1|Page
EVOLVE ELSEVIER HESI MED SURG EXAM 2
NEWEST 2025 ACTUAL EXAM| COMPLETE 200
REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
Which assessment finding by the nurse during a client's clinical breast
examination requires follow-up?
A - Newly retracted nipple
B - A thickened area where the skin folds under the breast
C - Whitish nipple discharge
D - Tender lumpiness noted bilaterally throughout the breasts - Correct
Answer - A
The nurse is assessing a client who has a history of Parkinson's disease
for the past 5 years. Which symptoms would this client most likely
exhibit?
A - Loss of short-term memory, facial tics and grimaces, and constant
writhing movements
B - Shuffling gait, masklike facial expression, and tremors of the head
C - Extreme muscular weakness, easy fatigability, and ptosis
D - Numbness of the extremities, loss of balance, and visual
disturbances - Correct Answer - B
pg. 1
,2|Page
Which finding should the nurse identify as an indication of carbon
monoxide poisoning in a client who experienced a burn injury during a
house fire?
A - Pulse oximetry reading of 80%
B - Expiratory stridor and nasal flaring
C - Cherry red color to the mucous membranes
D - Presence of carbonaceous particles in sputum - Correct Answer - C
The nurse is preparing an adult client for an upper gastrointestinal (UGI)
series. Which information should the nurse include in the teaching plan?
A - The x-ray procedure may last for several hours
B - NG tube is inserted to instill the barium
C - Enemas are given to empty the bowel after the procedure
D - Nothing by mouth is allowed for 6 to 8 hours before the study -
Correct Answer - D
A client with history of a-fib is admitted to the telemetry unit with
sudden onset of shortness of breath. The nurse observes a new irregular
heart rhythm and should perform which assessment at this time?
A - Check for a pulse deficit
B - Palpate the apical impulse
C - Inspect jugular vein pulse
D - Examine for a carotid bruit - Correct Answer - A
pg. 2
,3|Page
The nurse is assessing a client who is bedfast and refuses to turn or
move from a supine position. How should the nurse assess the client for
possible dependent edema?
A - Compress the flank and upper buttocks
B - Measure the client's abdominal girth
C - Gently palpate the lower abdomen
D - Apply light pressure over the shins - Correct Answer - A
When planning care for a client with right renal calculi, which nursing
diagnosis has the highest priority?
A - Acute pain related to movement of the stone
B - Impaired urinary elimination related to obstructed flow of urine
C - Risk for infection related to urinary stasis
D - Deficient knowledge related to need for prevention of recurrence of
calculi - Correct Answer - A
The RN is caring for a client with peptic ulcer disease (PUD). What
assessment should the RN identify and document that is consistent with
PUD? (SATA)
A - Hematemesis
B - Gastric pain on an empty stomach
C - Colic-like pain with fatty food ingestion
D - Intolerance of spicy foods
E - Diarrhea and stearrhea - Correct Answer - A, B, D
pg. 3
, 4|Page
The RN is caring for a young adult who is having an oral glucose
tolerance tests (OGTT). Which laboratory result should the RN assess as
a normal value for the two hr postprandial result?
A - 140 mg/dl
B - 160 mg/dl
C - 180 mg/dl
D - 200 mg/dl - Correct Answer - A
The RN is caring for an older client who recently experienced a
fractured pelvis from a fall. Which assessment finding is most important
for the RN to report the HCP?
A - Lower back pain
B - Headache of 7 on scale 1 to 10
C - Blood pressure of 140/98
D - Dyspnea - Correct Answer - D
The RN is caring for a client with acute pancreatitis and reviews the
admission lab results. What lab value should the RN anticipate being
elevated with this diagnosis?
A - Triglycerides
B - Amylase
C - Creatinine
D - Uric acid - Correct Answer - B
pg. 4
EVOLVE ELSEVIER HESI MED SURG EXAM 2
NEWEST 2025 ACTUAL EXAM| COMPLETE 200
REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
Which assessment finding by the nurse during a client's clinical breast
examination requires follow-up?
A - Newly retracted nipple
B - A thickened area where the skin folds under the breast
C - Whitish nipple discharge
D - Tender lumpiness noted bilaterally throughout the breasts - Correct
Answer - A
The nurse is assessing a client who has a history of Parkinson's disease
for the past 5 years. Which symptoms would this client most likely
exhibit?
A - Loss of short-term memory, facial tics and grimaces, and constant
writhing movements
B - Shuffling gait, masklike facial expression, and tremors of the head
C - Extreme muscular weakness, easy fatigability, and ptosis
D - Numbness of the extremities, loss of balance, and visual
disturbances - Correct Answer - B
pg. 1
,2|Page
Which finding should the nurse identify as an indication of carbon
monoxide poisoning in a client who experienced a burn injury during a
house fire?
A - Pulse oximetry reading of 80%
B - Expiratory stridor and nasal flaring
C - Cherry red color to the mucous membranes
D - Presence of carbonaceous particles in sputum - Correct Answer - C
The nurse is preparing an adult client for an upper gastrointestinal (UGI)
series. Which information should the nurse include in the teaching plan?
A - The x-ray procedure may last for several hours
B - NG tube is inserted to instill the barium
C - Enemas are given to empty the bowel after the procedure
D - Nothing by mouth is allowed for 6 to 8 hours before the study -
Correct Answer - D
A client with history of a-fib is admitted to the telemetry unit with
sudden onset of shortness of breath. The nurse observes a new irregular
heart rhythm and should perform which assessment at this time?
A - Check for a pulse deficit
B - Palpate the apical impulse
C - Inspect jugular vein pulse
D - Examine for a carotid bruit - Correct Answer - A
pg. 2
,3|Page
The nurse is assessing a client who is bedfast and refuses to turn or
move from a supine position. How should the nurse assess the client for
possible dependent edema?
A - Compress the flank and upper buttocks
B - Measure the client's abdominal girth
C - Gently palpate the lower abdomen
D - Apply light pressure over the shins - Correct Answer - A
When planning care for a client with right renal calculi, which nursing
diagnosis has the highest priority?
A - Acute pain related to movement of the stone
B - Impaired urinary elimination related to obstructed flow of urine
C - Risk for infection related to urinary stasis
D - Deficient knowledge related to need for prevention of recurrence of
calculi - Correct Answer - A
The RN is caring for a client with peptic ulcer disease (PUD). What
assessment should the RN identify and document that is consistent with
PUD? (SATA)
A - Hematemesis
B - Gastric pain on an empty stomach
C - Colic-like pain with fatty food ingestion
D - Intolerance of spicy foods
E - Diarrhea and stearrhea - Correct Answer - A, B, D
pg. 3
, 4|Page
The RN is caring for a young adult who is having an oral glucose
tolerance tests (OGTT). Which laboratory result should the RN assess as
a normal value for the two hr postprandial result?
A - 140 mg/dl
B - 160 mg/dl
C - 180 mg/dl
D - 200 mg/dl - Correct Answer - A
The RN is caring for an older client who recently experienced a
fractured pelvis from a fall. Which assessment finding is most important
for the RN to report the HCP?
A - Lower back pain
B - Headache of 7 on scale 1 to 10
C - Blood pressure of 140/98
D - Dyspnea - Correct Answer - D
The RN is caring for a client with acute pancreatitis and reviews the
admission lab results. What lab value should the RN anticipate being
elevated with this diagnosis?
A - Triglycerides
B - Amylase
C - Creatinine
D - Uric acid - Correct Answer - B
pg. 4
