EVOLVE ELSEVIER HESI MED SURG ACTUAL STUDY GUIDE
QUESTIONS AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ EVOLVE HESI MEDICAL SURGICAL
LATEST EXAM 2025-2026 (BRAND NEW!!)
With which symptoms of hypoglycemia can a patient self
treat?-ANSWER-*Adrenergic/autonomic
What should a pt experienceing adrenergic symptoms of
hypoglycemia do?-ANSWER-*Make sure RN is aware of signs
and symptoms
*Can self treat by eating CHO or drinking OJ
What do neurologlycopenic symptoms of hypglycemia mean?-
ANSWER-*There is to little glucose going to the brain
Neuroglycopenic symptoms of hypoglycemia-ANSWER-*H/A
*confusion
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,*lethargy
*Slurred speech
*Coma
*Seizure
*Death
How do you treat a pt with neuroglycopenic symptoms of
hypoglycemia?-ANSWER-*Give glucose (D50)
What order do the symptoms of hypoglycemia normally
present?-ANSWER-*Adrenergic
*Neuroglycopenic
How is mild hypoglycemia defined?-ANSWER-*By symptoms,
not by blood sugar
Symptoms of mild hypoglycemia-ANSWER-*Nervousness
*Irritability
Treatment of mild hypoglycemia-ANSWER-*10–15 gm CHO
*4 oz of juice OR 4 tsp. sugar (not both)
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,*6–8 oz of 2% milk (works longer)
*6 oz regular soda
*Be sure to give something to sustain the increased BS
because if not it will just drop again
*Recheck in 15–30 minutes and retreat if BS <100
Symptoms of moderate hypoglycemia-ANSWER-*Slurred
speech
*Confusion
Treatment of moderate hypoglycemia-ANSWER-*As long as pt
is still awake they can have PO even though they have neuro
symptoms if not the need SQ or IM
*20–30gm CHO
*Glucagon 1mg IM or SQ
Adverse effect of Glucagon-ANSWER-*Nausea and vomiting
*Be cautious of aspiration because as pt starts to wake up
they may vomit––lay pt on their side to prevent aspiration
Considerations with glucagon-ANSWER-*Type 1 DM should
always have glucagon incase of a hypoglycemic attack
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, *Glucagon must be diluted––comes with a vial so educate pt
how to dilute
Symptoms of severe hypoglycemia-ANSWER-
*Unresponsiveness
Treatment of severe hypoglycemia-ANSWER-*D50W (25gm) IV
(resistance)
*Glucagon 1mg IV or IM
Where is D50W located?-ANSWER-*In the crash cart and pyxus
Prevention of hypoglycemia-ANSWER-*Pt education
Pt education about prevention of hypoglycemic emergencies-
ANSWER-*Recognize s/s
*When reaction is most likely to occur (insulin peak, after
exercise, not enough food)
*Person with newly dx DM should keep a food/insulin diary
*Medic–alert identification
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QUESTIONS AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ EVOLVE HESI MEDICAL SURGICAL
LATEST EXAM 2025-2026 (BRAND NEW!!)
With which symptoms of hypoglycemia can a patient self
treat?-ANSWER-*Adrenergic/autonomic
What should a pt experienceing adrenergic symptoms of
hypoglycemia do?-ANSWER-*Make sure RN is aware of signs
and symptoms
*Can self treat by eating CHO or drinking OJ
What do neurologlycopenic symptoms of hypglycemia mean?-
ANSWER-*There is to little glucose going to the brain
Neuroglycopenic symptoms of hypoglycemia-ANSWER-*H/A
*confusion
1|Page
,*lethargy
*Slurred speech
*Coma
*Seizure
*Death
How do you treat a pt with neuroglycopenic symptoms of
hypoglycemia?-ANSWER-*Give glucose (D50)
What order do the symptoms of hypoglycemia normally
present?-ANSWER-*Adrenergic
*Neuroglycopenic
How is mild hypoglycemia defined?-ANSWER-*By symptoms,
not by blood sugar
Symptoms of mild hypoglycemia-ANSWER-*Nervousness
*Irritability
Treatment of mild hypoglycemia-ANSWER-*10–15 gm CHO
*4 oz of juice OR 4 tsp. sugar (not both)
2|Page
,*6–8 oz of 2% milk (works longer)
*6 oz regular soda
*Be sure to give something to sustain the increased BS
because if not it will just drop again
*Recheck in 15–30 minutes and retreat if BS <100
Symptoms of moderate hypoglycemia-ANSWER-*Slurred
speech
*Confusion
Treatment of moderate hypoglycemia-ANSWER-*As long as pt
is still awake they can have PO even though they have neuro
symptoms if not the need SQ or IM
*20–30gm CHO
*Glucagon 1mg IM or SQ
Adverse effect of Glucagon-ANSWER-*Nausea and vomiting
*Be cautious of aspiration because as pt starts to wake up
they may vomit––lay pt on their side to prevent aspiration
Considerations with glucagon-ANSWER-*Type 1 DM should
always have glucagon incase of a hypoglycemic attack
3|Page
, *Glucagon must be diluted––comes with a vial so educate pt
how to dilute
Symptoms of severe hypoglycemia-ANSWER-
*Unresponsiveness
Treatment of severe hypoglycemia-ANSWER-*D50W (25gm) IV
(resistance)
*Glucagon 1mg IV or IM
Where is D50W located?-ANSWER-*In the crash cart and pyxus
Prevention of hypoglycemia-ANSWER-*Pt education
Pt education about prevention of hypoglycemic emergencies-
ANSWER-*Recognize s/s
*When reaction is most likely to occur (insulin peak, after
exercise, not enough food)
*Person with newly dx DM should keep a food/insulin diary
*Medic–alert identification
4|Page
