• HESI MED SURG 09/14/2026
EXAM
EVOLVE ELSEVIER HESI MED SURG LATEST 2025/
2026 TEST BANK| COMPLETE 350 REAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
WELL-ELABORATED RATIONALES/ GRADED A+|
EVOLVE HESI MEDICAL SURGICAL LATEST EXAM
(BRAND NEW!!)
The nursing student has been assigned to the hospital's Rapid Response Team (RRT). Which statement by the
student indicates a correct understanding of the RRT member's purpose?
a) "I will be caring for clients in the hospital."
b)"I will be riding along in the hospital's ambulance."
c) "I will be admitting clients to the hospital."
P 1
, • HESI MED SURG 09/14/2026
EXAM
d) "I will be observing Code Blue resuscitations." –
Correct Answer :a) "I will be caring for clients in the hospital."
Rationale: Members of the RRT are critical care experts who are on site in the hospital and are available at any
time. The RRT does not ride along in the ambulance; it is hospital-based. RRT members do not admit clients to
the hospital. They do not replace the code team—they often precede it.
The nurse is working in the intensive care unit. When does the nurse call the Rapid Response Team (RRT)?
a) An 87-year-old client awakens mildly confused, then reorients quickly.
b) A newly admitted client requests pain medication.
c) A postoperative client's dressing has mild bloody drainage.
d) A postoperative client's blood pressure suddenly drops. –
Correct Answer :d) A postoperative client's blood pressure suddenly drops.
Rationale: The RRT should be called whenever a client has a slow or sudden deterioration in clinical condition,
such as a sudden drop in blood pressure. The older adult client awakening in a confused state and then
reorienting can be a normal occurrence because of the client's age. Pain medication should be indicated in the
health care provider's prescription. If it is not, the admitting health care provider should be called, not the RRT.
Mild drainage on the dressing of the postoperative client is normal.
Which role of the medical-surgical nurse is demonstrated when writing a plan of care for a client who is newly
admitted to the hospital?
a) Advocate
b) Caregiver
c) Communicator
d) Educator - Correct Answer :b) Caregiver
Rationale: In the caregiver role, medical-surgical nurses assess clients, analyze collected information to
determine their needs, develop nursing diagnoses and collaborative problems, plan care and carry out the plan
with the health care team, and evaluate the care given. In the role of advocate, the medical-surgical nurse assists
the client and family through caring interventions. "Communicator" is not a defined nursing role. In the role of
educator, the nurse strives to improve health by facilitating client learning regarding health promotion, disease
and illness, and specific treatment by teaching clients and family members or other caregivers.
P 2
, • HESI MED SURG 09/14/2026
EXAM
The nurse supports the client and family in deciding on a "Do Not Resuscitate" order. Which ethical principle that
guides nursing clinical decision making is demonstrated in this situation?
a) Beneficence
b) Justice
c) Legality
d) Self-determination - Correct Answer :d) Self-determination
Rationale: Self-determination refers to the idea that clients are autonomous individuals capable of making
informed decisions about their care. When the client is not capable of self-determination, the nurse is ethically
obligated to protect the client as an advocate in the professional scope of practice. Beneficence emphasizes the
importance of preventing harm and ensuring the client's well-being. Justice refers to equality (i.e., all clients
should be treated equally and fairly). Legality is not one of the ethical principles.
Which important aspect of coordinating care within the interdisciplinary team is facilitated by use of the "SBAR"
and "PACE" procedures?
a) Communication
b) Implementation
c) Policymaking
d) Protocol development - Correct Answer :a) Communication
Rationale: SBAR and PACE are acronyms for "hand-off" methods of communication used by health care
organizations to share information between shifts and between departments. SBAR and PACE are not types of
implementation [of client care]. Implementation, the fourth step of the nursing process, is an action rather than
a coordination of care. SBAR and PACE are not types of policymaking or protocol development.
Bedside computers are an example of informatics used in health care primarily for which purpose?
a) Documenting interdisciplinary care
b) Enhancing collaboration and coordination of care
c) Offering clients access to e-mail and the Internet
d) Retrieving data for evidence-based practice - Correct Answer :a) Documenting interdisciplinary care
Rationale: The largest application of health care informatics is the growing trend of the use of electronic medical
records (EMRs) for documenting interdisciplinary care. Computers may be located at the client's bedside or in
P 3
, • HESI MED SURG 09/14/2026
EXAM
the treatment room for ease of access for documentation. Computers allow quick communication among health
care professionals to enhance collaboration and coordination of care; however, this type of communication
typically would not take place at the client's bedside. Bedside computers in the health care setting are not
intended for client use. The Internet provides ways to search multiple sources of information and retrieve data
efficiently; however, this would not be done at the client's bedside.
The nursing student asks the supervising nurse whether a certain fall protocol used on the nursing unit is
effective. To demonstrate effectiveness, what does the supervising nurse identify?
a) Information about how to implement a fall protocol and what nurses need to document
b) Data about the number of falls after the protocol was introduced compared with previous fall rates
c) The number of clients who currently have a fall protocol in place
d) National statistics about the use of fall protocols to prevent serious injury from falls
- Correct Answer :b) Data about the number of falls after the protocol was introduced compared with previous
fall rates
Rationale: Medical-surgical nurses, as part of the Quality and Safety Education for Nurses (QSEN) quality
improvement competency, are expected to be able to identify indicators to monitor quality and effectiveness of
health care. Data that demonstrate evidence of improvement in falls after implementation of a protocol is a type
of indicator of quality and effectiveness of care. Information about implementation and documentation of the
protocol is part of a procedure and not an indicator of quality. The number of clients with a fall monitor in place is
not an outcome measure. National statistics provide valuable information when implementing a new strategy,
but do not yield outcome data for a particular protocol in that unit.
Which nursing action demonstrates use of the principle of justice?
a) A 32-year-old client is prevented from falling during the initial postoperative period following her
hysterectomy.
b) A 67-year-old client with dementia is shown the same respect as his 47-year-old roommate with prostate
cancer.
c) An 82-year-old client is provided access to the hospital Patient Advocate for processing of a complaint.
d) The parents of a 13-year-old are included in discussions about the course of their teen's treatment and care. -
Correct Answer :b) A 67-year-old client with dementia is shown the same respect as his 47-year-old roommate
with prostate cancer.
Rationale: The principle of justice refers to equality—all clients should be treated equally and fairly, as
demonstrated by the respect shown to the client with dementia. The 32-year-old's fall prevention relates to
P 4
EXAM
EVOLVE ELSEVIER HESI MED SURG LATEST 2025/
2026 TEST BANK| COMPLETE 350 REAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
WELL-ELABORATED RATIONALES/ GRADED A+|
EVOLVE HESI MEDICAL SURGICAL LATEST EXAM
(BRAND NEW!!)
The nursing student has been assigned to the hospital's Rapid Response Team (RRT). Which statement by the
student indicates a correct understanding of the RRT member's purpose?
a) "I will be caring for clients in the hospital."
b)"I will be riding along in the hospital's ambulance."
c) "I will be admitting clients to the hospital."
P 1
, • HESI MED SURG 09/14/2026
EXAM
d) "I will be observing Code Blue resuscitations." –
Correct Answer :a) "I will be caring for clients in the hospital."
Rationale: Members of the RRT are critical care experts who are on site in the hospital and are available at any
time. The RRT does not ride along in the ambulance; it is hospital-based. RRT members do not admit clients to
the hospital. They do not replace the code team—they often precede it.
The nurse is working in the intensive care unit. When does the nurse call the Rapid Response Team (RRT)?
a) An 87-year-old client awakens mildly confused, then reorients quickly.
b) A newly admitted client requests pain medication.
c) A postoperative client's dressing has mild bloody drainage.
d) A postoperative client's blood pressure suddenly drops. –
Correct Answer :d) A postoperative client's blood pressure suddenly drops.
Rationale: The RRT should be called whenever a client has a slow or sudden deterioration in clinical condition,
such as a sudden drop in blood pressure. The older adult client awakening in a confused state and then
reorienting can be a normal occurrence because of the client's age. Pain medication should be indicated in the
health care provider's prescription. If it is not, the admitting health care provider should be called, not the RRT.
Mild drainage on the dressing of the postoperative client is normal.
Which role of the medical-surgical nurse is demonstrated when writing a plan of care for a client who is newly
admitted to the hospital?
a) Advocate
b) Caregiver
c) Communicator
d) Educator - Correct Answer :b) Caregiver
Rationale: In the caregiver role, medical-surgical nurses assess clients, analyze collected information to
determine their needs, develop nursing diagnoses and collaborative problems, plan care and carry out the plan
with the health care team, and evaluate the care given. In the role of advocate, the medical-surgical nurse assists
the client and family through caring interventions. "Communicator" is not a defined nursing role. In the role of
educator, the nurse strives to improve health by facilitating client learning regarding health promotion, disease
and illness, and specific treatment by teaching clients and family members or other caregivers.
P 2
, • HESI MED SURG 09/14/2026
EXAM
The nurse supports the client and family in deciding on a "Do Not Resuscitate" order. Which ethical principle that
guides nursing clinical decision making is demonstrated in this situation?
a) Beneficence
b) Justice
c) Legality
d) Self-determination - Correct Answer :d) Self-determination
Rationale: Self-determination refers to the idea that clients are autonomous individuals capable of making
informed decisions about their care. When the client is not capable of self-determination, the nurse is ethically
obligated to protect the client as an advocate in the professional scope of practice. Beneficence emphasizes the
importance of preventing harm and ensuring the client's well-being. Justice refers to equality (i.e., all clients
should be treated equally and fairly). Legality is not one of the ethical principles.
Which important aspect of coordinating care within the interdisciplinary team is facilitated by use of the "SBAR"
and "PACE" procedures?
a) Communication
b) Implementation
c) Policymaking
d) Protocol development - Correct Answer :a) Communication
Rationale: SBAR and PACE are acronyms for "hand-off" methods of communication used by health care
organizations to share information between shifts and between departments. SBAR and PACE are not types of
implementation [of client care]. Implementation, the fourth step of the nursing process, is an action rather than
a coordination of care. SBAR and PACE are not types of policymaking or protocol development.
Bedside computers are an example of informatics used in health care primarily for which purpose?
a) Documenting interdisciplinary care
b) Enhancing collaboration and coordination of care
c) Offering clients access to e-mail and the Internet
d) Retrieving data for evidence-based practice - Correct Answer :a) Documenting interdisciplinary care
Rationale: The largest application of health care informatics is the growing trend of the use of electronic medical
records (EMRs) for documenting interdisciplinary care. Computers may be located at the client's bedside or in
P 3
, • HESI MED SURG 09/14/2026
EXAM
the treatment room for ease of access for documentation. Computers allow quick communication among health
care professionals to enhance collaboration and coordination of care; however, this type of communication
typically would not take place at the client's bedside. Bedside computers in the health care setting are not
intended for client use. The Internet provides ways to search multiple sources of information and retrieve data
efficiently; however, this would not be done at the client's bedside.
The nursing student asks the supervising nurse whether a certain fall protocol used on the nursing unit is
effective. To demonstrate effectiveness, what does the supervising nurse identify?
a) Information about how to implement a fall protocol and what nurses need to document
b) Data about the number of falls after the protocol was introduced compared with previous fall rates
c) The number of clients who currently have a fall protocol in place
d) National statistics about the use of fall protocols to prevent serious injury from falls
- Correct Answer :b) Data about the number of falls after the protocol was introduced compared with previous
fall rates
Rationale: Medical-surgical nurses, as part of the Quality and Safety Education for Nurses (QSEN) quality
improvement competency, are expected to be able to identify indicators to monitor quality and effectiveness of
health care. Data that demonstrate evidence of improvement in falls after implementation of a protocol is a type
of indicator of quality and effectiveness of care. Information about implementation and documentation of the
protocol is part of a procedure and not an indicator of quality. The number of clients with a fall monitor in place is
not an outcome measure. National statistics provide valuable information when implementing a new strategy,
but do not yield outcome data for a particular protocol in that unit.
Which nursing action demonstrates use of the principle of justice?
a) A 32-year-old client is prevented from falling during the initial postoperative period following her
hysterectomy.
b) A 67-year-old client with dementia is shown the same respect as his 47-year-old roommate with prostate
cancer.
c) An 82-year-old client is provided access to the hospital Patient Advocate for processing of a complaint.
d) The parents of a 13-year-old are included in discussions about the course of their teen's treatment and care. -
Correct Answer :b) A 67-year-old client with dementia is shown the same respect as his 47-year-old roommate
with prostate cancer.
Rationale: The principle of justice refers to equality—all clients should be treated equally and fairly, as
demonstrated by the respect shown to the client with dementia. The 32-year-old's fall prevention relates to
P 4
