1
HESI MED SURG EVOLVE COMBINED
Practice Exam Test Questions with Verified
Solutions New Modified Tested and
Approved Graded A+ With Rationales 2026
Latest
The nurse is concerned about infection for a client after an
esophagogastrostomy for esophageal cancer. Which
actions should the nurse include in the client's plan of
care? (Select all that apply.)
A. Frequent oral care every 2 hours while awake.
B. Use incentive spirometer every 2 hours.
C. Empty contents from NG tube every 8 hours.
D. Ambulate within 1 hour of return from the PACU.
E. Limit
visitors until postoperative day 2.---<<Correct
Answer>> A,B,C
Rationale:One hour post op is too soon to ambulate for
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this client. Visitors help support the patient and are
encouraged to visit. Oral care is necessary as the client will
be NPO. To decrease the risk of infection post operatively,
implement routine pulmonary exercises. The client will
have an NG tube in place, likely to intermittent suction, to
decompress the stomach post surgery.
The client is return demonstrating wrapping of the left
limb amputated above the knee. The nurse evaluates the
client is starting the wrapping method correctly when the
client places the end of the bandage at which point?
A. Around the waist
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B. At the inner aspect of the left stump
C. At the outer aspect of the left stump
D. At the left groin area---<<Correct Answer>> A
Rationale:The waist is the anchor point for the bandage
for an above the knee amputation.
A nurse is assisting an 82-year-old client with ambulation
and is concerned that the client may fall. Which area
contains the older person's center of gravity?
A. Head and neck
B. Upper torso
C. Bilateral arms
D. Feet and legs---<<Correct Answer>> B
Rationale:Stooped posture results in the upper torso
becoming the center of gravity for older persons. The
center of gravity for adults is the hips. However, as a
person grows older, a stooped posture is common because
of changes caused by osteoporosis and normal bone
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degeneration. Furthermore, the knees, hips, and elbows
flex. The head and neck and feet and legs are not the
center of gravity in the older adult. Although the arms
comprise a part of the upper torso, they do not reflect the
best and most complete answer.
A client with hypertension has been receiving ramipril, 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?
A. Administer the prescribed dose at the scheduled time.
B. Hold the dose and contact the health care provider.
C. Hold the dose and recheck the blood pressure in 1 hour.
D. Check the health care provider's prescription to clarify
the dose.---<<Correct Answer>> A
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.
Options B and C
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@#$%(*)_+)($%#@$)_+)(#@!#%)(_(*&%$#@$%*&()*&#
HESI MED SURG EVOLVE COMBINED
Practice Exam Test Questions with Verified
Solutions New Modified Tested and
Approved Graded A+ With Rationales 2026
Latest
The nurse is concerned about infection for a client after an
esophagogastrostomy for esophageal cancer. Which
actions should the nurse include in the client's plan of
care? (Select all that apply.)
A. Frequent oral care every 2 hours while awake.
B. Use incentive spirometer every 2 hours.
C. Empty contents from NG tube every 8 hours.
D. Ambulate within 1 hour of return from the PACU.
E. Limit
visitors until postoperative day 2.---<<Correct
Answer>> A,B,C
Rationale:One hour post op is too soon to ambulate for
Page 1 of 331
@#$%(*)_+)($%#@$)_+)(#@!#%)(_(*&%$#@$%*&()*&#
,2
this client. Visitors help support the patient and are
encouraged to visit. Oral care is necessary as the client will
be NPO. To decrease the risk of infection post operatively,
implement routine pulmonary exercises. The client will
have an NG tube in place, likely to intermittent suction, to
decompress the stomach post surgery.
The client is return demonstrating wrapping of the left
limb amputated above the knee. The nurse evaluates the
client is starting the wrapping method correctly when the
client places the end of the bandage at which point?
A. Around the waist
Page 2 of 331
@#$%(*)_+)($%#@$)_+)(#@!#%)(_(*&%$#@$%*&()*&#
,3
B. At the inner aspect of the left stump
C. At the outer aspect of the left stump
D. At the left groin area---<<Correct Answer>> A
Rationale:The waist is the anchor point for the bandage
for an above the knee amputation.
A nurse is assisting an 82-year-old client with ambulation
and is concerned that the client may fall. Which area
contains the older person's center of gravity?
A. Head and neck
B. Upper torso
C. Bilateral arms
D. Feet and legs---<<Correct Answer>> B
Rationale:Stooped posture results in the upper torso
becoming the center of gravity for older persons. The
center of gravity for adults is the hips. However, as a
person grows older, a stooped posture is common because
of changes caused by osteoporosis and normal bone
Page 3 of 331
@#$%(*)_+)($%#@$)_+)(#@!#%)(_(*&%$#@$%*&()*&#
, 4
degeneration. Furthermore, the knees, hips, and elbows
flex. The head and neck and feet and legs are not the
center of gravity in the older adult. Although the arms
comprise a part of the upper torso, they do not reflect the
best and most complete answer.
A client with hypertension has been receiving ramipril, 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?
A. Administer the prescribed dose at the scheduled time.
B. Hold the dose and contact the health care provider.
C. Hold the dose and recheck the blood pressure in 1 hour.
D. Check the health care provider's prescription to clarify
the dose.---<<Correct Answer>> A
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.
Options B and C
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