EVOLVE ELSEVIER HESI MED SURG
ACTUAL EXAM REAL EXAM QUESTIONS
AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ EVOLVE HESI
MEDICAL SURGICAL NEWEST UPDATE
2025-2026.
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? -
.....ANS...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 - .....ANS..."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 - .....ANS...Document
the presence of these assessment findings.
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 - .....ANS...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
ACTUAL EXAM REAL EXAM QUESTIONS
AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ EVOLVE HESI
MEDICAL SURGICAL NEWEST UPDATE
2025-2026.
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? -
.....ANS...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 - .....ANS..."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 - .....ANS...Document
the presence of these assessment findings.
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 - .....ANS...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
