1|Page
EVOLVE Elsevier HESI Medical-Surgical Exit Exam
Version 2 Study Guide 2025 | Med-Surg HESI Practice
Questions, Answers, and NCLEX Review
Prepare for your HESI Medical-Surgical Exit Exam Version 2 (2025) with this complete
Elsevier Evolve study guide. Covers adult health, pathophysiology, pharmacology, and clinical
decision-making using NCLEX-style questions with rationales. Updated for the latest HESI
Version 2 testing standards and NCLEX blueprint.
• HESI Medical Surgical Exit Exam Version 2
• Evolve Elsevier HESI Med Surg 2025
• HESI Exit Exam Version 2 study guide
•
A 46 year old female client is admitted for acute renal failure secondary to diabetes and hypertension.
Which test is the best indicator of adequate glomerular filtration? - ANSWER-Serum creatinine
Two days postoperative, a male client reports aching pain in his left leg. The nurse assesses redness and
warmth on the lower left calf. What intervention should be most helpful to this client? - ANSWER-Advise
the client to remain in bed with the leg elevated
Healthcare workers must protect themselves against becoming infected with HIV. The Center for Disease
Control has issued guidelines for healthcare workers in relation to protection from HIV. These guidelines
include which recommendation? - ANSWER-Wear gloves when coming in contact with the blood or body
fluids of any client
,2|Page
A 51 year old truck driver who smokes two packs of cigarettes a day and is 30 pounds overweight is
diagnosed with having a gastric ulcer. Which content is most important for the nurse to include in the
discharge teaching for this client? - ANSWER-Information about smoking cessation
In assessing cancer risk, the nurse identifies which woman as being at greatest risk of developing breast
cancer? - ANSWER-A 50 year old whose mother had unilateral breast cancer
An adult client is admitted to the hospital burn unit with partial-thickness and full-thickness burns over
40% of the body surface area. In assessing the potential for skin regeneration, what should the nurse
remember about full-thickness burns? - ANSWER-Regenerative function of the skin is absent because the
dermal layer has been destroyed
A client is admitted to the medical intensive care unit with a diagnosis of myocardial infarction. The
client's history indicates the infarction occurred ten hours ago. Which lab test result would the nurse
expect this client to exhibit? - ANSWER-Elevated CK-MB
A 57 year old male client is scheduled to have a stress thallium test the following morning and is NPO
after midnight. At 0130, he is agitated because he cannot eat and is demanding food. Which response is
best for the nurse to provide to this client? - ANSWER-The test you are having tomorrow requires that
you have nothing by mouth tonight
The nurse working on a telemetry unit finds a client unconscious and in pulseless ventricular tachycardia
(VT). The client has an implanted automatic defibrillator. What action should the nurse implement? -
ANSWER-Shock the client with 200 joules per hospital policy
In preparing to administer intravenous albumin to a client following surgery, what is the priority nursing
intervention? (Select all that apply.) - ANSWER-Set the infusion pump to infuse the albumin within four
hours
Administer through a large gauge catheter
Monitor hemoglobin and hematocrit levels
, 3|Page
Assess for increased bleeding after administration
The nurse working in a postoperative surgical clinic is assessing a woman who had a left radical
mastectomy for breast cancer. Which factor puts this client at greatest risk for developing lymphedema?
- ANSWER-She sustained an insect bite to her left arm yesterday
Which intervention should the nurse implement for a female client diagnosed with pelvic relaxation
disorder? - ANSWER-Encourage the client to perform Kegel exercises 10 times daily
Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision problems. The
visiting nurse is discussing painting the house with the client. The nurse suggests that the edge of the
steps should be painted which color? - ANSWER-Medium yellow
What types of medication should the nurse expect to administer to a client during an acute respiratory
distress episode? - ANSWER-Bronchodilators and steroids
The nurse is assessing a client who smokes cigarettes and has been diagnosed with emphysema. Which
finding would the nurse expect this client to exhibit? - ANSWER-Normal skin coloring
A splint is prescribed for nighttime use by a client with rheumatoid arthritis. Which statement by the
nurse provides the most accurate explanation for use of the splints? - ANSWER-Prevention of deformities
A client who was in a motor vehicle collision was admitted to the hospital and the right knee was placed
in skeletal traction. The nurse has documented this nursing diagnosis in the client's medical record:
"Potential for impairment of skin integrity related to immobility from traction." Which nursing
intervention is indicated based on this diagnosis statement? - ANSWER-Provide back and skin care while
maintaining the traction
The nurse assesses a client with advanced cirrhosis of the liver for signs of hepatic encephalopathy.
Which finding would the nurse consider an indication of progressive hepatic encephalopathy? -
ANSWER-Difficulty in handwriting
EVOLVE Elsevier HESI Medical-Surgical Exit Exam
Version 2 Study Guide 2025 | Med-Surg HESI Practice
Questions, Answers, and NCLEX Review
Prepare for your HESI Medical-Surgical Exit Exam Version 2 (2025) with this complete
Elsevier Evolve study guide. Covers adult health, pathophysiology, pharmacology, and clinical
decision-making using NCLEX-style questions with rationales. Updated for the latest HESI
Version 2 testing standards and NCLEX blueprint.
• HESI Medical Surgical Exit Exam Version 2
• Evolve Elsevier HESI Med Surg 2025
• HESI Exit Exam Version 2 study guide
•
A 46 year old female client is admitted for acute renal failure secondary to diabetes and hypertension.
Which test is the best indicator of adequate glomerular filtration? - ANSWER-Serum creatinine
Two days postoperative, a male client reports aching pain in his left leg. The nurse assesses redness and
warmth on the lower left calf. What intervention should be most helpful to this client? - ANSWER-Advise
the client to remain in bed with the leg elevated
Healthcare workers must protect themselves against becoming infected with HIV. The Center for Disease
Control has issued guidelines for healthcare workers in relation to protection from HIV. These guidelines
include which recommendation? - ANSWER-Wear gloves when coming in contact with the blood or body
fluids of any client
,2|Page
A 51 year old truck driver who smokes two packs of cigarettes a day and is 30 pounds overweight is
diagnosed with having a gastric ulcer. Which content is most important for the nurse to include in the
discharge teaching for this client? - ANSWER-Information about smoking cessation
In assessing cancer risk, the nurse identifies which woman as being at greatest risk of developing breast
cancer? - ANSWER-A 50 year old whose mother had unilateral breast cancer
An adult client is admitted to the hospital burn unit with partial-thickness and full-thickness burns over
40% of the body surface area. In assessing the potential for skin regeneration, what should the nurse
remember about full-thickness burns? - ANSWER-Regenerative function of the skin is absent because the
dermal layer has been destroyed
A client is admitted to the medical intensive care unit with a diagnosis of myocardial infarction. The
client's history indicates the infarction occurred ten hours ago. Which lab test result would the nurse
expect this client to exhibit? - ANSWER-Elevated CK-MB
A 57 year old male client is scheduled to have a stress thallium test the following morning and is NPO
after midnight. At 0130, he is agitated because he cannot eat and is demanding food. Which response is
best for the nurse to provide to this client? - ANSWER-The test you are having tomorrow requires that
you have nothing by mouth tonight
The nurse working on a telemetry unit finds a client unconscious and in pulseless ventricular tachycardia
(VT). The client has an implanted automatic defibrillator. What action should the nurse implement? -
ANSWER-Shock the client with 200 joules per hospital policy
In preparing to administer intravenous albumin to a client following surgery, what is the priority nursing
intervention? (Select all that apply.) - ANSWER-Set the infusion pump to infuse the albumin within four
hours
Administer through a large gauge catheter
Monitor hemoglobin and hematocrit levels
, 3|Page
Assess for increased bleeding after administration
The nurse working in a postoperative surgical clinic is assessing a woman who had a left radical
mastectomy for breast cancer. Which factor puts this client at greatest risk for developing lymphedema?
- ANSWER-She sustained an insect bite to her left arm yesterday
Which intervention should the nurse implement for a female client diagnosed with pelvic relaxation
disorder? - ANSWER-Encourage the client to perform Kegel exercises 10 times daily
Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision problems. The
visiting nurse is discussing painting the house with the client. The nurse suggests that the edge of the
steps should be painted which color? - ANSWER-Medium yellow
What types of medication should the nurse expect to administer to a client during an acute respiratory
distress episode? - ANSWER-Bronchodilators and steroids
The nurse is assessing a client who smokes cigarettes and has been diagnosed with emphysema. Which
finding would the nurse expect this client to exhibit? - ANSWER-Normal skin coloring
A splint is prescribed for nighttime use by a client with rheumatoid arthritis. Which statement by the
nurse provides the most accurate explanation for use of the splints? - ANSWER-Prevention of deformities
A client who was in a motor vehicle collision was admitted to the hospital and the right knee was placed
in skeletal traction. The nurse has documented this nursing diagnosis in the client's medical record:
"Potential for impairment of skin integrity related to immobility from traction." Which nursing
intervention is indicated based on this diagnosis statement? - ANSWER-Provide back and skin care while
maintaining the traction
The nurse assesses a client with advanced cirrhosis of the liver for signs of hepatic encephalopathy.
Which finding would the nurse consider an indication of progressive hepatic encephalopathy? -
ANSWER-Difficulty in handwriting
