HESI Med Surg Evolve Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with Addison’s disease is prescribed hydrocortisone. Which statement indicates a need
for further teaching?
A. “I will carry an emergency medical ID.”
B. “I will take my medication at the same time every day.”
✔✔C. “I will stop the medication if I feel better.”
D. “I will increase my dose during times of stress.”
A nurse is assessing a client with COPD. Which finding is the highest priority?
A. Barrel-shaped chest
✔✔B. Oxygen saturation of 84%
C. Productive cough with yellow sputum
D. Use of accessory muscles for breathing
A client with stroke has left-sided weakness and difficulty swallowing. What is the safest feeding
approach?
1
,A. Offer thin liquids with a straw
✔✔B. Place food on the unaffected side of the mouth
C. Allow the client to eat quickly
D. Avoid using thickened liquids
A client with hyperthyroidism reports palpitations and nervousness. Which assessment finding
should the nurse expect?
✔✔A. Increased heart rate
B. Decreased appetite
C. Constipation
D. Weight gain
A nurse is reinforcing teaching for a client with newly diagnosed hypertension. Which statement
shows correct understanding?
A. “I will check my blood pressure once a year.”
✔✔B. “I will limit my salt intake.”
C. “I can stop my medicine when my pressure is normal.”
D. “I will avoid exercise.”
2
,A client is receiving chemotherapy and develops oral mucositis. Which meal choice is most
appropriate?
A. Fresh pineapple
B. Spicy chili
✔✔C. Mashed potatoes with gravy
D. Raw carrots
A client is post-thyroidectomy and develops stridor. What is the nurse’s priority action?
A. Encourage coughing
✔✔B. Notify the healthcare provider immediately
C. Offer ice chips
D. Administer an antacid
A client receiving total parenteral nutrition (TPN) develops sudden shortness of breath and chest
pain. What is the priority action?
A. Flush the IV line
✔✔B. Stop the infusion and notify the provider
3
, C. Lower the head of the bed
D. Give an oral diuretic
A nurse is caring for a client with chronic kidney disease. Which dietary instruction is
appropriate?
✔✔A. Limit potassium-rich foods
B. Increase phosphorus intake
C. Avoid low-sodium foods
D. Increase protein without restriction
A client with heart failure is weighing themselves daily. Which finding should be reported
immediately?
✔✔A. Weight gain of 3 lb in 2 days
B. Weight loss of 1 lb in 24 hours
C. No weight change in 1 week
D. Weight gain of 1 lb in 5 days
A client with pneumonia is receiving antibiotic therapy. Which assessment finding indicates
improvement?
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with Addison’s disease is prescribed hydrocortisone. Which statement indicates a need
for further teaching?
A. “I will carry an emergency medical ID.”
B. “I will take my medication at the same time every day.”
✔✔C. “I will stop the medication if I feel better.”
D. “I will increase my dose during times of stress.”
A nurse is assessing a client with COPD. Which finding is the highest priority?
A. Barrel-shaped chest
✔✔B. Oxygen saturation of 84%
C. Productive cough with yellow sputum
D. Use of accessory muscles for breathing
A client with stroke has left-sided weakness and difficulty swallowing. What is the safest feeding
approach?
1
,A. Offer thin liquids with a straw
✔✔B. Place food on the unaffected side of the mouth
C. Allow the client to eat quickly
D. Avoid using thickened liquids
A client with hyperthyroidism reports palpitations and nervousness. Which assessment finding
should the nurse expect?
✔✔A. Increased heart rate
B. Decreased appetite
C. Constipation
D. Weight gain
A nurse is reinforcing teaching for a client with newly diagnosed hypertension. Which statement
shows correct understanding?
A. “I will check my blood pressure once a year.”
✔✔B. “I will limit my salt intake.”
C. “I can stop my medicine when my pressure is normal.”
D. “I will avoid exercise.”
2
,A client is receiving chemotherapy and develops oral mucositis. Which meal choice is most
appropriate?
A. Fresh pineapple
B. Spicy chili
✔✔C. Mashed potatoes with gravy
D. Raw carrots
A client is post-thyroidectomy and develops stridor. What is the nurse’s priority action?
A. Encourage coughing
✔✔B. Notify the healthcare provider immediately
C. Offer ice chips
D. Administer an antacid
A client receiving total parenteral nutrition (TPN) develops sudden shortness of breath and chest
pain. What is the priority action?
A. Flush the IV line
✔✔B. Stop the infusion and notify the provider
3
, C. Lower the head of the bed
D. Give an oral diuretic
A nurse is caring for a client with chronic kidney disease. Which dietary instruction is
appropriate?
✔✔A. Limit potassium-rich foods
B. Increase phosphorus intake
C. Avoid low-sodium foods
D. Increase protein without restriction
A client with heart failure is weighing themselves daily. Which finding should be reported
immediately?
✔✔A. Weight gain of 3 lb in 2 days
B. Weight loss of 1 lb in 24 hours
C. No weight change in 1 week
D. Weight gain of 1 lb in 5 days
A client with pneumonia is receiving antibiotic therapy. Which assessment finding indicates
improvement?
4
