EVOLVE MED SURG HESI-- General Exam Study
Guide – Practice Questions & Verified Answers
Ready to walk into your exam feeling 100%
prepared and confident?
This powerful study guide is designed for students who don’t just want to pass — they want
to excel.
Forget boring notes and endless rereading. This resource gives you real exam-style practice
questions that reflect the structure, difficulty, and expectations of actual assessments. Every
question includes clear, accurate answers with detailed explanations, so you truly understand
the material instead of memorizing blindly.
🔥 What Makes This Study Guide Different?
✔ Covers the most important and frequently tested topics
✔ Mirrors real exam question formats
✔ Provides step-by-step explanations for deeper understanding
✔ Clean, organized layout for quick revision
✔ Updated and relevant academic content
✔ Designed to improve critical thinking and test-taking skills
💡 Why Students Choose This Guide
Students love this resource because it helps them:
• Identify weak areas quickly
• Strengthen understanding of key concepts
• Improve exam strategy and confidence
• Prepare effectively — even under time pressure
• Boost grades and overall academic performance
,Whether you’re studying weeks ahead or revising the night before, this guide gives you the
clarity, structure, and practice you need to perform at your best.
🎯 Perfect For:
• Final exam preparation
• Midterm reviews
• Weekly revision sessions
• Mastering difficult topics
• Improving academic results
📘 Stop stressing. Start preparing smarter. Get the results you deserve.
This is more than a study guide — it’s your shortcut to exam success.
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. -ANSWER 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
B.At the inner aspect of the left stump
C.At the outer aspect of the left stump
D.At the left groin area -ANSWER 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 -ANSWER 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. -ANSWER 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
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 -ANSWER 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.
In caring for a client with acute diverticulitis, which assessment data warrants an immediate
nursing action?
A. The client has a rigid hard abdomen and elevated WBC.
B. The client has left lower quadrant pain and an elevated temperature.
C.The client is refusing to eat any of the meal and is complaining of nausea.
D. The client has not had a bowel movement in 2 days and has a soft abdomen. -ANSWER
Correct Answer: A
Guide – Practice Questions & Verified Answers
Ready to walk into your exam feeling 100%
prepared and confident?
This powerful study guide is designed for students who don’t just want to pass — they want
to excel.
Forget boring notes and endless rereading. This resource gives you real exam-style practice
questions that reflect the structure, difficulty, and expectations of actual assessments. Every
question includes clear, accurate answers with detailed explanations, so you truly understand
the material instead of memorizing blindly.
🔥 What Makes This Study Guide Different?
✔ Covers the most important and frequently tested topics
✔ Mirrors real exam question formats
✔ Provides step-by-step explanations for deeper understanding
✔ Clean, organized layout for quick revision
✔ Updated and relevant academic content
✔ Designed to improve critical thinking and test-taking skills
💡 Why Students Choose This Guide
Students love this resource because it helps them:
• Identify weak areas quickly
• Strengthen understanding of key concepts
• Improve exam strategy and confidence
• Prepare effectively — even under time pressure
• Boost grades and overall academic performance
,Whether you’re studying weeks ahead or revising the night before, this guide gives you the
clarity, structure, and practice you need to perform at your best.
🎯 Perfect For:
• Final exam preparation
• Midterm reviews
• Weekly revision sessions
• Mastering difficult topics
• Improving academic results
📘 Stop stressing. Start preparing smarter. Get the results you deserve.
This is more than a study guide — it’s your shortcut to exam success.
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. -ANSWER 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
B.At the inner aspect of the left stump
C.At the outer aspect of the left stump
D.At the left groin area -ANSWER 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 -ANSWER 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. -ANSWER 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
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 -ANSWER 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.
In caring for a client with acute diverticulitis, which assessment data warrants an immediate
nursing action?
A. The client has a rigid hard abdomen and elevated WBC.
B. The client has left lower quadrant pain and an elevated temperature.
C.The client is refusing to eat any of the meal and is complaining of nausea.
D. The client has not had a bowel movement in 2 days and has a soft abdomen. -ANSWER
Correct Answer: A
