• HESI MED SURG 09/14/2026
EXAM
EVOLVE ELSEVIER HESI MED SURG LATEST 2025/
2026 TEST BANK| COMPLETE 350 REAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
WELL-ELABORATED RATIONALES/ GRADED A+|
EVOLVE HESI MEDICAL SURGICAL LATEST EXAM
(BRAND NEW!!)
A 20-year-old female client calls the nurse to report a lump she found in her breast. Which response is the best
for the nurse to provide?
A) Check it again in one month, and if it is still there schedule an appointment.
B) Most lumps are benign, but it is always best to come in for an examination.
C) Try not to worry too much about it, because usually, most lumps are benign.
P 1
, • HESI MED SURG 09/14/2026
EXAM
D) If you are in your menstrual period it is not a good time to check for lumps. - Correct Answer :B) Most lumps
are benign, but it is always best to come in for an examination.
(B) provides the best response because it addresses the client's anxiety most effectively and encourages
prompt and immediate action for a potential problem. (A) postpones treatment if the lump is malignant, and
does not relieve the client's anxiety. (C and D) provide false reassurance and do not help relieve anxiety.
The nurse should be correct in withholding a dose of digoxin in a client with congestive heart failure without
specific instruction from the healthcare provider if the client's
A) serum digoxin level is 1.5.
B) blood pressure is 104/68.
C) serum potassium level is 3.
D) apical pulse is 68/min. - Correct Answer :C) serum potassium level is 3.
Hypokalemia (C) can precipitate digitalis toxicity in persons receiving digoxin which will increase the chance of
dangerous dysrhythmias (normal potassium level is 3.5 to 5.5 mEq/L). The therapeutic range for digoxin is 0.8 to
2 ng/ml (toxic levels= >2 ng/ml); (A) is within this range. (B) would not warrant the nurse withholding the digoxin.
The nurse should withhold the digoxin if the apical pulse is less than 60/min (D).
In assessing a client diagnosed with primary hyperaldosteronism, the nurse expects the laboratory test results to
indicate a decreased serum level of which substance?
A) Sodium.
B) Antidiuretic hormone.
C) Potassium.
D) Glucose. - Correct Answer :C) Potassium.
Clients with primary aldosteronism exhibit a profound decline in the serum levels of potassium (C)
(hypokalemia)--hypertension is the most prominent and universal sign. (A) is normal or elevated, depending on
the amount of water reabsorbed with the sodium. (B) is decreased with diabetes insipidus. (D) is not affected by
primary aldosteronism.
P 2
, • HESI MED SURG 09/14/2026
EXAM
Based on the analysis of the client's atrial fibrillation, the nurse should prepare the client for which treatment
protocol?
A) Diuretic therapy.
B) Pacemaker implantation.
C) Anticoagulation therapy.
D) Cardiac catheterization. - Correct Answer :C) Anticoagulation therapy.
The client is experiencing atrial fibrillation, and the nurse should prepare the client for anticoagulation therapy
(C) which should be prescribed before rhythm control therapies to prevent cardioembolic events which result
from blood pooling in the fibrillating atria. (A, B, and D) are not indicated.
One week after being told that she has terminal cancer with a life expectancy of 3 weeks, the client tells the
nurse, "I think I will plan a big party for all my friends." How should the nurse respond?
A.
"You may not have enough energy before long to hold a big party."
B.
"Do you mean to say that you want to plan your funeral and wake?"
C.
"Planning a party and thinking about all your friends sounds like fun."
D.
"You should be thinking about spending your last days with your family." - Correct Answer :C
Rationale: Setting goals that bring pleasure is appropriate and should be encouraged by the nurse as long as the
nurse does not perpetuate a client's denial. Option A is a negative response, implying that the client should not
plan a party. Option B puts words in the client's mouth that may not be accurate. The nurse should support the
client's goals rather than telling the client how to spend her time.
Which intervention would be most likely to assist the client with hypertension in maintaining an exercise
program?
1. Giving the client a written exercise program.
2. Explaining the exercise program to the client's spouse.
P 3
, • HESI MED SURG 09/14/2026
EXAM
3. Reassuring the client that he or she can do the exercise program.
4. Tailoring a program to the client's needs and abilities. - Correct Answer :4. Tailoring a program to the client's
needs and abilities.
The client realizes the importance of quitting smoking, and the nurse develops a plan to help the client achieve
this goal. Which of the following nursing interventions should be the initial step in this plan?
1. Review the negative effects of smoking on the body.
2. Discuss the effects of passive smoking on environmental pollution.
3. Establish the client's daily smoking pattern.
4. Explain how smoking worsens high blood pressure. - Correct Answer :3. Establish the client's daily smoking
pattern.
When teaching a client about propranolol hydrochloride, the nurse should base the information on the
knowledge that propranolol:
1. Blocks beta-adrenergic stimulation and thus causes decreased heart rate, myocardial contractility, and
conduction.
2. Increases norepinephrine secretion and thus decreases blood pressure and heart rate.
3. Is a potent arterial and venous vasodilator that reduces peripheral vascular resistance and lowers blood
pressure.
4. Is an angiotensin-converting enzyme inhibitor that reduces blood pressure by blocking the conversion of
angiotensin I to angiotensin II. - Correct Answer :1. Blocks beta-adrenergic stimulation and thus causes
decreased heart rate, myocardial contractility, and conduction.
While caring for a client who has esophageal varices, which nursing intervention is most important for the
registered nurse (RN) to implement?
Monitor infusing IV fluids and any replacement blood products.
Prepare for esophagogastroduodenoscopy (EGD).
Maintain the client on strict bedrest.
Insert a nasogastric tube (NGT) for intermittent suction.
P 4
EXAM
EVOLVE ELSEVIER HESI MED SURG LATEST 2025/
2026 TEST BANK| COMPLETE 350 REAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
WELL-ELABORATED RATIONALES/ GRADED A+|
EVOLVE HESI MEDICAL SURGICAL LATEST EXAM
(BRAND NEW!!)
A 20-year-old female client calls the nurse to report a lump she found in her breast. Which response is the best
for the nurse to provide?
A) Check it again in one month, and if it is still there schedule an appointment.
B) Most lumps are benign, but it is always best to come in for an examination.
C) Try not to worry too much about it, because usually, most lumps are benign.
P 1
, • HESI MED SURG 09/14/2026
EXAM
D) If you are in your menstrual period it is not a good time to check for lumps. - Correct Answer :B) Most lumps
are benign, but it is always best to come in for an examination.
(B) provides the best response because it addresses the client's anxiety most effectively and encourages
prompt and immediate action for a potential problem. (A) postpones treatment if the lump is malignant, and
does not relieve the client's anxiety. (C and D) provide false reassurance and do not help relieve anxiety.
The nurse should be correct in withholding a dose of digoxin in a client with congestive heart failure without
specific instruction from the healthcare provider if the client's
A) serum digoxin level is 1.5.
B) blood pressure is 104/68.
C) serum potassium level is 3.
D) apical pulse is 68/min. - Correct Answer :C) serum potassium level is 3.
Hypokalemia (C) can precipitate digitalis toxicity in persons receiving digoxin which will increase the chance of
dangerous dysrhythmias (normal potassium level is 3.5 to 5.5 mEq/L). The therapeutic range for digoxin is 0.8 to
2 ng/ml (toxic levels= >2 ng/ml); (A) is within this range. (B) would not warrant the nurse withholding the digoxin.
The nurse should withhold the digoxin if the apical pulse is less than 60/min (D).
In assessing a client diagnosed with primary hyperaldosteronism, the nurse expects the laboratory test results to
indicate a decreased serum level of which substance?
A) Sodium.
B) Antidiuretic hormone.
C) Potassium.
D) Glucose. - Correct Answer :C) Potassium.
Clients with primary aldosteronism exhibit a profound decline in the serum levels of potassium (C)
(hypokalemia)--hypertension is the most prominent and universal sign. (A) is normal or elevated, depending on
the amount of water reabsorbed with the sodium. (B) is decreased with diabetes insipidus. (D) is not affected by
primary aldosteronism.
P 2
, • HESI MED SURG 09/14/2026
EXAM
Based on the analysis of the client's atrial fibrillation, the nurse should prepare the client for which treatment
protocol?
A) Diuretic therapy.
B) Pacemaker implantation.
C) Anticoagulation therapy.
D) Cardiac catheterization. - Correct Answer :C) Anticoagulation therapy.
The client is experiencing atrial fibrillation, and the nurse should prepare the client for anticoagulation therapy
(C) which should be prescribed before rhythm control therapies to prevent cardioembolic events which result
from blood pooling in the fibrillating atria. (A, B, and D) are not indicated.
One week after being told that she has terminal cancer with a life expectancy of 3 weeks, the client tells the
nurse, "I think I will plan a big party for all my friends." How should the nurse respond?
A.
"You may not have enough energy before long to hold a big party."
B.
"Do you mean to say that you want to plan your funeral and wake?"
C.
"Planning a party and thinking about all your friends sounds like fun."
D.
"You should be thinking about spending your last days with your family." - Correct Answer :C
Rationale: Setting goals that bring pleasure is appropriate and should be encouraged by the nurse as long as the
nurse does not perpetuate a client's denial. Option A is a negative response, implying that the client should not
plan a party. Option B puts words in the client's mouth that may not be accurate. The nurse should support the
client's goals rather than telling the client how to spend her time.
Which intervention would be most likely to assist the client with hypertension in maintaining an exercise
program?
1. Giving the client a written exercise program.
2. Explaining the exercise program to the client's spouse.
P 3
, • HESI MED SURG 09/14/2026
EXAM
3. Reassuring the client that he or she can do the exercise program.
4. Tailoring a program to the client's needs and abilities. - Correct Answer :4. Tailoring a program to the client's
needs and abilities.
The client realizes the importance of quitting smoking, and the nurse develops a plan to help the client achieve
this goal. Which of the following nursing interventions should be the initial step in this plan?
1. Review the negative effects of smoking on the body.
2. Discuss the effects of passive smoking on environmental pollution.
3. Establish the client's daily smoking pattern.
4. Explain how smoking worsens high blood pressure. - Correct Answer :3. Establish the client's daily smoking
pattern.
When teaching a client about propranolol hydrochloride, the nurse should base the information on the
knowledge that propranolol:
1. Blocks beta-adrenergic stimulation and thus causes decreased heart rate, myocardial contractility, and
conduction.
2. Increases norepinephrine secretion and thus decreases blood pressure and heart rate.
3. Is a potent arterial and venous vasodilator that reduces peripheral vascular resistance and lowers blood
pressure.
4. Is an angiotensin-converting enzyme inhibitor that reduces blood pressure by blocking the conversion of
angiotensin I to angiotensin II. - Correct Answer :1. Blocks beta-adrenergic stimulation and thus causes
decreased heart rate, myocardial contractility, and conduction.
While caring for a client who has esophageal varices, which nursing intervention is most important for the
registered nurse (RN) to implement?
Monitor infusing IV fluids and any replacement blood products.
Prepare for esophagogastroduodenoscopy (EGD).
Maintain the client on strict bedrest.
Insert a nasogastric tube (NGT) for intermittent suction.
P 4
