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EVOLVE ELSEVIER HESI MED SURG EXIT EXAM
VERSION 2 / MED SURG HESI EVOLVE ELSEVIER
NEWEST 2025/2026 COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||LATEST
VERSION!!!
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
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Monitor hemoglobin and hematocrit levels
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
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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
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
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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
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
EVOLVE ELSEVIER HESI MED SURG EXIT EXAM
VERSION 2 / MED SURG HESI EVOLVE ELSEVIER
NEWEST 2025/2026 COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||LATEST
VERSION!!!
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
,2|Page
Monitor hemoglobin and hematocrit levels
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
,3|Page
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
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
, 4|Page
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
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
