HESI MED SURG EVOLVE TEST EXAM 2025/2026 COMPLETE
STUDY QUESTIONS WITH CORRECT VERIFIED ANSWERS
100% GUARANTEED PASS | RATED A+
A 74-year-old male client is admitted to the intensive care unit (ICU) with a diagnosis of
respiratory failure secondary to pneumonia. Currently, the client is ventilator-dependent, with
settings of tidal volume (VT) of 750 mL and an intermittent mandatory ventilation (IMV) rate of
10 breaths/min. Arterial blood gas (ABG) results are as follows: pH, 7.48; PaCO2, 30 mm Hg;
PaO2, 64 mm Hg; HCO3, 25 mEq/L; and FiO2, 0.80. Which action should the nurse take first?
A. Increase the ventilator VT to 850 mL.
B. Decrease the ventilator IMV to a rate of 8 breaths/min.
C. Reduce the FiO2 to 0.70 and redraw ABGs.
D. Add 5 cm positive end-expiratory pressure (PEEP). - Answer>>> Correct Answer: D
Rationale:
Adding PEEP helps improve oxygenation while reducing FiO2 to a less toxic level. Options A,
B, and C will not result in improved oxygenation and could cause further complications for this
client, who is experiencing respiratory failure
A resident in a long-term care facility is diagnosed with hepatitis B. Which action should the
nurse take with the staff caring for this client?
A. Determine if all employees have had the hepatitis B vaccine series.
B. Explain that this type of hepatitis can be transmitted when feeding the client.
C. Assure the employees that they cannot contract hepatitis B when providing direct care.
D. Tell the employees that wearing gloves and a gown are required when providing all care -
Answer>>> Correct Answer: A
Rationale: Hepatitis B vaccine should be administered to all health care providers. Hepatitis A
(not hepatitis B) can be transmitted by fecal-oral contamination. There is a chance that staff
,could contract hepatitis B if exposed to the client's blood and/or body fluids; therefore, option C
is incorrect. There is no need to wear gloves and gowns except with blood or body fluid contact
The nurse is providing care to a client with a central venous catheter. The health care provider
orders multiple labs. Using the discard method, what steps will the nurse use to draw the blood
samples? (Select all that apply.)
A. Prepare the catheter hub with an antiseptic solution according to facility protocol.
B. Attach a syringe to the hub containing 2 mL of normal saline and flush the line.
C. Attach the vacutainer sleeve or 20 mL syringe to the catheter hub.
D.Withdraw waste blood and discard it in an appropriate container.
E.Draw the amount of blood needed for the laboratory samples.
F. Flush the line with no more than 2 mL of normal saline to flush the line. - Answer>>> Correct
Answer: A,C,D,E
Rationale:
The amount of normal saline flush solution is incorrect. Two milliliters is too small an amount.
The minimum amount is 5 mL, or according to the policies of the institution. The remaining
steps are correct.
The nurse is counseling a healthy 30-year-old female client regarding osteoporosis prevention.
Which activity would be most beneficial in achieving the client's goal of osteoporosis
prevention?
A.Cross-country skiing
B.Scuba diving
C.Horseback riding
D.Kayaking - Answer>>> Correct Answer: A
,Rationale:Weight-bearing exercise is an important measure to reduce the risk of osteoporosis. Of
the activities listed, cross-country skiing includes the most weight-bearing, whereas options B, C,
and D involve less
The nurse is caring for a client with a chest tube to water seal drainage that was inserted 10 days
ago because of a ruptured bullae and pneumothorax. Which finding should the nurse report to the
health care provider before the chest tube is removed?
A. Tidaling of water in water seal chamber
B. Bilateral muffled breath sounds at bases
C. Temperature of 101°F
D. Absence of chest tube drainage for 2 days - Answer>>> Correct Answer: A
Rationale:Tidaling (rising and falling of water with respirations) in the water seal chamber
should be reported to the health care provider before the chest tube is removed to rule out an
unresolved pneumothorax or persistent air leak, which is characteristic of a ruptured bullae
caused by abnormally wide changes in negative intrathoracic pressure. Option B may indicate
hypoventilation from chest tube discomfort and usually improves when the chest tube is
removed. Option C usually indicates an infection, which may not be related to the chest tube.
Option D is an expected finding.
A client is being discharged following radioactive seed implantation for prostate cancer. What is
the most important information that the nurse should provide to this client's family?
A. Follow exposure precautions.
B. Encourage regular meals.
C. Collect all urine.
D. Avoid touching the client.orrect Answer: A - Answer>>> Correct Answer: A
Rationale:Clients being treated for prostate cancer with radioactive seed implants should be
instructed regarding the amount of time and distance needed to prevent excessive exposure that
would pose a hazard to others. Option B is a good suggestion to promote adequate nutrition but
, is not as important as option A. Option C is unnecessary. Contact with the client is permitted but
should be brief to limit radiation exposure
The nurse is providing care for a client diagnosed with trigeminal neuralgia (tic douloureux).
Which symptoms will the nurse be looking for in the focused assessment related to this
condition? (Select all that apply.)
A. Facial muscle spasms
B. Sudden facial pain
C. Unilateral facial weakness
D. Difficulty in chewing
E.Tinnitus
F.Hearing difficulties - Answer>>> Correct Answer: A,B
Rationale:Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric
shock, in the area innervated by one or more branches of the trigeminal nerve (cranial V). The
remaining symptoms are not related to trigeminal neuralgia.
The nurse notes that the client's drainage has decreased from 50 to 5 mL/hr 12 hours after chest
tube insertion for hemothorax. What is the best initial action for the nurse to take?
A.Document this expected decrease in drainage.
B.Clamp the chest tube while assessing for air leaks.
C.Milk the tube to remove any excessive blood clot buildup.
D.Assess for kinks or dependent loops in the tubing - Answer>>> Correct Answer: D
Rationale:The least invasive nursing action should be performed first to determine why the
drainage has diminished. Option A is completed after assessing for any problems causing the
decrease in drainage. Option B is no longer considered standard protocol because the increase in
pressure may be harmful to the client. Option C is an appropriate nursing action after the tube
has been assessed for kinks or dependent loops.
STUDY QUESTIONS WITH CORRECT VERIFIED ANSWERS
100% GUARANTEED PASS | RATED A+
A 74-year-old male client is admitted to the intensive care unit (ICU) with a diagnosis of
respiratory failure secondary to pneumonia. Currently, the client is ventilator-dependent, with
settings of tidal volume (VT) of 750 mL and an intermittent mandatory ventilation (IMV) rate of
10 breaths/min. Arterial blood gas (ABG) results are as follows: pH, 7.48; PaCO2, 30 mm Hg;
PaO2, 64 mm Hg; HCO3, 25 mEq/L; and FiO2, 0.80. Which action should the nurse take first?
A. Increase the ventilator VT to 850 mL.
B. Decrease the ventilator IMV to a rate of 8 breaths/min.
C. Reduce the FiO2 to 0.70 and redraw ABGs.
D. Add 5 cm positive end-expiratory pressure (PEEP). - Answer>>> Correct Answer: D
Rationale:
Adding PEEP helps improve oxygenation while reducing FiO2 to a less toxic level. Options A,
B, and C will not result in improved oxygenation and could cause further complications for this
client, who is experiencing respiratory failure
A resident in a long-term care facility is diagnosed with hepatitis B. Which action should the
nurse take with the staff caring for this client?
A. Determine if all employees have had the hepatitis B vaccine series.
B. Explain that this type of hepatitis can be transmitted when feeding the client.
C. Assure the employees that they cannot contract hepatitis B when providing direct care.
D. Tell the employees that wearing gloves and a gown are required when providing all care -
Answer>>> Correct Answer: A
Rationale: Hepatitis B vaccine should be administered to all health care providers. Hepatitis A
(not hepatitis B) can be transmitted by fecal-oral contamination. There is a chance that staff
,could contract hepatitis B if exposed to the client's blood and/or body fluids; therefore, option C
is incorrect. There is no need to wear gloves and gowns except with blood or body fluid contact
The nurse is providing care to a client with a central venous catheter. The health care provider
orders multiple labs. Using the discard method, what steps will the nurse use to draw the blood
samples? (Select all that apply.)
A. Prepare the catheter hub with an antiseptic solution according to facility protocol.
B. Attach a syringe to the hub containing 2 mL of normal saline and flush the line.
C. Attach the vacutainer sleeve or 20 mL syringe to the catheter hub.
D.Withdraw waste blood and discard it in an appropriate container.
E.Draw the amount of blood needed for the laboratory samples.
F. Flush the line with no more than 2 mL of normal saline to flush the line. - Answer>>> Correct
Answer: A,C,D,E
Rationale:
The amount of normal saline flush solution is incorrect. Two milliliters is too small an amount.
The minimum amount is 5 mL, or according to the policies of the institution. The remaining
steps are correct.
The nurse is counseling a healthy 30-year-old female client regarding osteoporosis prevention.
Which activity would be most beneficial in achieving the client's goal of osteoporosis
prevention?
A.Cross-country skiing
B.Scuba diving
C.Horseback riding
D.Kayaking - Answer>>> Correct Answer: A
,Rationale:Weight-bearing exercise is an important measure to reduce the risk of osteoporosis. Of
the activities listed, cross-country skiing includes the most weight-bearing, whereas options B, C,
and D involve less
The nurse is caring for a client with a chest tube to water seal drainage that was inserted 10 days
ago because of a ruptured bullae and pneumothorax. Which finding should the nurse report to the
health care provider before the chest tube is removed?
A. Tidaling of water in water seal chamber
B. Bilateral muffled breath sounds at bases
C. Temperature of 101°F
D. Absence of chest tube drainage for 2 days - Answer>>> Correct Answer: A
Rationale:Tidaling (rising and falling of water with respirations) in the water seal chamber
should be reported to the health care provider before the chest tube is removed to rule out an
unresolved pneumothorax or persistent air leak, which is characteristic of a ruptured bullae
caused by abnormally wide changes in negative intrathoracic pressure. Option B may indicate
hypoventilation from chest tube discomfort and usually improves when the chest tube is
removed. Option C usually indicates an infection, which may not be related to the chest tube.
Option D is an expected finding.
A client is being discharged following radioactive seed implantation for prostate cancer. What is
the most important information that the nurse should provide to this client's family?
A. Follow exposure precautions.
B. Encourage regular meals.
C. Collect all urine.
D. Avoid touching the client.orrect Answer: A - Answer>>> Correct Answer: A
Rationale:Clients being treated for prostate cancer with radioactive seed implants should be
instructed regarding the amount of time and distance needed to prevent excessive exposure that
would pose a hazard to others. Option B is a good suggestion to promote adequate nutrition but
, is not as important as option A. Option C is unnecessary. Contact with the client is permitted but
should be brief to limit radiation exposure
The nurse is providing care for a client diagnosed with trigeminal neuralgia (tic douloureux).
Which symptoms will the nurse be looking for in the focused assessment related to this
condition? (Select all that apply.)
A. Facial muscle spasms
B. Sudden facial pain
C. Unilateral facial weakness
D. Difficulty in chewing
E.Tinnitus
F.Hearing difficulties - Answer>>> Correct Answer: A,B
Rationale:Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric
shock, in the area innervated by one or more branches of the trigeminal nerve (cranial V). The
remaining symptoms are not related to trigeminal neuralgia.
The nurse notes that the client's drainage has decreased from 50 to 5 mL/hr 12 hours after chest
tube insertion for hemothorax. What is the best initial action for the nurse to take?
A.Document this expected decrease in drainage.
B.Clamp the chest tube while assessing for air leaks.
C.Milk the tube to remove any excessive blood clot buildup.
D.Assess for kinks or dependent loops in the tubing - Answer>>> Correct Answer: D
Rationale:The least invasive nursing action should be performed first to determine why the
drainage has diminished. Option A is completed after assessing for any problems causing the
decrease in drainage. Option B is no longer considered standard protocol because the increase in
pressure may be harmful to the client. Option C is an appropriate nursing action after the tube
has been assessed for kinks or dependent loops.
