1|Page
EVOLVE ELSEVIER HESI MED SURG EXAM
LATEST WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ 100% GUARANTEED PASS!
Which method elicits the most accurate information
during a physical assessment of an older client? -
.....ANSWER ...✔✔ Use reliable assessment tools for
older adults
A client who has just tested positive for HIV does not
appear to hear what the nurse is saying during post-test
counseling. Which information should the nurse offer to
facilitate the client's adjustment to HIV infection? -
.....ANSWER ...✔✔ Discuss retesting to verify the
results, which will ensure continuing contact and give the
patient support and hope, as well as time to cope
The nurse is caring for a client with HIV who develops
Mycobacterium avium complex. What is the most
significant desired outcome for this patient? -
.....ANSWER ...✔✔ Return to pre-illness weight
MAC is an opportunistic infection that presents like TB
,2|Page
MAC is a major contributing factor to development of
wasting syndrome so adequate nutrition and return to
pre-illness weight is priority
A client who had abdominal surgery two days ago has
prescriptions for IV morphine sulfate 4 mg every 2 hours
and clear liquid diet. Client complains of feeling
distended and has sharp, cramping gas pains. What
nursing intervention should be implemented? -
.....ANSWER ...✔✔ Assist the client to ambulate in the
hall
A client with Meniere's disease is incapacitated by
vertigo and is lying in bed grasping the side rails and
staring at the television. Which nursing intervention
should the nurse implement? - .....ANSWER ...✔✔ Turn
off the television and darken the room.
Any visual stimuli or rotational movement should be
minimized
A client who has chronic cough with blood-tinged sputum
returns to the unit after a bronchoscopy. What nursing
interventions should be implemented in the immediate
post-procedural period? - .....ANSWER ...✔✔ NPO
until gag reflex returns
,3|Page
Prior to bronchoscopy the nasal pharynx and pharynx
are anesthetized and bronchoscope is coated with
lidocaine to inhibit gag reflex during insertion.
The nurse is assessing a client with a cuffed
tracheostomy tube in place who is breathing
spontaneously. To evaluate if the client can tolerate cuff
deflation to promote speaking and swallowing, what
action should the nurse implement? - .....ANSWER
...✔✔ Observe the client for coughing colored sputum
after drinking a small amount of colored water
What assessment finding should the nurse identify that
indicates a client with an acute asthma exacerbation is
beginning to improve after treatment? - .....ANSWER
...✔✔ Wheezing becomes louder as airways (that
were initially so restricted wheezing was absent)
successfully respond to bronchodilators
A client with sickle cell anemia is admitted with severe
abdominal pain and the diagnosis is sickle cell crisis.
What is the most important nursing action to implement?
- .....ANSWER ...✔✔ Evaluate the effectiveness of
narcotic analgesics because pain management is priority
for patient during sickle cell crisis
, 4|Page
The nurse is caring for a client with non-Hodgkin's
lymphoma who is receiving chemotherapy. Lab results
reveal platelet count of 10,000/mL. What action should
the nurse implement? - .....ANSWER ...✔✔ Check
stools for occult blood because platelets less than
100,000/mL are indicative of thrombocytopenia (a
common side effect of chemotherapy)
A client is admitted for complaints of chest pain and
aching for the past 4 days. The results for serum
creatinine kinase-MB (CK-MB) and troponin levels are
obtained. What rationale should the nurse use to
evaluate lab findings? - .....ANSWER ...✔✔
Myocardial damage that occurred several days early is
best validated by serum troponin levels.
**CK-MB and troponin are 2 most important cardiac
markers for MI
A male client with chronic atrial fibrillation and a slow
ventricular response is scheduled for surgical placement
of a permanent pacemaker. The client asks the nurse
how this device will help him. How should the nurse
explain the action of a synchronous pacemaker? -
.....ANSWER ...✔✔ An electrical stimulus is discharged
when no ventricular response is sensed.
Synchronous - impulse generated on demand or as
needed according to patient intrinsic rhythm
EVOLVE ELSEVIER HESI MED SURG EXAM
LATEST WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ 100% GUARANTEED PASS!
Which method elicits the most accurate information
during a physical assessment of an older client? -
.....ANSWER ...✔✔ Use reliable assessment tools for
older adults
A client who has just tested positive for HIV does not
appear to hear what the nurse is saying during post-test
counseling. Which information should the nurse offer to
facilitate the client's adjustment to HIV infection? -
.....ANSWER ...✔✔ Discuss retesting to verify the
results, which will ensure continuing contact and give the
patient support and hope, as well as time to cope
The nurse is caring for a client with HIV who develops
Mycobacterium avium complex. What is the most
significant desired outcome for this patient? -
.....ANSWER ...✔✔ Return to pre-illness weight
MAC is an opportunistic infection that presents like TB
,2|Page
MAC is a major contributing factor to development of
wasting syndrome so adequate nutrition and return to
pre-illness weight is priority
A client who had abdominal surgery two days ago has
prescriptions for IV morphine sulfate 4 mg every 2 hours
and clear liquid diet. Client complains of feeling
distended and has sharp, cramping gas pains. What
nursing intervention should be implemented? -
.....ANSWER ...✔✔ Assist the client to ambulate in the
hall
A client with Meniere's disease is incapacitated by
vertigo and is lying in bed grasping the side rails and
staring at the television. Which nursing intervention
should the nurse implement? - .....ANSWER ...✔✔ Turn
off the television and darken the room.
Any visual stimuli or rotational movement should be
minimized
A client who has chronic cough with blood-tinged sputum
returns to the unit after a bronchoscopy. What nursing
interventions should be implemented in the immediate
post-procedural period? - .....ANSWER ...✔✔ NPO
until gag reflex returns
,3|Page
Prior to bronchoscopy the nasal pharynx and pharynx
are anesthetized and bronchoscope is coated with
lidocaine to inhibit gag reflex during insertion.
The nurse is assessing a client with a cuffed
tracheostomy tube in place who is breathing
spontaneously. To evaluate if the client can tolerate cuff
deflation to promote speaking and swallowing, what
action should the nurse implement? - .....ANSWER
...✔✔ Observe the client for coughing colored sputum
after drinking a small amount of colored water
What assessment finding should the nurse identify that
indicates a client with an acute asthma exacerbation is
beginning to improve after treatment? - .....ANSWER
...✔✔ Wheezing becomes louder as airways (that
were initially so restricted wheezing was absent)
successfully respond to bronchodilators
A client with sickle cell anemia is admitted with severe
abdominal pain and the diagnosis is sickle cell crisis.
What is the most important nursing action to implement?
- .....ANSWER ...✔✔ Evaluate the effectiveness of
narcotic analgesics because pain management is priority
for patient during sickle cell crisis
, 4|Page
The nurse is caring for a client with non-Hodgkin's
lymphoma who is receiving chemotherapy. Lab results
reveal platelet count of 10,000/mL. What action should
the nurse implement? - .....ANSWER ...✔✔ Check
stools for occult blood because platelets less than
100,000/mL are indicative of thrombocytopenia (a
common side effect of chemotherapy)
A client is admitted for complaints of chest pain and
aching for the past 4 days. The results for serum
creatinine kinase-MB (CK-MB) and troponin levels are
obtained. What rationale should the nurse use to
evaluate lab findings? - .....ANSWER ...✔✔
Myocardial damage that occurred several days early is
best validated by serum troponin levels.
**CK-MB and troponin are 2 most important cardiac
markers for MI
A male client with chronic atrial fibrillation and a slow
ventricular response is scheduled for surgical placement
of a permanent pacemaker. The client asks the nurse
how this device will help him. How should the nurse
explain the action of a synchronous pacemaker? -
.....ANSWER ...✔✔ An electrical stimulus is discharged
when no ventricular response is sensed.
Synchronous - impulse generated on demand or as
needed according to patient intrinsic rhythm
