EVOLVE MED SURG HESI| HESI MED SURG
EVOLVE COMBINED PTRACTICE 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 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 1 of 153
,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
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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,would be appropriate if the client's blood pressure was excessively low (<100 mm Hg
systolic) or if the client were exhibiting signs of hypotension such as dizziness. This
prescribed dose is within the normal dosage range, as defined by the manufacturer; therefore,
option D is not necessary
The nurse is providing care for a client diagnosed with trigeminal neuralgia (tic douloureux).
Which symptoms will the nurse be looking for in the focused assessment related to this
condition? (Select all that apply.)
A. Facial muscle spasms
B. Sudden facial pain
C. Unilateral facial weakness
D. Difficulty in chewing
E.Tinnitus
F.Hearing difficulties---Correct Answer: A,B
Rationale:Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric
shock, in the area innervated by one or more branches of the trigeminal nerve (cranial V).
The remaining symptoms are not related to trigeminal neuralgia.
Which instruction is best for the nurse to provide to a client with emphysema and chronic
fatigue?
A."Pace your activities and schedule rest periods."
B."Increase the amount of oxygen you use at night."
C."Obtain medical evaluation for antibiotic therapy."
D."Reduce your intake of fluids containing caffeine."---Correct Answer: A
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, Rationale:Manifestations of emphysema include an increase in AP diameter (referred to as a
barrel chest), nail bed clubbing, and fatigue. The nurse can provide instructions to promote
energy management, such as pacing activities and scheduling rest periods. Option B may
result in a decreased drive to breathe. The client is not exhibiting any symptoms of infection,
so option C is not necessary. Option D is less beneficial than option A.
Which nursing action would be appropriate for a client who is newly diagnosed with Cushing
syndrome?
A.Monitor blood glucose levels daily.
B.Increase intake of fluids high in potassium.
C.Encourage adequate rest between activities.
D.Offer the client a sodium-enriched menu.---Correct Answer: A
Rationale: Cushing syndrome results from a hypersecretion of glucocorticoids in the adrenal
cortex. Clients with Cushing syndrome often develop diabetes mellitus. Monitoring of serum
glucose levels assesses for increased blood glucose levels so that treatment can begin early. A
common finding in Cushing syndrome is generalized edema. Although potassium is needed,
it is generally obtained from food intake, not by offering potassium-enhanced fluids. Fatigue
is usually not an overwhelming factor in Cushing syndrome, so an emphasis on the need for
rest is not indicated. A low-calorie, low-carbohydrate, low-sodium diet is not recommended.
During the change of shift report, the charge nurse reviews the infusions being received by
clients on the oncology unit. The client receiving which infusion should be assessed first?
A.Continuous IV infusion of magnesium
B.One-time infusion of albumin
C.Continuous epidural infusion of morphine
D.Intermittent infusion of IV vancomycin---Correct Answer: C
Page 4 of 153
EVOLVE COMBINED PTRACTICE 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 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 1 of 153
,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
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
Page 2 of 153
,would be appropriate if the client's blood pressure was excessively low (<100 mm Hg
systolic) or if the client were exhibiting signs of hypotension such as dizziness. This
prescribed dose is within the normal dosage range, as defined by the manufacturer; therefore,
option D is not necessary
The nurse is providing care for a client diagnosed with trigeminal neuralgia (tic douloureux).
Which symptoms will the nurse be looking for in the focused assessment related to this
condition? (Select all that apply.)
A. Facial muscle spasms
B. Sudden facial pain
C. Unilateral facial weakness
D. Difficulty in chewing
E.Tinnitus
F.Hearing difficulties---Correct Answer: A,B
Rationale:Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric
shock, in the area innervated by one or more branches of the trigeminal nerve (cranial V).
The remaining symptoms are not related to trigeminal neuralgia.
Which instruction is best for the nurse to provide to a client with emphysema and chronic
fatigue?
A."Pace your activities and schedule rest periods."
B."Increase the amount of oxygen you use at night."
C."Obtain medical evaluation for antibiotic therapy."
D."Reduce your intake of fluids containing caffeine."---Correct Answer: A
Page 3 of 153
, Rationale:Manifestations of emphysema include an increase in AP diameter (referred to as a
barrel chest), nail bed clubbing, and fatigue. The nurse can provide instructions to promote
energy management, such as pacing activities and scheduling rest periods. Option B may
result in a decreased drive to breathe. The client is not exhibiting any symptoms of infection,
so option C is not necessary. Option D is less beneficial than option A.
Which nursing action would be appropriate for a client who is newly diagnosed with Cushing
syndrome?
A.Monitor blood glucose levels daily.
B.Increase intake of fluids high in potassium.
C.Encourage adequate rest between activities.
D.Offer the client a sodium-enriched menu.---Correct Answer: A
Rationale: Cushing syndrome results from a hypersecretion of glucocorticoids in the adrenal
cortex. Clients with Cushing syndrome often develop diabetes mellitus. Monitoring of serum
glucose levels assesses for increased blood glucose levels so that treatment can begin early. A
common finding in Cushing syndrome is generalized edema. Although potassium is needed,
it is generally obtained from food intake, not by offering potassium-enhanced fluids. Fatigue
is usually not an overwhelming factor in Cushing syndrome, so an emphasis on the need for
rest is not indicated. A low-calorie, low-carbohydrate, low-sodium diet is not recommended.
During the change of shift report, the charge nurse reviews the infusions being received by
clients on the oncology unit. The client receiving which infusion should be assessed first?
A.Continuous IV infusion of magnesium
B.One-time infusion of albumin
C.Continuous epidural infusion of morphine
D.Intermittent infusion of IV vancomycin---Correct Answer: C
Page 4 of 153
