EVOLVE ELSEVIER HESI MEDICAL
SURGICAL MED SURG EXIT EXAM
VERSION 1 2026 EDITION
COMPREHENSIVE PRACTICE QUESTIONS
AND ANSWERS COMPLETE EXAM
PREPARATION RESOURCE WITH CLINICAL
JUDGMENT, NGN-STYLE PRACTICE,
DETAILED RATIONALES AND NURSING
STUDY GUIDE
The nurse is preparing a teaching plan for a client who is newly diagnosed
with type 1 diabetes mellitus. Which clinical cues should the nurse describe
when teaching the client about hypoglycemia? - CORRECT ANSWER -
Sweating, trembling, tachycardia
A female client taking oral contraceptives reports to the nurse that she is
experiencing calf pain. What action should the nurse implement? -
CORRECT ANSWER -Advise the client to notify the HCP for immediate
medication attention
The HCP prescribes aluminum and magnesium hydroxide, 1 tablet PO
PRN, for a client with chronic kidney disease (CKD) who is complaining of
indigestion. which intervention should the nurse implement? - CORRECT
ANSWER -Question the HCP's prescription
,A client has been taking oral corticosteroids for the past five days because
of seasonal allergies. Which assessment finding is of most concern to the
nurse? - CORRECT ANSWER -Purulent sputum
A client with multiple sclerosis has experienced an exacerbation of
symptoms, including paresthesias, diplopia, and nystagmus. Which
instruction should the nurse provide? - CORRECT ANSWER -Schedule extra
rest periods
The nurse is assessing a client with bacterial meningitis. Which assessment
finding indicates the client may have developed septic emboli? - CORRECT
ANSWER -Cyanosis of the fingertips
A 58 year old client, who has no health problems, asks the nurse about the
Pneumovax vaccine. The nurse's response to the client should be based on
which information? - CORRECT ANSWER -The immunization is
administered once to older adults or persons with a history of chronic
illness
An elderly client is admitted with a diagnosis of bacterial pneumonia. When
observing the client for the first signs of decreasing oxygenation, the nurse
should assess for which clinical cues? - CORRECT ANSWER -Confusion and
tachycardia
An older adult male client comes to the geriatric screening clinic
complaining of pain in his left calf. The nurse notices a reddened area on
the calf of his right leg which is warm to the touch and suspects it might be
thrombophlebitis. Which type of pain would further confirm this suspicion?
, - CORRECT ANSWER -Pain in the calf upon exertion who is relieved by rest
and elevating the extremity
An 81-year-old male client has emphysema. He lives at home with his cat
and manages self-care with no difficulty. When making a home visit, the
nurse notices that his tongue is somewhat cracked and his eyeballs are
sunken into his head. What nursing intervention is indicated? - CORRECT
ANSWER -Help the client to determine ways to increase his fluid intake
A 77 year old female client is admitted to the hospital. She is confused, has
no appetite, is nauseated and vomiting, and is complaining of a headache.
Her pulse rate is 43 beats per minute. It is most important for the nurse to
assess for which finding? - CORRECT ANSWER -Takes digitalis
The nurse knows that lab values sometimes vary for the older client. Which
data would the nurse expect to find when reviewing lab values of an 80 year
old male? - CORRECT ANSWER -Increased protein in the urine, slightly
increased serum glucose levels
The nurse is planning to initiate a socialization group for older residents of
a long-term facility. Which information would be most useful to the nurse
when planning activities for the group? - CORRECT ANSWER -The usual
activity patterns of each member of the group
While working in the emergency room, the nurse is exposed to a client with
active tuberculosis. When should the nurse plan to obtain a tuberculin skin
test? - CORRECT ANSWER -Four to six weeks after the exposure
SURGICAL MED SURG EXIT EXAM
VERSION 1 2026 EDITION
COMPREHENSIVE PRACTICE QUESTIONS
AND ANSWERS COMPLETE EXAM
PREPARATION RESOURCE WITH CLINICAL
JUDGMENT, NGN-STYLE PRACTICE,
DETAILED RATIONALES AND NURSING
STUDY GUIDE
The nurse is preparing a teaching plan for a client who is newly diagnosed
with type 1 diabetes mellitus. Which clinical cues should the nurse describe
when teaching the client about hypoglycemia? - CORRECT ANSWER -
Sweating, trembling, tachycardia
A female client taking oral contraceptives reports to the nurse that she is
experiencing calf pain. What action should the nurse implement? -
CORRECT ANSWER -Advise the client to notify the HCP for immediate
medication attention
The HCP prescribes aluminum and magnesium hydroxide, 1 tablet PO
PRN, for a client with chronic kidney disease (CKD) who is complaining of
indigestion. which intervention should the nurse implement? - CORRECT
ANSWER -Question the HCP's prescription
,A client has been taking oral corticosteroids for the past five days because
of seasonal allergies. Which assessment finding is of most concern to the
nurse? - CORRECT ANSWER -Purulent sputum
A client with multiple sclerosis has experienced an exacerbation of
symptoms, including paresthesias, diplopia, and nystagmus. Which
instruction should the nurse provide? - CORRECT ANSWER -Schedule extra
rest periods
The nurse is assessing a client with bacterial meningitis. Which assessment
finding indicates the client may have developed septic emboli? - CORRECT
ANSWER -Cyanosis of the fingertips
A 58 year old client, who has no health problems, asks the nurse about the
Pneumovax vaccine. The nurse's response to the client should be based on
which information? - CORRECT ANSWER -The immunization is
administered once to older adults or persons with a history of chronic
illness
An elderly client is admitted with a diagnosis of bacterial pneumonia. When
observing the client for the first signs of decreasing oxygenation, the nurse
should assess for which clinical cues? - CORRECT ANSWER -Confusion and
tachycardia
An older adult male client comes to the geriatric screening clinic
complaining of pain in his left calf. The nurse notices a reddened area on
the calf of his right leg which is warm to the touch and suspects it might be
thrombophlebitis. Which type of pain would further confirm this suspicion?
, - CORRECT ANSWER -Pain in the calf upon exertion who is relieved by rest
and elevating the extremity
An 81-year-old male client has emphysema. He lives at home with his cat
and manages self-care with no difficulty. When making a home visit, the
nurse notices that his tongue is somewhat cracked and his eyeballs are
sunken into his head. What nursing intervention is indicated? - CORRECT
ANSWER -Help the client to determine ways to increase his fluid intake
A 77 year old female client is admitted to the hospital. She is confused, has
no appetite, is nauseated and vomiting, and is complaining of a headache.
Her pulse rate is 43 beats per minute. It is most important for the nurse to
assess for which finding? - CORRECT ANSWER -Takes digitalis
The nurse knows that lab values sometimes vary for the older client. Which
data would the nurse expect to find when reviewing lab values of an 80 year
old male? - CORRECT ANSWER -Increased protein in the urine, slightly
increased serum glucose levels
The nurse is planning to initiate a socialization group for older residents of
a long-term facility. Which information would be most useful to the nurse
when planning activities for the group? - CORRECT ANSWER -The usual
activity patterns of each member of the group
While working in the emergency room, the nurse is exposed to a client with
active tuberculosis. When should the nurse plan to obtain a tuberculin skin
test? - CORRECT ANSWER -Four to six weeks after the exposure
