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EVOLVE ELSEVIER HESI MED SURG EXIT EXAM
VERSION 2 / MED SURG HESI EVOLVE ELSEVIER
NEWEST 2025/2026 COMPLETE QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
The nurse is caring for a client with a stroke resulting in right-sided paresis and aphasia. The client attempts to use the left hand for feeding and other self-care activities. The spouse becomes frustrated and insists on doing everything for the client. Based on this data, which nursing problem should the nurse document for this client? - ANSWER-Disabled family coping related to dissonant coping style of significant person
A client with a completed ischemic stroke has a blood pressure of 180/90 mm Hg. Which action should the nurse implement? - ANSWER- Give an antihypertensive medication
A client with a 16-year history of diabetes mellitus is having renal function tests because of recent fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which finding should the nurse conclude as an early symptom of renal insufficiency? - ANSWER- Nocturia
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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? - ANSWER-Check for tube placement and residual volume q4 hours
The nurse is planning care to prevent complications for a client with multiple myeloma. Which intervention is most important for the nurse to include? - ANSWER-Maintain a fluid intake of 3 to 4 L per day
When teaching diaphragmatic breathing to a client with chronic obstructive pulmonary disease (COPD), which information should the nurse provide? - ANSWER-Place a small book or magazine on the abdomen and make it rise while inhaling deeply
During suctioning, a client with an uncuffed tracheostomy tube begins to cough violently and dislodges the tracheostomy tube. Which action should the nurse implement first? - ANSWER-Attempt to reinsert the tracheostomy tube
A client is admitted for further testing to confirm sarcoidosis Which diagnostic test provides definitive information that the nurse should report to the HCP? - ANSWER-Lung tissue biopsy
How should the nurse position the electrodes for modified chest lead one (MCL I) telemetry monitoring? - ANSWER-Negative polarity left 2 / 3
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shoulder, positive polarity right chest nipple line, ground left chest nipple line
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? - ANSWER-The test you are having tomorrow requires that you have nothing by mouth tonight
The nurse working on a telemetry unit finds a client unconscious and in pulseless ventricular tachycardia (VT). The client has an implanted automatic defibrillator. What action should the nurse implement? - ANSWER-Shock the client with 200 joules per hospital policy
In preparing to administer intravenous albumin to a client following surgery, what is the priority nursing intervention? (Select all that apply.)
- ANSWER-Set the infusion pump to infuse the albumin within four
hours
Administer through a large gauge catheter
Monitor hemoglobin and hematocrit levels
Assess for increased bleeding after administration
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