MED SURG HESI QUESTIONS WITH
VERIFIED ANSWERS | LATEST UPDATE
[GRADED A+]
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.
D) If you are in your menstrual period it is not a good time to check for
lumps. - ✔✔B) Most lumps are benign, but it is always best to come in for
an examination.
©morren2026/2027.Year published 2026.
,(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. - ✔✔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).
©morren2026/2027.Year published 2026.
,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. - ✔✔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.
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.
©morren2026/2027.Year published 2026.
, D) Cardiac catheterization. - ✔✔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.
Which information about mammograms is most important to provide a post-
menopausal female client?
A) Breast self-examinations are not needed if annual mammograms are
obtained.
B) Radiation exposure is minimized by shielding the abdomen with a lead-
lined apron.
C) Yearly mammograms should be done regardless of previous normal x-
rays.
D) Women at high risk should have annual routine and ultrasound
mammograms. - ✔✔C) Yearly mammograms should be done regardless
of previous normal x-rays.
©morren2026/2027.Year published 2026.
VERIFIED ANSWERS | LATEST UPDATE
[GRADED A+]
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.
D) If you are in your menstrual period it is not a good time to check for
lumps. - ✔✔B) Most lumps are benign, but it is always best to come in for
an examination.
©morren2026/2027.Year published 2026.
,(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. - ✔✔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).
©morren2026/2027.Year published 2026.
,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. - ✔✔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.
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.
©morren2026/2027.Year published 2026.
, D) Cardiac catheterization. - ✔✔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.
Which information about mammograms is most important to provide a post-
menopausal female client?
A) Breast self-examinations are not needed if annual mammograms are
obtained.
B) Radiation exposure is minimized by shielding the abdomen with a lead-
lined apron.
C) Yearly mammograms should be done regardless of previous normal x-
rays.
D) Women at high risk should have annual routine and ultrasound
mammograms. - ✔✔C) Yearly mammograms should be done regardless
of previous normal x-rays.
©morren2026/2027.Year published 2026.
