EVOLVE ELSEVIER HESI MED
SURG
EVOLVE ELSEVIER HESI MED SURG
ACTUAL EXAM WITH 450 REAL EXAM
QUESTIONS
AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ EVOLVE
HESI
MEDICAL SURGICAL LATEST EXAM
2024-2025 (latest) ACE YOUR TEST
GRADED A+ -PDF
A mother asks the practical nurse (PN), "When will I know if my daughter has entered puberty?" Which
finding should the PN tell the mother to observe for with the onset of puberty?
a) mood swings
b) growth of pubic hair
c) heterosexual interest
d) menarche - ANS :Answer: B
Rationale:
The onset of puberty in girls is observed with the development of secondary sex characteristics, such as breast
TEST BANK 1
, EVOLVE ELSEVIER HESI MED
SURG
development and the growth of pubic hair (B). (A,C, and D) are not consistently found with pubescence.
The PN is checking the musculoskeletal system of a one month old infant during a well child visit. Which
finding should the PN report to the healthcare provider?
TEST BANK 2
, EVOLVE ELSEVIER HESI MED
SURG
a) one leg is shorter than the other.
b) 2 skin folds on the back of each thigh
c) broadening & flattening of the buttocks
d) hypotonicity of the leg muscles - ANS :Answer: A
Rationale:
Developmental hip dysplasia, subluxation or discoloration, either partial or complete, is a common orthopedic
deformity where the head of the femur is partly or completely displaced as a result of a shallow hip socket
(acetabulum). Hip dysplasia causes the leg on the affected side to appear shorter (A) than the leg on the
unaffected side. (D) is a sign of a neurologic problem, not hip dysplasia. The skin folds of the thigh are deeper
and often asymmetrical, not (B), and the best indicator of hip dysplasia is femur shortening. (C) is not a sign of
hip dysplasia.
Which physiological difference is present in a 3 month old infant that affects oral drug absorption rates?
a) variable pancreatic enzyme activity
b) more acidic gastric secretions
c) more rapid peristaltic activity
d) an accelerated gastric emptying rate - ANS :Answer: A
Rationale:
Pancreatic enzyme activity (A) is variable in infants for the first 3 months of life as the Gi system matures. The
gastric secretions of infants are less acidic than those of older children or adults, not (B). Intestinal motility and
gastric emptying rate tend to be slower in infants, not (C and D).
The practical nurse (PN) is preparing to administer an intramuscular immunization to a 6 month old infant.
What site should the PN select?
a) dorsogluteal
b) ventrogluteal
c) deltoid
d) vastus lateralis - ANS :Answer: D
TEST BANK 3
, EVOLVE ELSEVIER HESI MED
SURG
Rationale:
The vastus lateralis (D) has minimal nerves or blood vessels and is the best site for intramuscular (IM)
injections in children younger than 3 years of age. The deltoid muscle (C) is a small muscle mass that
accommodates small volumes, less than 0.5 mL, and is not recommended for IM use in young children. The
gluteal muscles (A and B) are used as an injection site in children whose musculature develops after walking.
The mother of a young child with Type 1 diabetes mellitus (DM) who needs insulin injections at home tells the
practical nurse (PN) that she is afraid she does not know what to do properly. Which action is most
important for the PN implement to decrease the mother's apprehension?
a) have the mother verbalize the importance of follow up care
b) help the mother devise a schedule for rotating the injections
c) observe the mother while she administers an insulin injection
d) review the side effects of insulin with the mother
- ANS :Answer: C
Rationale:
Observing the mother's ability to give the insulin injection (C) provides an opportunity to reinforce information
& provide validation to increase the mother's confidence and relieve apprehension about caring for her child
with DM. (A, B, and D) are of less priority than (C).
Which first aid action should the practical nurse implement for a child who has sustained a second degree
thermal burn?
a) apply petroleum jelly to the burned skin
b) apply ice to the burned area
c) immerse the burned area in cold water
d) break any blisters that are present –
ANS :Answer: C
TEST BANK 4
SURG
EVOLVE ELSEVIER HESI MED SURG
ACTUAL EXAM WITH 450 REAL EXAM
QUESTIONS
AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ EVOLVE
HESI
MEDICAL SURGICAL LATEST EXAM
2024-2025 (latest) ACE YOUR TEST
GRADED A+ -PDF
A mother asks the practical nurse (PN), "When will I know if my daughter has entered puberty?" Which
finding should the PN tell the mother to observe for with the onset of puberty?
a) mood swings
b) growth of pubic hair
c) heterosexual interest
d) menarche - ANS :Answer: B
Rationale:
The onset of puberty in girls is observed with the development of secondary sex characteristics, such as breast
TEST BANK 1
, EVOLVE ELSEVIER HESI MED
SURG
development and the growth of pubic hair (B). (A,C, and D) are not consistently found with pubescence.
The PN is checking the musculoskeletal system of a one month old infant during a well child visit. Which
finding should the PN report to the healthcare provider?
TEST BANK 2
, EVOLVE ELSEVIER HESI MED
SURG
a) one leg is shorter than the other.
b) 2 skin folds on the back of each thigh
c) broadening & flattening of the buttocks
d) hypotonicity of the leg muscles - ANS :Answer: A
Rationale:
Developmental hip dysplasia, subluxation or discoloration, either partial or complete, is a common orthopedic
deformity where the head of the femur is partly or completely displaced as a result of a shallow hip socket
(acetabulum). Hip dysplasia causes the leg on the affected side to appear shorter (A) than the leg on the
unaffected side. (D) is a sign of a neurologic problem, not hip dysplasia. The skin folds of the thigh are deeper
and often asymmetrical, not (B), and the best indicator of hip dysplasia is femur shortening. (C) is not a sign of
hip dysplasia.
Which physiological difference is present in a 3 month old infant that affects oral drug absorption rates?
a) variable pancreatic enzyme activity
b) more acidic gastric secretions
c) more rapid peristaltic activity
d) an accelerated gastric emptying rate - ANS :Answer: A
Rationale:
Pancreatic enzyme activity (A) is variable in infants for the first 3 months of life as the Gi system matures. The
gastric secretions of infants are less acidic than those of older children or adults, not (B). Intestinal motility and
gastric emptying rate tend to be slower in infants, not (C and D).
The practical nurse (PN) is preparing to administer an intramuscular immunization to a 6 month old infant.
What site should the PN select?
a) dorsogluteal
b) ventrogluteal
c) deltoid
d) vastus lateralis - ANS :Answer: D
TEST BANK 3
, EVOLVE ELSEVIER HESI MED
SURG
Rationale:
The vastus lateralis (D) has minimal nerves or blood vessels and is the best site for intramuscular (IM)
injections in children younger than 3 years of age. The deltoid muscle (C) is a small muscle mass that
accommodates small volumes, less than 0.5 mL, and is not recommended for IM use in young children. The
gluteal muscles (A and B) are used as an injection site in children whose musculature develops after walking.
The mother of a young child with Type 1 diabetes mellitus (DM) who needs insulin injections at home tells the
practical nurse (PN) that she is afraid she does not know what to do properly. Which action is most
important for the PN implement to decrease the mother's apprehension?
a) have the mother verbalize the importance of follow up care
b) help the mother devise a schedule for rotating the injections
c) observe the mother while she administers an insulin injection
d) review the side effects of insulin with the mother
- ANS :Answer: C
Rationale:
Observing the mother's ability to give the insulin injection (C) provides an opportunity to reinforce information
& provide validation to increase the mother's confidence and relieve apprehension about caring for her child
with DM. (A, B, and D) are of less priority than (C).
Which first aid action should the practical nurse implement for a child who has sustained a second degree
thermal burn?
a) apply petroleum jelly to the burned skin
b) apply ice to the burned area
c) immerse the burned area in cold water
d) break any blisters that are present –
ANS :Answer: C
TEST BANK 4
