MED SURG II HESI ELSEVIER CERTIFICATION
2026 AND 2027 ELITE EDITION
COMPREHENSIVE QUESTIONS WITH 100%
ACCURATE ANSWERS.
◎ Which instruction should the nurse teach a female client about the prevention of toxic
shock syndrome?
A. "Get immunization against HPV
B. "Change your tampon frequently"
C. "Empty your bladder after intercourse"
D. "Obtain a yearly flu vaccination. ANSWER:- "Change your tampon frequently"
Rationale: Certain strains of Staphylococcus aureus produce a toxin that can enter the
bloodstream through the vaginal mucosa. Changing the tampon frequently reduces the
exposure to these toxins, which are the primary cause of toxic shock syndrome. Option
A helps prevent cervical cancer, not toxic shock syndrome. Option C can lessen the
incidence of urinary tract infection. Option D can help prevent some individuals from
contracting the flu and pneumonia, but no relationship to toxic shock syndrome has
been proven.
◎ The home health nurse is assessing a male client being treated for Parkinson
disease with carbidopa-levodopa. The nurse observes that he does not demonstrate
any apparent emotion when speaking and rarely blinks. Which intervention should the
nurse implement?
A. Perform a complete cranial nerve assessment
B. Instruct the client that he may be experiencing medication toxicity
C. Document the presence of these assessment findings
D. Advise the client to seek immediate medical evaluation. ANSWER:- Document the
presence of these assessment findings.
Rationale: A masklike expression and infrequent blinking are common clinical features
of parkinsonism. The nurse should document these expected findings.
Signs of toxicity of levodopa-carbidopa include: dyskinesia, hallucinations, and
psychosis
◎ A female client with a nasogastric tube attached to low suction states that she is
nauseated. The nurse assesses that there has been no drainage through the
nasogastric tube in the last 2 hours. Which action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline
, B. Reposition the client on her side
C. Advance the nasgastric tube 5cm
D. Administer an intravenous antiemetic as prescribed. ANSWER:- Reposition the client
on her side
Rationale: The immediate priority is to determine if the tube is functioning correctly,
which would then relieve the client's nausea. The least invasive intervention,
repositioning the client, should be attempted first, followed by options A and C, unless
either of these interventions is contraindicated. If these measures are unsuccessful, the
client may require option D.
◎ The nurse teaches a client with type 2 diabetes nutritional strategies to decrease
obesity. Which food items chosen by the client indicate understanding of the teaching?
(Select all that apply.)
A. White bread
B. Salmon
C. Broccoli
D. Whole milk
E. Banana. ANSWER:- Salmon, Broccoli, and Banana
Rationale: Provides fresh fruits, lean meats and fish, vegetables, whole grains, and low-
fat dairy products.
◎ Which condition should the nurse anticipate as a potential problem in a female client
with a neurogenic bladder?
A. Stress incontinence
B. Infection
C. Painless gross hematuria
D. Peritonitis. ANSWER:- Infection
B. Infection is the major complication resulting from stasis of urine and subsequent
catheterization. Option A is the involuntary loss of urine through an intact urethra as a
result of a sudden increase in intraabdominal pressure. Option C is the most common
symptom of bladder cancer. Option D is the most common and serious complication of
peritoneal dialysis.
◎ A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
ventricular response. Based on this finding, the nurse anticipates assisting the physician
with which treatment?
A. Administer lidocaine, 75mg IV push
B. Perform synchronized cardioversion
C. Defibrillate the client as soon as possible
D. Administer atropine, 0.4mg IV push. ANSWER:- Perform synchronized cardioversion
2026 AND 2027 ELITE EDITION
COMPREHENSIVE QUESTIONS WITH 100%
ACCURATE ANSWERS.
◎ Which instruction should the nurse teach a female client about the prevention of toxic
shock syndrome?
A. "Get immunization against HPV
B. "Change your tampon frequently"
C. "Empty your bladder after intercourse"
D. "Obtain a yearly flu vaccination. ANSWER:- "Change your tampon frequently"
Rationale: Certain strains of Staphylococcus aureus produce a toxin that can enter the
bloodstream through the vaginal mucosa. Changing the tampon frequently reduces the
exposure to these toxins, which are the primary cause of toxic shock syndrome. Option
A helps prevent cervical cancer, not toxic shock syndrome. Option C can lessen the
incidence of urinary tract infection. Option D can help prevent some individuals from
contracting the flu and pneumonia, but no relationship to toxic shock syndrome has
been proven.
◎ The home health nurse is assessing a male client being treated for Parkinson
disease with carbidopa-levodopa. The nurse observes that he does not demonstrate
any apparent emotion when speaking and rarely blinks. Which intervention should the
nurse implement?
A. Perform a complete cranial nerve assessment
B. Instruct the client that he may be experiencing medication toxicity
C. Document the presence of these assessment findings
D. Advise the client to seek immediate medical evaluation. ANSWER:- Document the
presence of these assessment findings.
Rationale: A masklike expression and infrequent blinking are common clinical features
of parkinsonism. The nurse should document these expected findings.
Signs of toxicity of levodopa-carbidopa include: dyskinesia, hallucinations, and
psychosis
◎ A female client with a nasogastric tube attached to low suction states that she is
nauseated. The nurse assesses that there has been no drainage through the
nasogastric tube in the last 2 hours. Which action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline
, B. Reposition the client on her side
C. Advance the nasgastric tube 5cm
D. Administer an intravenous antiemetic as prescribed. ANSWER:- Reposition the client
on her side
Rationale: The immediate priority is to determine if the tube is functioning correctly,
which would then relieve the client's nausea. The least invasive intervention,
repositioning the client, should be attempted first, followed by options A and C, unless
either of these interventions is contraindicated. If these measures are unsuccessful, the
client may require option D.
◎ The nurse teaches a client with type 2 diabetes nutritional strategies to decrease
obesity. Which food items chosen by the client indicate understanding of the teaching?
(Select all that apply.)
A. White bread
B. Salmon
C. Broccoli
D. Whole milk
E. Banana. ANSWER:- Salmon, Broccoli, and Banana
Rationale: Provides fresh fruits, lean meats and fish, vegetables, whole grains, and low-
fat dairy products.
◎ Which condition should the nurse anticipate as a potential problem in a female client
with a neurogenic bladder?
A. Stress incontinence
B. Infection
C. Painless gross hematuria
D. Peritonitis. ANSWER:- Infection
B. Infection is the major complication resulting from stasis of urine and subsequent
catheterization. Option A is the involuntary loss of urine through an intact urethra as a
result of a sudden increase in intraabdominal pressure. Option C is the most common
symptom of bladder cancer. Option D is the most common and serious complication of
peritoneal dialysis.
◎ A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
ventricular response. Based on this finding, the nurse anticipates assisting the physician
with which treatment?
A. Administer lidocaine, 75mg IV push
B. Perform synchronized cardioversion
C. Defibrillate the client as soon as possible
D. Administer atropine, 0.4mg IV push. ANSWER:- Perform synchronized cardioversion
