EVOLVE ELSEVIER HESI MED SURG EXIT EXAM VERSION 4 / MED SURG
HESI EVOLVE ELSEVIER NEWEST 2025/2026 COMPLETE QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in the abdominopelvic region and is
scheduled for radiation therapy (RT). The client expresses concern about becoming infertile. How should
the nurse respond? - ANSWERPropose sperm banking before RT then artificial insemination is an option
A client's susceptibility to ulcerative colitis is most likely due to which aspect in the client's history? -
ANSWERJewish European ancestry
Small bowl obstruction is a condition characterized by which finding? - ANSWERSevere fluid and
electrolyte imbalances
Which client should the nurse recognize as most likely to experience sleep apnea? - ANSWERObese
older male client with a short, thick neck
Which milestone indicates to the nurse successful achievement of young adulthood? -
ANSWERCompletes education and becomes self-supporting
A client who has heart failure is admitted with a serum potassium level of 2.9 mEq/L (2.9 mmol/L).
Which action is most important for the nurse to implement? - ANSWERInitiate continuous cardiac
monitoring
Which postmenopausal client's complaint should the nurse refer to the HCP? - ANSWERepisodes of
vaginal bleeding
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? - ANSWERTwo weeks before menstruation
,A postmenopausal client asks the nurse why she is experiencing discomfort during intercourse. Which
response is best for the nurse to provide? - ANSWEREstrogen deficiency causes the vaginal tissue to
become dry and thinner
Which discharge instruction is most important for a client after a kidney transplant? - ANSWERUse daily
reminders to take immunosuppressants
The nurse is assessing a client with chronic kidney disease (CKD). Which finding is most important for the
nurse to respond to first? - ANSWERPotassium 6.0 mEq
Which finding should the nurse identify as most significant for a client diagnosed with polycystic kidney
disease (PKD)? - ANSWER3+ bacteria in urine
The nurse is planning care for a client with newly diagnosed diabetes mellitus that requires insulin.
Which assessment should the nurse identify before beginning the teaching session? -
ANSWERWillingness of the client to learn the injections sites
When providing discharge teaching for a client with osteoporosis, the nurse should reinforce which
home care activity? - ANSWERElimination of hazards to home safety
A client with gastroesophageal reflux disease (GERD) has been experiencing severe reflux during sleep.
Which recommendation by the nurse is most effective to assist the client? - ANSWERRaising the head of
the bed on blocks
An adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea. the
client appears anxious, restless, and mildly cyanotic. the nurse should further assess the client for which
condition? - ANSWERPulmonary embolism
which information should the nurse obtain when performing an initial assessment of a client who
presents to the emergency department with a painful ankle injury? (select all that apply) -
ANSWERQuality of the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
A male client who smokes two packs of cigarettes a day states he understands that smoking cigarettes is
contributing to the difficulty that he and his wife are having in getting pregnant and wants to know if
, other factors could be contributing to their difficulty. Which information is best for the nurse to
provide? (Select all that apply). - ANSWERAlcohol consumption can cause erectile dysfunction
Low testosterone levels affect sperm production
Cessation of smoking improves general health and fertility
Twenty four hours after a client returns from surgical gastric bypass, the registered nurse (RN) observes
large amounts of blood in the nasogastric tube (NGT) cannister. Which assessment finding should the RN
report as early signs of hypovolemic shock? - ANSWERlethargy
the registered nurse (RN) is assessing a male client who arrives at the clinic with severe abdominal
cramping, pain, tenesmus, and dehydration. the RN discovers that the client has had 14 to 20 loose
stools with rectal bleeding. When taking the client's medical history, which information is most for the
nurse to obtain? - ANSWERUlcerative colitis
A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing the client's basic
knowledge about the disease process. Which statement by the client conveys an understanding of the
etiology of diverticula? - ANSWERChronic constipation causes weakening of colon wall which results in
out pouching sacs
The registered nurse (RN) is assessing a client who was discharged home after management of chronic
hypertension. Which equipment should the RN instruct the client to use at home? -
ANSWERSphygmomanometer
Which description of pain is consistent with a diagnosis of rheumatoid arthritis? - ANSWERJoint pain is
worse in the morning and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a client with long-term
gastroesophagealreflux disease (GERD)? - ANSWERHoarseness
HESI EVOLVE ELSEVIER NEWEST 2025/2026 COMPLETE QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in the abdominopelvic region and is
scheduled for radiation therapy (RT). The client expresses concern about becoming infertile. How should
the nurse respond? - ANSWERPropose sperm banking before RT then artificial insemination is an option
A client's susceptibility to ulcerative colitis is most likely due to which aspect in the client's history? -
ANSWERJewish European ancestry
Small bowl obstruction is a condition characterized by which finding? - ANSWERSevere fluid and
electrolyte imbalances
Which client should the nurse recognize as most likely to experience sleep apnea? - ANSWERObese
older male client with a short, thick neck
Which milestone indicates to the nurse successful achievement of young adulthood? -
ANSWERCompletes education and becomes self-supporting
A client who has heart failure is admitted with a serum potassium level of 2.9 mEq/L (2.9 mmol/L).
Which action is most important for the nurse to implement? - ANSWERInitiate continuous cardiac
monitoring
Which postmenopausal client's complaint should the nurse refer to the HCP? - ANSWERepisodes of
vaginal bleeding
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? - ANSWERTwo weeks before menstruation
,A postmenopausal client asks the nurse why she is experiencing discomfort during intercourse. Which
response is best for the nurse to provide? - ANSWEREstrogen deficiency causes the vaginal tissue to
become dry and thinner
Which discharge instruction is most important for a client after a kidney transplant? - ANSWERUse daily
reminders to take immunosuppressants
The nurse is assessing a client with chronic kidney disease (CKD). Which finding is most important for the
nurse to respond to first? - ANSWERPotassium 6.0 mEq
Which finding should the nurse identify as most significant for a client diagnosed with polycystic kidney
disease (PKD)? - ANSWER3+ bacteria in urine
The nurse is planning care for a client with newly diagnosed diabetes mellitus that requires insulin.
Which assessment should the nurse identify before beginning the teaching session? -
ANSWERWillingness of the client to learn the injections sites
When providing discharge teaching for a client with osteoporosis, the nurse should reinforce which
home care activity? - ANSWERElimination of hazards to home safety
A client with gastroesophageal reflux disease (GERD) has been experiencing severe reflux during sleep.
Which recommendation by the nurse is most effective to assist the client? - ANSWERRaising the head of
the bed on blocks
An adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea. the
client appears anxious, restless, and mildly cyanotic. the nurse should further assess the client for which
condition? - ANSWERPulmonary embolism
which information should the nurse obtain when performing an initial assessment of a client who
presents to the emergency department with a painful ankle injury? (select all that apply) -
ANSWERQuality of the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
A male client who smokes two packs of cigarettes a day states he understands that smoking cigarettes is
contributing to the difficulty that he and his wife are having in getting pregnant and wants to know if
, other factors could be contributing to their difficulty. Which information is best for the nurse to
provide? (Select all that apply). - ANSWERAlcohol consumption can cause erectile dysfunction
Low testosterone levels affect sperm production
Cessation of smoking improves general health and fertility
Twenty four hours after a client returns from surgical gastric bypass, the registered nurse (RN) observes
large amounts of blood in the nasogastric tube (NGT) cannister. Which assessment finding should the RN
report as early signs of hypovolemic shock? - ANSWERlethargy
the registered nurse (RN) is assessing a male client who arrives at the clinic with severe abdominal
cramping, pain, tenesmus, and dehydration. the RN discovers that the client has had 14 to 20 loose
stools with rectal bleeding. When taking the client's medical history, which information is most for the
nurse to obtain? - ANSWERUlcerative colitis
A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing the client's basic
knowledge about the disease process. Which statement by the client conveys an understanding of the
etiology of diverticula? - ANSWERChronic constipation causes weakening of colon wall which results in
out pouching sacs
The registered nurse (RN) is assessing a client who was discharged home after management of chronic
hypertension. Which equipment should the RN instruct the client to use at home? -
ANSWERSphygmomanometer
Which description of pain is consistent with a diagnosis of rheumatoid arthritis? - ANSWERJoint pain is
worse in the morning and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a client with long-term
gastroesophagealreflux disease (GERD)? - ANSWERHoarseness
