HESI RN Med-Surge Practice Exam

HESI RN Med-Surge Practice Exam-EVOLVE Newest Update 2025/2026 An adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea. the client appears anxious, restless, and mildly cyanotic. the nurse should further assess the client for which condition? Pulmonary embolism. Heart failure. Tuberculosis. Bronchitis. -answerPulmonary embolism which information should the nurse obtain when performing an initial assessment of a client who presents to the emergency department with a painful ankle injury? (select all that apply) Quality of the pain. Signs of inflammation. Ankle range of motion. Muscle strength testing. Visible deformities of the joint -answerQuality of the pain Signs of inflammation Ankle range of motion Visible deformities of the joint Which description of pain is consistent with a diagnosis of rheumatoid arthritis? Joint pain is worse in the morning and involves symmetric joints. Joint pain is better in the morning and worsens throughout the day Joint pain is consistent throughout the day and is relieved by pain medication. Joint pain is worse during the day and involves unilateral joints. -answerJoint pain is worse in the morning and involves symmetric joints Which physical assessment finding should the nurse anticipate in a client with long-term gastroesophagealreflux disease (GERD)? Hoarseness. Dry mouth. Mouth ulcers. Weight loss. -answerHoarseness A client presents with chronic venous insufficiency. Which assessment finding should the nurse anticipate? Bilateral lower leg stasis dermatitis. Clubbing of fingers and toes. Intermittent claudication. Incorrect Peripheral cyanosis. -answerBilateral lower leg stasis dermatitis A client has been hospitalized with a femur fracture and is being treated with traction. which action by the nurse is the priority when caring for this client? Assess neurovascular status. Change the client's position. Inspect the traction equipment. Review pain medication orders. -answerAssess neurovascular status Which statement made by a client with chronic pancreatitis indicates that further education is needed? I will cut back on smoking cigarettes daily. I will avoid drinking caffeinated beverages. I will rest frequently and avoid vigorous exercise. I will eat a bland, low-fat, high-protein diet. -answerI will cut back on smoking cigarettes daily The nurse is teaching a female client who uses a contraceptive diaphragm about reducing the risk for toxic shock syndrome (TSS). Which information should the nurse include? (Select all that apply) Remove the diaphragm immediately after intercourse. Wash the diaphragm with an alcohol solution. Use the diaphragm to prevent conception during the menstrual cycle. Do not leave the diaphragm in place longer than 8 hours after intercourse. Replace the old diaphragm every 3 months. -answerDo not leave the diaphragm in place longer than 8 hours after intercourse Replace the old diaphragm every 3 months A male client who smokes two packs of cigarettes a day states he understands that smoking cigarettes is contributing to the difficulty that he and his wife are having in getting pregnant and wants to know if other factors could be contributing to their difficulty. Which information is best for the nurse to provide? (Select all that apply). Marijuana cigarettes do not affect sperm count. Alcohol consumption can cause erectile dysfunction. Low testosterone levels affect sperm production. Cessation of smoking improves general health and fertility. Obesity has no effect on sperm production. -answerAlcohol consumption can cause erectile dysfunction Low testosterone levels affect sperm production Cessation of smoking improves general health and fertility Twenty four hours after a client returns from surgical gastric bypass, the registered nurse (RN) observes large amounts of blood in the nasogastric tube (NGT) cannister. Which assessment finding should the RN report as early signs of hypovolemic shock? Faint pedal pulses. Decrease in blood pressure. Lethargy. Slow breathing. -answerlethargy the registered nurse (RN) is assessing a male client who arrives at the clinic with severe abdominal cramping, pain, tenesmus, and dehydration. the RN discovers that the client has had 14 to 20 loose stools with rectal bleeding. When taking the client's medical history, which information is most for the nurse to obtain? Irritable bowel syndrome. Diverticulitis. Crohn's disease. Ulcerative colitis. -answerUlcerative colitis A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing the client's basic knowledge about the disease process. Which statement by the client conveys an understanding of the etiology of diverticula? Over use of laxatives for bowel regularity result in loss of peristaltic tone. Inflammation of the colon mucosa cause growths that protrude into the colon lumen. Diverticulosis is the result of high fiber diet and sedentary life style. Chronic constipation causes weakening of colon wall which result in out-pouching sacs. -answerChronic constipation causes weakening of colon wall which results in out pouching sacs The registered nurse (RN) is assessing a client who was discharged home after management of chronic hypertension. Which equipment should the RN instruct the client to use at home? Exercise bicycle. Sphygmomanometer. Blood glucose monitor. Weekly medication box. -answerSphygmomanometer A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in the abdominopelvic region and is scheduled for radiation therapy (RT). The client expresses concern about becoming infertile. How should the nurse respond? Propose sperm