2026 EVOLVE ELSEVIER HESI MED SURG EXAM
NEWEST 2026-2027 COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
A client with type 2 diabetes takes metformin (Glucophage) daily. The client is
scheduled for major surgery requiring general anesthesia the next day.
The nurse anticipates which approach to manage the client's diabetes best while the
client is NPO during the perioperative period?
A. NPO except for metformin and regular
B. NPO except for oral antidiabetic agent
C. Novolin N insulin SQ BID
D. Regular insulin SQ per sliding scale
Regular insulin SQ per sliding scale
Rationale: Regular insulin dosing based on the client's blood glucose levels (sliding
scale) is the best method to achieve control of the client's blood
glucose while the client is NPO and coping with the major stress of surgery.
Option A increases the risk of vomiting and aspiration. Options B and C provide less
precise control of the blood glucose level.
,During report, the nurse learns that a client with tumor lysis syndrome is receiving
an IV infusion containing insulin. Which assessment should the nurse complete
first?
A. Review the client's history for diabetes mellitus
B. Observe the extremity distal to the IV site
C. Monitor the client's serum potassium and blood glucose levels
D. Evaluate the client's oxygen saturation and breath sounds
Monitor the client's serum potassium and blood glucose levels Rationale:
Clients with tumor lysis syndrome may experience hyperkalemia, requiring the
addition of insulin to the IV solution to reduce the serum potassium level. It is most
important for the nurse to monitor the client's serum
potassium and blood glucose levels to ensure that they are not at
dangerous levels. Options A, B, and D provide valuable assessment data but are of less
priority than option C.
,Which description of symptoms is characteristic of a client diagnosed with trigeminal
neuralgia (tic douloureux)?
A. Tinnitus, vertigo, and hearing difficulties
B. Sudden, stabbing, severe pain over the lip and chin
C. Unilateral facial weakness and paralysis
D. Difficulty in chewing, talking, and swallowing
Sudden, stabbing, severe pain over the lip and chin
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). Option A would be characteristic of Ménière
syndrome (cranial nerve VIII). Option C would be characteristic of Bell palsy (cranial nerve
VII). Option D would be characteristic of disorders of the
hypoglossal (cranial nerve XII).
, The nurse is caring for a client with a fractured right elbow. Which assessment finding
has the highest priority and requires immediate intervention?
A. Ecchymosis over the right elbow area
B. Deep unrelenting pain in the right arm
C. An edematous right elbow
D. The presence of crepitus in the right elbow
Deep unrelenting pain in the right arm
Rationale: Compartment syndrome is a condition involving increased pressure and
constriction of the nerves and vessels within an anatomic
compartment, causing pain uncontrolled by opioids and neurovascular compromise. Option
A is an expected finding. Option C related to
compartment syndrome cannot be seen, and any visible edema is an expected
finding related to the injury. Option D is an expected finding.
NEWEST 2026-2027 COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
A client with type 2 diabetes takes metformin (Glucophage) daily. The client is
scheduled for major surgery requiring general anesthesia the next day.
The nurse anticipates which approach to manage the client's diabetes best while the
client is NPO during the perioperative period?
A. NPO except for metformin and regular
B. NPO except for oral antidiabetic agent
C. Novolin N insulin SQ BID
D. Regular insulin SQ per sliding scale
Regular insulin SQ per sliding scale
Rationale: Regular insulin dosing based on the client's blood glucose levels (sliding
scale) is the best method to achieve control of the client's blood
glucose while the client is NPO and coping with the major stress of surgery.
Option A increases the risk of vomiting and aspiration. Options B and C provide less
precise control of the blood glucose level.
,During report, the nurse learns that a client with tumor lysis syndrome is receiving
an IV infusion containing insulin. Which assessment should the nurse complete
first?
A. Review the client's history for diabetes mellitus
B. Observe the extremity distal to the IV site
C. Monitor the client's serum potassium and blood glucose levels
D. Evaluate the client's oxygen saturation and breath sounds
Monitor the client's serum potassium and blood glucose levels Rationale:
Clients with tumor lysis syndrome may experience hyperkalemia, requiring the
addition of insulin to the IV solution to reduce the serum potassium level. It is most
important for the nurse to monitor the client's serum
potassium and blood glucose levels to ensure that they are not at
dangerous levels. Options A, B, and D provide valuable assessment data but are of less
priority than option C.
,Which description of symptoms is characteristic of a client diagnosed with trigeminal
neuralgia (tic douloureux)?
A. Tinnitus, vertigo, and hearing difficulties
B. Sudden, stabbing, severe pain over the lip and chin
C. Unilateral facial weakness and paralysis
D. Difficulty in chewing, talking, and swallowing
Sudden, stabbing, severe pain over the lip and chin
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). Option A would be characteristic of Ménière
syndrome (cranial nerve VIII). Option C would be characteristic of Bell palsy (cranial nerve
VII). Option D would be characteristic of disorders of the
hypoglossal (cranial nerve XII).
, The nurse is caring for a client with a fractured right elbow. Which assessment finding
has the highest priority and requires immediate intervention?
A. Ecchymosis over the right elbow area
B. Deep unrelenting pain in the right arm
C. An edematous right elbow
D. The presence of crepitus in the right elbow
Deep unrelenting pain in the right arm
Rationale: Compartment syndrome is a condition involving increased pressure and
constriction of the nerves and vessels within an anatomic
compartment, causing pain uncontrolled by opioids and neurovascular compromise. Option
A is an expected finding. Option C related to
compartment syndrome cannot be seen, and any visible edema is an expected
finding related to the injury. Option D is an expected finding.
