HESI Med Surg Evolve Elsevier Test Bank
2025/2026: Verified Questions, Answers &
Rationales for Guaranteed Exam Success
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?
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?
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.)
Set the infusion pump to infuse the albumin within four hours
Administer through a large gauge catheter
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?
She sustained an insect bite to her left arm yesterday
1|Page
,Which intervention should the nurse implement for a female client diagnosed with pelvic
relaxation disorder?
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?
Medium yellow
What types of medication should the nurse expect to administer to a client during an acute
respiratory distress episode?
Bronchodilators and steroids
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?
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?
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?
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?
Information about smoking cessation
In assessing cancer risk, the nurse identifies which woman as being at greatest risk of
developing breast cancer?
A 50 year old whose mother had unilateral breast cancer
2|Page
, 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?
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?
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?
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?
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?
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?
Difficulty in handwriting
A client taking furosemide (Lasix), reports difficulty sleeping. What question is important for
the nurse to ask the client?
At what time do you take your medication
A client taking a thiazide diuretic for the past six months has a serum potassium level of 3.
The nurse anticipates which change in prescription for the client?
A potassium supplement will be prescribed
3|Page
2025/2026: Verified Questions, Answers &
Rationales for Guaranteed Exam Success
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?
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?
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.)
Set the infusion pump to infuse the albumin within four hours
Administer through a large gauge catheter
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?
She sustained an insect bite to her left arm yesterday
1|Page
,Which intervention should the nurse implement for a female client diagnosed with pelvic
relaxation disorder?
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?
Medium yellow
What types of medication should the nurse expect to administer to a client during an acute
respiratory distress episode?
Bronchodilators and steroids
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?
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?
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?
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?
Information about smoking cessation
In assessing cancer risk, the nurse identifies which woman as being at greatest risk of
developing breast cancer?
A 50 year old whose mother had unilateral breast cancer
2|Page
, 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?
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?
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?
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?
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?
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?
Difficulty in handwriting
A client taking furosemide (Lasix), reports difficulty sleeping. What question is important for
the nurse to ask the client?
At what time do you take your medication
A client taking a thiazide diuretic for the past six months has a serum potassium level of 3.
The nurse anticipates which change in prescription for the client?
A potassium supplement will be prescribed
3|Page
