EVOLVE HESI MED-SURG EXAM (LATEST i,- i,- i,- i,- i,-
2025/2026 UPDATE) PRACTICE TEST |50 i,- i,- i,- i,- i,-
REAL QUESTIONS WITH CORRECT i,- i,- i,- i,-
ANSWERS AND RATIONALE. i,- i,-
In assessing a client diagnosed with primary hyperaldosteronism,
i,- i,- i,- i,- i,- i,- i,- i,-
the nurse expects the laboratory test results to indicate a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
decreased serum level of which substance? i,- i,- i,- i,- i,-
A) Sodium.
i,- i,-
B) Antidiuretic hormone.
i,- i,- i,-
C) Potassium.
i,- i,-
D) Glucose.
i,- i,-i,- i,- C) Potassium.
i,- i,-
Clients with primary aldosteronism exhibit a profound decline in
i,- i,- i,- i,- i,- i,- i,- i,- i,-
the serum levels of potassium (C) (hypokalemia)--hypertension is
i,- i,- i,- i,- i,- i,- i,- i,-
the most prominent and universal sign. (A) is normal or elevated,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
depending on the amount of water reabsorbed with the sodium.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
(B) is decreased with diabetes insipidus. (D) is not affected by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
primary aldosteronism. i,-
Based on the analysis of the client's atrial fibrillation, the nurse
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
should prepare the client for which treatment protocol?
i,- i,- i,- i,- i,- i,- i,-
,A) Diuretic therapy.
i,- i,- i,-
B) Pacemaker implantation.
i,- i,- i,-
C) Anticoagulation therapy.
i,- i,- i,-
D) Cardiac catheterization.
i,- i,- i,-i,- i,- C) Anticoagulation therapy.
i,- i,- i,-
The client is experiencing atrial fibrillation, and the nurse should
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
prepare the client for anticoagulation therapy (C) which should be
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
prescribed before rhythm control therapies to prevent i,- i,- i,- i,- i,- i,- i,-
cardioembolic events which result from blood pooling in the i,- i,- i,- i,- i,- i,- i,- i,- i,-
fibrillating atria. (A, B, and D) are not indicated. i,- i,- i,- i,- i,- i,- i,- i,-
Which information about mammograms is most important to
i,- i,- i,- i,- i,- i,- i,- i,-
provide a post-menopausal female client?
i,- i,- i,- i,-
A) Breast self-examinations are not needed if annual
i,- i,- i,- i,- i,- i,- i,- i,-
mammograms are obtained. i,- i,- i,-
B) Radiation exposure is minimized by shielding the abdomen
i,- i,- i,- i,- i,- i,- i,- i,- i,-
with a lead-lined apron.
i,- i,- i,- i,-
C) Yearly mammograms should be done regardless of previous
i,- i,- i,- i,- i,- i,- i,- i,- i,-
normal x-rays. i,- i,-
D) Women at high risk should have annual routine and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
ultrasound mammograms. C) Yearly mammograms should bei,- i,-i,- i,- i,- i,- i,- i,- i,-
done regardless of previous normal x-rays.
i,- i,- i,- i,- i,- i,-
,The current breast screening recommendation is a yearly
i,- i,- i,- i,- i,- i,- i,- i,-
mammogram after age 40 (C). Breast self-exam (A) continues to i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
be a priority recommendation for all women because a small
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
lump (or tumor) is often first felt by a woman before a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
mammogram is obtained. The radiation exposure from a i,- i,- i,- i,- i,- i,- i,- i,-
mammogram is low, so (B) is not normally provided. The i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
frequency of using routine and ultrasound mammograms (D) ini,- i,- i,- i,- i,- i,- i,- i,- i,-
women with high-risk variables, such as a history of breast cancer,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the presence of BRC1 and BRC2 genes, or 2 first-degree relatives
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
with breast cancer, should be recommended and followed closely
i,- i,- i,- i,- i,- i,- i,- i,- i,-
by the healthcare provider.
i,- i,- i,-
In assessing cancer risk, the nurse identifies which woman as
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
being at greatest risk of developing breast cancer?
i,- i,- i,- i,- i,- i,- i,-
A) A 35-year-old multipara who never breastfed.
i,- i,- i,- i,- i,- i,- i,-
B) A 50-year-old whose mother had unilateral breast cancer.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
C) A 55-year-old whose mother-in-law had bilateral breast
i,- i,- i,- i,- i,- i,- i,- i,-
cancer. i,-
D) A 20-year-old whose menarche occurred at age 9.
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- B) A 50-i,- i,-
year-old whose mother had unilateral breast cancer.
i,- i,- i,- i,- i,- i,- i,-
The most predictive risk factors for development of breast cancer
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
are over 40 years of age and a positive family history (occurrence
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
in the immediate family, i.e., mother or sister). Other risk factors
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
include nulliparity, no history of breastfeeding, early menarche
i,- i,- i,- i,- i,- i,- i,- i,-
, and late menopause. Although all of the women described have
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
one of the risk factors for developing breast cancer, (B) has the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
greater risk over (A, C, and D). i,- i,- i,- i,- i,- i,-
Which reaction should the nurse identify in a client who is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
responding to stimulation of the sympathetic nervous system? i,- i,- i,- i,- i,- i,- i,-
A) Pupil constriction.
i,- i,- i,-
B) Increased heart rate.
i,- i,- i,- i,-
C) Bronchial constriction.
i,- i,- i,-
D) Decreased blood pressure.
i,- i,- i,- i,-i,- i,- B) Increased heart rate.
i,- i,- i,- i,-
Any stressor that is perceived as threatening to homeostasis acts
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
to stimulate the sympathetic nervous system and manifests as a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
flight-or-fight response, which includes an increase in heart rate i,- i,- i,- i,- i,- i,- i,- i,- i,-
(B). (A, C, and D) are responses of the parasympathetic nervous
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
system.
A client receiving cholestyramine (Questran) for hyperlipidemia
i,- i,- i,- i,- i,- i,- i,-
should be evaluated for what vitamin deficiency?
i,- i,- i,- i,- i,- i,-
A) K. i,- i,-
B) B12.
i,- i,-
C) B6. i,- i,-
D) C. i,- i,-i,- i,- A) K. i,- i,-
2025/2026 UPDATE) PRACTICE TEST |50 i,- i,- i,- i,- i,-
REAL QUESTIONS WITH CORRECT i,- i,- i,- i,-
ANSWERS AND RATIONALE. i,- i,-
In assessing a client diagnosed with primary hyperaldosteronism,
i,- i,- i,- i,- i,- i,- i,- i,-
the nurse expects the laboratory test results to indicate a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
decreased serum level of which substance? i,- i,- i,- i,- i,-
A) Sodium.
i,- i,-
B) Antidiuretic hormone.
i,- i,- i,-
C) Potassium.
i,- i,-
D) Glucose.
i,- i,-i,- i,- C) Potassium.
i,- i,-
Clients with primary aldosteronism exhibit a profound decline in
i,- i,- i,- i,- i,- i,- i,- i,- i,-
the serum levels of potassium (C) (hypokalemia)--hypertension is
i,- i,- i,- i,- i,- i,- i,- i,-
the most prominent and universal sign. (A) is normal or elevated,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
depending on the amount of water reabsorbed with the sodium.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
(B) is decreased with diabetes insipidus. (D) is not affected by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
primary aldosteronism. i,-
Based on the analysis of the client's atrial fibrillation, the nurse
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
should prepare the client for which treatment protocol?
i,- i,- i,- i,- i,- i,- i,-
,A) Diuretic therapy.
i,- i,- i,-
B) Pacemaker implantation.
i,- i,- i,-
C) Anticoagulation therapy.
i,- i,- i,-
D) Cardiac catheterization.
i,- i,- i,-i,- i,- C) Anticoagulation therapy.
i,- i,- i,-
The client is experiencing atrial fibrillation, and the nurse should
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
prepare the client for anticoagulation therapy (C) which should be
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
prescribed before rhythm control therapies to prevent i,- i,- i,- i,- i,- i,- i,-
cardioembolic events which result from blood pooling in the i,- i,- i,- i,- i,- i,- i,- i,- i,-
fibrillating atria. (A, B, and D) are not indicated. i,- i,- i,- i,- i,- i,- i,- i,-
Which information about mammograms is most important to
i,- i,- i,- i,- i,- i,- i,- i,-
provide a post-menopausal female client?
i,- i,- i,- i,-
A) Breast self-examinations are not needed if annual
i,- i,- i,- i,- i,- i,- i,- i,-
mammograms are obtained. i,- i,- i,-
B) Radiation exposure is minimized by shielding the abdomen
i,- i,- i,- i,- i,- i,- i,- i,- i,-
with a lead-lined apron.
i,- i,- i,- i,-
C) Yearly mammograms should be done regardless of previous
i,- i,- i,- i,- i,- i,- i,- i,- i,-
normal x-rays. i,- i,-
D) Women at high risk should have annual routine and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
ultrasound mammograms. C) Yearly mammograms should bei,- i,-i,- i,- i,- i,- i,- i,- i,-
done regardless of previous normal x-rays.
i,- i,- i,- i,- i,- i,-
,The current breast screening recommendation is a yearly
i,- i,- i,- i,- i,- i,- i,- i,-
mammogram after age 40 (C). Breast self-exam (A) continues to i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
be a priority recommendation for all women because a small
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
lump (or tumor) is often first felt by a woman before a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
mammogram is obtained. The radiation exposure from a i,- i,- i,- i,- i,- i,- i,- i,-
mammogram is low, so (B) is not normally provided. The i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
frequency of using routine and ultrasound mammograms (D) ini,- i,- i,- i,- i,- i,- i,- i,- i,-
women with high-risk variables, such as a history of breast cancer,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the presence of BRC1 and BRC2 genes, or 2 first-degree relatives
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
with breast cancer, should be recommended and followed closely
i,- i,- i,- i,- i,- i,- i,- i,- i,-
by the healthcare provider.
i,- i,- i,-
In assessing cancer risk, the nurse identifies which woman as
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
being at greatest risk of developing breast cancer?
i,- i,- i,- i,- i,- i,- i,-
A) A 35-year-old multipara who never breastfed.
i,- i,- i,- i,- i,- i,- i,-
B) A 50-year-old whose mother had unilateral breast cancer.
i,- i,- i,- i,- i,- i,- i,- i,- i,-
C) A 55-year-old whose mother-in-law had bilateral breast
i,- i,- i,- i,- i,- i,- i,- i,-
cancer. i,-
D) A 20-year-old whose menarche occurred at age 9.
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- B) A 50-i,- i,-
year-old whose mother had unilateral breast cancer.
i,- i,- i,- i,- i,- i,- i,-
The most predictive risk factors for development of breast cancer
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
are over 40 years of age and a positive family history (occurrence
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
in the immediate family, i.e., mother or sister). Other risk factors
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
include nulliparity, no history of breastfeeding, early menarche
i,- i,- i,- i,- i,- i,- i,- i,-
, and late menopause. Although all of the women described have
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
one of the risk factors for developing breast cancer, (B) has the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
greater risk over (A, C, and D). i,- i,- i,- i,- i,- i,-
Which reaction should the nurse identify in a client who is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
responding to stimulation of the sympathetic nervous system? i,- i,- i,- i,- i,- i,- i,-
A) Pupil constriction.
i,- i,- i,-
B) Increased heart rate.
i,- i,- i,- i,-
C) Bronchial constriction.
i,- i,- i,-
D) Decreased blood pressure.
i,- i,- i,- i,-i,- i,- B) Increased heart rate.
i,- i,- i,- i,-
Any stressor that is perceived as threatening to homeostasis acts
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
to stimulate the sympathetic nervous system and manifests as a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
flight-or-fight response, which includes an increase in heart rate i,- i,- i,- i,- i,- i,- i,- i,- i,-
(B). (A, C, and D) are responses of the parasympathetic nervous
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
system.
A client receiving cholestyramine (Questran) for hyperlipidemia
i,- i,- i,- i,- i,- i,- i,-
should be evaluated for what vitamin deficiency?
i,- i,- i,- i,- i,- i,-
A) K. i,- i,-
B) B12.
i,- i,-
C) B6. i,- i,-
D) C. i,- i,-i,- i,- A) K. i,- i,-
