TEST BANK| EVOLVE HESI MEDICAL SURGICAL LATEST EXAM 2025
(BRAND NEW!!) COMPLETE REAL EXAM QUESTIONS AND CORRECT
ANSWERS WITH WELL-ELABORATED RATIONALES
1. A client with chronic kidney disease has a serum potassium level of 6.8
mEq/L. Which intervention is the priority?
A. Monitor for muscle weakness
B. Place the client on a cardiac monitor
C. Encourage intake of potassium-rich foods
D. Prepare the client for dialysis
High potassium levels can cause life-threatening cardiac dysrhythmias.
Continuous ECG monitoring is essential to detect changes early.
2. A client is admitted with acute pancreatitis. Which assessment finding
requires immediate intervention?
A. Epigastric pain radiating to the back
B. Respiratory rate of 32 breaths/min
C. Nausea and vomiting
D. Mild abdominal distention
A respiratory rate of 32 may indicate respiratory distress due to diaphragmatic
elevation or pleural effusion, a complication of pancreatitis.
,3. A nurse is caring for a client after thyroidectomy. Which is the most critical
assessment?
A. Level of fatigue
B. Airway patency
C. Nausea and vomiting
D. Voice changes
Post-thyroidectomy, airway obstruction from hematoma or edema is life-
threatening and must be prioritized.
4. A client with COPD has thick, tenacious secretions. What is the most
appropriate nursing intervention?
A. Limit fluids to reduce workload
B. Place client in Trendelenburg position
C. Encourage increased fluid intake
D. Administer antitussives around the clock
Hydration helps thin secretions, making them easier to expectorate in clients
with COPD.
5. A client with heart failure gains 3 lbs in 2 days. What should the nurse do
first?
A. Assess dietary sodium intake
B. Auscultate lung sounds
C. Review recent lab values
D. Notify the healthcare provider
,Rapid weight gain suggests fluid retention; pulmonary edema is a priority
concern, and lung sounds must be assessed.
6. Which client should the nurse assess first?
A. A postoperative client reporting chest pain
B. A client with nausea who hasn’t voided in 6 hours
C. A client receiving IV antibiotics
D. A client asking for pain medication
Chest pain may indicate a life-threatening complication such as a pulmonary
embolism or myocardial infarction and must be assessed first.
7. A diabetic client becomes confused and diaphoretic. What is the priority
action?
A. Check urine ketones
B. Check blood glucose
C. Administer insulin
D. Notify the provider
These are signs of hypoglycemia, and confirming blood glucose level is crucial
before intervention.
8. Which lab value would the nurse expect in a client with Cushing’s syndrome?
A. Elevated serum glucose
B. Decreased sodium levels
, C. Elevated potassium levels
D. Decreased cortisol levels
Cushing’s syndrome is associated with hypercortisolism, which causes
hyperglycemia, hypernatremia, and hypokalemia.
9. A nurse is caring for a client who had a femoral-popliteal bypass. What is the
most important postoperative assessment?
A. Temperature
B. Peripheral pulses in the affected leg
C. Level of sedation
D. Respiratory rate
Ensuring adequate perfusion is critical. Diminished or absent pulses may
indicate occlusion.
10. Which symptom is most concerning in a client with a new ileostomy?
A. Liquid stool output
B. Mild peristomal skin irritation
C. Absent stoma drainage for 6 hours
D. Occasional gas passage
An ileostomy should have continuous output. Absence for several hours may
indicate obstruction.
(BRAND NEW!!) COMPLETE REAL EXAM QUESTIONS AND CORRECT
ANSWERS WITH WELL-ELABORATED RATIONALES
1. A client with chronic kidney disease has a serum potassium level of 6.8
mEq/L. Which intervention is the priority?
A. Monitor for muscle weakness
B. Place the client on a cardiac monitor
C. Encourage intake of potassium-rich foods
D. Prepare the client for dialysis
High potassium levels can cause life-threatening cardiac dysrhythmias.
Continuous ECG monitoring is essential to detect changes early.
2. A client is admitted with acute pancreatitis. Which assessment finding
requires immediate intervention?
A. Epigastric pain radiating to the back
B. Respiratory rate of 32 breaths/min
C. Nausea and vomiting
D. Mild abdominal distention
A respiratory rate of 32 may indicate respiratory distress due to diaphragmatic
elevation or pleural effusion, a complication of pancreatitis.
,3. A nurse is caring for a client after thyroidectomy. Which is the most critical
assessment?
A. Level of fatigue
B. Airway patency
C. Nausea and vomiting
D. Voice changes
Post-thyroidectomy, airway obstruction from hematoma or edema is life-
threatening and must be prioritized.
4. A client with COPD has thick, tenacious secretions. What is the most
appropriate nursing intervention?
A. Limit fluids to reduce workload
B. Place client in Trendelenburg position
C. Encourage increased fluid intake
D. Administer antitussives around the clock
Hydration helps thin secretions, making them easier to expectorate in clients
with COPD.
5. A client with heart failure gains 3 lbs in 2 days. What should the nurse do
first?
A. Assess dietary sodium intake
B. Auscultate lung sounds
C. Review recent lab values
D. Notify the healthcare provider
,Rapid weight gain suggests fluid retention; pulmonary edema is a priority
concern, and lung sounds must be assessed.
6. Which client should the nurse assess first?
A. A postoperative client reporting chest pain
B. A client with nausea who hasn’t voided in 6 hours
C. A client receiving IV antibiotics
D. A client asking for pain medication
Chest pain may indicate a life-threatening complication such as a pulmonary
embolism or myocardial infarction and must be assessed first.
7. A diabetic client becomes confused and diaphoretic. What is the priority
action?
A. Check urine ketones
B. Check blood glucose
C. Administer insulin
D. Notify the provider
These are signs of hypoglycemia, and confirming blood glucose level is crucial
before intervention.
8. Which lab value would the nurse expect in a client with Cushing’s syndrome?
A. Elevated serum glucose
B. Decreased sodium levels
, C. Elevated potassium levels
D. Decreased cortisol levels
Cushing’s syndrome is associated with hypercortisolism, which causes
hyperglycemia, hypernatremia, and hypokalemia.
9. A nurse is caring for a client who had a femoral-popliteal bypass. What is the
most important postoperative assessment?
A. Temperature
B. Peripheral pulses in the affected leg
C. Level of sedation
D. Respiratory rate
Ensuring adequate perfusion is critical. Diminished or absent pulses may
indicate occlusion.
10. Which symptom is most concerning in a client with a new ileostomy?
A. Liquid stool output
B. Mild peristomal skin irritation
C. Absent stoma drainage for 6 hours
D. Occasional gas passage
An ileostomy should have continuous output. Absence for several hours may
indicate obstruction.
