NURS MED SURG PRACTICE EXAM QUESTIONS FROM
EVOLVE HESI Q & AS BEST EXAM SOLUTION LATEST
UPDATE 2021/2022 RATED A+
Questions
□ The nurse is assessing a client's laboratory values
m0 m0 m0 m0 m0 m0 m0 m0
following administration of chemotherapy. Which lab value
m0 m0 m0 m0 m0 m0 m0
leads the nurse to suspect that the client is experiencing
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
tumor lysis syndrome (TLS)?
m0 m0 m0
A Serum PTT of 10 seconds.
m0 m0 m0 m0
B Serum calcium of 5 mg/dl. Correct
m0 m0 m0 m0 m0
C Oxygen saturation of 90%.
m0 m0 m0
D Hemoglobin of 10 g/dl. m0 m0 m0
□ TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and
m0 m0 m0 m0 m0 m0 m0
hyperphosphatemia. A serum calcium level of 5 (B), which is low, is an
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
indicator of possible tumor lysis syndrome. (A, C, and D) are not
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
particularly related to TLS. Awarded 0.0 points out of 1.0 possible points.
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
□ 2.ID: 6974889585A client is admitted to the hospital with a diagnosis
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
m0 of severe acute diverticulitis. Which assessment finding should the nurse
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
expect this client to exhibit?
m0 m0 m0 m0
A Lower left quadrant pain and a low-grade fever. Correct
m0 m0 m0 m0 m0 m0 m0 m0
B Severe pain at McBurney's point and nausea. C
m0 m0 m0 m0 m0 m0 m0
Abdominal pain and intermittent tenesmus.
m0 m0 m0 m0
D Exacerbations of severe diarrhea. m0 m0 m0
□ Left lower quadrant pain occurs with diverticulitis because the sigmoid
m0 m0 m0 m0 m0 m0 m0 m0 m0
NURS MED SURG PRACTICE EXAM QUESTIONS FROM
EVOLVE HESI Q & AS BEST EXAM SOLUTION LATEST
UPDATE 2021/2022 RATED A+
,NURS MED SURG PRACTICE EXAM QUESTIONS FROM
EVOLVE HESI Q & AS BEST EXAM SOLUTION LATEST
UPDATE 2021/2022 RATED A+
m0 colon is the most common area for diverticula, and the inflammation of
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
diverticula causes a low- grade fever (A). (B) would be indicative of
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
appendicitis. (C and D) are symptoms exhibited with ulcerative colitis.
m0 m0 m0 m0 m0 m0 m0 m0 m0
Awarded 0.0 points out of 1.0 possible points.
m0 m0 m0 m0 m0 m0 m0
□ Hypokalemia (C) can precipitate digitalis toxicity in persons
m0 m0 m0 m0 m0 m0 m0 m0
receiving digoxin which will increase the chance of dangerous dysrhythmias
m0 m0 m0 m0 m0 m0 m0 m0 m0
m0 (normal potassium level is 3.5 to
m0 m0 m0 m0 m0
5.5 mEq/L). The therapeutic range for digoxin is 0.8 to 2
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
ng/ml (toxic levels=>2 ng/ml); (A) is within this range. (B)
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
would not warrant the nurse withholding the digoxin. The
m0 m0 m0 m0 m0 m0 m0 m0 m0
nurse should withhold the digoxin if the apical pulse is less
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
than 60/min (D). Awarded 0.0 points out of 1.0 possible
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
points.
□ 8.ID: 6974890473After the fourth dose of gentamicin sulfate
m0 m0 m0 m0 m0 m0 m0 m0
(Garamycin) IV, the nurse plans to draw blood samples to determine peak
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
and trough levels. When are the best times to draw these samples?
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
A 15 minutes before and 15 minutes after the next dose.
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
B One hour before and one hour after the next dose.
m0 m0 m0 m0 m0 m0 m0 m0 m0
C 5 minutes before and 30 minutes after the next dose. Correct
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
D 30 minutes before and 30 minutes after the next dose.
m0 m0 m0 m0 m0 m0 m0 m0 m0
□ Peak drug serum levels are achieved 30 minutes after IV
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
administration of aminoglycosides. The best time to draw a trough is the
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
NURS MED SURG PRACTICE EXAM QUESTIONS FROM
EVOLVE HESI Q & AS BEST EXAM SOLUTION LATEST
UPDATE 2021/2022 RATED A+
,NURS MED SURG PRACTICE EXAM QUESTIONS FROM
EVOLVE HESI Q & AS BEST EXAM SOLUTION LATEST
UPDATE 2021/2022 RATED A+
closest time to the next administration (C). (A, B, and D) are not as
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
good a time to draw the trough as (C). (B and D) are not the best
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
times to draw the peak of an aminoglycoside that has been administered
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
IV. Awarded 0.0 points out of 1.0 possible points.
m0 m0 m0 m0 m0 m0 m0 m0
□ 9.ID: 6974891711A client has undergone insertion of a permanent
m0 m0 m0 m0 m0 m0 m0 m0 m0
pacemaker. When developing a discharge teaching plan, the nurse writes a
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
goal of, "The client will verbalize symptoms of pacemaker failure." Which
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
symptoms are most important to teach the client?
m0 m0 m0 m0 m0 m0 m0
A Facial flushing. m0
B Fever.
C Pounding headache. m0
D Feelings of dizziness. Correct
m0 m0 m0
□ Feelings of dizziness (D) may occur as the result of a decreased
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
heart rate, leading to decreased cardiac output. (A and C) will not
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
occur as the result of pacemaker failure.
m0 m0 m0 m0 m0 m0
(A) may be an indication of infection postoperatively, but is not an
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
indication of pacemaker failure. Awarded 0.0 points out of 1.0 possible
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
points.
□ 10.ID: 6974890487A client with heart disease is on a continuous
m0 m0 m0 m0 m0 m0 m0 m0 m0
m0 telemetry monitor and has developed sinus bradycardia. In
m0 m0 m0 m0 m0 m0 m0 m0
determining the possible cause of the m0 m0 m0 m0 m0
bradycardia, the nurse assesses the client's medication
m0 m0 m0 m0 m0 m0 m0
record. Which medication is most likely the cause of the
m0 m0 m0 m0 m0 m0 m0 m0 m0
NURS MED SURG PRACTICE EXAM QUESTIONS FROM
EVOLVE HESI Q & AS BEST EXAM SOLUTION LATEST
UPDATE 2021/2022 RATED A+
, NURS MED SURG PRACTICE EXAM QUESTIONS FROM
EVOLVE HESI Q & AS BEST EXAM SOLUTION LATEST
UPDATE 2021/2022 RATED A+
m0 bradycardia?
A Propanolol (Inderal). Correct
m0 m0
B Captopril (Capoten).m0
C Furosemide (Lasix). m0
D Dobutamine (Dobutrex). m0
□ Inderal (A) is a beta adrenergic blocking agent, which causes
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
decreased heart rate and decreased contractility.
m0 m0 m0 m0 m0
Neither (B), an ACE inhibitor, nor (C), a loop diuretic, causes
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
bradycardia. (D) is a sympathomimetic, direct acting cardiac
m0 m0 m0 m0 m0 m0 m0 m0
stimulant, which would increase the heart rate. Awarded 0.0
m0 m0 m0 m0 m0 m0 m0 m0 m0
points out of 1.0 possible points.
m0 m0 m0 m0 m0
□ 11.ID: 6974890493In preparing a discharge plan for a 22- year-old
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
male client diagnosed with Buerger's disease (thromboangiitis obliterans),
m0 m0 m0 m0 m0 m0 m0 m0
which referral is most important?
m0 m0 m0 m0
A Genetic counseling.
m0
B Twelve-step recovery program. m0 m0
C Clinical nutritionist.
m0
D Smoking cessation program. Correct
m0 m0 m0
□ Buerger's disease is strongly related to smoking. The most effective
m0 m0 m0 m0 m0 m0 m0 m0 m0
m0 means of controlling symptoms and disease progression is through
m0 m0 m0 m0 m0 m0 m0 m0 m0
smoking cessation (D). The cause of Buerger's disease is unknown; a
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
genetic predisposition is possible, but (A) will not be of value. The client
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
NURS MED SURG PRACTICE EXAM QUESTIONS FROM
EVOLVE HESI Q & AS BEST EXAM SOLUTION LATEST
UPDATE 2021/2022 RATED A+
EVOLVE HESI Q & AS BEST EXAM SOLUTION LATEST
UPDATE 2021/2022 RATED A+
Questions
□ The nurse is assessing a client's laboratory values
m0 m0 m0 m0 m0 m0 m0 m0
following administration of chemotherapy. Which lab value
m0 m0 m0 m0 m0 m0 m0
leads the nurse to suspect that the client is experiencing
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
tumor lysis syndrome (TLS)?
m0 m0 m0
A Serum PTT of 10 seconds.
m0 m0 m0 m0
B Serum calcium of 5 mg/dl. Correct
m0 m0 m0 m0 m0
C Oxygen saturation of 90%.
m0 m0 m0
D Hemoglobin of 10 g/dl. m0 m0 m0
□ TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and
m0 m0 m0 m0 m0 m0 m0
hyperphosphatemia. A serum calcium level of 5 (B), which is low, is an
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
indicator of possible tumor lysis syndrome. (A, C, and D) are not
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
particularly related to TLS. Awarded 0.0 points out of 1.0 possible points.
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
□ 2.ID: 6974889585A client is admitted to the hospital with a diagnosis
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
m0 of severe acute diverticulitis. Which assessment finding should the nurse
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
expect this client to exhibit?
m0 m0 m0 m0
A Lower left quadrant pain and a low-grade fever. Correct
m0 m0 m0 m0 m0 m0 m0 m0
B Severe pain at McBurney's point and nausea. C
m0 m0 m0 m0 m0 m0 m0
Abdominal pain and intermittent tenesmus.
m0 m0 m0 m0
D Exacerbations of severe diarrhea. m0 m0 m0
□ Left lower quadrant pain occurs with diverticulitis because the sigmoid
m0 m0 m0 m0 m0 m0 m0 m0 m0
NURS MED SURG PRACTICE EXAM QUESTIONS FROM
EVOLVE HESI Q & AS BEST EXAM SOLUTION LATEST
UPDATE 2021/2022 RATED A+
,NURS MED SURG PRACTICE EXAM QUESTIONS FROM
EVOLVE HESI Q & AS BEST EXAM SOLUTION LATEST
UPDATE 2021/2022 RATED A+
m0 colon is the most common area for diverticula, and the inflammation of
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
diverticula causes a low- grade fever (A). (B) would be indicative of
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
appendicitis. (C and D) are symptoms exhibited with ulcerative colitis.
m0 m0 m0 m0 m0 m0 m0 m0 m0
Awarded 0.0 points out of 1.0 possible points.
m0 m0 m0 m0 m0 m0 m0
□ Hypokalemia (C) can precipitate digitalis toxicity in persons
m0 m0 m0 m0 m0 m0 m0 m0
receiving digoxin which will increase the chance of dangerous dysrhythmias
m0 m0 m0 m0 m0 m0 m0 m0 m0
m0 (normal potassium level is 3.5 to
m0 m0 m0 m0 m0
5.5 mEq/L). The therapeutic range for digoxin is 0.8 to 2
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
ng/ml (toxic levels=>2 ng/ml); (A) is within this range. (B)
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
would not warrant the nurse withholding the digoxin. The
m0 m0 m0 m0 m0 m0 m0 m0 m0
nurse should withhold the digoxin if the apical pulse is less
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
than 60/min (D). Awarded 0.0 points out of 1.0 possible
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
points.
□ 8.ID: 6974890473After the fourth dose of gentamicin sulfate
m0 m0 m0 m0 m0 m0 m0 m0
(Garamycin) IV, the nurse plans to draw blood samples to determine peak
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
and trough levels. When are the best times to draw these samples?
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
A 15 minutes before and 15 minutes after the next dose.
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
B One hour before and one hour after the next dose.
m0 m0 m0 m0 m0 m0 m0 m0 m0
C 5 minutes before and 30 minutes after the next dose. Correct
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
D 30 minutes before and 30 minutes after the next dose.
m0 m0 m0 m0 m0 m0 m0 m0 m0
□ Peak drug serum levels are achieved 30 minutes after IV
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
administration of aminoglycosides. The best time to draw a trough is the
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
NURS MED SURG PRACTICE EXAM QUESTIONS FROM
EVOLVE HESI Q & AS BEST EXAM SOLUTION LATEST
UPDATE 2021/2022 RATED A+
,NURS MED SURG PRACTICE EXAM QUESTIONS FROM
EVOLVE HESI Q & AS BEST EXAM SOLUTION LATEST
UPDATE 2021/2022 RATED A+
closest time to the next administration (C). (A, B, and D) are not as
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
good a time to draw the trough as (C). (B and D) are not the best
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
times to draw the peak of an aminoglycoside that has been administered
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
IV. Awarded 0.0 points out of 1.0 possible points.
m0 m0 m0 m0 m0 m0 m0 m0
□ 9.ID: 6974891711A client has undergone insertion of a permanent
m0 m0 m0 m0 m0 m0 m0 m0 m0
pacemaker. When developing a discharge teaching plan, the nurse writes a
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
goal of, "The client will verbalize symptoms of pacemaker failure." Which
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
symptoms are most important to teach the client?
m0 m0 m0 m0 m0 m0 m0
A Facial flushing. m0
B Fever.
C Pounding headache. m0
D Feelings of dizziness. Correct
m0 m0 m0
□ Feelings of dizziness (D) may occur as the result of a decreased
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
heart rate, leading to decreased cardiac output. (A and C) will not
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
occur as the result of pacemaker failure.
m0 m0 m0 m0 m0 m0
(A) may be an indication of infection postoperatively, but is not an
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
indication of pacemaker failure. Awarded 0.0 points out of 1.0 possible
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
points.
□ 10.ID: 6974890487A client with heart disease is on a continuous
m0 m0 m0 m0 m0 m0 m0 m0 m0
m0 telemetry monitor and has developed sinus bradycardia. In
m0 m0 m0 m0 m0 m0 m0 m0
determining the possible cause of the m0 m0 m0 m0 m0
bradycardia, the nurse assesses the client's medication
m0 m0 m0 m0 m0 m0 m0
record. Which medication is most likely the cause of the
m0 m0 m0 m0 m0 m0 m0 m0 m0
NURS MED SURG PRACTICE EXAM QUESTIONS FROM
EVOLVE HESI Q & AS BEST EXAM SOLUTION LATEST
UPDATE 2021/2022 RATED A+
, NURS MED SURG PRACTICE EXAM QUESTIONS FROM
EVOLVE HESI Q & AS BEST EXAM SOLUTION LATEST
UPDATE 2021/2022 RATED A+
m0 bradycardia?
A Propanolol (Inderal). Correct
m0 m0
B Captopril (Capoten).m0
C Furosemide (Lasix). m0
D Dobutamine (Dobutrex). m0
□ Inderal (A) is a beta adrenergic blocking agent, which causes
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
decreased heart rate and decreased contractility.
m0 m0 m0 m0 m0
Neither (B), an ACE inhibitor, nor (C), a loop diuretic, causes
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
bradycardia. (D) is a sympathomimetic, direct acting cardiac
m0 m0 m0 m0 m0 m0 m0 m0
stimulant, which would increase the heart rate. Awarded 0.0
m0 m0 m0 m0 m0 m0 m0 m0 m0
points out of 1.0 possible points.
m0 m0 m0 m0 m0
□ 11.ID: 6974890493In preparing a discharge plan for a 22- year-old
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
male client diagnosed with Buerger's disease (thromboangiitis obliterans),
m0 m0 m0 m0 m0 m0 m0 m0
which referral is most important?
m0 m0 m0 m0
A Genetic counseling.
m0
B Twelve-step recovery program. m0 m0
C Clinical nutritionist.
m0
D Smoking cessation program. Correct
m0 m0 m0
□ Buerger's disease is strongly related to smoking. The most effective
m0 m0 m0 m0 m0 m0 m0 m0 m0
m0 means of controlling symptoms and disease progression is through
m0 m0 m0 m0 m0 m0 m0 m0 m0
smoking cessation (D). The cause of Buerger's disease is unknown; a
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
genetic predisposition is possible, but (A) will not be of value. The client
m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0 m0
NURS MED SURG PRACTICE EXAM QUESTIONS FROM
EVOLVE HESI Q & AS BEST EXAM SOLUTION LATEST
UPDATE 2021/2022 RATED A+
