Evolve HESI med surg Practice Exam
EVOLVE HESI MED SURG PRACTICE EXAM NEWEST 2026/2027
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
Contents Covered
Chapter 1: Fluid, Electrolytes, and Nutrition .......................................................... 2
Chapter 2: Cardiovascular Disorders ...................................................................... 3
Chapter 3: Respiratory Disorders ........................................................................... 7
Chapter 4: Gastrointestinal and Hepatic Disorders ............................................... 10
Chapter 5: Renal and Urinary Disorders ............................................................... 13
Chapter 6: Neurological Disorders ....................................................................... 14
Chapter 7: Oncology and Immune System ........................................................... 16
Chapter 8: Musculoskeletal and Integumentary ................................................... 19
Chapter 9: Gerontology and Chronic Care ............................................................ 22
Chapter 10: Special Senses (Eye and Ear) ............................................................. 24
Chapter 11: Perioperative and Critical Care.......................................................... 25
Chapter 12: Leadership, Management, and Disaster............................................ 30
1|Page
, Evolve HESI med surg Practice Exam
Chapter 1: Fluid, Electrolytes, and Nutrition
The nurse receives the client's next scheduled bag of TPN labeled with the
additive NPH insulin. Which action should the nurse implement?
A. Hang the solution at the current rate.
B. Refrigerate the solution until needed.
C. Prepare the solution with new tubing.
D. Return the solution to the pharmacy.
Answer: D
Rationale: Only regular insulin is administered by the IV route, so the TPN solution
containing NPH insulin should be returned to the pharmacy. Options A, B, and C
are not indicated because the solution should not be administered.
In assessing a client diagnosed with primary aldosteronism, the nurse expects the
laboratory test results to indicate a decreased serum level of which substance?
A. Sodium
2|Page
, Evolve HESI med surg Practice Exam
B. Phosphate
C. Potassium
D. Glucose
Answer: C
Rationale: Clients with primary aldosteronism exhibit a profound decline in serum
levels of potassium; hypokalemia; hypertension is the most prominent and
universal sign. The serum sodium level is normal or elevated, depending on the
amount of water resorbed with the sodium. Option B is influenced by parathyroid
hormone (PTH). Option D is not affected by primary aldosteronism.
Chapter 2: Cardiovascular Disorders
During assessment of a client in the intensive care unit, the nurse notes that the
client’s breath sounds are clear on auscultation, but jugular vein distention and
muffled heart sounds are present. Which intervention should the nurse
implement?
A. Prepare the client for a pericardial tap.
B. Administer intravenous furosemide (Lasix).
3|Page
, Evolve HESI med surg Practice Exam
C. Assist the client to cough and breathe deeply.
D. Instruct the client to restrict oral fluid intake.
Answer: A
Rationale: The client is exhibiting symptoms of cardiac tamponade, a collection of
fluid in the pericardial sac that results in a reduction in cardiac output, which is a
potentially fatal complication of pericarditis. Treatment for tamponade is a
pericardial tap. Lasix IV is not indicated for treatment of pericarditis. Because the
client’s breath sounds are clear, option C is not a priority. Fluids are frequently
increased in the initial treatment of tamponade to compensate for the decrease in
cardiac output, but this is not the same priority as option A.
A client diagnosed with angina pectoris complains of chest pain while ambulating
in the hallway. Which action should the nurse implement first?
A. Support the client to a sitting position.
B. Ask the client to walk slowly back to the room.
C. Administer a sublingual nitroglycerin tablet.
D. Provide oxygen via nasal cannula.
4|Page
EVOLVE HESI MED SURG PRACTICE EXAM NEWEST 2026/2027
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
Contents Covered
Chapter 1: Fluid, Electrolytes, and Nutrition .......................................................... 2
Chapter 2: Cardiovascular Disorders ...................................................................... 3
Chapter 3: Respiratory Disorders ........................................................................... 7
Chapter 4: Gastrointestinal and Hepatic Disorders ............................................... 10
Chapter 5: Renal and Urinary Disorders ............................................................... 13
Chapter 6: Neurological Disorders ....................................................................... 14
Chapter 7: Oncology and Immune System ........................................................... 16
Chapter 8: Musculoskeletal and Integumentary ................................................... 19
Chapter 9: Gerontology and Chronic Care ............................................................ 22
Chapter 10: Special Senses (Eye and Ear) ............................................................. 24
Chapter 11: Perioperative and Critical Care.......................................................... 25
Chapter 12: Leadership, Management, and Disaster............................................ 30
1|Page
, Evolve HESI med surg Practice Exam
Chapter 1: Fluid, Electrolytes, and Nutrition
The nurse receives the client's next scheduled bag of TPN labeled with the
additive NPH insulin. Which action should the nurse implement?
A. Hang the solution at the current rate.
B. Refrigerate the solution until needed.
C. Prepare the solution with new tubing.
D. Return the solution to the pharmacy.
Answer: D
Rationale: Only regular insulin is administered by the IV route, so the TPN solution
containing NPH insulin should be returned to the pharmacy. Options A, B, and C
are not indicated because the solution should not be administered.
In assessing a client diagnosed with primary aldosteronism, the nurse expects the
laboratory test results to indicate a decreased serum level of which substance?
A. Sodium
2|Page
, Evolve HESI med surg Practice Exam
B. Phosphate
C. Potassium
D. Glucose
Answer: C
Rationale: Clients with primary aldosteronism exhibit a profound decline in serum
levels of potassium; hypokalemia; hypertension is the most prominent and
universal sign. The serum sodium level is normal or elevated, depending on the
amount of water resorbed with the sodium. Option B is influenced by parathyroid
hormone (PTH). Option D is not affected by primary aldosteronism.
Chapter 2: Cardiovascular Disorders
During assessment of a client in the intensive care unit, the nurse notes that the
client’s breath sounds are clear on auscultation, but jugular vein distention and
muffled heart sounds are present. Which intervention should the nurse
implement?
A. Prepare the client for a pericardial tap.
B. Administer intravenous furosemide (Lasix).
3|Page
, Evolve HESI med surg Practice Exam
C. Assist the client to cough and breathe deeply.
D. Instruct the client to restrict oral fluid intake.
Answer: A
Rationale: The client is exhibiting symptoms of cardiac tamponade, a collection of
fluid in the pericardial sac that results in a reduction in cardiac output, which is a
potentially fatal complication of pericarditis. Treatment for tamponade is a
pericardial tap. Lasix IV is not indicated for treatment of pericarditis. Because the
client’s breath sounds are clear, option C is not a priority. Fluids are frequently
increased in the initial treatment of tamponade to compensate for the decrease in
cardiac output, but this is not the same priority as option A.
A client diagnosed with angina pectoris complains of chest pain while ambulating
in the hallway. Which action should the nurse implement first?
A. Support the client to a sitting position.
B. Ask the client to walk slowly back to the room.
C. Administer a sublingual nitroglycerin tablet.
D. Provide oxygen via nasal cannula.
4|Page
