EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM
WITH 250 REAL EXAM QUESTIONS AND CORRECT
ANSWERS WITH WELL-ELABORATED RATIONALES/
EVOLVE HESI MEDICAL SURGICAL LATEST EXAM 2025
(BRAND NEW!!)
A couple trying to cope with an infertility problem wants to know what can be
done to preserve emotional equilibrium. What is the best response for the nurse
to provide?
A) Tell your friends and family so that they can help you.
B) Get involved with a support group. I will give you some names.
C) Talk only to other friends who are infertile since only they can help.
D) Start adoption proceedings immediately since obtaining an infant is very
difficult. - <<answer>>..Correct Answer(s): B
* A support group (B) provides a safe haven for the couple to share experiences
and gain insight from others experiences. Although talking about feelings may
unburden the couple of negative feelings, infertility is a major stressor that
affects the couple's relationships, so discussion with family and friends (A)
should be minimal. Limiting interaction to other infertile couples (C) may address
some psychosocial needs, but depending on where the other couples are in the
recovery process, it may not be helpful. Giving an opinion about adoption (D) is
not therapeutic nor supportive of the psychosocial needs.
The nurse is planning preoperative teaching for a client who will undergo a
radical neck dissection and total laryngectomy. Which information has the
greatest priority for this client?
A) Prognosis after treatment is excellent.
,B) Techniques for esophageal speech are relatively easy to learn with practice.
C) The stoma should never be covered after this type of surgery.
D) There is a radical change in appearance as a result of this surgery. -
<<answer>>..Correct Answer(s): D
* Radical neck dissection is the removal of lymphatic drainage channels and
nodes, sternocleidomastoid muscle, spinal accessory nerve, jugular vein, and
submandibular area. The overall outcome of this type of surgery causes the
neck to be disfigured, so (D) should be a priority in the care of this client. (A, B,
and C) are included, but the client's concern for (D) is the priority.
When teaching a client with breast cancer about the prescribed radiation therapy
for treatment, what information is important to include?
A) Dry, itchy skin changes may occur.
B) There is a possibility of long bone pain.
C) Permanent pigment changes to the breast may result.
D) A low-residue diet may be ordered to reduce the likelihood of diarrhea. -
<<answer>>..Correct Answer(s): A
* Side effects from radiation to the breast most often include temporary skin
changes such as: dryness, tenderness, redness, swelling, and pruritis (A). (B, C,
and D) are not found in this situation.
Which action should the nurse implement on the scheduled day of surgery for a
client with type 1 diabetes mellitus (DM)?
A) Obtain a prescription for an adjusted dose of insulin.
B) Administer an oral anti-diabetic agent.
C) Give an insulin dose using parameters of a sliding scale.
D) Withhold insulin while the client is NPO. - <<answer>>..Correct Answer(s): A
* Stressors, such as surgery, increase serum glucose levels. A client with type 1
DM who is NPO for scheduled surgery should receive a prescribed adjusted
dose of insulin (A). (B, C, and D) are not indicated.
,In planning care for a client with an acute stroke resulting in right-sided
hemiplegia, which positioning should the nurse should use to maintain optimal
functioning?
A) Mid-Fowler's with knees supported.
B) Supine with trochanter rolls to the hips.
C) Sim's position alternated with right lateral position q2 hours.
D) Left lateral, supine, brief periods on the right side, and prone. -
<<answer>>..Correct Answer(s): D
* After an acute stroke, a positioning and turning schedule that minimizes lying
on the affected side, which can impair circulation and cause pain, and includes
the prone position (D) to help prevent flexion contractures of the hips, prepares
the client for optimal functioning and ambulating. (A, B, and C) do not maintain
the client for optimal functioning.
Which intervention should the nurse implement that best confirms placement of
an endotracheal tube (ET) tube?
A) Use an end-tital CO2 detector.
B) Ascultate for bilateral breath sounds.
C) Obtain pulse oximeter reading.
D) Check symmetrical chest movement. - <<answer>>..Correct Answer(s): A
* The end-tital carbon dioxide detector indicates the presence of CO2 by a color
change or a number (A), which is evidence that the ET is in the trachea, not the
esophagus. Other assessments, such breath sounds (B), pulse oximetry (C) and
chest movement (D), are methods to evaluate the effectiveness of ventilation
and oxygenation, but do not measure CO2 in expired air from the ET.
A female client with hyperesthesia on the oncology unit is using a
transcutaneous electrical nerve stimulation (TENS) unit for chronic pain. Which
nursing activity should the nurse implement instead of delegating to a practical
nurse (PN)?
, A) Determine the client's level of discomfort using a pain rating scale.
B) Ask the client about her past experience with chronic pain.
C) Observe the client's facial expressions for pain and discomfort.
D) Evaluate the client's ability to adjust the voltage to control pain. -
<<answer>>..Correct Answer(s): D
* The oncology nurse has the knowledge and experience with the use of a
transcutaneous electrical nerve stimulation (TENS) unit for chronic pain relief, so
the nurse should evaluate the client's skill in effectively controlling the pain by
adjusting the voltage (D). The PN can collect data about the client's pain (A, B,
and C).
The nurse is caring for a client scheduled to undergo 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>>..Correct Answer(s): A
* The best explanation of how a PEG tube differs from a GT is by the method of
insertion (A). GT insertion involves making an incision in the wall of the
abdomen and suturing the tube to the gastric wall. A PEG tube is inserted with
endoscopic visualization through the esophagus into the stomach and then
pulled through a stab wound in the abdominal wall. (B, C, and D) identify
commonalities.
The nurse is caring for a client after a transurethral resection of the prostate and
determines the client's urinary catheter is not draining. What should the nurse
implement?
A) Reposition the catheter drainage tubing.
WITH 250 REAL EXAM QUESTIONS AND CORRECT
ANSWERS WITH WELL-ELABORATED RATIONALES/
EVOLVE HESI MEDICAL SURGICAL LATEST EXAM 2025
(BRAND NEW!!)
A couple trying to cope with an infertility problem wants to know what can be
done to preserve emotional equilibrium. What is the best response for the nurse
to provide?
A) Tell your friends and family so that they can help you.
B) Get involved with a support group. I will give you some names.
C) Talk only to other friends who are infertile since only they can help.
D) Start adoption proceedings immediately since obtaining an infant is very
difficult. - <<answer>>..Correct Answer(s): B
* A support group (B) provides a safe haven for the couple to share experiences
and gain insight from others experiences. Although talking about feelings may
unburden the couple of negative feelings, infertility is a major stressor that
affects the couple's relationships, so discussion with family and friends (A)
should be minimal. Limiting interaction to other infertile couples (C) may address
some psychosocial needs, but depending on where the other couples are in the
recovery process, it may not be helpful. Giving an opinion about adoption (D) is
not therapeutic nor supportive of the psychosocial needs.
The nurse is planning preoperative teaching for a client who will undergo a
radical neck dissection and total laryngectomy. Which information has the
greatest priority for this client?
A) Prognosis after treatment is excellent.
,B) Techniques for esophageal speech are relatively easy to learn with practice.
C) The stoma should never be covered after this type of surgery.
D) There is a radical change in appearance as a result of this surgery. -
<<answer>>..Correct Answer(s): D
* Radical neck dissection is the removal of lymphatic drainage channels and
nodes, sternocleidomastoid muscle, spinal accessory nerve, jugular vein, and
submandibular area. The overall outcome of this type of surgery causes the
neck to be disfigured, so (D) should be a priority in the care of this client. (A, B,
and C) are included, but the client's concern for (D) is the priority.
When teaching a client with breast cancer about the prescribed radiation therapy
for treatment, what information is important to include?
A) Dry, itchy skin changes may occur.
B) There is a possibility of long bone pain.
C) Permanent pigment changes to the breast may result.
D) A low-residue diet may be ordered to reduce the likelihood of diarrhea. -
<<answer>>..Correct Answer(s): A
* Side effects from radiation to the breast most often include temporary skin
changes such as: dryness, tenderness, redness, swelling, and pruritis (A). (B, C,
and D) are not found in this situation.
Which action should the nurse implement on the scheduled day of surgery for a
client with type 1 diabetes mellitus (DM)?
A) Obtain a prescription for an adjusted dose of insulin.
B) Administer an oral anti-diabetic agent.
C) Give an insulin dose using parameters of a sliding scale.
D) Withhold insulin while the client is NPO. - <<answer>>..Correct Answer(s): A
* Stressors, such as surgery, increase serum glucose levels. A client with type 1
DM who is NPO for scheduled surgery should receive a prescribed adjusted
dose of insulin (A). (B, C, and D) are not indicated.
,In planning care for a client with an acute stroke resulting in right-sided
hemiplegia, which positioning should the nurse should use to maintain optimal
functioning?
A) Mid-Fowler's with knees supported.
B) Supine with trochanter rolls to the hips.
C) Sim's position alternated with right lateral position q2 hours.
D) Left lateral, supine, brief periods on the right side, and prone. -
<<answer>>..Correct Answer(s): D
* After an acute stroke, a positioning and turning schedule that minimizes lying
on the affected side, which can impair circulation and cause pain, and includes
the prone position (D) to help prevent flexion contractures of the hips, prepares
the client for optimal functioning and ambulating. (A, B, and C) do not maintain
the client for optimal functioning.
Which intervention should the nurse implement that best confirms placement of
an endotracheal tube (ET) tube?
A) Use an end-tital CO2 detector.
B) Ascultate for bilateral breath sounds.
C) Obtain pulse oximeter reading.
D) Check symmetrical chest movement. - <<answer>>..Correct Answer(s): A
* The end-tital carbon dioxide detector indicates the presence of CO2 by a color
change or a number (A), which is evidence that the ET is in the trachea, not the
esophagus. Other assessments, such breath sounds (B), pulse oximetry (C) and
chest movement (D), are methods to evaluate the effectiveness of ventilation
and oxygenation, but do not measure CO2 in expired air from the ET.
A female client with hyperesthesia on the oncology unit is using a
transcutaneous electrical nerve stimulation (TENS) unit for chronic pain. Which
nursing activity should the nurse implement instead of delegating to a practical
nurse (PN)?
, A) Determine the client's level of discomfort using a pain rating scale.
B) Ask the client about her past experience with chronic pain.
C) Observe the client's facial expressions for pain and discomfort.
D) Evaluate the client's ability to adjust the voltage to control pain. -
<<answer>>..Correct Answer(s): D
* The oncology nurse has the knowledge and experience with the use of a
transcutaneous electrical nerve stimulation (TENS) unit for chronic pain relief, so
the nurse should evaluate the client's skill in effectively controlling the pain by
adjusting the voltage (D). The PN can collect data about the client's pain (A, B,
and C).
The nurse is caring for a client scheduled to undergo 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>>..Correct Answer(s): A
* The best explanation of how a PEG tube differs from a GT is by the method of
insertion (A). GT insertion involves making an incision in the wall of the
abdomen and suturing the tube to the gastric wall. A PEG tube is inserted with
endoscopic visualization through the esophagus into the stomach and then
pulled through a stab wound in the abdominal wall. (B, C, and D) identify
commonalities.
The nurse is caring for a client after a transurethral resection of the prostate and
determines the client's urinary catheter is not draining. What should the nurse
implement?
A) Reposition the catheter drainage tubing.
