Page 1 of 70
EVOLVE ELSEVIER HESI MED SURG 2026
EXAM COMPLETE (169) CURRENT TESTING
QUESTIONS AND DETAILED CORRECT
ANSWERS|GUARANTEED PASS.
HESI MED SURG
Maximize your success with this Evolve Elsevier HESI Med-Surg
Exam, designed to assess essential medical-surgical nursing
knowledge. It focuses on pathophysiology, patient assessment,
pharmacology, and evidence-based management of adult health
conditions. The exam strengthens clinical reasoning and NCLEX
readiness in complex patient care scenarios. Suitable for
nursing students preparing for HESI and medical-surgical
coursework.
Which instruction should the nurse teach a female client
about the prevention of toxic shock syndrome?
A. "Get immunization against HPV
B. "Change your tampon frequently"
C. "Empty your bladder after intercourse"
D. "Obtain a yearly flu vaccination ✓ ✓ ...... ANSWER .......
"Change your tampon frequently"
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Rationale: Certain strains of Staphylococcus aureus
produce a toxin that can enter the bloodstream through the
vaginal mucosa. Changing the tampon frequently reduces
the exposure to these toxins, which are the primary cause of
toxic shock syndrome. Option A helps prevent cervical
cancer, not toxic shock syndrome. Option C can lessen the
incidence of urinary tract infection. Option D can help
prevent some individuals from contracting the flu and
pneumonia, but no relationship to toxic shock syndrome has
been proven.
A client with hypertension has been receiving ramipril
(Altace), 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? ✓ ✓
...... ANSWER ....... Administer the prescribed dose at the
scheduled time
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
, Page 3 of 70
The home health nurse is assessing a male client being
treated for Parkinson disease with carbidopa-levodopa. The
nurse observes that he does not demonstrate any apparent
emotion when speaking and rarely blinks. Which
intervention should the nurse implement?
A. Perform a complete cranial nerve assessment
B. Instruct the client that he may be experiencing medication
toxicity
C. Document the presence of these assessment findings
D. Advise the client to seek immediate medical evaluation
✓ ✓ ...... ANSWER ....... Document the presence of these
assessment findings.
Rationale: A masklike expression and infrequent blinking are
common clinical features of parkinsonism. The nurse should
document these expected findings.
Signs of toxicity of levodopa-carbidopa include: dyskinesia,
hallucinations, and psychosis
A female client with a nasogastric tube attached to low
suction states that she is nauseated. The nurse assesses
, Page 4 of 70
that there has been no drainage through the nasogastric
tube in the last 2 hours. Which action should the nurse take
first?
A. Irrigate the nasogastric tube with sterile normal saline
B. Reposition the client on her side
C. Advance the nasgastric tube 5cm
D. Administer an intravenous antiemetic as prescribed ✓ ✓
...... ANSWER ....... Reposition the client on her side
Rationale: The immediate priority is to determine if the tube
is functioning correctly, which would then relieve the client's
nausea. The least invasive intervention, repositioning the
client, should be attempted first, followed by options A and
C, unless either of these interventions is contraindicated. If
these measures are unsuccessful, the client may require
option D.
The nurse teaches a client with type 2 diabetes nutritional
strategies to decrease obesity. Which food items chosen by
the client indicate understanding of the teaching? (Select all
that apply.)
EVOLVE ELSEVIER HESI MED SURG 2026
EXAM COMPLETE (169) CURRENT TESTING
QUESTIONS AND DETAILED CORRECT
ANSWERS|GUARANTEED PASS.
HESI MED SURG
Maximize your success with this Evolve Elsevier HESI Med-Surg
Exam, designed to assess essential medical-surgical nursing
knowledge. It focuses on pathophysiology, patient assessment,
pharmacology, and evidence-based management of adult health
conditions. The exam strengthens clinical reasoning and NCLEX
readiness in complex patient care scenarios. Suitable for
nursing students preparing for HESI and medical-surgical
coursework.
Which instruction should the nurse teach a female client
about the prevention of toxic shock syndrome?
A. "Get immunization against HPV
B. "Change your tampon frequently"
C. "Empty your bladder after intercourse"
D. "Obtain a yearly flu vaccination ✓ ✓ ...... ANSWER .......
"Change your tampon frequently"
, Page 2 of 70
Rationale: Certain strains of Staphylococcus aureus
produce a toxin that can enter the bloodstream through the
vaginal mucosa. Changing the tampon frequently reduces
the exposure to these toxins, which are the primary cause of
toxic shock syndrome. Option A helps prevent cervical
cancer, not toxic shock syndrome. Option C can lessen the
incidence of urinary tract infection. Option D can help
prevent some individuals from contracting the flu and
pneumonia, but no relationship to toxic shock syndrome has
been proven.
A client with hypertension has been receiving ramipril
(Altace), 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? ✓ ✓
...... ANSWER ....... Administer the prescribed dose at the
scheduled time
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
, Page 3 of 70
The home health nurse is assessing a male client being
treated for Parkinson disease with carbidopa-levodopa. The
nurse observes that he does not demonstrate any apparent
emotion when speaking and rarely blinks. Which
intervention should the nurse implement?
A. Perform a complete cranial nerve assessment
B. Instruct the client that he may be experiencing medication
toxicity
C. Document the presence of these assessment findings
D. Advise the client to seek immediate medical evaluation
✓ ✓ ...... ANSWER ....... Document the presence of these
assessment findings.
Rationale: A masklike expression and infrequent blinking are
common clinical features of parkinsonism. The nurse should
document these expected findings.
Signs of toxicity of levodopa-carbidopa include: dyskinesia,
hallucinations, and psychosis
A female client with a nasogastric tube attached to low
suction states that she is nauseated. The nurse assesses
, Page 4 of 70
that there has been no drainage through the nasogastric
tube in the last 2 hours. Which action should the nurse take
first?
A. Irrigate the nasogastric tube with sterile normal saline
B. Reposition the client on her side
C. Advance the nasgastric tube 5cm
D. Administer an intravenous antiemetic as prescribed ✓ ✓
...... ANSWER ....... Reposition the client on her side
Rationale: The immediate priority is to determine if the tube
is functioning correctly, which would then relieve the client's
nausea. The least invasive intervention, repositioning the
client, should be attempted first, followed by options A and
C, unless either of these interventions is contraindicated. If
these measures are unsuccessful, the client may require
option D.
The nurse teaches a client with type 2 diabetes nutritional
strategies to decrease obesity. Which food items chosen by
the client indicate understanding of the teaching? (Select all
that apply.)
