2026/2027 QUESTIONS WITH ANSWERS EVOLVE
ELSEVIER HESI MED SURG EXIT EXAM VERSION 1 / MED
SURG HESI EVOLVE ELSEVIER NEWEST 2025/2026
COMPLETE QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BR
An adult client who is hospitalized after surgery reports sudden onset of chest pain and dys
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pnea. the client appears anxious, restless, and mildly cyanotic. the nurse should further ass
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ess the client for which condition? - ans-Pulmonary embolism
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which information should the nurse obtain when performing an initial assessment of a client
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who presents to the emergency department with a painful ankle injury?
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(select all that apply) - ans-Quality of the pain
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Signs of inflammation zx zx
Ankle range of motion zx zx zx
Visible deformities of the joint zx zx zx zx
Which description of pain is consistent with a diagnosis of rheumatoid arthritis? - ans-
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Joint pain is worse in the morning and involves symmetric joints
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Which physical assessment finding should the nurse anticipate in a client with long-
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term gastroesophagealreflux disease (GERD)? - ans-Hoarseness
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A client presents with chronic venous insufficiency. Which assessment finding should the n
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urse anticipate? - ans-Bilateral lower leg stasis dermatitis
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A client has been hospitalized with a femur fracture and is being treated with traction. which
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action by the nurse is the priority when caring for this client? - ans-
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Assess neurovascular status zx zx
Which statement made by a client with chronic pancreatitis indicates that further education i
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s needed? - ans-I will cut back on smoking cigarettes daily
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The nurse is teaching a female client who uses a contraceptive diaphragm about reducing t
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he risk for toxic shock syndrome (TSS). Which information should the nurse include?
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(Select all that apply) - ans-
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Do not leave the diaphragm in place longer than 8 hours after intercourse
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Replace the old diaphragm every 3 months zx zx zx zx zx zx
, A male client who smokes two packs of cigarettes a day states he understands that smokin
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g cigarettes is contributing to the difficulty that he and his wife are having in getting pregnant
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and wants to know if other factors could be contributing to their difficulty. Which information
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is best for the nurse to provide? (Select all that apply). - ans-
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Alcohol consumption can cause erectile dysfunction zx zx zx zx zx zx
Low testosterone levels affect sperm production
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Cessation of smoking improves general health and fertility zx zx zx zx zx zx zx
Twenty four hours after a client returns from surgical gastric bypass, the registered nurse (
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RN) observes large amounts of blood in the nasogastric tube (NGT) cannister. Which asse
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ssment finding should the RN report as early signs of hypovolemic shock? - ans-lethargy
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the registered nurse (RN) is assessing a male client who arrives at the clinic with severe ab
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dominal cramping, pain, tenesmus, and dehydration. the RN discovers that the client has h
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ad 14 to 20 loose stools with rectal bleeding. When taking the client's medical history, which
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information is most for the nurse to obtain? - ans-Ulcerative colitis
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A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing the c
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lient's basic knowledge about the disease process. Which statement by the client conveys
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an understanding of the etiology of diverticula? - ans-
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Chronic constipation causes weakening of colon wall which results in out pouching sacs
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The registered nurse (RN) is assessing a client who was discharged home after managem
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ent of chronic hypertension. Which equipment should the RN instruct the client to use at ho
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me? - ans-Sphygmomanometer zx zx
A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in the abdominopelvic re
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gion and is scheduled for radiation therapy (RT). The client expresses concern about beco
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ming infertile. How should the nurse respond? - ans-
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Propose sperm banking before RT then artificial insemination is an option
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A client's susceptibility to ulcerative colitis is most likely due to which aspect in the client's hi
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story? - ans-Jewish European ancestry zx zx zx zx
Small bowl obstruction is a condition characterized by which finding? - ans-
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Severe fluid and electrolyte imbalances zx zx zx zx
Which client should the nurse recognize as most likely to experience sleep apnea? - ans-
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Obese older male client with a short, thick neckzx zx zx zx zx zx zx zx
Which milestone indicates to the nurse successful achievement of young adulthood? - ans-
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Completes education and becomes self-supporting zx zx zx zx