Page 1 of 184
EVOLVE ELSEVIER HESI MED SURG EXAM WITH
COMPLETE QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALES LATEST UPDATE JUST
RELEASED
Question: 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. - ANSWER✔✔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).
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Question: 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. - ANSWER✔✔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.
Question: 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.
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D) If you are in your menstrual period it is not a good time to check for lumps. - ANSWER✔✔B)
Most lumps are benign, but it is always best to come in for an examination.
(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.
Question: 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.
D) Cardiac catheterization. - ANSWER✔✔C) Anticoagulation therapy.
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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.
Question: 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. -
ANSWER✔✔C) Yearly mammograms should be done regardless of previous normal x-rays.
The current breast screening recommendation is a yearly mammogram after age 40 (C). Breast
self-exam (A) continues to be a priority recommendation for all women because a small lump
(or tumor) is often first felt by a woman before a mammogram is obtained. The radiation
exposure from a mammogram is low, so (B) is not normally provided. The frequency of using
routine and ultrasound mammograms (D) in women with high-risk variables, such as a history of
4
SUCCESS!
EVOLVE ELSEVIER HESI MED SURG EXAM WITH
COMPLETE QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALES LATEST UPDATE JUST
RELEASED
Question: 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. - ANSWER✔✔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).
1
SUCCESS!
,Page 2 of 184
Question: 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. - ANSWER✔✔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.
Question: 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.
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D) If you are in your menstrual period it is not a good time to check for lumps. - ANSWER✔✔B)
Most lumps are benign, but it is always best to come in for an examination.
(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.
Question: 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.
D) Cardiac catheterization. - ANSWER✔✔C) Anticoagulation therapy.
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, Page 4 of 184
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.
Question: 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. -
ANSWER✔✔C) Yearly mammograms should be done regardless of previous normal x-rays.
The current breast screening recommendation is a yearly mammogram after age 40 (C). Breast
self-exam (A) continues to be a priority recommendation for all women because a small lump
(or tumor) is often first felt by a woman before a mammogram is obtained. The radiation
exposure from a mammogram is low, so (B) is not normally provided. The frequency of using
routine and ultrasound mammograms (D) in women with high-risk variables, such as a history of
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