EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM
f f f f f f
WITH 150 REAL EXAM QUESTIONS AND CORRECT
f f f f f f f
ANSWERS WITH WELL-ELABORATED RATIONALES/
f f f f
EVOLVE HESI MEDICAL SURGICAL LATEST EXAM 2026
f f f f f f
(BRAND NEW!!)
f f
The fHESI fMed-Surg fExam fis fa fhigh-stakes, fcomprehensive fassessment fused fin fnursing fprograms fto
fevaluate fstudents’ fclinical freadiness ffor flicensure fand fpractice. fThis f2025 fupdated fversion foffers f150
factual-style fexam fquestions fthat freflect fHESI’s frigorous fformat, fincluding fprioritization fand fclinical
decision-making fquestions. fEach fitem fincludes fa fthorough frationale, fhelping fstudents fnot fonly fselect fthe
fcorrect fanswer fbut funderstand fthe f"why" fbehind fit—a fkey fto fbuilding fclinical fjudgment fand fconfidence.
Key fContent fAreas:
f
• Cardiovascular f& fRespiratory fDisorders
• Neurological f& fEndocrine fConditions
• Renal f& fGI fSystem fCare
• Musculoskeletal f& fImmune fDisorders
• Wound fCare f& fIntegumentary fConditions
• Electrolyte f& fFluid fImbalances
• Nursing fPrioritization f& fDelegation
• Lab fValue fInterpretation f& fCritical fThinking
Best fFor:
f
• Nursing fstudents fpreparing ffor fthe fHESI fExit for fMid-Curricular fExam
• NCLEX fcandidates fwanting fadditional fMed-Surg-focused fprep
• Students faiming fto fmaster fclinical fscenarios fand freal-world fapplication
• Faculty fand ftutors fseeking freliable fHESI-aligned fcontent
,When feducating fa fclient fafter fa ftotal flaryngectomy, fwhich finstruction fwould fbe fmost fimportant ffor fthe
fnurse fto finclude fin fthe fdischarge fteaching?
A. fRecommend fthat fthe fclient fcarry fsuction fequipment fat fall ftimes.
B. f Instruct fthe fclient fto fhave fwriting fmaterials fwith fhim fat fall ftimes.
C. f Tell fthe fclient fto fcarry fa fmedical falert fcard fthat fexplains fhis fcondition.
D. fCaution fthe fclient fnot fto ftravel foutside fthe fUnited fStates falone.
f C
Rationale: fNeck fbreathers fcarry fa fmedical falert fcard fthat fnotifies fhealth fcare fpersonnel fof fthe fneed fto
fuse fmouth fto fstoma fbreathing fin fthe fevent fof fa fcardiac farrest fin fthis fclient. fMouth fto fmouth
resuscitation fwill fnot festablish fa fpatent fairway. fOptions fA fand fD fare fnot fnecessary. fThere fare fmany
alternative fmeans fof fcommunication ffor fclients fwho fhave fhad fa flaryngectomy; fdependence fon fwriting
fmessages fis fprobably fthe fleast feffective.
The fnurse fis fcaring ffor fa fclient fwith fa ffractured fright felbow. fWhich fassessment ffinding fhas fthe fhighest
fpriority fand frequires fimmediate fintervention?
A.Ecchymosis fover fthe fright felbow farea fB.Deep
f unrelenting fpain fin fthe fright farmC.
An fedematous fright felbowD.
The fpresence fof fcrepitus fin fthe fright felbow
f B
Rationale: fCompartment fsyndrome fis fa fcondition finvolving fincreased fpressure fand fconstriction fof fthe
fnerves fand fvessels fwithin fan fanatomic fcompartment, fcausing fpain funcontrolled fby fopioids fand
neurovascular fcompromise. fOption fA fis fan fexpected ffinding. fOption fC frelated fto fcompartment fsyndrome
fcannot fbe fseen, fand fany fvisible fedema fis fan fexpected ffinding frelated fto fthe finjury. fOption fD fis fan
expected ffinding.
A f43-year-old fhomeless, fmalnourished ffemale fclient fwith fa fhistory fof falcoholism fis ftransferred fto fthe
ICU. fShe fis fplaced fon ftelemetry, fand fthe frhythm fstrip fshown fis fobtained. fThe fnurse fpalpates fa fheart frate
fof f160 fbeats/min, fand fthe fclient's fblood fpressure fis f90/54 fmm fHg. fBased fon fthese ffindings, fwhich fIV
fmedication fshould fthe fnurse fadminister?
A.Amiodarone f(Cordarone)
B.Magnesium fsulfate
f
f C.Lidocaine f(Xylocaine)
,D.Procainamide f(Pronestyl)
B
f
Rationale: fBecause fthe fclient fhas fchronic falcoholism, fshe fis flikely fto fhave fhypomagnesemia. fOption fB fis
fthe frecommended fdrug ffor ftorsades fde fpointes, fwhich fis fa fform fof fpolymorphic fventricular ftachycardia
(VT) fusually fassociated fwith fa fprolonged fQT finterval fthat foccurs fwith fhypomagnesemia. fOptions fA fand fD
fincrease fthe fQT finterval, fwhich fcan fcause fthe ftorsades fto fworsen. fOption fC fis fthe fantiarrhythmic fof
choice fin fmost fcases fof fdrug-induced fmonomorphic fVT, fnot ftorsades.
We fhave fan fexpert-written fsolution fto fthis fproblem!
The fnurse fis fcaring ffor fa fclient fwho fis fone fday fpost-acute fmyocardial finfarction. fThe fclient fis freceiving
foxygen fat f2 fL/min fvia fnasal fcannula fand fhas fa fperipheral fsaline flock. fThe fnurse fnotes fthat fthe fclient fis
having feight fpremature fventricular fcontractions f(PVCs) fper fminute. fWhich fintervention fshould fthe fnurse
fimplement ffirst?
A.Obtain fan fIV fpump ffor fantiarrhythmic finfusion.
B.Increase fthe fclient's foxygen fflow frate.
C.Prepare ffor fimmediate fcountershock.
D.Gather fequipment ffor fendotracheal fintubation.
f B
Rationale: fIncreasing fthe foxygen fflow frate fprovides fmore foxygen fto fthe fclient's fmyocardium fand fmay
fdecrease fmyocardial firritability fas fmanifested fby fthe ffrequent fPVCs. fOption fA fcan fbe fdelegated fand fis fa
flower fpriority faction fthan foption fB. fDefibrillation fmay feventually fbe fnecessary, fbut foption fC fis fnot fthe
immediate ftreatment ffor ffrequent fPVCs. fOption fD fmay fbecome fnecessary fif fthe fclient fstops fbreathing
fbut fis fnot findicated fat fthis ftime.
The fnurse fis fcaring ffor fa fclient fwith fa fchest ftube fto fwater fseal fdrainage fthat fwas finserted f10 fdays fago
fbecause fof fa fruptured fbullae fand fpneumothorax. fWhich ffinding fshould fthe fnurse freport fto fthe fhealth
fcare fprovider fbefore fthe fchest ftube fis fremoved? fA.
Tidaling fof fwater fin fwater fseal fchamber fB.
f Bilateral fmufled fbreath fsounds fat fbases
f C.
, Temperature fof f101° fF fD.
Absence fof fchest ftube fdrainage ffor f2 fdays
f A
Rationale: fTidaling f(rising fand ffalling fof fwater fwith frespirations) fin fthe fwater fseal fchamber fshould fbe
freported fto fthe fhealth fcare fprovider fbefore fthe fchest ftube fis fremoved fto frule fout fan funresolved
pneumothorax for fpersistent fair fleak, fwhich fis fcharacteristic fof fa fruptured fbullae fcaused fby fabnormally
fwide fchanges fin fnegative fintrathoracic fpressure. fOption fB fmay findicate fhypoventilation ffrom fchest ftube
fdiscomfort fand fusually fimproves fwhen fthe fchest ftube fis fremoved. fOption fC fusually findicates fan
finfection, fwhich fmay fnot fbe frelated fto fthe fchest ftube. fOption fD fis fan fexpected ffinding.
A f77-year-old ffemale fclient fis fadmitted fto fthe fhospital fwith fconfusion fand fanorexia fof fseveral fdays'
fduration. fShe fhas fsymptoms fof fnausea fand fvomiting fand fis fcurrently fcomplaining fof fa fheadache. fThe
fclient's fpulse frate fis f43 fbeats/min. fThe fnurse fis fmost fconcerned fabout fthe fclient's fhistory frelated fto
fwhich fmedication?
A.
Warfarin
B.
f
Ibuprofen
C.
f
Nitroglycerin fD.
Digoxin
f
D
Rationale: fOlder fpersons fare fparticularly fsusceptible fto fthe fbuildup fof fcardiac fglycosides, fsuch fas fdigoxin
for fdigitoxin f(medications fderived ffrom fdigitalis), fto fa ftoxic flevel fin ftheir fsystems. fToxicity fcan fcause
fanorexia, fnausea, fvomiting, fdiarrhea, fheadache, fand ffatigue. fOptions fA, fB, fand fC fare funlikely fto fresult fin
fthe fsymptoms fdescribed.
f f f f f f
WITH 150 REAL EXAM QUESTIONS AND CORRECT
f f f f f f f
ANSWERS WITH WELL-ELABORATED RATIONALES/
f f f f
EVOLVE HESI MEDICAL SURGICAL LATEST EXAM 2026
f f f f f f
(BRAND NEW!!)
f f
The fHESI fMed-Surg fExam fis fa fhigh-stakes, fcomprehensive fassessment fused fin fnursing fprograms fto
fevaluate fstudents’ fclinical freadiness ffor flicensure fand fpractice. fThis f2025 fupdated fversion foffers f150
factual-style fexam fquestions fthat freflect fHESI’s frigorous fformat, fincluding fprioritization fand fclinical
decision-making fquestions. fEach fitem fincludes fa fthorough frationale, fhelping fstudents fnot fonly fselect fthe
fcorrect fanswer fbut funderstand fthe f"why" fbehind fit—a fkey fto fbuilding fclinical fjudgment fand fconfidence.
Key fContent fAreas:
f
• Cardiovascular f& fRespiratory fDisorders
• Neurological f& fEndocrine fConditions
• Renal f& fGI fSystem fCare
• Musculoskeletal f& fImmune fDisorders
• Wound fCare f& fIntegumentary fConditions
• Electrolyte f& fFluid fImbalances
• Nursing fPrioritization f& fDelegation
• Lab fValue fInterpretation f& fCritical fThinking
Best fFor:
f
• Nursing fstudents fpreparing ffor fthe fHESI fExit for fMid-Curricular fExam
• NCLEX fcandidates fwanting fadditional fMed-Surg-focused fprep
• Students faiming fto fmaster fclinical fscenarios fand freal-world fapplication
• Faculty fand ftutors fseeking freliable fHESI-aligned fcontent
,When feducating fa fclient fafter fa ftotal flaryngectomy, fwhich finstruction fwould fbe fmost fimportant ffor fthe
fnurse fto finclude fin fthe fdischarge fteaching?
A. fRecommend fthat fthe fclient fcarry fsuction fequipment fat fall ftimes.
B. f Instruct fthe fclient fto fhave fwriting fmaterials fwith fhim fat fall ftimes.
C. f Tell fthe fclient fto fcarry fa fmedical falert fcard fthat fexplains fhis fcondition.
D. fCaution fthe fclient fnot fto ftravel foutside fthe fUnited fStates falone.
f C
Rationale: fNeck fbreathers fcarry fa fmedical falert fcard fthat fnotifies fhealth fcare fpersonnel fof fthe fneed fto
fuse fmouth fto fstoma fbreathing fin fthe fevent fof fa fcardiac farrest fin fthis fclient. fMouth fto fmouth
resuscitation fwill fnot festablish fa fpatent fairway. fOptions fA fand fD fare fnot fnecessary. fThere fare fmany
alternative fmeans fof fcommunication ffor fclients fwho fhave fhad fa flaryngectomy; fdependence fon fwriting
fmessages fis fprobably fthe fleast feffective.
The fnurse fis fcaring ffor fa fclient fwith fa ffractured fright felbow. fWhich fassessment ffinding fhas fthe fhighest
fpriority fand frequires fimmediate fintervention?
A.Ecchymosis fover fthe fright felbow farea fB.Deep
f unrelenting fpain fin fthe fright farmC.
An fedematous fright felbowD.
The fpresence fof fcrepitus fin fthe fright felbow
f B
Rationale: fCompartment fsyndrome fis fa fcondition finvolving fincreased fpressure fand fconstriction fof fthe
fnerves fand fvessels fwithin fan fanatomic fcompartment, fcausing fpain funcontrolled fby fopioids fand
neurovascular fcompromise. fOption fA fis fan fexpected ffinding. fOption fC frelated fto fcompartment fsyndrome
fcannot fbe fseen, fand fany fvisible fedema fis fan fexpected ffinding frelated fto fthe finjury. fOption fD fis fan
expected ffinding.
A f43-year-old fhomeless, fmalnourished ffemale fclient fwith fa fhistory fof falcoholism fis ftransferred fto fthe
ICU. fShe fis fplaced fon ftelemetry, fand fthe frhythm fstrip fshown fis fobtained. fThe fnurse fpalpates fa fheart frate
fof f160 fbeats/min, fand fthe fclient's fblood fpressure fis f90/54 fmm fHg. fBased fon fthese ffindings, fwhich fIV
fmedication fshould fthe fnurse fadminister?
A.Amiodarone f(Cordarone)
B.Magnesium fsulfate
f
f C.Lidocaine f(Xylocaine)
,D.Procainamide f(Pronestyl)
B
f
Rationale: fBecause fthe fclient fhas fchronic falcoholism, fshe fis flikely fto fhave fhypomagnesemia. fOption fB fis
fthe frecommended fdrug ffor ftorsades fde fpointes, fwhich fis fa fform fof fpolymorphic fventricular ftachycardia
(VT) fusually fassociated fwith fa fprolonged fQT finterval fthat foccurs fwith fhypomagnesemia. fOptions fA fand fD
fincrease fthe fQT finterval, fwhich fcan fcause fthe ftorsades fto fworsen. fOption fC fis fthe fantiarrhythmic fof
choice fin fmost fcases fof fdrug-induced fmonomorphic fVT, fnot ftorsades.
We fhave fan fexpert-written fsolution fto fthis fproblem!
The fnurse fis fcaring ffor fa fclient fwho fis fone fday fpost-acute fmyocardial finfarction. fThe fclient fis freceiving
foxygen fat f2 fL/min fvia fnasal fcannula fand fhas fa fperipheral fsaline flock. fThe fnurse fnotes fthat fthe fclient fis
having feight fpremature fventricular fcontractions f(PVCs) fper fminute. fWhich fintervention fshould fthe fnurse
fimplement ffirst?
A.Obtain fan fIV fpump ffor fantiarrhythmic finfusion.
B.Increase fthe fclient's foxygen fflow frate.
C.Prepare ffor fimmediate fcountershock.
D.Gather fequipment ffor fendotracheal fintubation.
f B
Rationale: fIncreasing fthe foxygen fflow frate fprovides fmore foxygen fto fthe fclient's fmyocardium fand fmay
fdecrease fmyocardial firritability fas fmanifested fby fthe ffrequent fPVCs. fOption fA fcan fbe fdelegated fand fis fa
flower fpriority faction fthan foption fB. fDefibrillation fmay feventually fbe fnecessary, fbut foption fC fis fnot fthe
immediate ftreatment ffor ffrequent fPVCs. fOption fD fmay fbecome fnecessary fif fthe fclient fstops fbreathing
fbut fis fnot findicated fat fthis ftime.
The fnurse fis fcaring ffor fa fclient fwith fa fchest ftube fto fwater fseal fdrainage fthat fwas finserted f10 fdays fago
fbecause fof fa fruptured fbullae fand fpneumothorax. fWhich ffinding fshould fthe fnurse freport fto fthe fhealth
fcare fprovider fbefore fthe fchest ftube fis fremoved? fA.
Tidaling fof fwater fin fwater fseal fchamber fB.
f Bilateral fmufled fbreath fsounds fat fbases
f C.
, Temperature fof f101° fF fD.
Absence fof fchest ftube fdrainage ffor f2 fdays
f A
Rationale: fTidaling f(rising fand ffalling fof fwater fwith frespirations) fin fthe fwater fseal fchamber fshould fbe
freported fto fthe fhealth fcare fprovider fbefore fthe fchest ftube fis fremoved fto frule fout fan funresolved
pneumothorax for fpersistent fair fleak, fwhich fis fcharacteristic fof fa fruptured fbullae fcaused fby fabnormally
fwide fchanges fin fnegative fintrathoracic fpressure. fOption fB fmay findicate fhypoventilation ffrom fchest ftube
fdiscomfort fand fusually fimproves fwhen fthe fchest ftube fis fremoved. fOption fC fusually findicates fan
finfection, fwhich fmay fnot fbe frelated fto fthe fchest ftube. fOption fD fis fan fexpected ffinding.
A f77-year-old ffemale fclient fis fadmitted fto fthe fhospital fwith fconfusion fand fanorexia fof fseveral fdays'
fduration. fShe fhas fsymptoms fof fnausea fand fvomiting fand fis fcurrently fcomplaining fof fa fheadache. fThe
fclient's fpulse frate fis f43 fbeats/min. fThe fnurse fis fmost fconcerned fabout fthe fclient's fhistory frelated fto
fwhich fmedication?
A.
Warfarin
B.
f
Ibuprofen
C.
f
Nitroglycerin fD.
Digoxin
f
D
Rationale: fOlder fpersons fare fparticularly fsusceptible fto fthe fbuildup fof fcardiac fglycosides, fsuch fas fdigoxin
for fdigitoxin f(medications fderived ffrom fdigitalis), fto fa ftoxic flevel fin ftheir fsystems. fToxicity fcan fcause
fanorexia, fnausea, fvomiting, fdiarrhea, fheadache, fand ffatigue. fOptions fA, fB, fand fC fare funlikely fto fresult fin
fthe fsymptoms fdescribed.
