EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM WITH 15... file:///C:/Users/HP/Desktop/New%20fl/EVOLVE%20ELSEVIER%2
Evolve Elsevier HESI Med Surg Actual Exam with
150 Real Exam Questions & Correct Answers
1. 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
2. Which instruction should the nurse teach a female client about the preven-tion of toxic
shock syndrome?
A. "Get immunization against HPV
B. "Change your tampon frequently"
1 of 39 10/8/2024, 8:21
,EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM WITH 15... file:///C:/Users/HP/Desktop/New%20fl/EVOLVE%20ELSEVIER%2
C. "Empty your bladder after intercourse"
D. "Obtain a yearly flu vaccination:
Answer "Change your tampon frequently"
Rationale: Certain strains of Staphylococcus aureus produce a toxin that can enterthe
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. OptionC can lessen the incidence of urinary
tract infection. Option D can help prevent someindividuals from contracting the flu and
pneumonia, but no relationship to toxic shocksyndrome has been proven.
3. The home health nurse is assessing a male client being treated for Parkin-son 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
2 of 39 10/8/2024, 8:21
,EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM WITH 15... file:///C:/Users/HP/Desktop/New%20fl/EVOLVE%20ELSEVIER%2
C. Document the presence of these assessment findings
D. Advise the client to seek immediate medical evaluation:
Answer Document the pres-ence of these assessment findings.
Rationale: A masklike expression and infrequent blinking are common clinical fea-tures of
parkinsonism. The nurse should document these expected findings.
Signs of toxicity of levodopa-carbidopa include: dyskinesia, hallucinations, andpsychosis
4. A female client with a nasogastric tube attached to low suction states thatshe is
nauseated.The nurse assesses that there has been no drainage through
3 of 39 10/8/2024, 8:21
,EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM WITH 15... file:///C:/Users/HP/Desktop/New%20fl/EVOLVE%20ELSEVIER%2
the nasogastric tube in the last 2 hours. Which action should the nurse takefirst?
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 onher 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, repo- sitioning 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.
5. The nurse teaches a client with type 2 diabetes nutritional strategies to de- crease
obesity. Which food items chosen by the client indicate understanding of the teaching?
(Select all that apply.)
A. White bread
4 of 39 10/8/2024, 8:21
Evolve Elsevier HESI Med Surg Actual Exam with
150 Real Exam Questions & Correct Answers
1. 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
2. Which instruction should the nurse teach a female client about the preven-tion of toxic
shock syndrome?
A. "Get immunization against HPV
B. "Change your tampon frequently"
1 of 39 10/8/2024, 8:21
,EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM WITH 15... file:///C:/Users/HP/Desktop/New%20fl/EVOLVE%20ELSEVIER%2
C. "Empty your bladder after intercourse"
D. "Obtain a yearly flu vaccination:
Answer "Change your tampon frequently"
Rationale: Certain strains of Staphylococcus aureus produce a toxin that can enterthe
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. OptionC can lessen the incidence of urinary
tract infection. Option D can help prevent someindividuals from contracting the flu and
pneumonia, but no relationship to toxic shocksyndrome has been proven.
3. The home health nurse is assessing a male client being treated for Parkin-son 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
2 of 39 10/8/2024, 8:21
,EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM WITH 15... file:///C:/Users/HP/Desktop/New%20fl/EVOLVE%20ELSEVIER%2
C. Document the presence of these assessment findings
D. Advise the client to seek immediate medical evaluation:
Answer Document the pres-ence of these assessment findings.
Rationale: A masklike expression and infrequent blinking are common clinical fea-tures of
parkinsonism. The nurse should document these expected findings.
Signs of toxicity of levodopa-carbidopa include: dyskinesia, hallucinations, andpsychosis
4. A female client with a nasogastric tube attached to low suction states thatshe is
nauseated.The nurse assesses that there has been no drainage through
3 of 39 10/8/2024, 8:21
,EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM WITH 15... file:///C:/Users/HP/Desktop/New%20fl/EVOLVE%20ELSEVIER%2
the nasogastric tube in the last 2 hours. Which action should the nurse takefirst?
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 onher 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, repo- sitioning 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.
5. The nurse teaches a client with type 2 diabetes nutritional strategies to de- crease
obesity. Which food items chosen by the client indicate understanding of the teaching?
(Select all that apply.)
A. White bread
4 of 39 10/8/2024, 8:21
