EVOLVE ELSEVIER HESI MED SURG
LATEST 2025/ 2026 TEST BANK|
COMPLETE 350 REAL EXAM QUESTIONS
AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ GRADED A+|
EVOLVE HESI MEDICAL SURGICAL LATEST
EXAM (BRAND NEW!!)
❤️ SECTION 1: CARDIOVASCULAR DISORDERS (Questions 1-
60)
Q1. A 62-year-old male with a history of myocardial infarction
presents with chest pain and dyspnea. BP 150/90 mm Hg, HR 95
bpm, SpO₂ 93%. What is the nurse's priority action?
A) Administer nitroglycerin sublingually
B) Administer oxygen via nasal cannula
C) Obtain a 12-lead ECG immediately
D) Administer aspirin 325 mg orally
,,,,,,ANSWER,,,,,,: B) Administer oxygen via nasal cannula
Rationale: Oxygen administration is the priority to improve
oxygenation and reduce myocardial workload in a patient with chest
pain and low SpO₂ (93% is below normal). Nitroglycerin, ECG, and
aspirin are secondary actions after stabilizing oxygenation .
,Q2. A client with atrial fibrillation has a rapid ventricular response.
What treatment should the nurse anticipate?
A) Administer lidocaine 75 mg IV push
B) Perform synchronized cardioversion
C) Defibrillate immediately
D) Administer atropine 0.4 mg IV push
,,,,,,ANSWER,,,,,,: B) Perform synchronized cardioversion
Rationale: Synchronized cardioversion is the treatment of choice for
uncontrolled atrial fibrillation to restore normal sinus rhythm. Lidocaine
is for ventricular dysrhythmias, defibrillation is for life-threatening
rhythms like VF/pulseless VT, and atropine is for bradycardia .
Q3. A client with heart failure is prescribed digoxin. Which finding
indicates digoxin toxicity?
A) Heart rate of 72 bpm
B) Serum potassium 4.2 mEq/L
C) Nausea and vomiting
D) Blood pressure 120/80 mm Hg
,,,,,,ANSWER,,,,,,: C) Nausea and vomiting
Rationale: Nausea, vomiting, anorexia, and visual disturbances (yellow-
green halos) are early signs of digoxin toxicity. Bradycardia (not a
normal heart rate) is also a sign, but nausea/vomiting are classic.
Hypokalemia potentiates digoxin toxicity .
,Q4. A client is receiving furosemide (Lasix) for heart failure. Which
laboratory value should the nurse monitor most closely?
A) Serum sodium
B) Serum potassium
C) Serum calcium
D) Serum magnesium
,,,,,,ANSWER,,,,,,: B) Serum potassium
Rationale: Furosemide is a loop diuretic that causes potassium wasting.
Hypokalemia can lead to cardiac arrhythmias, especially in clients
taking digoxin. Monitoring potassium is critical .
Q5. A client with hypertension is prescribed lisinopril. Which
adverse effect should the nurse monitor for? (Select all that apply)
A) Dry, non-productive cough
B) Peripheral edema
C) Hyperkalemia
D) Hypokalemia
,,,,,,ANSWER,,,,,,: A) Dry, non-productive cough and C)
Hyperkalemia
Rationale: ACE inhibitors like lisinopril can cause a persistent dry
cough and hyperkalemia (due to reduced aldosterone secretion).
Peripheral edema is not typical; hypokalemia is associated with
diuretics .
, Q6. A client with unstable angina is prescribed nitroglycerin
sublingual. Which instruction should the nurse include?
A) "Take a tablet every 5 minutes until the pain is relieved, up to 3
tablets."
B) "Take a tablet at the first sign of chest pain, then call 911 if pain
persists after one tablet."
C) "Swallow the tablet with a full glass of water."
D) "Store the tablets in the refrigerator."
,,,,,,ANSWER,,,,,,: B) "Take a tablet at the first sign of chest pain,
then call 911 if pain persists after one tablet."
Rationale: The client should take one nitroglycerin tablet at the onset of
chest pain. If pain is not relieved after one tablet, they should call 911
immediately (may take a second tablet while waiting). Tablets are placed
under the tongue, not swallowed .
Q7. A client with peripheral arterial disease (PAD) complains of calf
pain when walking that resolves with rest. This symptom is known
as:
A) Rest pain
B) Intermittent claudication
C) Venous stasis
D) Neuropathy
,,,,,,ANSWER,,,,,,: B) Intermittent claudication
LATEST 2025/ 2026 TEST BANK|
COMPLETE 350 REAL EXAM QUESTIONS
AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ GRADED A+|
EVOLVE HESI MEDICAL SURGICAL LATEST
EXAM (BRAND NEW!!)
❤️ SECTION 1: CARDIOVASCULAR DISORDERS (Questions 1-
60)
Q1. A 62-year-old male with a history of myocardial infarction
presents with chest pain and dyspnea. BP 150/90 mm Hg, HR 95
bpm, SpO₂ 93%. What is the nurse's priority action?
A) Administer nitroglycerin sublingually
B) Administer oxygen via nasal cannula
C) Obtain a 12-lead ECG immediately
D) Administer aspirin 325 mg orally
,,,,,,ANSWER,,,,,,: B) Administer oxygen via nasal cannula
Rationale: Oxygen administration is the priority to improve
oxygenation and reduce myocardial workload in a patient with chest
pain and low SpO₂ (93% is below normal). Nitroglycerin, ECG, and
aspirin are secondary actions after stabilizing oxygenation .
,Q2. A client with atrial fibrillation has a rapid ventricular response.
What treatment should the nurse anticipate?
A) Administer lidocaine 75 mg IV push
B) Perform synchronized cardioversion
C) Defibrillate immediately
D) Administer atropine 0.4 mg IV push
,,,,,,ANSWER,,,,,,: B) Perform synchronized cardioversion
Rationale: Synchronized cardioversion is the treatment of choice for
uncontrolled atrial fibrillation to restore normal sinus rhythm. Lidocaine
is for ventricular dysrhythmias, defibrillation is for life-threatening
rhythms like VF/pulseless VT, and atropine is for bradycardia .
Q3. A client with heart failure is prescribed digoxin. Which finding
indicates digoxin toxicity?
A) Heart rate of 72 bpm
B) Serum potassium 4.2 mEq/L
C) Nausea and vomiting
D) Blood pressure 120/80 mm Hg
,,,,,,ANSWER,,,,,,: C) Nausea and vomiting
Rationale: Nausea, vomiting, anorexia, and visual disturbances (yellow-
green halos) are early signs of digoxin toxicity. Bradycardia (not a
normal heart rate) is also a sign, but nausea/vomiting are classic.
Hypokalemia potentiates digoxin toxicity .
,Q4. A client is receiving furosemide (Lasix) for heart failure. Which
laboratory value should the nurse monitor most closely?
A) Serum sodium
B) Serum potassium
C) Serum calcium
D) Serum magnesium
,,,,,,ANSWER,,,,,,: B) Serum potassium
Rationale: Furosemide is a loop diuretic that causes potassium wasting.
Hypokalemia can lead to cardiac arrhythmias, especially in clients
taking digoxin. Monitoring potassium is critical .
Q5. A client with hypertension is prescribed lisinopril. Which
adverse effect should the nurse monitor for? (Select all that apply)
A) Dry, non-productive cough
B) Peripheral edema
C) Hyperkalemia
D) Hypokalemia
,,,,,,ANSWER,,,,,,: A) Dry, non-productive cough and C)
Hyperkalemia
Rationale: ACE inhibitors like lisinopril can cause a persistent dry
cough and hyperkalemia (due to reduced aldosterone secretion).
Peripheral edema is not typical; hypokalemia is associated with
diuretics .
, Q6. A client with unstable angina is prescribed nitroglycerin
sublingual. Which instruction should the nurse include?
A) "Take a tablet every 5 minutes until the pain is relieved, up to 3
tablets."
B) "Take a tablet at the first sign of chest pain, then call 911 if pain
persists after one tablet."
C) "Swallow the tablet with a full glass of water."
D) "Store the tablets in the refrigerator."
,,,,,,ANSWER,,,,,,: B) "Take a tablet at the first sign of chest pain,
then call 911 if pain persists after one tablet."
Rationale: The client should take one nitroglycerin tablet at the onset of
chest pain. If pain is not relieved after one tablet, they should call 911
immediately (may take a second tablet while waiting). Tablets are placed
under the tongue, not swallowed .
Q7. A client with peripheral arterial disease (PAD) complains of calf
pain when walking that resolves with rest. This symptom is known
as:
A) Rest pain
B) Intermittent claudication
C) Venous stasis
D) Neuropathy
,,,,,,ANSWER,,,,,,: B) Intermittent claudication
