins (A), and sexual intercourse should occur within 24
hours of ovulation for conception to occur. High estrogen levels occur during ovulation and increase the vaginal
mucous membrane characteristics, which become more "slippery" and stretchy, not (B). A rise in basal
temperature, not (C), signals ovulation. The timing during the day is not as significant in determining conception
as the day before and after ovulation (D).
During suctioning, a client with an uncuffed tracheostomy tube begins to cough violently and dislodges the
tracheostomy tube. Which action should the nurse implement first?
A) Notify the healthcare provider for reinsertion.
B) Attempt to reinsert the tracheostomy tube.
C) Position the client in a lateral position with the neck extended.
D) Ventilate client's tracheostomy stoma with a manual bag-mask. - Correct Answer :B) Attempt to reinsert the
tracheostomy tube.
The nurse should attempt to reinsert the tracheostomy tube (B) by using a hemostat to open the tracheostomy
or by grasping the retention sutures (if present) to spread the opening in insert a replacement tube (with its
obturator) into the stoma. Once in place, the obturator should immediately be removed. (A, C, and D) place the
client at risk of airway obstruction.
A male client who has never smoked but has had COPD for the past 5 years is now being assessed for cancer of
the lung. The nurse knows that he is most likely to develop which type of lung cancer?
A) Adenocarcinoma.
B) Oat-cell carcinoma.
C) Malignant melanoma.
D) Squamous-cell carcinoma. - Correct Answer :A) Adenocarcinoma.
P 4
EXAM
EVOLVE ELSEVIER HESI MED SURG 2 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!!)
An elderly male client comes to the geriatric screening clinic complaining of pain in his left calf. The nurse notices
a reddened area on the calf of his right leg which is warm to the touch and suspects it might be
thrombophlebitis. Which type of pain should further confirm this suspicion?
A) Pain in the calf awakening him from a sound sleep.
P 1
, • HESI MED SURG 09/14/2026
EXAM
B) Calf pain on exertion which stops when standing in one place.
C) Pain in the calf upon exertion which is relieved by rest and elevating the extremity.
D) Pain upon arising in the morning which is relieved after some stretching and exercise. - Correct Answer :C)
Pain in the calf upon exertion which is relieved by rest and elevating the extremity.
Thrombophlebitis pain is relieved by rest and elevation of the extremity (C). It typically occurs with exercise at
the site of the thrombus, and is aggravated by placing the extremity in a dependent position, such as standing in
one place (B). (A and D) describe pain that is not common with thrombophlebitis.
A client with early breast cancer receives the results of a breast biopsy and asks the nurse to explain the meaning
of staging and the type of receptors found on the cancer cells. Which explanation should the nurse provide?
A) Lymph node involvement is not significant.
B) Small tumors are aggressive and indicate poor prognosis.
C) The tumor's estrogen receptor guides treatment options.
D) Stage I indicates metastasis. - Correct Answer :C) The tumor's estrogen receptor guides treatment options.
Treatment decisions (C) and prediction of prognosis are related to the tumor's receptor status, such as estrogen
and progesterone receptor status which commonly are well-differentiated, have a lower chance of recurrence,
and are receptive to hormonal therapy. Tumor staging designates tumor size and spread of breast cancer cells
into axillary lymph nodes, which is one of the most important prognostic factors in early-stage breast cancer, not
(A). Larger tumors are more likely to indicate poor prognosis, not (B). Stage I indicates the cancer is localized
and has not spread systemically (D).
Which healthcare practice is most important for the nurse to teach a postmenopausal client?
A) Wear layers of clothes if experiencing hot flashes.
B) Use a water-soluble lubricant for vaginal dryness.
C) Consume adequate foods rich in calcium.
D) Participate in stimulating mental exercises. - Correct Answer :C) Consume adequate foods rich in calcium.
Bone density loss associated with osteoporosis increases at a more rapid rate when estrogen levels begin to fall,
so the most important healthcare practice during menopause is ensuring an adequate calcium (C) intake to help
P 2
, • HESI MED SURG 09/14/2026
EXAM
maintain bone density and prevent osteoporosis. Although practices such as (A and B) may reduce some of the
discomforts for a postmenopausal female, calcium intake is more important than comfort measures. Although
social and mental exercises stimulate thought, there is no scientific evidence that mental exercises (D) prevent
dementia or common forgetfulness associated with reduced hormonal levels.
The nurse is preparing a teaching plan for a client who is newly diagnosed with Type 1 diabetes mellitus. Which
signs and symptoms should the nurse describe when teaching the client about hypoglycemia?
A) Sweating, trembling, tachycardia.
B) Polyuria, polydipsia, polyphagia.
C) Nausea, vomiting, anorexia.
D) Fruity breath, tachypnea, chest pain. - Correct Answer :A) Sweating, trembling, tachycardia.
Sweating, dizziness, and trembling are signs of hypoglycemic reactions related to the release of epinephrine as a
compensatory response to the low blood sugar (A). (B, C, and D) do not describe common symptoms of
hypoglycemia.
What is the correct procedure for performing an ophthalmoscopic examination on a client's right retina?
A) Instruct the client to look at examiner's nose and not move his/her eyes during the exam.
B) Set ophthalmoscope on the plus 2 to 3 lens and hold it in front of the examiner's right eye.
C) From a distance of 8 to 12 inches and slightly to the side, shine the light into the client's pupil.
D) For optimum visualization, keep the ophthalmoscope at least 3 inches from the client's eye. - Correct Answer
:D) For optimum visualization, keep the ophthalmoscope at least 3 inches from the client's eye.
The client should focus on a distant object in order to promote pupil dilation. The ophthalmoscope should be set
on the 0 lens to begin (creates no correction at the beginning of the exam), and should be held in front of the
examiner's left eye when examining the client's right eye. For optimum visualization, the ophthalmoscope
should be kept within one to three inches of the client's eye (D). (A and B) describe incorrect methods for
conducting an ophthalmoscopic examination. (C) should illicit a red reflex as the light travels through the
crystalline lens to the retina.
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?
P 3
, • HESI MED SURG 09/14/2026
EXAM
A) Two weeks before menstruation.
B) Vaginal mucous discharge is thick.
C) Low basal temperature.
D) First thing in the morning. - Correct Answer :A) Two weeks before menstruation.
Ovulation typically occurs 14 days before menstruation begins (A), and sexual intercourse should occur within 24
hours of ovulation for conception to occur. High estrogen levels occur during ovulation and increase the vaginal
mucous membrane characteristics, which become more "slippery" and stretchy, not (B). A rise in basal
temperature, not (C), signals ovulation. The timing during the day is not as significant in determining conception
as the day before and after ovulation (D).
During suctioning, a client with an uncuffed tracheostomy tube begins to cough violently and dislodges the
tracheostomy tube. Which action should the nurse implement first?
A) Notify the healthcare provider for reinsertion.
B) Attempt to reinsert the tracheostomy tube.
C) Position the client in a lateral position with the neck extended.
D) Ventilate client's tracheostomy stoma with a manual bag-mask. - Correct Answer :B) Attempt to reinsert the
tracheostomy tube.
The nurse should attempt to reinsert the tracheostomy tube (B) by using a hemostat to open the tracheostomy
or by grasping the retention sutures (if present) to spread the opening in insert a replacement tube (with its
obturator) into the stoma. Once in place, the obturator should immediately be removed. (A, C, and D) place the
client at risk of airway obstruction.
A male client who has never smoked but has had COPD for the past 5 years is now being assessed for cancer of
the lung. The nurse knows that he is most likely to develop which type of lung cancer?
A) Adenocarcinoma.
B) Oat-cell carcinoma.
C) Malignant melanoma.
D) Squamous-cell carcinoma. - Correct Answer :A) Adenocarcinoma.
P 4
