EVOLVE ELSEVIER HESI MED SURG
EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM
WITH 450 test bank EXAM verified QUESTIONS
AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ EVOLVE HESI
MEDICAL SURGICAL LATEST EXAM 2024-2025
(latest) ACE YOUR TEST GRADED A+ -PDF
A client who has chronic constipation often strains to pass constipated stool which increases
intestinal pressure that weakens the intestinal walls and causes out-pouching sacs, called diverticula
which commonly occur in the sigmoid.
Which information about mammograms is most important to provide a post-menopausal female
client?
Breast self-examinations are not needed if annual mammograms are obtained.
Radiation exposure is minimized by shielding the abdomen with a lead-lined apron.
Yearly mammograms should be done regardless of previous normal x-rays.
Women at high risk should have annual routine and ultrasound mammograms. - ANS :Yearly
mammograms should be done regardless of previous normal x-rays.
TEST BANK 1
, EVOLVE ELSEVIER HESI MED SURG
There are different recommendations from different agnecies. For a client with no risk factors, the
earliest breast screening recommendation is a yearly mammogram at the age 40 and till the age of
54. After that every two years.
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. Correct
Slow breathing. - ANS :Decrease in blood pressure.
One of the early signs of hypovolemic shock is changes in the client's level of consciousness due to
the decrease perfusion to the brain which can manifests as lethargy or confusion.
The nurse is caring for a client with a continuous feeding through a percutaneous endoscopic
gastrostomy (PEG) tube. Which intervention should the nurse include in the plan of care?
Flush the tube with 50 ml of water q 8 hours.
Check for tube placement and residual volume q4 hours.
Obtain a daily x- ray to verify tube placement.
Position on left side with head of bed elevated 45 degrees. - ANS :Check for tube placement and
residual volume q4 hours.
Percutaneous endoscopic gastrostomy (PEG) tube placement and residual volume should be
checked every four hours for clients on continuous feeding. If the gastric residual is more than
200mL for an adult client; stop the feeding and re-check the gastric residual one hour later. If the
residual still remains more than 200mL; continue to keep the feeding on hold and contact the
client's health care provider.
TEST BANK 2
, EVOLVE ELSEVIER HESI MED SURG
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?
"I'm sorry sir, you have a prescription for nothing by mouth from midnight tonight."
"I will let you have one cracker, but that is all you can have for the rest of tonight."
"What did the healthcare provider tell you about the test you are having tomorrow?"
"The test you are having tomorrow requires that you have nothing by mouth tonight."
- ANS :"The test you are having tomorrow requires that you have nothing by mouth tonight."
Being direct and explaining to the client that the test requires him to be NPO, is the most
therapeutic statement because the nurse is responding to the client's question and providing him
the reason why.
During an interview with a client planning elective surgery, the client asks the nurse, "What is the
advantage of having a preferred provider organization insurance plan?" Which response is best for
the nurse to provide?
Neither plan allows selections of healthcare providers or hospitals.
There are fewer healthcare providers to choose from than in an HMO plan.
An individual may select healthcare providers from outside of the PPO network.
An individual can become a member of a PPO without belonging to a group. - ANS :An individual
may select healthcare providers from outside of the PPO network.
The financial implication of selecting a provider from outside of the network is the feature most
relevant to the average consumer. The nurse must have knowledge about preferred provider
organizations (PPOs), which provides the option for the consumer to select a Healthcare Provider
(HCP) from within the PPO network (in-network) at a reduced cost versus a higher cost for
selecting an out-of-network HCP.
TEST BANK 3
, EVOLVE ELSEVIER HESI MED SURG
A client is admitted to the hospital with a medical diagnosis of pneumococcal pneumonia. The nurse
knows that the prognosis for gram-negative pneumonias (such as E. coli, Klebsiella, Pseudomonas,
and Proteus) is very poor. Which information relates most directly to the prognosis for gram-
negative pneumonias?
The gram-negative infections occur in the lower lobe alveoli which are more sensitive to infection.
Gram-negative organisms are more resistant to antibiotic therapy.
Usually occur in healthy young adults who have recently been debilitated by an upper respiratory
infection.
Gram-negative pneumonias usually affect infants and small children. - ANS :Gram-negative
organisms are more resistant to antibiotic therapy.
Gram-negative organisms are very resistant to drug therapy which makes recovery difficult.
Antibiotic resistance has become a world-wide concern and the World Health Organization is
keeping a very close surveillance on these occurrences.
During lung assessment, the nurse places a stethoscope on a client's chest and instructs him/her to
say "99" each time the chest is touched with the stethoscope. Which would be the correct
interpretation if the nurse hears the spoken words "99" very clearly through the stethoscope?
This is a normal auscultatory finding.
May indicate pneumothorax.
May indicate pneumonia. Correct
May indicate severe emphysema - ANS :This is a normal auscultatory finding.
This test (whispered pectoriloquy) demonstrates hyperresonance and helps determine the clarity
with which spoken words are heard upon auscultation. Normally, the spoken word is not well
transmitted through lung tissue, and is heard as a muffled or unclear transmission of the spoken
word. Increased clarity of a spoken word is indicative of some sort of consolidation process (e. g.,
tumor, pneumonia), and is not a normal finding.
TEST BANK 4
EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM
WITH 450 test bank EXAM verified QUESTIONS
AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ EVOLVE HESI
MEDICAL SURGICAL LATEST EXAM 2024-2025
(latest) ACE YOUR TEST GRADED A+ -PDF
A client who has chronic constipation often strains to pass constipated stool which increases
intestinal pressure that weakens the intestinal walls and causes out-pouching sacs, called diverticula
which commonly occur in the sigmoid.
Which information about mammograms is most important to provide a post-menopausal female
client?
Breast self-examinations are not needed if annual mammograms are obtained.
Radiation exposure is minimized by shielding the abdomen with a lead-lined apron.
Yearly mammograms should be done regardless of previous normal x-rays.
Women at high risk should have annual routine and ultrasound mammograms. - ANS :Yearly
mammograms should be done regardless of previous normal x-rays.
TEST BANK 1
, EVOLVE ELSEVIER HESI MED SURG
There are different recommendations from different agnecies. For a client with no risk factors, the
earliest breast screening recommendation is a yearly mammogram at the age 40 and till the age of
54. After that every two years.
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. Correct
Slow breathing. - ANS :Decrease in blood pressure.
One of the early signs of hypovolemic shock is changes in the client's level of consciousness due to
the decrease perfusion to the brain which can manifests as lethargy or confusion.
The nurse is caring for a client with a continuous feeding through a percutaneous endoscopic
gastrostomy (PEG) tube. Which intervention should the nurse include in the plan of care?
Flush the tube with 50 ml of water q 8 hours.
Check for tube placement and residual volume q4 hours.
Obtain a daily x- ray to verify tube placement.
Position on left side with head of bed elevated 45 degrees. - ANS :Check for tube placement and
residual volume q4 hours.
Percutaneous endoscopic gastrostomy (PEG) tube placement and residual volume should be
checked every four hours for clients on continuous feeding. If the gastric residual is more than
200mL for an adult client; stop the feeding and re-check the gastric residual one hour later. If the
residual still remains more than 200mL; continue to keep the feeding on hold and contact the
client's health care provider.
TEST BANK 2
, EVOLVE ELSEVIER HESI MED SURG
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?
"I'm sorry sir, you have a prescription for nothing by mouth from midnight tonight."
"I will let you have one cracker, but that is all you can have for the rest of tonight."
"What did the healthcare provider tell you about the test you are having tomorrow?"
"The test you are having tomorrow requires that you have nothing by mouth tonight."
- ANS :"The test you are having tomorrow requires that you have nothing by mouth tonight."
Being direct and explaining to the client that the test requires him to be NPO, is the most
therapeutic statement because the nurse is responding to the client's question and providing him
the reason why.
During an interview with a client planning elective surgery, the client asks the nurse, "What is the
advantage of having a preferred provider organization insurance plan?" Which response is best for
the nurse to provide?
Neither plan allows selections of healthcare providers or hospitals.
There are fewer healthcare providers to choose from than in an HMO plan.
An individual may select healthcare providers from outside of the PPO network.
An individual can become a member of a PPO without belonging to a group. - ANS :An individual
may select healthcare providers from outside of the PPO network.
The financial implication of selecting a provider from outside of the network is the feature most
relevant to the average consumer. The nurse must have knowledge about preferred provider
organizations (PPOs), which provides the option for the consumer to select a Healthcare Provider
(HCP) from within the PPO network (in-network) at a reduced cost versus a higher cost for
selecting an out-of-network HCP.
TEST BANK 3
, EVOLVE ELSEVIER HESI MED SURG
A client is admitted to the hospital with a medical diagnosis of pneumococcal pneumonia. The nurse
knows that the prognosis for gram-negative pneumonias (such as E. coli, Klebsiella, Pseudomonas,
and Proteus) is very poor. Which information relates most directly to the prognosis for gram-
negative pneumonias?
The gram-negative infections occur in the lower lobe alveoli which are more sensitive to infection.
Gram-negative organisms are more resistant to antibiotic therapy.
Usually occur in healthy young adults who have recently been debilitated by an upper respiratory
infection.
Gram-negative pneumonias usually affect infants and small children. - ANS :Gram-negative
organisms are more resistant to antibiotic therapy.
Gram-negative organisms are very resistant to drug therapy which makes recovery difficult.
Antibiotic resistance has become a world-wide concern and the World Health Organization is
keeping a very close surveillance on these occurrences.
During lung assessment, the nurse places a stethoscope on a client's chest and instructs him/her to
say "99" each time the chest is touched with the stethoscope. Which would be the correct
interpretation if the nurse hears the spoken words "99" very clearly through the stethoscope?
This is a normal auscultatory finding.
May indicate pneumothorax.
May indicate pneumonia. Correct
May indicate severe emphysema - ANS :This is a normal auscultatory finding.
This test (whispered pectoriloquy) demonstrates hyperresonance and helps determine the clarity
with which spoken words are heard upon auscultation. Normally, the spoken word is not well
transmitted through lung tissue, and is heard as a muffled or unclear transmission of the spoken
word. Increased clarity of a spoken word is indicative of some sort of consolidation process (e. g.,
tumor, pneumonia), and is not a normal finding.
TEST BANK 4
