HESI MED SURG EVOLVE ELSEVIER EXAM / EVOLVE ELSEVIER
HESI MED SURG ACTUAL EXAM 2025/2026 AND A NEW UPDATED
STUDY GUIDE COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH RATIONALES
|GUARANTEED PASS A+ (FULL REVISED) LATEST UPDATED
VERSION 2025
The nurse on a medical-surgical unit is receiving a client from
the post anesthesia care unit (PACU) with a Penrose drain.
Before choosing a room for this client, which information is
most important for the nurse to obtain?
A. If suctioning will be needed for drainage of the wound
Brief the family would prefer a private or semiprivate room
Cliff the client also has a Hemlock in place
D. If the client's wound is infected
Correct Answer: D
Rationale: The fact that the client has a Penrose drain should
alert the nurse to the possibility that the surgical wound is
infected. Penrose drains provide a sinus tract or opening and are
often used to provide drainage of an abscess. To avoid
contamination of another postoperative client, it is most
important to place any client with an infected wound in a private
room. A Penrose drain does not require option A. Although
option B is helpful information, it does not have the priority of
,option D. A Hemlock is used to drain fluid from a dead space
and is not a determinant for the room assignment.
The nurse is giving preoperative instructions to a 14-year-old
client scheduled for surgery to correct a spinal curvature. Which
statement by the client best demonstrates that learning has taken
place?
A."I will read all the teaching booklets you gave me before
surgery."
B."I have had surgery before, so I know what to expect
afterward."
Call the things people have told me will help me take care of my
back."
D.Litt. me show you the method of turning I will use after
surgery."
Correct Answer: D
Rationale: The outcome of learning is best demonstrated when
the client not only verbalizes an understanding but also provides
a return demonstration. A 14-year-old client may or may not
follow through with option A, and there is no measurement of
learning. Option B may help the client understand the surgical
process, but the type of surgery may have been very different,
,with differing postoperative care. In option C, the client may be
saying what the nurse wants to hear without expressing any real
understanding of what to do after surgery.
The nurse is administering a nystatin suspension for stomatitis.
Which instruction will the nurse provide to the client when
administering this medication?
A. "Hold the medication in your mouth for a few minutes before
swallowing it."
B."Do not drink or eat milk products for 1 hour prior to taking
this medication."
C."Dilute the medication with juice to reduce the unpleasant
taste and odor."
D. "Take the medication before meals to promote increased
absorption."
Correct Answer: A
Rationale: Nystatin suspension is prescribed for fungal
infections of the mouth. The client should swish the medication
in the mouth for 2 minutes and then swallow. Option B does not
affect administration of this medication. The medication should
not be diluted because this will reduce its effectiveness. Option
D is not necessary.
, A client with type 2 diabetes takes metformin daily. The client is
scheduled for major surgery requiring general anesthesia the
next day. The nurse anticipates which approach to manage the
client's diabetes best while the client is NPO during the
perioperative period?
A.NPO except for metformin and regular snacks
B.NPO except for oral antidiabetic agent
C.Novolin N insulin subcutaneously twice daily
Regular insulin subcutaneously per sliding scale
Correct Answer: D
Rationale: Regular insulin dosing based on the client's blood
glucose levels (sliding scale) is the best method to achieve
control of the client's blood glucose while the client is NPO and
coping with the major stress of surgery. Option A increases the
risk of vomiting and aspiration. Options B and C provide less
precise control of the blood glucose level.
The nurse in the emergency room assesses a client with a head
trauma and notes a Glasgow Coma Scale (GCS) score of 5.
What actions will the nurse take to ensure the client's safety?
(Select all that apply.)
HESI MED SURG ACTUAL EXAM 2025/2026 AND A NEW UPDATED
STUDY GUIDE COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH RATIONALES
|GUARANTEED PASS A+ (FULL REVISED) LATEST UPDATED
VERSION 2025
The nurse on a medical-surgical unit is receiving a client from
the post anesthesia care unit (PACU) with a Penrose drain.
Before choosing a room for this client, which information is
most important for the nurse to obtain?
A. If suctioning will be needed for drainage of the wound
Brief the family would prefer a private or semiprivate room
Cliff the client also has a Hemlock in place
D. If the client's wound is infected
Correct Answer: D
Rationale: The fact that the client has a Penrose drain should
alert the nurse to the possibility that the surgical wound is
infected. Penrose drains provide a sinus tract or opening and are
often used to provide drainage of an abscess. To avoid
contamination of another postoperative client, it is most
important to place any client with an infected wound in a private
room. A Penrose drain does not require option A. Although
option B is helpful information, it does not have the priority of
,option D. A Hemlock is used to drain fluid from a dead space
and is not a determinant for the room assignment.
The nurse is giving preoperative instructions to a 14-year-old
client scheduled for surgery to correct a spinal curvature. Which
statement by the client best demonstrates that learning has taken
place?
A."I will read all the teaching booklets you gave me before
surgery."
B."I have had surgery before, so I know what to expect
afterward."
Call the things people have told me will help me take care of my
back."
D.Litt. me show you the method of turning I will use after
surgery."
Correct Answer: D
Rationale: The outcome of learning is best demonstrated when
the client not only verbalizes an understanding but also provides
a return demonstration. A 14-year-old client may or may not
follow through with option A, and there is no measurement of
learning. Option B may help the client understand the surgical
process, but the type of surgery may have been very different,
,with differing postoperative care. In option C, the client may be
saying what the nurse wants to hear without expressing any real
understanding of what to do after surgery.
The nurse is administering a nystatin suspension for stomatitis.
Which instruction will the nurse provide to the client when
administering this medication?
A. "Hold the medication in your mouth for a few minutes before
swallowing it."
B."Do not drink or eat milk products for 1 hour prior to taking
this medication."
C."Dilute the medication with juice to reduce the unpleasant
taste and odor."
D. "Take the medication before meals to promote increased
absorption."
Correct Answer: A
Rationale: Nystatin suspension is prescribed for fungal
infections of the mouth. The client should swish the medication
in the mouth for 2 minutes and then swallow. Option B does not
affect administration of this medication. The medication should
not be diluted because this will reduce its effectiveness. Option
D is not necessary.
, A client with type 2 diabetes takes metformin daily. The client is
scheduled for major surgery requiring general anesthesia the
next day. The nurse anticipates which approach to manage the
client's diabetes best while the client is NPO during the
perioperative period?
A.NPO except for metformin and regular snacks
B.NPO except for oral antidiabetic agent
C.Novolin N insulin subcutaneously twice daily
Regular insulin subcutaneously per sliding scale
Correct Answer: D
Rationale: Regular insulin dosing based on the client's blood
glucose levels (sliding scale) is the best method to achieve
control of the client's blood glucose while the client is NPO and
coping with the major stress of surgery. Option A increases the
risk of vomiting and aspiration. Options B and C provide less
precise control of the blood glucose level.
The nurse in the emergency room assesses a client with a head
trauma and notes a Glasgow Coma Scale (GCS) score of 5.
What actions will the nurse take to ensure the client's safety?
(Select all that apply.)
