Evolve HESI Med-Surg 2024 Exam Review with Verified Solutions| 100% Correct| Already Graded A.

Evolve HESI Med-Surg 2024 Exam i,- i,- i,- i,- i,-




Review with Verified Solutions| i,- i,- i,- i,-




100% Correct| Already Graded A. i,- i,- i,- i,-




The nurse is assessing a client with bacterial meningitis. Which
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assessment finding indicates the client may have developed
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septic emboli? i,-




A) Cyanosis of the fingertips.
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B) Bradycardia and bradypnea.
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C) Presence of S3 and S4 heart sounds.
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D) 3+ pitting edema of the lower extremities.
i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- A) Cyanosis of
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the fingertips.
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Septic emboli secondary to meningitis commonly lodge in the
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small arterioles of the extremities, causing a decrease in
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circulation to the hands (A) which may lead to gangrene. (B, C,
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and D) are abnormal findings, but do not indicate the
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development of septic emboli. i,- i,- i,-




In assessing a client diagnosed with primary hyperaldosteronism,
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the nurse expects the laboratory test results to indicate a
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decreased serum level of which substance?i,- i,- i,- i,- i,-

,A) Sodium.
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B) Antidiuretic hormone.
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C) Potassium.
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D) Glucose.
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Clients with primary aldosteronism exhibit a profound decline in
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the serum levels of potassium (C) (hypokalemia)--hypertension is
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the most prominent and universal sign. (A) is normal or elevated,
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depending on the amount of water reabsorbed with the sodium.
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(B) is decreased with diabetes insipidus. (D) is not affected by
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primary aldosteronism. i,-




A client with diabetes mellitus is experiencing polyphagia. Which
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outcome statement is the priority for this client?
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A) Fluid and electrolyte balance.
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B) Prevention of water toxicity.
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C) Reduced glucose in the urine.
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D) Adequate cellular nourishment.
i,- i,- i,- i,-i,- i,- D) Adequate cellular
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nourishment. i,-




Diabetes mellitus Type 1 is characterized by hyperglycemia that
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precipitates glucosuria and polyuria (frequent urination),
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polydipsia (excessive thirst), and polyphagia (excessive hunger).
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,Polyphagia is a consequence of cellular malnourishment when i,- i,- i,- i,- i,- i,- i,- i,-



insulin deficiency prevents utilization of glucose for energy, so
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the outcome statement should include stabilization of adequate
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cellular nutrition (D). (A, B, and C) relate to subsequent osmolar
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fluid shifts related to glucosuria, polyuria, and polydipsia.
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Based on the analysis of the client's atrial fibrillation, the nurse
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should prepare the client for which treatment protocol?
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A) Diuretic therapy.
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B) Pacemaker implantation.
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C) Anticoagulation therapy.
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D) Cardiac catheterization.
i,- i,- i,-i,- i,- C) Anticoagulation therapy.
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The client is experiencing atrial fibrillation, and the nurse should
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prepare the client for anticoagulation therapy (C) which should be
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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.
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Which information about mammograms is most important to
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provide a post-menopausal female client?
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A) Breast self-examinations are not needed if annual
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mammograms are obtained. i,- i,- i,-

, B) Radiation exposure is minimized by shielding the abdomen
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with a lead-lined apron.
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C) Yearly mammograms should be done regardless of previous
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normal x-rays. i,- i,-




D) Women at high risk should have annual routine and
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ultrasound mammograms. C) Yearly mammograms should bei,- i,-i,- i,- i,- i,- i,- i,- i,-



done regardless of previous normal x-rays.
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The current breast screening recommendation is a yearly
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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
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lump (or tumor) is often first felt by a woman before a
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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) in
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women with high-risk variables, such as a history of breast cancer,
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the presence of BRC1 and BRC2 genes, or 2 first-degree relatives
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with breast cancer, should be recommended and followed closely
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by the healthcare provider.
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In assessing cancer risk, the nurse identifies which woman as
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being at greatest risk of developing breast cancer?
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A) A 35-year-old multipara who never breastfed.
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B) A 50-year-old whose mother had unilateral breast cancer.
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