EVOLVE ELSEVIER HESI MED SURG EXAM WITH REAL EXAM QUESTIONS AND 100%
CORRECT ANSWERS WITH RATIONALES| EVOLVE HESI MEDICAL SURGICAL LATEST
EXAM 2025/2026 GURANTEED PASS!
A client with hypertension has been receiving ramipril (Altace), 5 mg PO, daily for 2 weeks and is
scheduled to receive a dose at 0900. At 0830, the client's blood pressure is 120/70 mm Hg. Which action
should the nurse take? - (ANSWER)Administer the prescribed dose at the scheduled time
Rationale: The client's blood pressure is within normal limits, indicating that the ramipril, an
antihypertensive, is having the desired effect and should be administered
Which instruction should the nurse teach a female client about the prevention of toxic shock syndrome?
A. "Get immunization against HPV
B. "Change your tampon frequently"
C. "Empty your bladder after intercourse"
D. "Obtain a yearly flu vaccination - (ANSWER)"Change your tampon frequently"
Rationale: Certain strains of Staphylococcus aureus produce a toxin that can enter the bloodstream
through the vaginal mucosa. Changing the tampon frequently reduces the exposure to these toxins,
which are the primary cause of toxic shock syndrome. Option A helps prevent cervical cancer, not toxic
shock syndrome. Option C can lessen the incidence of urinary tract infection. Option D can help prevent
some individuals from contracting the flu and pneumonia, but no relationship to toxic shock syndrome
has been proven.
The home health nurse is assessing a male client being treated for Parkinson disease with carbidopa-
levodopa. The nurse observes that he does not demonstrate any apparent emotion when speaking and
rarely blinks. Which intervention should the nurse implement?
A. Perform a complete cranial nerve assessment
B. Instruct the client that he may be experiencing medication toxicity
C. Document the presence of these assessment findings
D. Advise the client to seek immediate medical evaluation - (ANSWER)Document the presence of these
assessment findings.
,EVOLVE ELSEVIER HESI MED SURG EXAM WITH REAL EXAM QUESTIONS AND 100%
CORRECT ANSWERS WITH RATIONALES| EVOLVE HESI MEDICAL SURGICAL LATEST
EXAM 2025/2026 GURANTEED PASS!
Rationale: A masklike expression and infrequent blinking are common clinical features of parkinsonism.
The nurse should document these expected findings.
Signs of toxicity of levodopa-carbidopa include: dyskinesia, hallucinations, and psychosis
A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse
assesses that there has been no drainage through the nasogastric tube in the last 2 hours. Which action
should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline
B. Reposition the client on her side
C. Advance the nasgastric tube 5cm
D. Administer an intravenous antiemetic as prescribed - (ANSWER)Reposition the client on her side
Rationale: The immediate priority is to determine if the tube is functioning correctly, which would then
relieve the client's nausea. The least invasive intervention, repositioning the client, should be attempted
first, followed by options A and C, unless either of these interventions is contraindicated. If these
measures are unsuccessful, the client may require option D.
The nurse teaches a client with type 2 diabetes nutritional strategies to decrease obesity. Which food
items chosen by the client indicate understanding of the teaching? (Select all that apply.)
A. White bread
B. Salmon
C. Broccoli
D. Whole milk
E. Banana - (ANSWER)Salmon, Broccoli, and Banana
Rationale: Provides fresh fruits, lean meats and fish, vegetables, whole grains, and low-fat dairy
products.
, EVOLVE ELSEVIER HESI MED SURG EXAM WITH REAL EXAM QUESTIONS AND 100%
CORRECT ANSWERS WITH RATIONALES| EVOLVE HESI MEDICAL SURGICAL LATEST
EXAM 2025/2026 GURANTEED PASS!
Which condition should the nurse anticipate as a potential problem in a female client with a neurogenic
bladder?
A. Stress incontinence
B. Infection
C. Painless gross hematuria
D. Peritonitis - (ANSWER)Infection
B. Infection is the major complication resulting from stasis of urine and subsequent catheterization.
Option A is the involuntary loss of urine through an intact urethra as a result of a sudden increase in
intraabdominal pressure. Option C is the most common symptom of bladder cancer. Option D is the
most common and serious complication of peritoneal dialysis.
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular response.
Based on this finding, the nurse anticipates assisting the physician with which treatment?
A. Administer lidocaine, 75mg IV push
B. Perform synchronized cardioversion
C. Defibrillate the client as soon as possible
D. Administer atropine, 0.4mg IV push - (ANSWER)Perform synchronized cardioversion
Rationale: With uncontrolled atrial fibrillation, the treatment of choice is synchronized cardioversion to
convert the cardiac rhythm back to normal sinus rhythm. Option A is a medication used for ventricular
dysrhythmias. Option C is not for a client with atrial fibrillation; it is reserved for clients with life-
threatening dysrhythmias, such as ventricular fibrillation and unstable ventricular tachycardia. Option D
is the drug of choice in symptomatic sinus bradycardia, not atrial fibrillation.
A 25-year-old client was admitted yesterday after a motor vehicle collision. Neurodiagnostic studies
have shown a basal skull fracture in the middle fossa. Assessment on admission revealed both halo and
Battle signs. Which new symptom indicates that the client is likely to be experiencing a common life-
threatening complication associated with a basal skull fracture?
CORRECT ANSWERS WITH RATIONALES| EVOLVE HESI MEDICAL SURGICAL LATEST
EXAM 2025/2026 GURANTEED PASS!
A client with hypertension has been receiving ramipril (Altace), 5 mg PO, daily for 2 weeks and is
scheduled to receive a dose at 0900. At 0830, the client's blood pressure is 120/70 mm Hg. Which action
should the nurse take? - (ANSWER)Administer the prescribed dose at the scheduled time
Rationale: The client's blood pressure is within normal limits, indicating that the ramipril, an
antihypertensive, is having the desired effect and should be administered
Which instruction should the nurse teach a female client about the prevention of toxic shock syndrome?
A. "Get immunization against HPV
B. "Change your tampon frequently"
C. "Empty your bladder after intercourse"
D. "Obtain a yearly flu vaccination - (ANSWER)"Change your tampon frequently"
Rationale: Certain strains of Staphylococcus aureus produce a toxin that can enter the bloodstream
through the vaginal mucosa. Changing the tampon frequently reduces the exposure to these toxins,
which are the primary cause of toxic shock syndrome. Option A helps prevent cervical cancer, not toxic
shock syndrome. Option C can lessen the incidence of urinary tract infection. Option D can help prevent
some individuals from contracting the flu and pneumonia, but no relationship to toxic shock syndrome
has been proven.
The home health nurse is assessing a male client being treated for Parkinson disease with carbidopa-
levodopa. The nurse observes that he does not demonstrate any apparent emotion when speaking and
rarely blinks. Which intervention should the nurse implement?
A. Perform a complete cranial nerve assessment
B. Instruct the client that he may be experiencing medication toxicity
C. Document the presence of these assessment findings
D. Advise the client to seek immediate medical evaluation - (ANSWER)Document the presence of these
assessment findings.
,EVOLVE ELSEVIER HESI MED SURG EXAM WITH REAL EXAM QUESTIONS AND 100%
CORRECT ANSWERS WITH RATIONALES| EVOLVE HESI MEDICAL SURGICAL LATEST
EXAM 2025/2026 GURANTEED PASS!
Rationale: A masklike expression and infrequent blinking are common clinical features of parkinsonism.
The nurse should document these expected findings.
Signs of toxicity of levodopa-carbidopa include: dyskinesia, hallucinations, and psychosis
A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse
assesses that there has been no drainage through the nasogastric tube in the last 2 hours. Which action
should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline
B. Reposition the client on her side
C. Advance the nasgastric tube 5cm
D. Administer an intravenous antiemetic as prescribed - (ANSWER)Reposition the client on her side
Rationale: The immediate priority is to determine if the tube is functioning correctly, which would then
relieve the client's nausea. The least invasive intervention, repositioning the client, should be attempted
first, followed by options A and C, unless either of these interventions is contraindicated. If these
measures are unsuccessful, the client may require option D.
The nurse teaches a client with type 2 diabetes nutritional strategies to decrease obesity. Which food
items chosen by the client indicate understanding of the teaching? (Select all that apply.)
A. White bread
B. Salmon
C. Broccoli
D. Whole milk
E. Banana - (ANSWER)Salmon, Broccoli, and Banana
Rationale: Provides fresh fruits, lean meats and fish, vegetables, whole grains, and low-fat dairy
products.
, EVOLVE ELSEVIER HESI MED SURG EXAM WITH REAL EXAM QUESTIONS AND 100%
CORRECT ANSWERS WITH RATIONALES| EVOLVE HESI MEDICAL SURGICAL LATEST
EXAM 2025/2026 GURANTEED PASS!
Which condition should the nurse anticipate as a potential problem in a female client with a neurogenic
bladder?
A. Stress incontinence
B. Infection
C. Painless gross hematuria
D. Peritonitis - (ANSWER)Infection
B. Infection is the major complication resulting from stasis of urine and subsequent catheterization.
Option A is the involuntary loss of urine through an intact urethra as a result of a sudden increase in
intraabdominal pressure. Option C is the most common symptom of bladder cancer. Option D is the
most common and serious complication of peritoneal dialysis.
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular response.
Based on this finding, the nurse anticipates assisting the physician with which treatment?
A. Administer lidocaine, 75mg IV push
B. Perform synchronized cardioversion
C. Defibrillate the client as soon as possible
D. Administer atropine, 0.4mg IV push - (ANSWER)Perform synchronized cardioversion
Rationale: With uncontrolled atrial fibrillation, the treatment of choice is synchronized cardioversion to
convert the cardiac rhythm back to normal sinus rhythm. Option A is a medication used for ventricular
dysrhythmias. Option C is not for a client with atrial fibrillation; it is reserved for clients with life-
threatening dysrhythmias, such as ventricular fibrillation and unstable ventricular tachycardia. Option D
is the drug of choice in symptomatic sinus bradycardia, not atrial fibrillation.
A 25-year-old client was admitted yesterday after a motor vehicle collision. Neurodiagnostic studies
have shown a basal skull fracture in the middle fossa. Assessment on admission revealed both halo and
Battle signs. Which new symptom indicates that the client is likely to be experiencing a common life-
threatening complication associated with a basal skull fracture?
