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PRRE
EMM II U
UMM SS TT U
UDDY
Y M
MAA TT E
ERR II A
A LL SS STUDY COLLECTION: 2025
EVOLVE ELSEVIER HESI MED SURG (LATEST UPDATE
2025/2026) EXAM QUESTIONS WITH RATIONALIZED
ACCURATE ANSWERS
WHAT'S INSIDE:
Latest 2025/2026 Questions
Verified Correct Answers Highlighted for Easy Learning
Detailed Explanations & Rationales for Better Understanding
Proven to Boost Grades and Exam Confidence
Covers All Essential Topics and Core Concepts
Perfect for Quick Revision and Last-Minute Review
Question 1
A client is diagnosed with a severe burn injury and requires immediate fluid resuscitation. Which of the following is
the most appropriate initial fluid management strategy for this client?
A. Administer 1000 mL of normal saline bolus
B. Administer 2000 mL of lactated Ringer's solution over 8 hours
C. Administer 4000 mL of crystalloid solution over 24 hours
D. Administer 1000 mL of colloid solution over 4 hours
Correct Answer
C
Rationale:
The client requires aggressive fluid resuscitation to replace lost fluids and electrolytes. Crystalloid solutions are preferred for initial
management.
,Question 2
A client with a history of heart failure is experiencing worsening symptoms of fluid overload. Which of the following
medications would be most beneficial in reducing fluid volume?
A. Furosemide
B. Spironolactone
C. Enalapril
D. Metoprolol
Correct Answer
A
Rationale:
Furosemide is a loop diuretic that promotes fluid loss and reduces fluid volume. It is commonly used to treat fluid overload in heart
failure.
Question 3
A client is diagnosed with a pulmonary embolism and requires anticoagulation therapy. Which of the following
medications would be most appropriate for initial anticoagulation?
A. Heparin
B. Warfarin
C. Aspirin
D. Clopidogrel
Correct Answer
A
Rationale:
Heparin is an anticoagulant that can be administered intravenously and has a rapid onset of action, making it suitable for initial
anticoagulation.
,Question 4
A client with a history of diabetes mellitus is experiencing hyperglycemia. Which of the following is the most
appropriate initial intervention to manage hyperglycemia?
A. Administer regular insulin
B. Administer metformin
C. Increase physical activity
D. Restrict carbohydrate intake
Correct Answer
A
Rationale:
Regular insulin is a rapid-acting insulin that can help lower blood glucose levels quickly. It is often used to manage hyperglycemia.
Question 5
A client is diagnosed with a traumatic brain injury and requires close monitoring of intracranial pressure. Which of
the following is the most appropriate nursing intervention to reduce intracranial pressure?
A. Elevate the head of the bed to 30 degrees
B. Administer mannitol
C. Restrict fluid intake
D. Use hyperventilation therapy
Correct Answer
A
Rationale:
Elevating the head of the bed can help reduce intracranial pressure by promoting venous drainage. This is a simple and effective
nursing intervention.
Question 6
A client is experiencing symptoms of a pulmonary embolism, including sudden onset of chest pain and shortness of
breath. Which of the following assessment findings would require the most immediate intervention by the nurse?
A. A decreased oxygen saturation level of 88% on room air
B. A blood pressure of 140/90 mm Hg
C. A respiratory rate of 24 breaths per minute
D. A pulse of 110 beats per minute
Correct Answer
A
Rationale:
Hypoxia requires immediate intervention. Options B, C, and D are also concerning but less urgent.
, Question 7
A client is diagnosed with a pancreatic tumor and is experiencing severe abdominal pain. Which of the following
medications would the nurse expect to be prescribed to manage the client's pain?
A. Morphine sulfate
B. Fentanyl
C. Hydromorphone
D. Amitriptyline
Correct Answer
A
Rationale:
Morphine is commonly used for severe abdominal pain. Options B and C are also opioids, while option D is an antidepressant.
Question 8
A client is undergoing a liver transplant and is being monitored for signs of rejection. Which of the following
laboratory test results would indicate potential rejection?
A. An elevated serum creatinine level
B. An elevated liver function test (LFT) result
C. A decreased white blood cell count
D. A decreased platelet count
Correct Answer
B
Rationale:
Elevated LFTs indicate liver damage, which could be a sign of rejection. Options A, C, and D are not specific to liver rejection.
Question 9
A client is experiencing symptoms of a myocardial infarction, including chest pain and shortness of breath. Which of
the following interventions should the nurse implement first?
A. Administer oxygen via nasal cannula
B. Initiate cardiac monitoring
C. Administer aspirin
D. Call a code blue
Correct Answer
A
Rationale:
Oxygen is essential for cardiac function. Options B, C, and D are also important but not the first priority.
PRRE
EMM II U
UMM SS TT U
UDDY
Y M
MAA TT E
ERR II A
A LL SS STUDY COLLECTION: 2025
EVOLVE ELSEVIER HESI MED SURG (LATEST UPDATE
2025/2026) EXAM QUESTIONS WITH RATIONALIZED
ACCURATE ANSWERS
WHAT'S INSIDE:
Latest 2025/2026 Questions
Verified Correct Answers Highlighted for Easy Learning
Detailed Explanations & Rationales for Better Understanding
Proven to Boost Grades and Exam Confidence
Covers All Essential Topics and Core Concepts
Perfect for Quick Revision and Last-Minute Review
Question 1
A client is diagnosed with a severe burn injury and requires immediate fluid resuscitation. Which of the following is
the most appropriate initial fluid management strategy for this client?
A. Administer 1000 mL of normal saline bolus
B. Administer 2000 mL of lactated Ringer's solution over 8 hours
C. Administer 4000 mL of crystalloid solution over 24 hours
D. Administer 1000 mL of colloid solution over 4 hours
Correct Answer
C
Rationale:
The client requires aggressive fluid resuscitation to replace lost fluids and electrolytes. Crystalloid solutions are preferred for initial
management.
,Question 2
A client with a history of heart failure is experiencing worsening symptoms of fluid overload. Which of the following
medications would be most beneficial in reducing fluid volume?
A. Furosemide
B. Spironolactone
C. Enalapril
D. Metoprolol
Correct Answer
A
Rationale:
Furosemide is a loop diuretic that promotes fluid loss and reduces fluid volume. It is commonly used to treat fluid overload in heart
failure.
Question 3
A client is diagnosed with a pulmonary embolism and requires anticoagulation therapy. Which of the following
medications would be most appropriate for initial anticoagulation?
A. Heparin
B. Warfarin
C. Aspirin
D. Clopidogrel
Correct Answer
A
Rationale:
Heparin is an anticoagulant that can be administered intravenously and has a rapid onset of action, making it suitable for initial
anticoagulation.
,Question 4
A client with a history of diabetes mellitus is experiencing hyperglycemia. Which of the following is the most
appropriate initial intervention to manage hyperglycemia?
A. Administer regular insulin
B. Administer metformin
C. Increase physical activity
D. Restrict carbohydrate intake
Correct Answer
A
Rationale:
Regular insulin is a rapid-acting insulin that can help lower blood glucose levels quickly. It is often used to manage hyperglycemia.
Question 5
A client is diagnosed with a traumatic brain injury and requires close monitoring of intracranial pressure. Which of
the following is the most appropriate nursing intervention to reduce intracranial pressure?
A. Elevate the head of the bed to 30 degrees
B. Administer mannitol
C. Restrict fluid intake
D. Use hyperventilation therapy
Correct Answer
A
Rationale:
Elevating the head of the bed can help reduce intracranial pressure by promoting venous drainage. This is a simple and effective
nursing intervention.
Question 6
A client is experiencing symptoms of a pulmonary embolism, including sudden onset of chest pain and shortness of
breath. Which of the following assessment findings would require the most immediate intervention by the nurse?
A. A decreased oxygen saturation level of 88% on room air
B. A blood pressure of 140/90 mm Hg
C. A respiratory rate of 24 breaths per minute
D. A pulse of 110 beats per minute
Correct Answer
A
Rationale:
Hypoxia requires immediate intervention. Options B, C, and D are also concerning but less urgent.
, Question 7
A client is diagnosed with a pancreatic tumor and is experiencing severe abdominal pain. Which of the following
medications would the nurse expect to be prescribed to manage the client's pain?
A. Morphine sulfate
B. Fentanyl
C. Hydromorphone
D. Amitriptyline
Correct Answer
A
Rationale:
Morphine is commonly used for severe abdominal pain. Options B and C are also opioids, while option D is an antidepressant.
Question 8
A client is undergoing a liver transplant and is being monitored for signs of rejection. Which of the following
laboratory test results would indicate potential rejection?
A. An elevated serum creatinine level
B. An elevated liver function test (LFT) result
C. A decreased white blood cell count
D. A decreased platelet count
Correct Answer
B
Rationale:
Elevated LFTs indicate liver damage, which could be a sign of rejection. Options A, C, and D are not specific to liver rejection.
Question 9
A client is experiencing symptoms of a myocardial infarction, including chest pain and shortness of breath. Which of
the following interventions should the nurse implement first?
A. Administer oxygen via nasal cannula
B. Initiate cardiac monitoring
C. Administer aspirin
D. Call a code blue
Correct Answer
A
Rationale:
Oxygen is essential for cardiac function. Options B, C, and D are also important but not the first priority.
