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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+||BRAND NEW VERSION!!
The client returns to the unit after abdominal surgery with a 5″ × 9″ absorbent dressing in place to the mid abdomen. The nurse notes a spot of red staining centrally on the dressing. What is the nurse's next action?
- Note the size of the stain in the chart.
- Circle the stain with an ink pen.
- Remove the dressing to assess the source of the bleeding.
- Place a pressure dressing on the existing dressing. - ANSWER-Correct
Answer: B
Rationale:By circling the existing stain upon admission to the unit, the
nurse can then assess any increase, though subtle, in the amount of drainage over time. The size of the stain will need to be noted in the chart, but it is not the first action. The nurse removes the dressing under the prescription of the health care provider or in an emergency.Neither of those conditions exist in the question. The dressing in place 1 / 4
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is an absorbent dressing. There is no need for a further dressing until the existing dressing becomes saturated.
While at a home game, the mother of a 6-year-old is heard screaming, "My child is having an asthma attack! Can anyone help?" The nurse arrives and finds the child gasping for breath with circumoral cyanosis.What are the nurse's next actions? (Select all that apply.)
- Yell, "Call 911."
- Ask the mother if she has the child's bronchodilator.
- Start cardiopulmonary respirations.
- Ask the mother if the child is allergic to bee stings.
- Stay with the child and mother until the ambulance arrives.
- Sit the child straight up in Fowler's position. - ANSWER-Correct
Answer: A,B,E,F
Rationale: CPR is not needed at this time as the child is still moving air.
An allergy to bee stings is related to anaphylactic shock, which is not the situation here. The remaining actions are correct for asthma.
The nurse is providing care to a client after a percutaneous transluminal coronary angioplasty (PTCA). What actions will the nurse include in the client's plan of care? (Select all that apply.) 2 / 4
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- Frequent vital signs.
- Determine if the client is allergic to aspirin.
- Assist out of bed 2 hours after return from the procedure.
- Offer fluids of choice.
- Assess distal pulses on the side of the procedure.
F. Monitor infusion of IV nitroglycerine. - ANSWER-Correct Answer:
A,B,D,F
Rationale: The client's incisional leg needs to stay straight for 6 to 8
hours to decrease the risk of hemorrhage from the incision site. Pulses must be assessed bilaterally for a point of comparison. The remaining actions are included in the care plan for the client after a PTCA
A male client has just undergone a laryngectomy and has a cuffed tracheostomy tube in place. When initiating bolus tube feedings postoperatively, when should the nurse inflate the cuff?.
- Immediately after feeding
- Just prior to tube feeding
C.Continuous inflation is required
D. Inflation is not required - ANSWER-Correct Answer: B
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Rationale:The cuff should be inflated before the feeding to block the
trachea and prevent food from entering if oral feedings are started while a cuffed tracheostomy tube is in place. It should remain inflated throughout the feeding to prevent aspiration of food into the respiratory system. Options A and D place the client at risk for aspiration. Option C places the client at risk for tracheal wall necrosis.
A practical nurse (PN) tells the charge nurse in a long-term facility that she does not want to be assigned to one particular resident. She reports that the male client keeps insisting that she is his daughter and begs her to stay in his room. What is the best managerial decision?
- Notify the family that the resident will have to be discharged if his
- Notify administration of the PN's insubordination and need for
- Ask the PN what she has done to encourage the resident to believe
- Reassign the PN until the resident can be assessed more completely
behavior does not improve.
counseling about her statements.
that she is his daughter.
for reality orientation. - ANSWER-Correct Answer: D
Rationale:Temporary reassignment is the best option until the
resident can be examined and his medications reviewed. He may have worsening cerebral dysfunction from an infection or electrolyte imbalance. Option A is not the best option because the family cannot
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