1|Page
HESI MED SURG EXAM 2025 NEWEST TEST BANK
WITH 500 REAL EXAM PREP QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (100%
CORRECT ANSWERS) HESI MED SURG EVOLVE
ELSEVIER EXAM 2025 (NEW)
The nurse is assessing a client with bacterial meningitis.
Which assessment finding indicates the client may have
developed septic emboli?
A. Cyanosis of the fingertips.
B. Bradycardia and bradypnea.
C. Presence of S3 and S4 heart sounds.
D. 3+ pitting edema of the lower extremities. -
..ANSWER...✓✓ A. Cyanosis of the fingertips.
Septic emboli secondary to meningitis commonly lodge in
the small arterioles of the extremities, causing a
decrease in circulation to the hands which may lead to
gangrene.
A 77-year-old female client is admitted to the hospital.
She is confused, has no appetite, is nauseated and
vomiting, and is complaining of a headache. Her pulse
,2|Page
rate is 43 beats per minute. It is most important for the
nurse to assess for which finding?
A. Wearing dentures.
B. Use of aspirin prior to admit.
C. Prescribed nitroglycerin for chest pain.
D. Takes digitalis. - ..ANSWER...✓✓ D. Takes digitalis.
Although it is important to obtain a complete medication
history, the symptoms described are classic for digitalis
toxicity, and assessment of this problem should be made
promptly. Elderly persons are particularly susceptible to
digitalis intoxication which manifests itself in such
symptoms as anorexia, nausea, vomiting, diarrhea,
headache, and fatigue.
A 58-year-old client who has been post-menopausal for
five years is concerned about the risk for osteoporosis
because her mother has the condition. Which information
should the nurse offer?
A. Osteoporosis is a progressive genetic disease with no
effective treatment.
,3|Page
B. Calcium loss from bones can be slowed by increasing
calcium intake and exercise.
C. Estrogen replacement therapy should be started to
prevent the progression osteoporosis.
D. Low-dose corticosteroid treatment effectively halts the
course of osteoporosis. - ..ANSWER...✓✓ B. Calcium loss
from bones can be slowed by increasing calcium intake
and exercise.
Post-menopausal females are at risk for osteoporosis
due to the cessation of estrogen secretion, but a regimen
including calcium, vitamin D, and weight-bearing exercise
can help prevent further bone loss.
A client with heart disease is on a continuous telemetry
monitor and has developed sinus bradycardia. In
determining the possible cause of the bradycardia, the
nurse assesses the client's medication record. Which
medication is most likely the cause of the bradycardia?
A. Propanolol.
B. Captopril.
C. Furosemide.
, 4|Page
D. Dobutamine. - ..ANSWER...✓✓ A. Propanolol.
Propanolol is a beta adrenergic blocking agent, which
causes decreased heart rate and decreased contractility.
The nurse assesses a client with advanced cirrhosis of
the liver for signs of hepatic encephalopathy. Which
finding would the nurse consider an indication of
progressive hepatic encephalopathy?
A. An increase in abdominal girth.
B. Hypertension and a bounding pulse.
C. Decreased bowel sounds.
D. Difficulty in handwriting. - ..ANSWER...✓✓ D. Difficulty
in handwriting.
A daily record in handwriting may provide evidence of
progression of hepatic encephalopathy leading to coma.
An older adult male client comes to the geriatric
screening clinic complaining of pain in his left calf. The
nurse notices a reddened area on the calf of his right leg
which is warm to the touch and suspects it might be
HESI MED SURG EXAM 2025 NEWEST TEST BANK
WITH 500 REAL EXAM PREP QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (100%
CORRECT ANSWERS) HESI MED SURG EVOLVE
ELSEVIER EXAM 2025 (NEW)
The nurse is assessing a client with bacterial meningitis.
Which assessment finding indicates the client may have
developed septic emboli?
A. Cyanosis of the fingertips.
B. Bradycardia and bradypnea.
C. Presence of S3 and S4 heart sounds.
D. 3+ pitting edema of the lower extremities. -
..ANSWER...✓✓ A. Cyanosis of the fingertips.
Septic emboli secondary to meningitis commonly lodge in
the small arterioles of the extremities, causing a
decrease in circulation to the hands which may lead to
gangrene.
A 77-year-old female client is admitted to the hospital.
She is confused, has no appetite, is nauseated and
vomiting, and is complaining of a headache. Her pulse
,2|Page
rate is 43 beats per minute. It is most important for the
nurse to assess for which finding?
A. Wearing dentures.
B. Use of aspirin prior to admit.
C. Prescribed nitroglycerin for chest pain.
D. Takes digitalis. - ..ANSWER...✓✓ D. Takes digitalis.
Although it is important to obtain a complete medication
history, the symptoms described are classic for digitalis
toxicity, and assessment of this problem should be made
promptly. Elderly persons are particularly susceptible to
digitalis intoxication which manifests itself in such
symptoms as anorexia, nausea, vomiting, diarrhea,
headache, and fatigue.
A 58-year-old client who has been post-menopausal for
five years is concerned about the risk for osteoporosis
because her mother has the condition. Which information
should the nurse offer?
A. Osteoporosis is a progressive genetic disease with no
effective treatment.
,3|Page
B. Calcium loss from bones can be slowed by increasing
calcium intake and exercise.
C. Estrogen replacement therapy should be started to
prevent the progression osteoporosis.
D. Low-dose corticosteroid treatment effectively halts the
course of osteoporosis. - ..ANSWER...✓✓ B. Calcium loss
from bones can be slowed by increasing calcium intake
and exercise.
Post-menopausal females are at risk for osteoporosis
due to the cessation of estrogen secretion, but a regimen
including calcium, vitamin D, and weight-bearing exercise
can help prevent further bone loss.
A client with heart disease is on a continuous telemetry
monitor and has developed sinus bradycardia. In
determining the possible cause of the bradycardia, the
nurse assesses the client's medication record. Which
medication is most likely the cause of the bradycardia?
A. Propanolol.
B. Captopril.
C. Furosemide.
, 4|Page
D. Dobutamine. - ..ANSWER...✓✓ A. Propanolol.
Propanolol is a beta adrenergic blocking agent, which
causes decreased heart rate and decreased contractility.
The nurse assesses a client with advanced cirrhosis of
the liver for signs of hepatic encephalopathy. Which
finding would the nurse consider an indication of
progressive hepatic encephalopathy?
A. An increase in abdominal girth.
B. Hypertension and a bounding pulse.
C. Decreased bowel sounds.
D. Difficulty in handwriting. - ..ANSWER...✓✓ D. Difficulty
in handwriting.
A daily record in handwriting may provide evidence of
progression of hepatic encephalopathy leading to coma.
An older adult male client comes to the geriatric
screening clinic complaining of pain in his left calf. The
nurse notices a reddened area on the calf of his right leg
which is warm to the touch and suspects it might be
