LATEST EVOLVE ELSEVIER HESI MED
SURG FINAL ACTUAL EXAM WITH
COMPLETE 100+ REAL QUESTIONS
AND VERIFIED CORRECT ANSWERS
WITH RATIONALES|ALREADY
GRADED A+ |GUARANTEED SUCCESS
|HESI MED SURG LATEST UPDATE
2025 | [BRAND NEW!!]
,When assigning clients on a medical-surgical floor to an RN and a PN, the charge
nurse should assign which client to the PN.
A. A young adult with bacterial meningitis with recent seizures
B. An older adult client with pneumonia and viral meningitis
C. A female client in isolation with meningococcal meningitis
D. A male client 1 day postoperative after drainage of a brain abscess - ANSWER-
B. An older adult client with pneumonia and viral meningitis
Rationale:
The most stable client is option B. Options A, C, and D are all at high risk for
increased intracranial pressure and require the expertise of the RN for assessment
and management of care.
In assessing a client diagnosed with primary aldosteronism, the nurse expects the
laboratory test results to indicate a decreased serum level of which substance?
A. Sodium
B. Phosphate
C. Potassium
D. Glucose - ANSWER- C. Potassium
Rationale:
Clients with primary aldosteronism exhibit a profound decline in serum levels of
potassium; and hypokalemia; hypertension is the most prominent and universal
sign. The serum sodium level is normal or elevated, depending on the amount of
water resorbed with the sodium. Option B is influenced by the parathyroid
hormone (PTH). Option D is not affected by primary aldosteronism.
,A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
ventricular response. Based on this finding, the nurse anticipates assisting the
physician with which treatment?
A. Administer lidocaine, 75 mg intravenous push.
B. Perform synchronized cardioversion.
C. Defibrillate the client as soon as possible.
D. Administer atropine, 0.4 mg intravenous push. - ANSWER- B. Perform
synchronized cardioversion.
Rationale:
With uncontrolled atrial fibrillation, the treatment of choice is synchronized
cardioversion to convert the cardiac rhythm back to normal sinus rhythm. Option A
is a medication used for ventricular dysrhythmias. Option C is not for a client with
atrial fibrillation; it is reserved for clients with life-threatening dysrhythmias, such
as ventricular fibrillation and unstable ventricular tachycardia. Option D is the drug
of choice in symptomatic sinus bradycardia, not atrial fibrillation.
A client with hypertension has been receiving ramipril (Altace), 5 mg PO, daily for
2 weeks and is scheduled to receive a dose at 0900. At 0830, the client's blood
pressure is 120/70 mm Hg. Which action should the nurse take?
A. Administer the prescribed dose at the scheduled time.
B. Hold the dose and contact the health care provider.
C. Hold the dose and recheck the blood pressure in 1 hour.
D. Check the health care provider's prescription to clarify the dose. - ANSWER-
A. Administer the prescribed dose at the scheduled time
Rationale:
The client's blood pressure is within normal limits, indicating that the ramipril, an
antihypertensive, is having the desired effect and should be administered. Options
B and C would be appropriate if the client's blood pressure was excessively low
, (<100 mm Hg systolic) or if the client were exhibiting signs of hypotension such as
dizziness. This prescribed dose is within the normal dosage range, as defined by
the manufacturer; therefore, option D is not necessary.
Which consideration is most important when the nurse is assigning a room for a
client being admitted with progressive systemic sclerosis (scleroderma)?
A. Provide a room that can be kept warm.
B. Make sure that the room can be kept dark.
C. Keep the client close to the nursing unit.
Select a room that is visible from the nurses' desk. - ANSWER- Provide a room
that can be kept warm.
Rationale:
Abnormal blood flow in response to cold (Raynaud phenomenon) is precipitated in
clients with scleroderma. Option B is not a significant factor. Stress can also
precipitate the severe pain of the Raynaud phenomenon, so a quiet environment is
preferred to option C, which is often very noisy. Option D is not necessary.
The nurse is assessing a male client with acute pancreatitis. Which finding requires
the most immediate intervention by the nurse?
A. The client's amylase level is three times higher than the normal level.
While the nurse is taking the client's blood pressure, he has a carpal spasm.
C. On a 1 to 10 scale, the client tells the nurse that his epigastric pain is at 7.
The client states that he will continue to drink alcohol after going home. -
ANSWER- While the nurse is taking the client's blood pressure, he has a carpal
spasm.
Rationale:
SURG FINAL ACTUAL EXAM WITH
COMPLETE 100+ REAL QUESTIONS
AND VERIFIED CORRECT ANSWERS
WITH RATIONALES|ALREADY
GRADED A+ |GUARANTEED SUCCESS
|HESI MED SURG LATEST UPDATE
2025 | [BRAND NEW!!]
,When assigning clients on a medical-surgical floor to an RN and a PN, the charge
nurse should assign which client to the PN.
A. A young adult with bacterial meningitis with recent seizures
B. An older adult client with pneumonia and viral meningitis
C. A female client in isolation with meningococcal meningitis
D. A male client 1 day postoperative after drainage of a brain abscess - ANSWER-
B. An older adult client with pneumonia and viral meningitis
Rationale:
The most stable client is option B. Options A, C, and D are all at high risk for
increased intracranial pressure and require the expertise of the RN for assessment
and management of care.
In assessing a client diagnosed with primary aldosteronism, the nurse expects the
laboratory test results to indicate a decreased serum level of which substance?
A. Sodium
B. Phosphate
C. Potassium
D. Glucose - ANSWER- C. Potassium
Rationale:
Clients with primary aldosteronism exhibit a profound decline in serum levels of
potassium; and hypokalemia; hypertension is the most prominent and universal
sign. The serum sodium level is normal or elevated, depending on the amount of
water resorbed with the sodium. Option B is influenced by the parathyroid
hormone (PTH). Option D is not affected by primary aldosteronism.
,A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
ventricular response. Based on this finding, the nurse anticipates assisting the
physician with which treatment?
A. Administer lidocaine, 75 mg intravenous push.
B. Perform synchronized cardioversion.
C. Defibrillate the client as soon as possible.
D. Administer atropine, 0.4 mg intravenous push. - ANSWER- B. Perform
synchronized cardioversion.
Rationale:
With uncontrolled atrial fibrillation, the treatment of choice is synchronized
cardioversion to convert the cardiac rhythm back to normal sinus rhythm. Option A
is a medication used for ventricular dysrhythmias. Option C is not for a client with
atrial fibrillation; it is reserved for clients with life-threatening dysrhythmias, such
as ventricular fibrillation and unstable ventricular tachycardia. Option D is the drug
of choice in symptomatic sinus bradycardia, not atrial fibrillation.
A client with hypertension has been receiving ramipril (Altace), 5 mg PO, daily for
2 weeks and is scheduled to receive a dose at 0900. At 0830, the client's blood
pressure is 120/70 mm Hg. Which action should the nurse take?
A. Administer the prescribed dose at the scheduled time.
B. Hold the dose and contact the health care provider.
C. Hold the dose and recheck the blood pressure in 1 hour.
D. Check the health care provider's prescription to clarify the dose. - ANSWER-
A. Administer the prescribed dose at the scheduled time
Rationale:
The client's blood pressure is within normal limits, indicating that the ramipril, an
antihypertensive, is having the desired effect and should be administered. Options
B and C would be appropriate if the client's blood pressure was excessively low
, (<100 mm Hg systolic) or if the client were exhibiting signs of hypotension such as
dizziness. This prescribed dose is within the normal dosage range, as defined by
the manufacturer; therefore, option D is not necessary.
Which consideration is most important when the nurse is assigning a room for a
client being admitted with progressive systemic sclerosis (scleroderma)?
A. Provide a room that can be kept warm.
B. Make sure that the room can be kept dark.
C. Keep the client close to the nursing unit.
Select a room that is visible from the nurses' desk. - ANSWER- Provide a room
that can be kept warm.
Rationale:
Abnormal blood flow in response to cold (Raynaud phenomenon) is precipitated in
clients with scleroderma. Option B is not a significant factor. Stress can also
precipitate the severe pain of the Raynaud phenomenon, so a quiet environment is
preferred to option C, which is often very noisy. Option D is not necessary.
The nurse is assessing a male client with acute pancreatitis. Which finding requires
the most immediate intervention by the nurse?
A. The client's amylase level is three times higher than the normal level.
While the nurse is taking the client's blood pressure, he has a carpal spasm.
C. On a 1 to 10 scale, the client tells the nurse that his epigastric pain is at 7.
The client states that he will continue to drink alcohol after going home. -
ANSWER- While the nurse is taking the client's blood pressure, he has a carpal
spasm.
Rationale:
