1|Page
EVOLVE ELSEVIER HESI MED SURG EXIT EXAM
VERSION 3 / MED SURG HESI EVOLVE ELSEVIER
NEWEST 2025/2026 COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||LATEST
VERSION!!!
The nurse knows that lab values sometimes vary for the
older client. Which data would the nurse expect to find
when reviewing laboratory values of an 80-year-old male?
- ANSWER-Increased protein in the urine, slightly
increased serum glucose levels.
Rationale
As older adults aged, the protein found in urine slightly
rises as a result of kidney changes and the serum glucose
increases slightly, also due to changes in the kidney. The
specific gravity declines by age 80 from 1.032 to 1.024.
A client with a completed ischemic stroke has a blood
pressure of 180/90 mm Hg. Which action should the nurse
implement? - ANSWER-Give an antihypertensive
medication.
Rationale
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Most ischemic strokes occur during sleep when baseline
blood pressure declines or blood viscosity increases due
to minimal fluid intake. Completed strokes usually produce
neurologic deficits within an hour, and the client's current
elevated blood pressure requires antihypertensive
medication.
A client with early breast cancer receives the results of a
breast biopsy and asks the nurse to explain the meaning
of staging and the type of receptors found on the cancer
cells. Which explanation should the nurse provide? -
ANSWER-The tumor's estrogen receptor guides treatment
options.
Rationale
Treatment decisions and prediction of prognosis are
related to the tumor's receptor status, such as estrogen
and progesterone receptor status which commonly are
well-differentiated, have a lower chance of recurrence, and
are receptive to hormonal therapy. Tumor staging
designates tumor size and spread of breast cancer cells
into axillary lymph nodes, which is one of the most
important prognostic factors in early-stage breast cancer.
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In preparing a discharge plan for a 22-year-old male client
diagnosed with Buerger's disease (thromboangiitis
obliterans), which referral is most important? - ANSWER-
Smoking cessation program.
Rationale
Buerger's disease is strongly related to smoking or the use
of some other form of tobacco which affects the circulation
in the arms and legs leading to infection and gangrene
and sometimes amputation of the affected area. The most
effective means of controlling symptoms and disease
progression is through smoking cessation. The cause of
Buerger's disease is unknown; a genetic predisposition is
possible, but unproven.
A client with cirrhosis develops increasing pedal edema
and ascites. What dietary modification is most important
for the nurse to teach this client? - ANSWER-Restrict salt
and fluid intake.
Rationale
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Salt and fluid restrictions are the first dietary modifications
for a client who is retaining fluid as manifested by edema
and ascites.
A client's susceptibility to ulcerative colitis is most likely
due to which aspect in the client's history? - ANSWER-
Jewish European ancestry.
Rationale
Ulcerative colitis is 4 to 5 times more common among
individuals of Jewish European or Ashkenazi ancestry.
A 32-year-old female client complains of severe abdominal
pain each month before her menstrual period, painful
intercourse, and painful defecation. Which additional
history should the nurse obtain that is consistent with the
client's complaints? - ANSWER-Inability to get pregnant.
Rationale
Dysmenorrhea, dyspareunia, and difficulty or painful
defecation are common symptoms of endometriosis,
which is the abnormal displacement of endometrial tissue
EVOLVE ELSEVIER HESI MED SURG EXIT EXAM
VERSION 3 / MED SURG HESI EVOLVE ELSEVIER
NEWEST 2025/2026 COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||LATEST
VERSION!!!
The nurse knows that lab values sometimes vary for the
older client. Which data would the nurse expect to find
when reviewing laboratory values of an 80-year-old male?
- ANSWER-Increased protein in the urine, slightly
increased serum glucose levels.
Rationale
As older adults aged, the protein found in urine slightly
rises as a result of kidney changes and the serum glucose
increases slightly, also due to changes in the kidney. The
specific gravity declines by age 80 from 1.032 to 1.024.
A client with a completed ischemic stroke has a blood
pressure of 180/90 mm Hg. Which action should the nurse
implement? - ANSWER-Give an antihypertensive
medication.
Rationale
,2|Page
Most ischemic strokes occur during sleep when baseline
blood pressure declines or blood viscosity increases due
to minimal fluid intake. Completed strokes usually produce
neurologic deficits within an hour, and the client's current
elevated blood pressure requires antihypertensive
medication.
A client with early breast cancer receives the results of a
breast biopsy and asks the nurse to explain the meaning
of staging and the type of receptors found on the cancer
cells. Which explanation should the nurse provide? -
ANSWER-The tumor's estrogen receptor guides treatment
options.
Rationale
Treatment decisions and prediction of prognosis are
related to the tumor's receptor status, such as estrogen
and progesterone receptor status which commonly are
well-differentiated, have a lower chance of recurrence, and
are receptive to hormonal therapy. Tumor staging
designates tumor size and spread of breast cancer cells
into axillary lymph nodes, which is one of the most
important prognostic factors in early-stage breast cancer.
,3|Page
In preparing a discharge plan for a 22-year-old male client
diagnosed with Buerger's disease (thromboangiitis
obliterans), which referral is most important? - ANSWER-
Smoking cessation program.
Rationale
Buerger's disease is strongly related to smoking or the use
of some other form of tobacco which affects the circulation
in the arms and legs leading to infection and gangrene
and sometimes amputation of the affected area. The most
effective means of controlling symptoms and disease
progression is through smoking cessation. The cause of
Buerger's disease is unknown; a genetic predisposition is
possible, but unproven.
A client with cirrhosis develops increasing pedal edema
and ascites. What dietary modification is most important
for the nurse to teach this client? - ANSWER-Restrict salt
and fluid intake.
Rationale
, 4|Page
Salt and fluid restrictions are the first dietary modifications
for a client who is retaining fluid as manifested by edema
and ascites.
A client's susceptibility to ulcerative colitis is most likely
due to which aspect in the client's history? - ANSWER-
Jewish European ancestry.
Rationale
Ulcerative colitis is 4 to 5 times more common among
individuals of Jewish European or Ashkenazi ancestry.
A 32-year-old female client complains of severe abdominal
pain each month before her menstrual period, painful
intercourse, and painful defecation. Which additional
history should the nurse obtain that is consistent with the
client's complaints? - ANSWER-Inability to get pregnant.
Rationale
Dysmenorrhea, dyspareunia, and difficulty or painful
defecation are common symptoms of endometriosis,
which is the abnormal displacement of endometrial tissue
