EVOLVE HESI MED-SURG II NEWEST 2026/ 2027 ACTUAL EXAM TEST
BANK ELSEVIER HESI MED SURG II EVOLVE EXAM REVIEW WITH
COMPLETE 300 REAL EXAM QUESTIONS AND CORRECT DETAILED
120 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Analyze complex pathophysiological processes in medical-surgical conditions
2 Synthesize assessment data to prioritize nursing interventions in acute care
3 Evaluate the efficacy of pharmacologic and non-pharmacologic treatments in critical care
4 Integrate evidence-based guidelines into clinical decision-making for multi-system disorders
5 EVOLVE HESI MED
6 SURG II NEWEST 2026
7 2027 ACTUAL EXAM TEST BANK ELSEVIER HESI MED SURG II EVOLVE EXAM REVIEW WITH
COMPLETE 300 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
8 VERIFIED ANSWERS
9 ALREADY GRADED A+
10 MOST RECENT!!
11 Foundations of Medical-Surgical Nursing II
12 Applied Medical-Surgical Nursing II
13 Advanced Medical-Surgical Nursing II
14 Medical-Surgical Nursing II Review
ABSTRACT
Page 1
,This study document brings together 120 carefully worded exam questions drawn from EVOLVE
HESI MED-SURG II NEWEST 2026/ 2027 ACTUAL EXAM TEST BANK ELSEVIER HESI MED
SURG II EVOLVE EXAM REVIEW WITH COMPLETE 300 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+ (MOST
RECENT!!), with the strongest emphasis placed on Analyze complex pathophysiological processes
in medical-surgical conditions, Synthesize assessment data to prioritize nursing interventions in
acute care and Evaluate the efficacy of pharmacologic and non-pharmacologic treatments in
critical care. Every item follows the wording style and level of reasoning you meet in the real paper,
and each one is paired with a clear rationale so the correct choice is never a guess. Work through
the set at your own pace, mark the questions that slow you down, then come back to them until the
reasoning feels automatic. Learners who revise this way walk into the exam room recognising the
pattern behind the questions instead of meeting them for the first time. Keep going - steady, honest
practice is what turns a difficult paper into a comfortable pass.
Q1 ANALYZE COMPLEX PATHOPHYSIOLOGICAL PROCESSES IN MEDICAL-SURGICAL
CONDITIONS
A patient with septic shock remains hypotensive despite adequate fluid
resuscitation. Which hemodynamic parameter most accurately guides the titration
of norepinephrine?
A. Cardiac output (CO)
B. Mean arterial pressure (MAP) CORRECT
C. Central venous pressure (CVP)
D. Systemic vascular resistance (SVR)
RATIONALE: In septic shock, MAP is the target for vasopressor therapy, with a goal of 65 mm
Hg. CO and CVP guide fluid and inotrope therapy, not vasopressor titration. SVR is not directly
measured and is derived from MAP, CO, and CVP.
Page 2
,Q2 ANALYZE COMPLEX PATHOPHYSIOLOGICAL PROCESSES IN MEDICAL-SURGICAL
CONDITIONS
Which finding in a patient with acute ischemic stroke would contraindicate the
administration of alteplase?
A. Systolic blood pressure 180 mm Hg
B. Blood glucose 120 mg/dL
C. Platelet count 120,000/mm³
D. Recent major surgery within 14 days CORRECT
RATIONALE: Recent major surgery within 14 days is an absolute contraindication to thrombolytic
therapy due to bleeding risk. Elevated BP can be managed, glucose is within normal range, and
platelet count above 100,000 is acceptable.
Q3 ANALYZE COMPLEX PATHOPHYSIOLOGICAL PROCESSES IN MEDICAL-SURGICAL
CONDITIONS
A patient with diabetic ketoacidosis is receiving an insulin infusion. Which
laboratory value indicates resolution of the hyperglycemic crisis and the need to
transition to subcutaneous insulin?
A. Serum bicarbonate 18 mEq/L CORRECT
B. Anion gap 12 mEq/L
C. Blood glucose 250 mg/dL
D. Serum osmolality 300 mOsm/kg
RATIONALE: Resolution of DKA is defined by a serum bicarbonate 18 mEq/L and a pH >7.30.
Anion gap closure alone does not indicate metabolic normalization. Glucose levels may
normalize before ketosis resolves; osmolality is not a criterion.
Page 3
, Q4 ANALYZE COMPLEX PATHOPHYSIOLOGICAL PROCESSES IN MEDICAL-SURGICAL
CONDITIONS
A patient with chronic kidney disease has a serum potassium of 6.8 mEq/L and
ECG changes. Which intervention should the nurse implement first?
A. Administer sodium polystyrene sulfonate
B. Administer intravenous calcium gluconate CORRECT
C. Start continuous renal replacement therapy
D. Administer nebulized albuterol
RATIONALE: Calcium gluconate stabilizes the myocardial cell membrane and is the immediate
priority to prevent cardiac arrest. Other measures remove or shift potassium but take longer to
act. Renal replacement therapy is effective but not immediate.
Q5 ANALYZE COMPLEX PATHOPHYSIOLOGICAL PROCESSES IN MEDICAL-SURGICAL
CONDITIONS
Which finding in a patient with acute respiratory distress syndrome (ARDS)
indicates worsening of the condition despite optimized ventilator management?
A. PaO2/FiO2 ratio of 150 CORRECT
B. Plateau pressure of 30 cm H2O
C. Positive end-expiratory pressure (PEEP) of 5 cm H2O
D. Static compliance of 40 mL/cm H2O
RATIONALE: A PaO2/FiO2 ratio below 200 indicates moderate to severe ARDS and reflects
impaired oxygenation. Plateau pressure >30 cm H2O is associated with lung injury, but a value of
30 is borderline. PEEP of 5 is low and compliance of 40 is low but not diagnostic of worsening.
Page 4
BANK ELSEVIER HESI MED SURG II EVOLVE EXAM REVIEW WITH
COMPLETE 300 REAL EXAM QUESTIONS AND CORRECT DETAILED
120 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Analyze complex pathophysiological processes in medical-surgical conditions
2 Synthesize assessment data to prioritize nursing interventions in acute care
3 Evaluate the efficacy of pharmacologic and non-pharmacologic treatments in critical care
4 Integrate evidence-based guidelines into clinical decision-making for multi-system disorders
5 EVOLVE HESI MED
6 SURG II NEWEST 2026
7 2027 ACTUAL EXAM TEST BANK ELSEVIER HESI MED SURG II EVOLVE EXAM REVIEW WITH
COMPLETE 300 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
8 VERIFIED ANSWERS
9 ALREADY GRADED A+
10 MOST RECENT!!
11 Foundations of Medical-Surgical Nursing II
12 Applied Medical-Surgical Nursing II
13 Advanced Medical-Surgical Nursing II
14 Medical-Surgical Nursing II Review
ABSTRACT
Page 1
,This study document brings together 120 carefully worded exam questions drawn from EVOLVE
HESI MED-SURG II NEWEST 2026/ 2027 ACTUAL EXAM TEST BANK ELSEVIER HESI MED
SURG II EVOLVE EXAM REVIEW WITH COMPLETE 300 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+ (MOST
RECENT!!), with the strongest emphasis placed on Analyze complex pathophysiological processes
in medical-surgical conditions, Synthesize assessment data to prioritize nursing interventions in
acute care and Evaluate the efficacy of pharmacologic and non-pharmacologic treatments in
critical care. Every item follows the wording style and level of reasoning you meet in the real paper,
and each one is paired with a clear rationale so the correct choice is never a guess. Work through
the set at your own pace, mark the questions that slow you down, then come back to them until the
reasoning feels automatic. Learners who revise this way walk into the exam room recognising the
pattern behind the questions instead of meeting them for the first time. Keep going - steady, honest
practice is what turns a difficult paper into a comfortable pass.
Q1 ANALYZE COMPLEX PATHOPHYSIOLOGICAL PROCESSES IN MEDICAL-SURGICAL
CONDITIONS
A patient with septic shock remains hypotensive despite adequate fluid
resuscitation. Which hemodynamic parameter most accurately guides the titration
of norepinephrine?
A. Cardiac output (CO)
B. Mean arterial pressure (MAP) CORRECT
C. Central venous pressure (CVP)
D. Systemic vascular resistance (SVR)
RATIONALE: In septic shock, MAP is the target for vasopressor therapy, with a goal of 65 mm
Hg. CO and CVP guide fluid and inotrope therapy, not vasopressor titration. SVR is not directly
measured and is derived from MAP, CO, and CVP.
Page 2
,Q2 ANALYZE COMPLEX PATHOPHYSIOLOGICAL PROCESSES IN MEDICAL-SURGICAL
CONDITIONS
Which finding in a patient with acute ischemic stroke would contraindicate the
administration of alteplase?
A. Systolic blood pressure 180 mm Hg
B. Blood glucose 120 mg/dL
C. Platelet count 120,000/mm³
D. Recent major surgery within 14 days CORRECT
RATIONALE: Recent major surgery within 14 days is an absolute contraindication to thrombolytic
therapy due to bleeding risk. Elevated BP can be managed, glucose is within normal range, and
platelet count above 100,000 is acceptable.
Q3 ANALYZE COMPLEX PATHOPHYSIOLOGICAL PROCESSES IN MEDICAL-SURGICAL
CONDITIONS
A patient with diabetic ketoacidosis is receiving an insulin infusion. Which
laboratory value indicates resolution of the hyperglycemic crisis and the need to
transition to subcutaneous insulin?
A. Serum bicarbonate 18 mEq/L CORRECT
B. Anion gap 12 mEq/L
C. Blood glucose 250 mg/dL
D. Serum osmolality 300 mOsm/kg
RATIONALE: Resolution of DKA is defined by a serum bicarbonate 18 mEq/L and a pH >7.30.
Anion gap closure alone does not indicate metabolic normalization. Glucose levels may
normalize before ketosis resolves; osmolality is not a criterion.
Page 3
, Q4 ANALYZE COMPLEX PATHOPHYSIOLOGICAL PROCESSES IN MEDICAL-SURGICAL
CONDITIONS
A patient with chronic kidney disease has a serum potassium of 6.8 mEq/L and
ECG changes. Which intervention should the nurse implement first?
A. Administer sodium polystyrene sulfonate
B. Administer intravenous calcium gluconate CORRECT
C. Start continuous renal replacement therapy
D. Administer nebulized albuterol
RATIONALE: Calcium gluconate stabilizes the myocardial cell membrane and is the immediate
priority to prevent cardiac arrest. Other measures remove or shift potassium but take longer to
act. Renal replacement therapy is effective but not immediate.
Q5 ANALYZE COMPLEX PATHOPHYSIOLOGICAL PROCESSES IN MEDICAL-SURGICAL
CONDITIONS
Which finding in a patient with acute respiratory distress syndrome (ARDS)
indicates worsening of the condition despite optimized ventilator management?
A. PaO2/FiO2 ratio of 150 CORRECT
B. Plateau pressure of 30 cm H2O
C. Positive end-expiratory pressure (PEEP) of 5 cm H2O
D. Static compliance of 40 mL/cm H2O
RATIONALE: A PaO2/FiO2 ratio below 200 indicates moderate to severe ARDS and reflects
impaired oxygenation. Plateau pressure >30 cm H2O is associated with lung injury, but a value of
30 is borderline. PEEP of 5 is low and compliance of 40 is low but not diagnostic of worsening.
Page 4
