EVOLVE MED SURG
HESI QUESTIONS
AND CORRECT
ANSWERS UPDATED
2026
TheBnurseBisBconcernedBaboutBinfectionBforBaBclientBafterBanBesophagogastrostomyBf
orBesophagealBcancer.BWhichBactionsBshouldBtheBnurseBincludeBinBtheBclient'sBplanBo
fBcare?B(SelectBallBthatBapply.)
A.BFrequentBoralBcareBeveryB2BhoursBwhileBawake.
B.BUseBincentiveBspirometerBeveryB2Bhours.
C.BEmptyBcontentsBfromBNGBtubeBeveryB8Bhours.
D.BAmbulateBwithinB1BhourBofBreturnBfromBtheBPACU.
E.BLimitBvisitorsBuntilBpostoperativeBdayB2.B-BAnswerBCorrectBAnswer:BA,B,C
Rationale:OneBhourBpostBopBisBtooBsoonBtoBambulateBforBthisBclient.BVisitorsBhelpBsu
pportBtheBpatientBandBareBencouragedBtoBvisit.BOralBcareBisBnecessaryBasBtheBclientB
willBbeBNPO.BToBdecreaseBtheBriskBofBinfectionBpostBoperatively,BimplementBroutineB
pulmonaryBexercises.BTheBclientBwillBhaveBanBNGBtubeBinBplace,BlikelyBtoBintermittent
Bsuction,BtoBdecompressBtheBstomachBpostBsurgery.
TheBclientBisBreturnBdemonstratingBwrappingBofBtheBleftBlimbBamputatedBaboveBtheB
knee.BTheBnurseBevaluatesBtheBclientBisBstartingBtheBwrappingBmethodBcorrectlyBwhe
nBtheBclientBplacesBtheBendBofBtheBbandageBatBwhichBpoint?
A.AroundBtheBwaist
,B.AtBtheBinnerBaspectBofBtheBleftBstump
C.AtBtheBouterBaspectBofBtheBleftBstump
D.AtBtheBleftBgroinBareaB-BAnswerBCorrectBAnswer:BA
Rationale:TheBwaistBisBtheBanchorBpointBforBtheBbandageBforBanBaboveBtheBkneeBam
putation.
ABnurseBisBassistingBanB82-year-
oldBclientBwithBambulationBandBisBconcernedBthatBtheBclientBmayBfall.BWhichBareaBc
ontainsBtheBolderBperson'sBcenterBofBgravity?
A.BHeadBandBneck
B.BUpperBtorso
C.BBilateralBarms
D.BFeetBandBlegsB-BAnswerBCorrectBAnswer:BB
Rationale:StoopedBpostureBresultsBinBtheBupperBtorsoBbecomingBtheBcenterBofBgravity
BforBolderBpersons.BTheBcenterBofBgravityBforBadultsBisBtheBhips.BHowever,BasBaBpers
onBgrowsBolder,BaBstoopedBpostureBisBcommonBbecauseBofBchangesBcausedBbyBosteo
porosisBandBnormalBboneBdegeneration.BFurthermore,BtheBknees,Bhips,BandBelbowsBfl
ex.BTheBheadBandBneckBandBfeetBandBlegsBareBnotBtheBcenterBofBgravityBinBtheBold
erBadult.BAlthoughBtheBarmsBcompriseBaBpartBofBtheBupperBtorso,BtheyBdoBnotBrefle
ctBtheBbestBandBmostBcompleteBAnswer.
ABclientBwithBhypertensionBhasBbeenBreceivingBramipril,B5BmgBPO,BdailyBforB2Bweeks
BandBisBscheduledBtoBreceiveBaBdoseBatB0900.BAtB0830,BtheBclient'sBbloodBpressureB
isB120/70BmmBHg.BWhichBactionBshouldBtheBnurseBtake?
A.BAdministerBtheBprescribedBdoseBatBtheBscheduledBtime.
B.BHoldBtheBdoseBandBcontactBtheBhealthBcareBprovider.
C.BHoldBtheBdoseBandBrecheckBtheBbloodBpressureBinB1Bhour.
D.BCheckBtheBhealthBcareBprovider'sBprescriptionBtoBclarifyBtheBdose.B-
BAnswerBCorrectBAnswer:BA
Rationale:TheBclient'sBbloodBpressureBisBwithinBnormalBlimits,BindicatingBthatBtheBrami
pril,BanBantihypertensive,BisBhavingBtheBdesiredBeffectBandBshouldBbeBadministered.B
OptionsBBBandBCBwouldBbeBappropriateBifBtheBclient'sBbloodBpressureBwasBexcessivel
yBlowB(<100BmmBHgBsystolic)BorBifBtheBclientBwereBexhibitingBsignsBofBhypotensionBs
,uchBasBdizziness.BThisBprescribedBdoseBisBwithinBtheBnormalBdosageBrange,BasBdefine
dBbyBtheBmanufacturer;Btherefore,BoptionBDBisBnotBnecessary
TheBnurseBisBprovidingBcareBforBaBclientBdiagnosedBwithBtrigeminalBneuralgiaB(ticBdou
loureux).BWhichBsymptomsBwillBtheBnurseBbeBlookingBforBinBtheBfocusedBassessmentB
relatedBtoBthisBcondition?B(SelectBallBthatBapply.)
A.BFacialBmuscleBspasms
B.BSuddenBfacialBpain
C.BUnilateralBfacialBweakness
D.BDifficultyBinBchewing
E.Tinnitus
F.HearingBdifficultiesB-BAnswerBCorrectBAnswer:BA,B
Rationale:TrigeminalBneuralgiaBisBcharacterizedBbyBparoxysmsBofBpain,BsimilarBtoBanBel
ectricBshock,BinBtheBareaBinnervatedBbyBoneBorBmoreBbranchesBofBtheBtrigeminalBne
rveB(cranialBV).BTheBremainingBsymptomsBareBnotBrelatedBtoBtrigeminalBneuralgia.
InBcaringBforBaBclientBwithBacuteBdiverticulitis,BwhichBassessmentBdataBwarrantsBanBi
mmediateBnursingBaction?
A.BTheBclientBhasBaBrigidBhardBabdomenBandBelevatedBWBC.
B.BTheBclientBhasBleftBlowerBquadrantBpainBandBanBelevatedBtemperature.
C.TheBclientBisBrefusingBtoBeatBanyBofBtheBmealBandBisBcomplainingBofBnausea.
D.BTheBclientBhasBnotBhadBaBbowelBmovementBinB2BdaysBandBhasBaBsoftBabdomen.
B-BAnswerBCorrectBAnswer:BA
Rationale:BABhardBrigidBabdomenBandBelevatedBWBCBisBindicativeBofBperitonitis,Bwhic
hBisBaBmedicalBemergencyBandBshouldBbeBreportedBtoBtheBhealthBcareBproviderBimm
ediately.BOptionsBBBandBCBareBexpectedBclinicalBmanifestationsBofBdiverticulitis.BOptio
nBDBdoesBnotBwarrantBimmediateBintervention.
TheBnurseBisBcaringBforBaBclientBwithBaBfracturedBrightBelbow.BWhichBassessmentBfin
dingBhasBtheBhighestBpriorityBandBrequiresBimmediateBintervention?
, A.BEcchymosisBoverBtheBrightBelbowBarea
B.BDeepBunrelentingBpainBinBtheBrightBarm
C.BAnBedematousBrightBelbow
D.BTheBpresenceBofBcrepitusBinBtheBrightBelbowB-BAnswerBCorrectBAnswer:BB
Rationale:CompartmentBsyndromeBisBaBconditionBinvolvingBincreasedBpressureBandBco
nstrictionBofBtheBnervesBandBvesselsBwithinBanBanatomicBcompartment,BcausingBpainB
uncontrolledBbyBopioidsBandBneurovascularBcompromise.BOptionBABisBanBexpectedBfin
ding.BOptionBCBrelatedBtoBcompartmentBsyndromeBcannotBbeBseen,BandBanyBvisibleB
edemaBisBanBexpectedBfindingBrelatedBtoBtheBinjury.BOptionBDBisBanBexpectedBfindin
g.
TheBnurseBnotesBthatBaBclientBwhoBisBscheduledBforBsurgeryBtheBnextBmorningBhasB
anBelevatedBbloodBureaBnitrogenB(BUN)Blevel.BWhichBconditionBisBmostBlikelyBtoBhav
eBcontributedBtoBthisBfinding?
A.BMyocardialBinfarctionB2BmonthsBago
B.BAnorexiaBandBvomitingBforBtheBpastB2Bdays
C.RecentlyBdiagnosedBtypeB2BdiabetesBmellitus
D.BSkeletalBtractionBforBaBrightBhipBfractureB-BAnswerBCorrectBAnswer:BB
Rationale:TheBbloodBureaBnitrogenB(BUN)BlevelBindicatesBtheBeffectivenessBofBtheBkid
neysBinBfilteringBwasteBfromBtheBblood.BDehydration,BwhichBcouldBbeBcausedBbyBvom
iting,BwouldBcauseBanBincreasedBBUNBlevel.BOptionBABwouldBaffectBserumBenzymeBle
vels,BnotBtheBBUNBlevel.BOptionBCBwouldBprimarilyBaffectBtheBbloodBglucoseBlevel;Br
enalBfailureBthatBcouldBincreaseBtheBBUNBlevelBwouldBbeBunlikelyBinBaBclientBnewlyB
diagnosedBwithBtypeB2Bdiabetes.BEffectsBofBoptionBDBmightBaffectBtheBcompleteBbloo
dBcountB(CBC)BbutBwouldBnotBdirectlyBincreaseBtheBBUNBlevel.
WhichBinstructionBisBbestBforBtheBnurseBtoBprovideBtoBaBclientBwithBemphysemaBand
BchronicBfatigue?
A."PaceByourBactivitiesBandBscheduleBrestBperiods."
HESI QUESTIONS
AND CORRECT
ANSWERS UPDATED
2026
TheBnurseBisBconcernedBaboutBinfectionBforBaBclientBafterBanBesophagogastrostomyBf
orBesophagealBcancer.BWhichBactionsBshouldBtheBnurseBincludeBinBtheBclient'sBplanBo
fBcare?B(SelectBallBthatBapply.)
A.BFrequentBoralBcareBeveryB2BhoursBwhileBawake.
B.BUseBincentiveBspirometerBeveryB2Bhours.
C.BEmptyBcontentsBfromBNGBtubeBeveryB8Bhours.
D.BAmbulateBwithinB1BhourBofBreturnBfromBtheBPACU.
E.BLimitBvisitorsBuntilBpostoperativeBdayB2.B-BAnswerBCorrectBAnswer:BA,B,C
Rationale:OneBhourBpostBopBisBtooBsoonBtoBambulateBforBthisBclient.BVisitorsBhelpBsu
pportBtheBpatientBandBareBencouragedBtoBvisit.BOralBcareBisBnecessaryBasBtheBclientB
willBbeBNPO.BToBdecreaseBtheBriskBofBinfectionBpostBoperatively,BimplementBroutineB
pulmonaryBexercises.BTheBclientBwillBhaveBanBNGBtubeBinBplace,BlikelyBtoBintermittent
Bsuction,BtoBdecompressBtheBstomachBpostBsurgery.
TheBclientBisBreturnBdemonstratingBwrappingBofBtheBleftBlimbBamputatedBaboveBtheB
knee.BTheBnurseBevaluatesBtheBclientBisBstartingBtheBwrappingBmethodBcorrectlyBwhe
nBtheBclientBplacesBtheBendBofBtheBbandageBatBwhichBpoint?
A.AroundBtheBwaist
,B.AtBtheBinnerBaspectBofBtheBleftBstump
C.AtBtheBouterBaspectBofBtheBleftBstump
D.AtBtheBleftBgroinBareaB-BAnswerBCorrectBAnswer:BA
Rationale:TheBwaistBisBtheBanchorBpointBforBtheBbandageBforBanBaboveBtheBkneeBam
putation.
ABnurseBisBassistingBanB82-year-
oldBclientBwithBambulationBandBisBconcernedBthatBtheBclientBmayBfall.BWhichBareaBc
ontainsBtheBolderBperson'sBcenterBofBgravity?
A.BHeadBandBneck
B.BUpperBtorso
C.BBilateralBarms
D.BFeetBandBlegsB-BAnswerBCorrectBAnswer:BB
Rationale:StoopedBpostureBresultsBinBtheBupperBtorsoBbecomingBtheBcenterBofBgravity
BforBolderBpersons.BTheBcenterBofBgravityBforBadultsBisBtheBhips.BHowever,BasBaBpers
onBgrowsBolder,BaBstoopedBpostureBisBcommonBbecauseBofBchangesBcausedBbyBosteo
porosisBandBnormalBboneBdegeneration.BFurthermore,BtheBknees,Bhips,BandBelbowsBfl
ex.BTheBheadBandBneckBandBfeetBandBlegsBareBnotBtheBcenterBofBgravityBinBtheBold
erBadult.BAlthoughBtheBarmsBcompriseBaBpartBofBtheBupperBtorso,BtheyBdoBnotBrefle
ctBtheBbestBandBmostBcompleteBAnswer.
ABclientBwithBhypertensionBhasBbeenBreceivingBramipril,B5BmgBPO,BdailyBforB2Bweeks
BandBisBscheduledBtoBreceiveBaBdoseBatB0900.BAtB0830,BtheBclient'sBbloodBpressureB
isB120/70BmmBHg.BWhichBactionBshouldBtheBnurseBtake?
A.BAdministerBtheBprescribedBdoseBatBtheBscheduledBtime.
B.BHoldBtheBdoseBandBcontactBtheBhealthBcareBprovider.
C.BHoldBtheBdoseBandBrecheckBtheBbloodBpressureBinB1Bhour.
D.BCheckBtheBhealthBcareBprovider'sBprescriptionBtoBclarifyBtheBdose.B-
BAnswerBCorrectBAnswer:BA
Rationale:TheBclient'sBbloodBpressureBisBwithinBnormalBlimits,BindicatingBthatBtheBrami
pril,BanBantihypertensive,BisBhavingBtheBdesiredBeffectBandBshouldBbeBadministered.B
OptionsBBBandBCBwouldBbeBappropriateBifBtheBclient'sBbloodBpressureBwasBexcessivel
yBlowB(<100BmmBHgBsystolic)BorBifBtheBclientBwereBexhibitingBsignsBofBhypotensionBs
,uchBasBdizziness.BThisBprescribedBdoseBisBwithinBtheBnormalBdosageBrange,BasBdefine
dBbyBtheBmanufacturer;Btherefore,BoptionBDBisBnotBnecessary
TheBnurseBisBprovidingBcareBforBaBclientBdiagnosedBwithBtrigeminalBneuralgiaB(ticBdou
loureux).BWhichBsymptomsBwillBtheBnurseBbeBlookingBforBinBtheBfocusedBassessmentB
relatedBtoBthisBcondition?B(SelectBallBthatBapply.)
A.BFacialBmuscleBspasms
B.BSuddenBfacialBpain
C.BUnilateralBfacialBweakness
D.BDifficultyBinBchewing
E.Tinnitus
F.HearingBdifficultiesB-BAnswerBCorrectBAnswer:BA,B
Rationale:TrigeminalBneuralgiaBisBcharacterizedBbyBparoxysmsBofBpain,BsimilarBtoBanBel
ectricBshock,BinBtheBareaBinnervatedBbyBoneBorBmoreBbranchesBofBtheBtrigeminalBne
rveB(cranialBV).BTheBremainingBsymptomsBareBnotBrelatedBtoBtrigeminalBneuralgia.
InBcaringBforBaBclientBwithBacuteBdiverticulitis,BwhichBassessmentBdataBwarrantsBanBi
mmediateBnursingBaction?
A.BTheBclientBhasBaBrigidBhardBabdomenBandBelevatedBWBC.
B.BTheBclientBhasBleftBlowerBquadrantBpainBandBanBelevatedBtemperature.
C.TheBclientBisBrefusingBtoBeatBanyBofBtheBmealBandBisBcomplainingBofBnausea.
D.BTheBclientBhasBnotBhadBaBbowelBmovementBinB2BdaysBandBhasBaBsoftBabdomen.
B-BAnswerBCorrectBAnswer:BA
Rationale:BABhardBrigidBabdomenBandBelevatedBWBCBisBindicativeBofBperitonitis,Bwhic
hBisBaBmedicalBemergencyBandBshouldBbeBreportedBtoBtheBhealthBcareBproviderBimm
ediately.BOptionsBBBandBCBareBexpectedBclinicalBmanifestationsBofBdiverticulitis.BOptio
nBDBdoesBnotBwarrantBimmediateBintervention.
TheBnurseBisBcaringBforBaBclientBwithBaBfracturedBrightBelbow.BWhichBassessmentBfin
dingBhasBtheBhighestBpriorityBandBrequiresBimmediateBintervention?
, A.BEcchymosisBoverBtheBrightBelbowBarea
B.BDeepBunrelentingBpainBinBtheBrightBarm
C.BAnBedematousBrightBelbow
D.BTheBpresenceBofBcrepitusBinBtheBrightBelbowB-BAnswerBCorrectBAnswer:BB
Rationale:CompartmentBsyndromeBisBaBconditionBinvolvingBincreasedBpressureBandBco
nstrictionBofBtheBnervesBandBvesselsBwithinBanBanatomicBcompartment,BcausingBpainB
uncontrolledBbyBopioidsBandBneurovascularBcompromise.BOptionBABisBanBexpectedBfin
ding.BOptionBCBrelatedBtoBcompartmentBsyndromeBcannotBbeBseen,BandBanyBvisibleB
edemaBisBanBexpectedBfindingBrelatedBtoBtheBinjury.BOptionBDBisBanBexpectedBfindin
g.
TheBnurseBnotesBthatBaBclientBwhoBisBscheduledBforBsurgeryBtheBnextBmorningBhasB
anBelevatedBbloodBureaBnitrogenB(BUN)Blevel.BWhichBconditionBisBmostBlikelyBtoBhav
eBcontributedBtoBthisBfinding?
A.BMyocardialBinfarctionB2BmonthsBago
B.BAnorexiaBandBvomitingBforBtheBpastB2Bdays
C.RecentlyBdiagnosedBtypeB2BdiabetesBmellitus
D.BSkeletalBtractionBforBaBrightBhipBfractureB-BAnswerBCorrectBAnswer:BB
Rationale:TheBbloodBureaBnitrogenB(BUN)BlevelBindicatesBtheBeffectivenessBofBtheBkid
neysBinBfilteringBwasteBfromBtheBblood.BDehydration,BwhichBcouldBbeBcausedBbyBvom
iting,BwouldBcauseBanBincreasedBBUNBlevel.BOptionBABwouldBaffectBserumBenzymeBle
vels,BnotBtheBBUNBlevel.BOptionBCBwouldBprimarilyBaffectBtheBbloodBglucoseBlevel;Br
enalBfailureBthatBcouldBincreaseBtheBBUNBlevelBwouldBbeBunlikelyBinBaBclientBnewlyB
diagnosedBwithBtypeB2Bdiabetes.BEffectsBofBoptionBDBmightBaffectBtheBcompleteBbloo
dBcountB(CBC)BbutBwouldBnotBdirectlyBincreaseBtheBBUNBlevel.
WhichBinstructionBisBbestBforBtheBnurseBtoBprovideBtoBaBclientBwithBemphysemaBand
BchronicBfatigue?
A."PaceByourBactivitiesBandBscheduleBrestBperiods."
