EVOLVE ELSEVIER HESI MED-SURG EXAM
QUESTION BANK 2026 ACTUAL EXAM WITH
QUESTIONS AND CORRECT DETAILED
ANSWERS
A client who had open abdominal surgery 4 hours ago reports feeling weak and dizzy. The
client's current blood pressure has decreased to 98/50, and pulse rate is 108. What is the
nurse's best action at this time?
A. Document the vital signs, and continue to monitor the client.
B. Remind the client to stay in bed if feeling weak and dizzy.
C. Call the health care provider immediately.
D. Increase the client's IV rate to restore fluid volume. - Correct AnswerC. Call the HCP
immediately
The health care provider prescribes warfarin (Coumadin) for a client with atrial fibrillation.
Which foods will the nurse teach the client taking this drug to avoid? Select all that apply.
A. Spinach
B. Corn
C. Tomatoes
D. Brussels sprouts
E. Potatoes - Correct AnswerA. Spinach
D. Brussel Sprouts
A client is prescribed to take rivaroxaban (Xarelto) 20 mg orally every day. What is the nurse's
priority when teaching the client about this drug?
A. "Be sure to keep laboratory appointments to check your clotting times."
B. "Take the medication every morning before breakfast."
C. "Report any signs of bleeding to your health care provider."
D. "Have vitamin K available in case you need it." - Correct AnswerC. Report any signs of
bleeding to your HCP
A client in the telemetry unit is on a cardiac monitor. The monitor technician notices there are
no ECG complexes and the alarm sounds. What is the first action by the nurse?
A. Begin CPR immediately.
B. Call the emergency response team.
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, C. Press the record button to get an ECG strip.
D. Assess the client and check lead placement. - Correct AnswerD. Assess the client and check
lead placement.
The nurse is caring for a client with acute coronary syndrome (ACS) and atrial fibrillation who
has a new prescription for metoprolol (Toprol). Which monitoring is essential when
administering the medication?
A. ST segment
B. Heart rate
C. Troponin
D. Myoglobin - Correct AnswerB. Heart Rate
The nurse is caring for a client with atrial fibrillation. In addition to an antidysrhythmic, what
medication does the nurse plan to administer?
A. Heparin
B. Atropine
C. Dobutamine
D. Magnesium sulfate - Correct AnswerA. Heparin
Which client is appropriate for the cardiac care unit charge nurse to assign to the float RN from
the medical-surgical unit?
A. The 64-year-old client admitted for weakness who has a sinus bradycardia with a heart rate of
58 beats/min
B. The 71-year-old client admitted for heart failure who is short of breath and has a heart rate of
120 to 130 beats/min
C. The 88-year-old client admitted with an elevated troponin level who is hypotensive with a
heart rate of 96 beats/min
D. The 92-year-old client admitted with chest pain who has premature ventricular complexes
and a heart rate of 102 beats/min - Correct AnswerA. The 64-year-old client admitted for
weakness who has a sinus bradycardia with a heart rate of 58 beats/min
A client with atrial fibrillation with rapid ventricular response has received medication to slow
the ventricular rate. The pulse is now 88 beats/min. For which additional therapy does the
nurse plan?
A. Synchronized cardioversion
B. Electrophysiology studies (EPS)
C. Anticoagulation
D. Radiofrequency ablation therapy - Correct AnswerC. Anticoagulation
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QUESTION BANK 2026 ACTUAL EXAM WITH
QUESTIONS AND CORRECT DETAILED
ANSWERS
A client who had open abdominal surgery 4 hours ago reports feeling weak and dizzy. The
client's current blood pressure has decreased to 98/50, and pulse rate is 108. What is the
nurse's best action at this time?
A. Document the vital signs, and continue to monitor the client.
B. Remind the client to stay in bed if feeling weak and dizzy.
C. Call the health care provider immediately.
D. Increase the client's IV rate to restore fluid volume. - Correct AnswerC. Call the HCP
immediately
The health care provider prescribes warfarin (Coumadin) for a client with atrial fibrillation.
Which foods will the nurse teach the client taking this drug to avoid? Select all that apply.
A. Spinach
B. Corn
C. Tomatoes
D. Brussels sprouts
E. Potatoes - Correct AnswerA. Spinach
D. Brussel Sprouts
A client is prescribed to take rivaroxaban (Xarelto) 20 mg orally every day. What is the nurse's
priority when teaching the client about this drug?
A. "Be sure to keep laboratory appointments to check your clotting times."
B. "Take the medication every morning before breakfast."
C. "Report any signs of bleeding to your health care provider."
D. "Have vitamin K available in case you need it." - Correct AnswerC. Report any signs of
bleeding to your HCP
A client in the telemetry unit is on a cardiac monitor. The monitor technician notices there are
no ECG complexes and the alarm sounds. What is the first action by the nurse?
A. Begin CPR immediately.
B. Call the emergency response team.
Page 1 of 8
, C. Press the record button to get an ECG strip.
D. Assess the client and check lead placement. - Correct AnswerD. Assess the client and check
lead placement.
The nurse is caring for a client with acute coronary syndrome (ACS) and atrial fibrillation who
has a new prescription for metoprolol (Toprol). Which monitoring is essential when
administering the medication?
A. ST segment
B. Heart rate
C. Troponin
D. Myoglobin - Correct AnswerB. Heart Rate
The nurse is caring for a client with atrial fibrillation. In addition to an antidysrhythmic, what
medication does the nurse plan to administer?
A. Heparin
B. Atropine
C. Dobutamine
D. Magnesium sulfate - Correct AnswerA. Heparin
Which client is appropriate for the cardiac care unit charge nurse to assign to the float RN from
the medical-surgical unit?
A. The 64-year-old client admitted for weakness who has a sinus bradycardia with a heart rate of
58 beats/min
B. The 71-year-old client admitted for heart failure who is short of breath and has a heart rate of
120 to 130 beats/min
C. The 88-year-old client admitted with an elevated troponin level who is hypotensive with a
heart rate of 96 beats/min
D. The 92-year-old client admitted with chest pain who has premature ventricular complexes
and a heart rate of 102 beats/min - Correct AnswerA. The 64-year-old client admitted for
weakness who has a sinus bradycardia with a heart rate of 58 beats/min
A client with atrial fibrillation with rapid ventricular response has received medication to slow
the ventricular rate. The pulse is now 88 beats/min. For which additional therapy does the
nurse plan?
A. Synchronized cardioversion
B. Electrophysiology studies (EPS)
C. Anticoagulation
D. Radiofrequency ablation therapy - Correct AnswerC. Anticoagulation
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