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EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM (NEW UPDATED
VERSION) LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ UPDATED THIS YEAR
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? - CORRECT 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
QUESTION :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 - CORRECT 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
2026 2027 GRADED A+
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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.
QUESTION :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 - CORRECT ANSWER
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
QUESTION :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 - CORRECT ANSWER
Reposition the client on her side
2026 2027 GRADED A+
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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.
QUESTION :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 - CORRECT ANSWER Salmon, Broccoli, and Banana
Rationale: Provides fresh fruits, lean meats and fish, vegetables, whole grains, and low-fat
dairy products.
QUESTION :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 - CORRECT ANSWER Infection
2026 2027 GRADED A+
EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM (NEW UPDATED
VERSION) LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ UPDATED THIS YEAR
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? - CORRECT 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
QUESTION :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 - CORRECT 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
2026 2027 GRADED A+
,2|Page
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.
QUESTION :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 - CORRECT ANSWER
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
QUESTION :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 - CORRECT ANSWER
Reposition the client on her side
2026 2027 GRADED A+
, 3|Page
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.
QUESTION :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 - CORRECT ANSWER Salmon, Broccoli, and Banana
Rationale: Provides fresh fruits, lean meats and fish, vegetables, whole grains, and low-fat
dairy products.
QUESTION :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 - CORRECT ANSWER Infection
2026 2027 GRADED A+
