EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM WITH 150
REAL EXAM QUESTIONS AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ EVOLVE HESI MEDICAL SURGICAL
LATEST EXAM 2025-2026 .
What are the common veins used for IV insertion?-ANSWER-1.
Cephalic vein
2. Dorsal venous network
3. Basilic vein
4. Dorsal metacarpal veins
5. Accessory cephalic vein
6. Intermediate anti–brachial vein
What are you checking for during your IV assessment?-
ANSWER-Always make sure that the dressing is clean, dry,
intact, no signs of inflammation, redness, swelling
1|Page
,When and how often do you change an IV?-ANSWER-
Previously, recommendations suggested routine rotation of
insertion sites at various intervals, usually 72 to 96 hours.
Current research and guidelines support maintaining
peripheral IV access devices until no longer clinically indicated
or until a complication develops.
How often should The clinical need for the IV catheter be
assessed?-ANSWER-The clinical need for the IV catheter
should be assessed on a daily basis.The assessment is based
on the patient's overall condition, access site, skin and wound
integrity, length and type of therapy, and the integrity of the
device, dressing and stabilization device.
Considerations when determining where to place IV:-ANSWER-
1. Determine the most desirable accessible vein (are the
dorsal and ventral surfaces of the upper extremities, including
the metacarpal, cephalic, basilic, and median veins are
appropriate sites for infusion)
2. Use the venous site most likely to last the full length of the
prescribed therapy (using the forearm to increase dwelltime,
promote self care, and prevent accidental removal and
occlusions)
2|Page
,3. Either are may be used for IV therapy however the non–
dominant arm is selected for patient comfort and to limit
movement and the impact of extremity.
What gauge catheter is recommended for most infusions in the
adult patient?-ANSWER-A 20 to 24 gauge catheter is
recommended for most infusions in adult patients
What gauge catheter is recommended for neonate, pediatric
patients, and older adults?-ANSWER-A 22 to 24 gauge catheter
is recommended for neonate, pediatric patients, and older
adults to minimize insertion related trauma
What are the complications associated with intravenous
infusion?-ANSWER-1. Infiltration
2. Venous access device related infection
3. Phlebitis
4. Thrombus
5. Speed shock
6. Fluid overload
7. Air embolus
3|Page
, What is an infiltration? What are the causes?-ANSWER-
Infiltration is the escape of fluid into the subcutaneous tissue.
Causes:
A dislodged needle and/or a penetrated vessel wall
Signs and symptoms/Nursing considerations: infiltration-
ANSWER-Signs and symptoms include: swelling, pallor,
coldness, or pain around the infusion site; significant decrease
in the flow rateNursing considerations:Check the infusion site
every hour for signs and symptomsDiscontinue the infusion of
symptoms occurRestart the infusion at a different siteUse site
stabilization device
What is a venous access device related infection? What are the
causes?-ANSWER-A venous access device related infection
may be caused by:
Improper hand decontamination/hand hygiene
Frequent disconnection of tubing, access ports, and or access
caps
Poor insertion technique, multiple insertion attempts
Multi lumen catheters
Long–term catheter insertion
Frequent dressing changes
4|Page
REAL EXAM QUESTIONS AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ EVOLVE HESI MEDICAL SURGICAL
LATEST EXAM 2025-2026 .
What are the common veins used for IV insertion?-ANSWER-1.
Cephalic vein
2. Dorsal venous network
3. Basilic vein
4. Dorsal metacarpal veins
5. Accessory cephalic vein
6. Intermediate anti–brachial vein
What are you checking for during your IV assessment?-
ANSWER-Always make sure that the dressing is clean, dry,
intact, no signs of inflammation, redness, swelling
1|Page
,When and how often do you change an IV?-ANSWER-
Previously, recommendations suggested routine rotation of
insertion sites at various intervals, usually 72 to 96 hours.
Current research and guidelines support maintaining
peripheral IV access devices until no longer clinically indicated
or until a complication develops.
How often should The clinical need for the IV catheter be
assessed?-ANSWER-The clinical need for the IV catheter
should be assessed on a daily basis.The assessment is based
on the patient's overall condition, access site, skin and wound
integrity, length and type of therapy, and the integrity of the
device, dressing and stabilization device.
Considerations when determining where to place IV:-ANSWER-
1. Determine the most desirable accessible vein (are the
dorsal and ventral surfaces of the upper extremities, including
the metacarpal, cephalic, basilic, and median veins are
appropriate sites for infusion)
2. Use the venous site most likely to last the full length of the
prescribed therapy (using the forearm to increase dwelltime,
promote self care, and prevent accidental removal and
occlusions)
2|Page
,3. Either are may be used for IV therapy however the non–
dominant arm is selected for patient comfort and to limit
movement and the impact of extremity.
What gauge catheter is recommended for most infusions in the
adult patient?-ANSWER-A 20 to 24 gauge catheter is
recommended for most infusions in adult patients
What gauge catheter is recommended for neonate, pediatric
patients, and older adults?-ANSWER-A 22 to 24 gauge catheter
is recommended for neonate, pediatric patients, and older
adults to minimize insertion related trauma
What are the complications associated with intravenous
infusion?-ANSWER-1. Infiltration
2. Venous access device related infection
3. Phlebitis
4. Thrombus
5. Speed shock
6. Fluid overload
7. Air embolus
3|Page
, What is an infiltration? What are the causes?-ANSWER-
Infiltration is the escape of fluid into the subcutaneous tissue.
Causes:
A dislodged needle and/or a penetrated vessel wall
Signs and symptoms/Nursing considerations: infiltration-
ANSWER-Signs and symptoms include: swelling, pallor,
coldness, or pain around the infusion site; significant decrease
in the flow rateNursing considerations:Check the infusion site
every hour for signs and symptomsDiscontinue the infusion of
symptoms occurRestart the infusion at a different siteUse site
stabilization device
What is a venous access device related infection? What are the
causes?-ANSWER-A venous access device related infection
may be caused by:
Improper hand decontamination/hand hygiene
Frequent disconnection of tubing, access ports, and or access
caps
Poor insertion technique, multiple insertion attempts
Multi lumen catheters
Long–term catheter insertion
Frequent dressing changes
4|Page
