EVOLVE ELSEVIER HESI MED SURG REAL ACTUAL
EXAM WITH 350 REAL EXAM test bank VERIFIED
QUESTIONS AND CORRECT ANSWERS
EVOLVE ELSEVIER HESI MED SURG REAL ACTUAL
EXAM WITH 350 REAL EXAM test bank VERIFIED
QUESTIONS AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ EVOLVE HESI
MEDICAL SURGICAL LATEST EXAM 2024 -2020
BRAND NEW!!)
What is the most important nursing priority for a client who has been admitted for a possible
kidney stone?
A. Reducing dairy products in the diet
B. Straining all urine
C. Measuring intake and output
D. Increasing fluid intake –
ANS :B.Straining all urine
Rationale:
Straining all urine is the most important nursing action to take in this case. Encouraging fluid
intake is important for any client who may have a kidney stone, but it is even more important
to strain all urine. Straining urine will enable the nurse to determine when the kidney stone
has been passed and may prevent the need for surgery. Option C is not the highest priority
test bank 1
, EVOLVE ELSEVIER HESI MED SURG REAL ACTUAL
EXAM WITH 350 REAL EXAM test bank VERIFIED
QUESTIONS AND CORRECT ANSWERS
action. Option A is usually not recommended until the stone is obtained and the content of
the stone is determined. Even then, dietary restrictions are controversial.
An older client is admitted with a diagnosis of bacterial pneumonia. Which symptom should
the nurse report to the health care provider after assessing the client?
A. Leukocytosis and febrile
B. Polycythemia and crackles
C. Pharyngitis and sputum production
D. Confusion and tachycardia
- ANS :D.Confusion and tachycardia
Rationale:
The onset of pneumonia in the older client may be signaled by general deterioration,
confusion, increased heart rate, and/or increased respiratory rate. Options A, B, and C are
often absent in the older client with bacterial pneumonia.
An emaciated homeless client presents to the emergency department complaining of a
productive cough, with blood-tinged sputum and night sweats. Which action is most
important for the emergency department triage nurse to implement for this client?
A. Initiate airborne infection precautions.
B. Place a surgical mask on the client.
C. Don an isolation gown and latex gloves.
test bank 2
, EVOLVE ELSEVIER HESI MED SURG REAL ACTUAL
EXAM WITH 350 REAL EXAM test bank VERIFIED
QUESTIONS AND CORRECT ANSWERS
D. Start protective (reverse) isolation precautions.
- ANS :A.Initiate airborne infection precautions.
Rationale:
This client is exhibiting classic symptoms of tuberculosis (TB), and the client is from a high-risk
population for TB. Therefore, airborne infection precautions, which are indicated for TB,
should be used with this client. Option B is used with droplet precautions. There is no
evidence that option C or D would be warranted at this time.
A 43-year-old homeless, malnourished female client with a history of alcoholism is transferred
to the ICU. She is placed on telemetry, and the rhythm strip shown is obtained. The nurse
palpates a heart rate of 160 beats/min, and the client's blood pressure is 90/54 mm Hg. Based
on these findings, which IV medication should the nurse administer?
A. Amiodarone (Cordarone)
B. Magnesium sulfate
C. Lidocaine (Xylocaine)
D. Procainamide (Pronestyl)
- ANS :B.Magnesium sulfate
Rationale:
Because the client has chronic alcoholism, she is likely to have hypomagnesemia. Option B is
the recommended drug for torsades de pointes, which is a form of polymorphic ventricular
tachycardia (VT) usually associated with a prolonged QT interval that occurs with
hypomagnesemia. Options A and D increase the QT interval, which can cause the torsades to
test bank 3
, EVOLVE ELSEVIER HESI MED SURG REAL ACTUAL
EXAM WITH 350 REAL EXAM test bank VERIFIED
QUESTIONS AND CORRECT ANSWERS
worsen. Option C is the antiarrhythmic of choice in most cases of drug-induced monomorphic
VT, not torsades.
Which content about self-care should the nurse include in the teaching plan of a female client
who has genital herpes? (Select all that apply.)
A. Encourage annual physical and Pap smear.
B. Take antiviral medication as prescribed.
C. Use condoms to avoid transmission to others.
D. Warm sitz baths may relieve itching.
E. Use Nystatin suppositories to control itching.
F. Use a douche with weak vinegar solution to decrease itching
. - ANS :A.Encourage annual physical and Pap smear.
B.Take antiviral medication as prescribed.
C.Use condoms to avoid transmission to others.
D.Warm sitz baths may relieve itching.
Rationale:
The nurse should include (A, B, C, and D) in the teaching plan of a female client with genital
herpes. (E) is specific for Candida infections, and option (F) is used to treat Trichomonas.
A client with cirrhosis develops increasing pedal edema and ascites. Which dietary
modification is most important for the nurse to teach this client?
test bank 4
EXAM WITH 350 REAL EXAM test bank VERIFIED
QUESTIONS AND CORRECT ANSWERS
EVOLVE ELSEVIER HESI MED SURG REAL ACTUAL
EXAM WITH 350 REAL EXAM test bank VERIFIED
QUESTIONS AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ EVOLVE HESI
MEDICAL SURGICAL LATEST EXAM 2024 -2020
BRAND NEW!!)
What is the most important nursing priority for a client who has been admitted for a possible
kidney stone?
A. Reducing dairy products in the diet
B. Straining all urine
C. Measuring intake and output
D. Increasing fluid intake –
ANS :B.Straining all urine
Rationale:
Straining all urine is the most important nursing action to take in this case. Encouraging fluid
intake is important for any client who may have a kidney stone, but it is even more important
to strain all urine. Straining urine will enable the nurse to determine when the kidney stone
has been passed and may prevent the need for surgery. Option C is not the highest priority
test bank 1
, EVOLVE ELSEVIER HESI MED SURG REAL ACTUAL
EXAM WITH 350 REAL EXAM test bank VERIFIED
QUESTIONS AND CORRECT ANSWERS
action. Option A is usually not recommended until the stone is obtained and the content of
the stone is determined. Even then, dietary restrictions are controversial.
An older client is admitted with a diagnosis of bacterial pneumonia. Which symptom should
the nurse report to the health care provider after assessing the client?
A. Leukocytosis and febrile
B. Polycythemia and crackles
C. Pharyngitis and sputum production
D. Confusion and tachycardia
- ANS :D.Confusion and tachycardia
Rationale:
The onset of pneumonia in the older client may be signaled by general deterioration,
confusion, increased heart rate, and/or increased respiratory rate. Options A, B, and C are
often absent in the older client with bacterial pneumonia.
An emaciated homeless client presents to the emergency department complaining of a
productive cough, with blood-tinged sputum and night sweats. Which action is most
important for the emergency department triage nurse to implement for this client?
A. Initiate airborne infection precautions.
B. Place a surgical mask on the client.
C. Don an isolation gown and latex gloves.
test bank 2
, EVOLVE ELSEVIER HESI MED SURG REAL ACTUAL
EXAM WITH 350 REAL EXAM test bank VERIFIED
QUESTIONS AND CORRECT ANSWERS
D. Start protective (reverse) isolation precautions.
- ANS :A.Initiate airborne infection precautions.
Rationale:
This client is exhibiting classic symptoms of tuberculosis (TB), and the client is from a high-risk
population for TB. Therefore, airborne infection precautions, which are indicated for TB,
should be used with this client. Option B is used with droplet precautions. There is no
evidence that option C or D would be warranted at this time.
A 43-year-old homeless, malnourished female client with a history of alcoholism is transferred
to the ICU. She is placed on telemetry, and the rhythm strip shown is obtained. The nurse
palpates a heart rate of 160 beats/min, and the client's blood pressure is 90/54 mm Hg. Based
on these findings, which IV medication should the nurse administer?
A. Amiodarone (Cordarone)
B. Magnesium sulfate
C. Lidocaine (Xylocaine)
D. Procainamide (Pronestyl)
- ANS :B.Magnesium sulfate
Rationale:
Because the client has chronic alcoholism, she is likely to have hypomagnesemia. Option B is
the recommended drug for torsades de pointes, which is a form of polymorphic ventricular
tachycardia (VT) usually associated with a prolonged QT interval that occurs with
hypomagnesemia. Options A and D increase the QT interval, which can cause the torsades to
test bank 3
, EVOLVE ELSEVIER HESI MED SURG REAL ACTUAL
EXAM WITH 350 REAL EXAM test bank VERIFIED
QUESTIONS AND CORRECT ANSWERS
worsen. Option C is the antiarrhythmic of choice in most cases of drug-induced monomorphic
VT, not torsades.
Which content about self-care should the nurse include in the teaching plan of a female client
who has genital herpes? (Select all that apply.)
A. Encourage annual physical and Pap smear.
B. Take antiviral medication as prescribed.
C. Use condoms to avoid transmission to others.
D. Warm sitz baths may relieve itching.
E. Use Nystatin suppositories to control itching.
F. Use a douche with weak vinegar solution to decrease itching
. - ANS :A.Encourage annual physical and Pap smear.
B.Take antiviral medication as prescribed.
C.Use condoms to avoid transmission to others.
D.Warm sitz baths may relieve itching.
Rationale:
The nurse should include (A, B, C, and D) in the teaching plan of a female client with genital
herpes. (E) is specific for Candida infections, and option (F) is used to treat Trichomonas.
A client with cirrhosis develops increasing pedal edema and ascites. Which dietary
modification is most important for the nurse to teach this client?
test bank 4
