EVOLVE ELSEVIER HESI MED SURG
ACCURATE AND FREQUENTLY TESTED QUESTIONS AND 100% CORRECT ANSWERS
ANSWERS WITH RATIONALES 2025 UPDATE
THIS DOCUMENT CONTAINS:
❖ EVOLVE ELSEVIER HESI MED SURG
❖ ACCURATE AND FREQUENTLY TESTED QUESTIONS
❖ 100% CORRECT ANSWERS WITH RATIONALES
❖ LATEST AND COMPLETE UPDATE WITH EXPERT
❖ VERIFIED SOLUTIONS DO NOT COPY BY MBOFFIN
❖ COMPLETE A+ GUIDE
https://www.stuvia.com/en-us/user/MBoffin
, 1|Page
EVOLVE ELSEVIER HESI MED SURG EXAM|| ACCURATE AND
FREQUENTLY TESTED QUESTIONS AND 100% CORRECT
ANSWERS WITH RATIONALES|| LATEST AND COMPLETE
UPDATE WITH EXPERT VERIFIED SOLUTIONS|| SURE PASS!!
**1. The nurse is providing care to a client admitted to the emergency room
with a blood glucose level of 40 mg/dL and is semiconscious. What are the
nurse's next actions? (Select all that apply.)
-Start an IV of Normal Saline.
-Obtain a 50% dextrose solution.
-Administer glucagon as per the standing order.
-Turn the client to the side.
Rationale:
Oral carbohydrates, such as sugar and honey, should never be given to the
semiconscious or unconscious clients with low blood sugar levels, for
concern for aspiration. Glucagon can be administered immediately,
followed by starting an IV. Await the orders for the 50% dextrose solution.
Place the client in a side lying position as there is a risk for vomiting and
aspiration with these clients.
**2. An 81-year-old client has emphysema. The client lives at home with a
cat and manages self-care with no difficulty. When making a home visit,
the nurse notices that this client's tongue is somewhat cracked and his
eyeballs appear sunken.
Which nursing action is indicated?
Help the client determine ways to increase fluid intake.
Rationale:
Clients with COPD should ingest 3 L of fluids daily but may experience a
fluid deficit because of shortness of breath. The nurse should suggest
creative methods
https://www.stuvia.com/en-us/user/MBoffin
, 2|Page
to increase the intake of fluids, such as having fruit juices in disposable
containers readily available.
**3. A 58-year-old client who has no health problems asks the nurse about
receiving the pneumococcal vaccine. Which statement given by the nurse
would offer the client accurate information about this vaccine?
The immunization is administered once to older adults or those at risk for
illness. Rationale:
It is usually recommended that persons older than 65 years and those with
a history of chronic illness should receive the vaccine once in their lifetime.
Some recommend receiving the vaccine at 50 years of age. The influenza
vaccine is given once a year. Although the vaccine might be given to a
person traveling overseas, that is not the main rationale for administering
the vaccine. The vaccine is usually given once in a lifetime, but with
immunosuppressed clients or clients with a history of pneumonia,
revaccination is sometimes required.
**4. The clinic nurse is teaching a client with osteoarthritis to the knees
bilaterally
about self-care. Which teaching points will the nurse include in the client's
plan of care? (Select all that apply.)
-Apply heat packs to your knees as needed for pain.
-Support your knees while you are in bed with a pillow or a rolled towel.
-Get 7 to 8 hours of sleep every night.
-Eat a balanced diet, including fish with Omega-3 fatty
acids. Rationale:
The maximum daily dose of acetaminophen is 4 g, the instruction includes
up to 6 g/per day. The best type of exercise does not place additional stress
on the knee joints, such as biking or swimming. Apply heat to increase
circulation and ice packs to decrease swelling. Support to the knees can
https://www.stuvia.com/en-us/user/MBoffin
, take the strain off of the joint.
https://www.stuvia.com/en-us/user/MBoffin
ACCURATE AND FREQUENTLY TESTED QUESTIONS AND 100% CORRECT ANSWERS
ANSWERS WITH RATIONALES 2025 UPDATE
THIS DOCUMENT CONTAINS:
❖ EVOLVE ELSEVIER HESI MED SURG
❖ ACCURATE AND FREQUENTLY TESTED QUESTIONS
❖ 100% CORRECT ANSWERS WITH RATIONALES
❖ LATEST AND COMPLETE UPDATE WITH EXPERT
❖ VERIFIED SOLUTIONS DO NOT COPY BY MBOFFIN
❖ COMPLETE A+ GUIDE
https://www.stuvia.com/en-us/user/MBoffin
, 1|Page
EVOLVE ELSEVIER HESI MED SURG EXAM|| ACCURATE AND
FREQUENTLY TESTED QUESTIONS AND 100% CORRECT
ANSWERS WITH RATIONALES|| LATEST AND COMPLETE
UPDATE WITH EXPERT VERIFIED SOLUTIONS|| SURE PASS!!
**1. The nurse is providing care to a client admitted to the emergency room
with a blood glucose level of 40 mg/dL and is semiconscious. What are the
nurse's next actions? (Select all that apply.)
-Start an IV of Normal Saline.
-Obtain a 50% dextrose solution.
-Administer glucagon as per the standing order.
-Turn the client to the side.
Rationale:
Oral carbohydrates, such as sugar and honey, should never be given to the
semiconscious or unconscious clients with low blood sugar levels, for
concern for aspiration. Glucagon can be administered immediately,
followed by starting an IV. Await the orders for the 50% dextrose solution.
Place the client in a side lying position as there is a risk for vomiting and
aspiration with these clients.
**2. An 81-year-old client has emphysema. The client lives at home with a
cat and manages self-care with no difficulty. When making a home visit,
the nurse notices that this client's tongue is somewhat cracked and his
eyeballs appear sunken.
Which nursing action is indicated?
Help the client determine ways to increase fluid intake.
Rationale:
Clients with COPD should ingest 3 L of fluids daily but may experience a
fluid deficit because of shortness of breath. The nurse should suggest
creative methods
https://www.stuvia.com/en-us/user/MBoffin
, 2|Page
to increase the intake of fluids, such as having fruit juices in disposable
containers readily available.
**3. A 58-year-old client who has no health problems asks the nurse about
receiving the pneumococcal vaccine. Which statement given by the nurse
would offer the client accurate information about this vaccine?
The immunization is administered once to older adults or those at risk for
illness. Rationale:
It is usually recommended that persons older than 65 years and those with
a history of chronic illness should receive the vaccine once in their lifetime.
Some recommend receiving the vaccine at 50 years of age. The influenza
vaccine is given once a year. Although the vaccine might be given to a
person traveling overseas, that is not the main rationale for administering
the vaccine. The vaccine is usually given once in a lifetime, but with
immunosuppressed clients or clients with a history of pneumonia,
revaccination is sometimes required.
**4. The clinic nurse is teaching a client with osteoarthritis to the knees
bilaterally
about self-care. Which teaching points will the nurse include in the client's
plan of care? (Select all that apply.)
-Apply heat packs to your knees as needed for pain.
-Support your knees while you are in bed with a pillow or a rolled towel.
-Get 7 to 8 hours of sleep every night.
-Eat a balanced diet, including fish with Omega-3 fatty
acids. Rationale:
The maximum daily dose of acetaminophen is 4 g, the instruction includes
up to 6 g/per day. The best type of exercise does not place additional stress
on the knee joints, such as biking or swimming. Apply heat to increase
circulation and ice packs to decrease swelling. Support to the knees can
https://www.stuvia.com/en-us/user/MBoffin
, take the strain off of the joint.
https://www.stuvia.com/en-us/user/MBoffin
