EVOLVE MED SURG
HESI 2026 WITH
CORRECT
ANSWER VERIFIED
The nurse is concerned about infection for a client after an
esophagogastrostomy for esophageal cancer. Which actions should
the nurse include in the client's plan of care? (Select all that apply.)
A. Frequent oral care every 2 hours while awake.
B. Use incentive spirometer every 2 hours.
C. Empty contents from NG tube every 8 hours.
D. Ambulate within 1 hour of return from the PACU.
,E. Limit visitors until postoperative day 2. - ✔✔ CORRECT ANSWER
✔✔ -Correct Answer: A,B,C
Rationale:One hour post op is too soon to ambulate for this client.
Visitors help support the patient and are encouraged to visit. Oral
care is necessary as the client will be NPO. To decrease the risk of
infection post operatively, implement routine pulmonary exercises.
The client will have an NG tube in place, likely to intermittent suction,
to decompress the stomach post surgery.
The client is return demonstrating wrapping of the left limb
amputated above the knee. The nurse evaluates the client is starting
the wrapping method correctly when the client places the end of the
bandage at which point?
A.Around the waist
B.At the inner aspect of the left stump
C.At the outer aspect of the left stump
D.At the left groin area - ✔✔ CORRECT ANSWER ✔✔ -Correct
Answer: A
,Rationale:The waist is the anchor point for the bandage for an above
the knee amputation.
A nurse is assisting an 82-year-old client with ambulation and is
concerned that the client may fall. Which area contains the older
person's center of gravity?
A. Head and neck
B. Upper torso
C. Bilateral arms
D. Feet and legs - ✔✔ CORRECT ANSWER ✔✔ -Correct Answer: B
Rationale:Stooped posture results in the upper torso becoming the
center of gravity for older persons. The center of gravity for adults is
the hips. However, as a person grows older, a stooped posture is
common because of changes caused by osteoporosis and normal
bone degeneration. Furthermore, the knees, hips, and elbows flex.
The head and neck and feet and legs are not the center of gravity in
the older adult. Although the arms comprise a part of the upper
torso, they do not reflect the best and most complete answer.
, A client with hypertension has been receiving ramipril, 5 mg PO, daily
for 2 weeks and is scheduled to receive a dose at 0900. At 0830, the
client's blood pressure is 120/70 mm Hg. Which action should the
nurse take?
A. Administer the prescribed dose at the scheduled time.
B. Hold the dose and contact the health care provider.
C. Hold the dose and recheck the blood pressure in 1 hour.
D. Check the health care provider's prescription to clarify the dose. -
✔✔ CORRECT ANSWER ✔✔ Correct Answer: A
Rationale:The client's blood pressure is within normal limits,
indicating that the ramipril, an antihypertensive, is having the desired
effect and should be administered. Options B and C would be
appropriate if the client's blood pressure was excessively low (<100
mm Hg systolic) or if the client were exhibiting signs of hypotension
such as dizziness. This prescribed dose is within the normal dosage
range, as defined by the manufacturer; therefore, option D is not
necessary
The nurse is providing care for a client diagnosed with trigeminal
neuralgia (tic douloureux). Which symptoms will the nurse be looking
HESI 2026 WITH
CORRECT
ANSWER VERIFIED
The nurse is concerned about infection for a client after an
esophagogastrostomy for esophageal cancer. Which actions should
the nurse include in the client's plan of care? (Select all that apply.)
A. Frequent oral care every 2 hours while awake.
B. Use incentive spirometer every 2 hours.
C. Empty contents from NG tube every 8 hours.
D. Ambulate within 1 hour of return from the PACU.
,E. Limit visitors until postoperative day 2. - ✔✔ CORRECT ANSWER
✔✔ -Correct Answer: A,B,C
Rationale:One hour post op is too soon to ambulate for this client.
Visitors help support the patient and are encouraged to visit. Oral
care is necessary as the client will be NPO. To decrease the risk of
infection post operatively, implement routine pulmonary exercises.
The client will have an NG tube in place, likely to intermittent suction,
to decompress the stomach post surgery.
The client is return demonstrating wrapping of the left limb
amputated above the knee. The nurse evaluates the client is starting
the wrapping method correctly when the client places the end of the
bandage at which point?
A.Around the waist
B.At the inner aspect of the left stump
C.At the outer aspect of the left stump
D.At the left groin area - ✔✔ CORRECT ANSWER ✔✔ -Correct
Answer: A
,Rationale:The waist is the anchor point for the bandage for an above
the knee amputation.
A nurse is assisting an 82-year-old client with ambulation and is
concerned that the client may fall. Which area contains the older
person's center of gravity?
A. Head and neck
B. Upper torso
C. Bilateral arms
D. Feet and legs - ✔✔ CORRECT ANSWER ✔✔ -Correct Answer: B
Rationale:Stooped posture results in the upper torso becoming the
center of gravity for older persons. The center of gravity for adults is
the hips. However, as a person grows older, a stooped posture is
common because of changes caused by osteoporosis and normal
bone degeneration. Furthermore, the knees, hips, and elbows flex.
The head and neck and feet and legs are not the center of gravity in
the older adult. Although the arms comprise a part of the upper
torso, they do not reflect the best and most complete answer.
, A client with hypertension has been receiving ramipril, 5 mg PO, daily
for 2 weeks and is scheduled to receive a dose at 0900. At 0830, the
client's blood pressure is 120/70 mm Hg. Which action should the
nurse take?
A. Administer the prescribed dose at the scheduled time.
B. Hold the dose and contact the health care provider.
C. Hold the dose and recheck the blood pressure in 1 hour.
D. Check the health care provider's prescription to clarify the dose. -
✔✔ CORRECT ANSWER ✔✔ Correct Answer: A
Rationale:The client's blood pressure is within normal limits,
indicating that the ramipril, an antihypertensive, is having the desired
effect and should be administered. Options B and C would be
appropriate if the client's blood pressure was excessively low (<100
mm Hg systolic) or if the client were exhibiting signs of hypotension
such as dizziness. This prescribed dose is within the normal dosage
range, as defined by the manufacturer; therefore, option D is not
necessary
The nurse is providing care for a client diagnosed with trigeminal
neuralgia (tic douloureux). Which symptoms will the nurse be looking
