• 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!!)
Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia (tic douloureux)?
Tinnitus, vertigo, and hearing difficulties.
Sudden, stabbing, severe pain over the lip and chin.
P 1
, • HESI MED SURG 09/14/2026
EXAM
Facial weakness and paralysis.
Difficulty in chewing, talking, and swallowing. –
Correct Answer :Sudden, stabbing, severe pain over the lip and chin.
Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric shock, in the area innervated by
one or more branches of the trigeminal nerve (5th cranial). Women are more often afflicted with this condition
and generally occurs in clients over the age of 50 years old.
A client who is HIV positive asks the nurse, "How will I know when I have AIDS?" Which response is best for the
nurse to provide?
"Diagnosis of AIDS is made when you have 2 positive ELISA test results."
"Diagnosis is made when both the ELISA and the Western Blot tests are positive."
"I can tell that you are afraid of being diagnosed with AIDS. Would you like for me to call your minister?"
"AIDS is diagnosed when a specific opportunistic infection is found in an otherwise healthy individual." –
Correct Answer :"AIDS is diagnosed when a specific opportunistic infection is found in an otherwise healthy
individual."
AIDS is diagnosed when one of several processes defined by the CDC is present in an individual who is not
otherwise immunosuppressed (PCP, candidacies, cryptococcus, cryptosporidiosis, Kaposi's sarcoma, CNS
lymphomas) and/or a CD4+ T cell count less than 200 (normal count 1,000).
A female client receiving IV vasopressin for esophageal varice rupture reports to the nurse that she feels
substernal tightness and pressure across her chest. Which PRN protocol should the nurse initiate?
Start an IV nitroglycerin infusion.
Nasogastric lavage with cool saline.
Increase the vasopressin infusion.
Prepare for endotracheal intubation. - Correct Answer :Start an IV nitroglycerin infusion.
P 2
, • HESI MED SURG 09/14/2026
EXAM
Vasopressin is used to promote vasoconstriction, thereby reducing bleeding from the esophageal varice.
Vasoconstriction of the coronary arteries can lead to angina and myocardial infarction, and should be
counteracted by IV nitroglycerin per prescribed protocol.
A client with cirrhosis develops increasing pedal edema and ascites. Which dietary modification is most
important for the nurse to teach this client?
Avoid high carbohydrate foods.
Decrease intake of fat soluble vitamins.
Decrease caloric intake.
Restrict salt and fluid intake. - Correct Answer :Restrict salt and fluid intake.
Salt and fluid restrictions are the first dietary modifications for a client who is retaining fluid as manifested by
edema and ascites
The nurse is taking a history of a newly diagnosed Type 2 diabetic who is beginning treatment. Which subjective
information is most important for the nurse to note?
A history of obesity.
An allergy to sulfa drugs.
Cessation of smoking three years ago.
Numbness in the soles of the feet. - Correct Answer :An allergy to sulfa drugs.
An allergy to sulfa drugs may make the client unable to use some of the most common antihyperglycemic agents
(sulfonylureas). The nurse needs to highlight this allergy for the healthcare provider.
A middle-aged male client with diabetes continues to eat an abundance of foods that are high in sugar and fat.
According to the Health Belief Model, which event is most likely to increase the client's willingness to become
compliant with the prescribed diet?
He visits his diabetic brother who just had surgery to amputate an infected foot.
P 3
, • HESI MED SURG 09/14/2026
EXAM
He is provided with the most current information about the dangers of untreated diabetes.
He comments on the community service announcements about preventing complications associated with
diabetes.
His wife expresses a sincere willingness to prepare meals that are within his prescribed diet. - Correct Answer
:He visits his diabetic brother who just had surgery to amputate an infected foot.
The loss of a limb due to diabetes by a family member should be the strongest event or "cue to action" and is
most likely to increase the client's perceived seriousness of the disease.
In assessing a client diagnosed with primary hyperaldosteronism, the nurse expects the laboratory test results to
indicate a decreased serum level of which substance?
Sodium.
Antidiuretic hormone.
Potassium
Glucose. - Correct Answer :Potassium
Clients with primary hyperaldosteronism exhibit a profound decline in the serum levels of potassium
(hypokalemia). Hypertension, along with the hypokalemia are the most prominent and universal signs for this
condition. If both of these findings are present, there is a 50% likelihood the client will be diagnosed with
hyperaldosteronism.
Which symptoms should the nurse expect a client to exhibit who is diagnosed with a pheochromocytoma?
Numbness, tingling, and cramps in the extremities.
Headache, diaphoresis, and palpitations.
Cyanosis, fever, and classic signs of shock.
Nausea, vomiting, and muscular weakness. - Correct Answer :Headache, diaphoresis, and palpitations.
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!!)
Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia (tic douloureux)?
Tinnitus, vertigo, and hearing difficulties.
Sudden, stabbing, severe pain over the lip and chin.
P 1
, • HESI MED SURG 09/14/2026
EXAM
Facial weakness and paralysis.
Difficulty in chewing, talking, and swallowing. –
Correct Answer :Sudden, stabbing, severe pain over the lip and chin.
Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric shock, in the area innervated by
one or more branches of the trigeminal nerve (5th cranial). Women are more often afflicted with this condition
and generally occurs in clients over the age of 50 years old.
A client who is HIV positive asks the nurse, "How will I know when I have AIDS?" Which response is best for the
nurse to provide?
"Diagnosis of AIDS is made when you have 2 positive ELISA test results."
"Diagnosis is made when both the ELISA and the Western Blot tests are positive."
"I can tell that you are afraid of being diagnosed with AIDS. Would you like for me to call your minister?"
"AIDS is diagnosed when a specific opportunistic infection is found in an otherwise healthy individual." –
Correct Answer :"AIDS is diagnosed when a specific opportunistic infection is found in an otherwise healthy
individual."
AIDS is diagnosed when one of several processes defined by the CDC is present in an individual who is not
otherwise immunosuppressed (PCP, candidacies, cryptococcus, cryptosporidiosis, Kaposi's sarcoma, CNS
lymphomas) and/or a CD4+ T cell count less than 200 (normal count 1,000).
A female client receiving IV vasopressin for esophageal varice rupture reports to the nurse that she feels
substernal tightness and pressure across her chest. Which PRN protocol should the nurse initiate?
Start an IV nitroglycerin infusion.
Nasogastric lavage with cool saline.
Increase the vasopressin infusion.
Prepare for endotracheal intubation. - Correct Answer :Start an IV nitroglycerin infusion.
P 2
, • HESI MED SURG 09/14/2026
EXAM
Vasopressin is used to promote vasoconstriction, thereby reducing bleeding from the esophageal varice.
Vasoconstriction of the coronary arteries can lead to angina and myocardial infarction, and should be
counteracted by IV nitroglycerin per prescribed protocol.
A client with cirrhosis develops increasing pedal edema and ascites. Which dietary modification is most
important for the nurse to teach this client?
Avoid high carbohydrate foods.
Decrease intake of fat soluble vitamins.
Decrease caloric intake.
Restrict salt and fluid intake. - Correct Answer :Restrict salt and fluid intake.
Salt and fluid restrictions are the first dietary modifications for a client who is retaining fluid as manifested by
edema and ascites
The nurse is taking a history of a newly diagnosed Type 2 diabetic who is beginning treatment. Which subjective
information is most important for the nurse to note?
A history of obesity.
An allergy to sulfa drugs.
Cessation of smoking three years ago.
Numbness in the soles of the feet. - Correct Answer :An allergy to sulfa drugs.
An allergy to sulfa drugs may make the client unable to use some of the most common antihyperglycemic agents
(sulfonylureas). The nurse needs to highlight this allergy for the healthcare provider.
A middle-aged male client with diabetes continues to eat an abundance of foods that are high in sugar and fat.
According to the Health Belief Model, which event is most likely to increase the client's willingness to become
compliant with the prescribed diet?
He visits his diabetic brother who just had surgery to amputate an infected foot.
P 3
, • HESI MED SURG 09/14/2026
EXAM
He is provided with the most current information about the dangers of untreated diabetes.
He comments on the community service announcements about preventing complications associated with
diabetes.
His wife expresses a sincere willingness to prepare meals that are within his prescribed diet. - Correct Answer
:He visits his diabetic brother who just had surgery to amputate an infected foot.
The loss of a limb due to diabetes by a family member should be the strongest event or "cue to action" and is
most likely to increase the client's perceived seriousness of the disease.
In assessing a client diagnosed with primary hyperaldosteronism, the nurse expects the laboratory test results to
indicate a decreased serum level of which substance?
Sodium.
Antidiuretic hormone.
Potassium
Glucose. - Correct Answer :Potassium
Clients with primary hyperaldosteronism exhibit a profound decline in the serum levels of potassium
(hypokalemia). Hypertension, along with the hypokalemia are the most prominent and universal signs for this
condition. If both of these findings are present, there is a 50% likelihood the client will be diagnosed with
hyperaldosteronism.
Which symptoms should the nurse expect a client to exhibit who is diagnosed with a pheochromocytoma?
Numbness, tingling, and cramps in the extremities.
Headache, diaphoresis, and palpitations.
Cyanosis, fever, and classic signs of shock.
Nausea, vomiting, and muscular weakness. - Correct Answer :Headache, diaphoresis, and palpitations.
P 4
