EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM
WITH REAL QUESTIONS AND CORRECT ANSWERS
WITH WELL-ELABORATED RATIONALES/ EVOLVE
HESI MEDICAL SURGICAL LATEST EXAM 2025-2026
(BRAND NEW!!)
PLISSIT model for assessment-ANSWER-Permission to
introduce topic
Limited info
Specific Suggestions
Intensive therapy
If a >65 yr old woman with a hysterectomy with no abnormal
Pap smears,
When should a Pap smear be done?-ANSWER-No Pap smears
will be done anymore
1|Page
,When is a pessary removed?-ANSWER-~3 months
If a colposcopy detects atypical cells but are not high risk for
HPV, what to do?-ANSWER-Repeat Pap in a year
If a colposcopy detects atypical cells and is a high risk HPV pt,
what to do next?-ANSWER-Reschedule pap in 6 mo and
possible colposcopy
What med given for endometrial hyperplasia?-ANSWER-
Progesterone
What meds does a woman without a uterus need to be on?-
ANSWER-Estrogen
What meds does a woman with a uterus need to be on to
prevent endometrial cancer?-ANSWER-Progesterone
Estrogen
Hysterectomy types (3)-ANSWER-Partial: part of uterus
Total: entire uterus and cervix
2|Page
, Radical: uterus, cervix, vagina, ovaries
What may worsen hot flashes? (2)-ANSWER-Fatigue
Stress
What is perimenopause?-ANSWER-Period extending from 1st
signs of menopause to beyond the complete cessation of
menses.
How long does perimenopause last?-ANSWER-~1 year after
LMP
Contraindications for hormone replacement therapy (HRT) (4)-
ANSWER-Hx of cancer (breast, uterine)
Liver conditions
Undiagnosed vaginal bleed
Vascular thrombosis
ANSWER-Ectopic pregnancy
3|Page
WITH REAL QUESTIONS AND CORRECT ANSWERS
WITH WELL-ELABORATED RATIONALES/ EVOLVE
HESI MEDICAL SURGICAL LATEST EXAM 2025-2026
(BRAND NEW!!)
PLISSIT model for assessment-ANSWER-Permission to
introduce topic
Limited info
Specific Suggestions
Intensive therapy
If a >65 yr old woman with a hysterectomy with no abnormal
Pap smears,
When should a Pap smear be done?-ANSWER-No Pap smears
will be done anymore
1|Page
,When is a pessary removed?-ANSWER-~3 months
If a colposcopy detects atypical cells but are not high risk for
HPV, what to do?-ANSWER-Repeat Pap in a year
If a colposcopy detects atypical cells and is a high risk HPV pt,
what to do next?-ANSWER-Reschedule pap in 6 mo and
possible colposcopy
What med given for endometrial hyperplasia?-ANSWER-
Progesterone
What meds does a woman without a uterus need to be on?-
ANSWER-Estrogen
What meds does a woman with a uterus need to be on to
prevent endometrial cancer?-ANSWER-Progesterone
Estrogen
Hysterectomy types (3)-ANSWER-Partial: part of uterus
Total: entire uterus and cervix
2|Page
, Radical: uterus, cervix, vagina, ovaries
What may worsen hot flashes? (2)-ANSWER-Fatigue
Stress
What is perimenopause?-ANSWER-Period extending from 1st
signs of menopause to beyond the complete cessation of
menses.
How long does perimenopause last?-ANSWER-~1 year after
LMP
Contraindications for hormone replacement therapy (HRT) (4)-
ANSWER-Hx of cancer (breast, uterine)
Liver conditions
Undiagnosed vaginal bleed
Vascular thrombosis
ANSWER-Ectopic pregnancy
3|Page
