EVOLVE ELSEVIER HESI MED SURG EXAM LATEST (2025)
COMPLETE QUESTIONS WITH 100% VERIFIED SOLUTIONS||
EVOLVE ELSEVIER HESI MED SURG EXAM LATEST (2025
Which symptoms should the nurse expect a client to exhibit who is diagnosed with pheochromocytoma?
- CORRECT ANSWERS-Headache, diaphoresis, and palpitations
A client with heart disease is on a continuous telemetry monitor and has developed sinus bradycardia. In
determining the possible cause of the bradycardia, the nurse assesses the client's medication record.
Which medication is most likely the cause of the bradycardia? - CORRECT ANSWERS-
Propanolol
A client has undergone insertion of a permanent pacemaker. When developing a discharge teaching
plan, the nurse writes a goal of, "The client will verbalize symptoms of pacemaker failure." Which
symptoms are most important to teach the client? - CORRECT ANSWERS-Feelings of dizziness
The nurse is initiating the client's fourth dose of gentamycin sulfate IV. The HCP has prescribed peak and
trough levels. Which is the most important action for the nurse to implement next? - CORRECT
ANSWERS-Draw the trough 5 minutes before and the peak 30 minutes after the next dose
The client is taking digoxin for congestive heart failure. The nurse would be correct in withholding a dose
of digoxin based on which assessment? - CORRECT ANSWERS-Serum potassium level is 3
When preparing a client who has had a total laryngectomy for discharge, which instruction is most
important for the nurse to include in the discharge teaching? - CORRECT ANSWERS-Tell the
client to carry a medic alert card stating that he is a total neck breather
A client is placed on a mechanical ventilator following a cerebral hemorrhage, and vecuronium bromide
0.04 mg/kg q12 hours IV is prescribed. Which is the priority nursing diagnosis for this client? -
CORRECT ANSWERS-impaired communication related to paralysis of skeletal muscles
A client is admitted to the hospital with a medical diagnosis of pneumococcal pneumonia. The nurse
knows that the prognosis for gram-negative pneumonias (such as E. coli, Klebsiella, Pseudomonas, and
Proteus) is very poor. Which information relates most directly to the prognosis for gram negative
,pneumonias? - CORRECT ANSWERS-Gram negative organisms are more resistant to antibiotic
therapy
During CPR, when attempting to ventilate a client's lungs, the nurse notes that the chest is not moving.
What action should the nurse take first? - CORRECT ANSWERS-Reposition the head to
validate that the head is in the proper position to open the airway
A client is admitted to the hospital with diagnosis of severe acute diverticulitis. Which assessment finding
should the nurse expect this client to exhibit? - CORRECT ANSWERS-Lower left quadrant pain
and a low-grade fever
The nurse is assessing a client's lab values following administration of chemotherapy. Which lab value
leads the nurse to suspect that the client is experiencing tumor lysis syndrome (TLS)? - CORRECT
ANSWERS-Serum calcium of 5mg/dL
The RN assesses arterial blood gas results of a client that has emphysema. Which finding is consistent
with respiratory acidosis? - CORRECT ANSWERS-pH 7.32, pCO2 46 mmHg, HCO3 24 MEq/L
The nurse is caring for a client who has been diagnosed with primary hyperaldosteronism. Which lab test
result should the nurse expect an increase in the serum level? - CORRECT ANSWERS-Sodium
Which condition should the nurse suspect when a client reports vaginal dryness during intercourse? -
CORRECT ANSWERS-Obstructed Bartholin's glands
A client is admitted to the emergency department after falling from a high roof. Which finding should the
nurse report immediately? - CORRECT ANSWERS-Clear, watery drainage from the ear
A client with early breast cancer receives the results of a breast biopsy and asks the nurse to explain the
meaning of staging and the type of receptors found on the cancer cells. Which explanation should the
nurse provide? - CORRECT ANSWERS-The tumor's estrogen receptor guides treatment
options
, A client has a staging procedure for cancer of the breast and ask the nurse which type of breast cancer
has the poorest prognosis. Which information should the nurse offer the client? - CORRECT
ANSWERS-Inflammatory with peau d'orange
Which nail color alteration should the nurse expect to observe in a client with chronic kidney disease? -
CORRECT ANSWERS-Horizontal white banding
Which instruction should the nurse give a client who is diagnosed with fibrocystic changes of the breast?
- CORRECT ANSWERS-Perform a breast self-exam (BSE) procedure monthly
Which information about mammogram is most important to provide a post-menopausal female client? -
CORRECT ANSWERS-Yearly mammogram should be done regardless of previous normal x-rays
A 49 year old female client arrives at the clinic for an annual exam and asks the nurse why she becomes
excessively diaphoretic and feels warm during nighttime. What is the nurse's best response? -
CORRECT ANSWERS-Discuss perimenopause and related comfort measures
Which assessment finding by the nurse during a client's clinical breast examination requires follow-up? -
CORRECT ANSWERS-Newly retracted nipple
In preparing a discharge plan for a 22-year-old male client diagnosed with Buerger's disease
(thromboangiitis obliterans), which referral is most important? - CORRECT ANSWERS-Smoking
cessation program
A 67 year old woman who lives alone tripped on a rug in her home and fractured her hip. Which
predisposing factor probably led to the fracture in the proximal end of her femur? - CORRECT
ANSWERS-Osteoporosis resulting from hormonal changes
During a health fair, a 72-year-old male client tells the nurse that he is experiencing shortness of breath.
Auscultation reveals crackles and wheezing in both lungs. Suspecting that the client might have chronic
bronchitis, which classic symptom should the nurse expect this client to have? - CORRECT
ANSWERS-Productive cough with grayish-white sputum
COMPLETE QUESTIONS WITH 100% VERIFIED SOLUTIONS||
EVOLVE ELSEVIER HESI MED SURG EXAM LATEST (2025
Which symptoms should the nurse expect a client to exhibit who is diagnosed with pheochromocytoma?
- CORRECT ANSWERS-Headache, diaphoresis, and palpitations
A client with heart disease is on a continuous telemetry monitor and has developed sinus bradycardia. In
determining the possible cause of the bradycardia, the nurse assesses the client's medication record.
Which medication is most likely the cause of the bradycardia? - CORRECT ANSWERS-
Propanolol
A client has undergone insertion of a permanent pacemaker. When developing a discharge teaching
plan, the nurse writes a goal of, "The client will verbalize symptoms of pacemaker failure." Which
symptoms are most important to teach the client? - CORRECT ANSWERS-Feelings of dizziness
The nurse is initiating the client's fourth dose of gentamycin sulfate IV. The HCP has prescribed peak and
trough levels. Which is the most important action for the nurse to implement next? - CORRECT
ANSWERS-Draw the trough 5 minutes before and the peak 30 minutes after the next dose
The client is taking digoxin for congestive heart failure. The nurse would be correct in withholding a dose
of digoxin based on which assessment? - CORRECT ANSWERS-Serum potassium level is 3
When preparing a client who has had a total laryngectomy for discharge, which instruction is most
important for the nurse to include in the discharge teaching? - CORRECT ANSWERS-Tell the
client to carry a medic alert card stating that he is a total neck breather
A client is placed on a mechanical ventilator following a cerebral hemorrhage, and vecuronium bromide
0.04 mg/kg q12 hours IV is prescribed. Which is the priority nursing diagnosis for this client? -
CORRECT ANSWERS-impaired communication related to paralysis of skeletal muscles
A client is admitted to the hospital with a medical diagnosis of pneumococcal pneumonia. The nurse
knows that the prognosis for gram-negative pneumonias (such as E. coli, Klebsiella, Pseudomonas, and
Proteus) is very poor. Which information relates most directly to the prognosis for gram negative
,pneumonias? - CORRECT ANSWERS-Gram negative organisms are more resistant to antibiotic
therapy
During CPR, when attempting to ventilate a client's lungs, the nurse notes that the chest is not moving.
What action should the nurse take first? - CORRECT ANSWERS-Reposition the head to
validate that the head is in the proper position to open the airway
A client is admitted to the hospital with diagnosis of severe acute diverticulitis. Which assessment finding
should the nurse expect this client to exhibit? - CORRECT ANSWERS-Lower left quadrant pain
and a low-grade fever
The nurse is assessing a client's lab values following administration of chemotherapy. Which lab value
leads the nurse to suspect that the client is experiencing tumor lysis syndrome (TLS)? - CORRECT
ANSWERS-Serum calcium of 5mg/dL
The RN assesses arterial blood gas results of a client that has emphysema. Which finding is consistent
with respiratory acidosis? - CORRECT ANSWERS-pH 7.32, pCO2 46 mmHg, HCO3 24 MEq/L
The nurse is caring for a client who has been diagnosed with primary hyperaldosteronism. Which lab test
result should the nurse expect an increase in the serum level? - CORRECT ANSWERS-Sodium
Which condition should the nurse suspect when a client reports vaginal dryness during intercourse? -
CORRECT ANSWERS-Obstructed Bartholin's glands
A client is admitted to the emergency department after falling from a high roof. Which finding should the
nurse report immediately? - CORRECT ANSWERS-Clear, watery drainage from the ear
A client with early breast cancer receives the results of a breast biopsy and asks the nurse to explain the
meaning of staging and the type of receptors found on the cancer cells. Which explanation should the
nurse provide? - CORRECT ANSWERS-The tumor's estrogen receptor guides treatment
options
, A client has a staging procedure for cancer of the breast and ask the nurse which type of breast cancer
has the poorest prognosis. Which information should the nurse offer the client? - CORRECT
ANSWERS-Inflammatory with peau d'orange
Which nail color alteration should the nurse expect to observe in a client with chronic kidney disease? -
CORRECT ANSWERS-Horizontal white banding
Which instruction should the nurse give a client who is diagnosed with fibrocystic changes of the breast?
- CORRECT ANSWERS-Perform a breast self-exam (BSE) procedure monthly
Which information about mammogram is most important to provide a post-menopausal female client? -
CORRECT ANSWERS-Yearly mammogram should be done regardless of previous normal x-rays
A 49 year old female client arrives at the clinic for an annual exam and asks the nurse why she becomes
excessively diaphoretic and feels warm during nighttime. What is the nurse's best response? -
CORRECT ANSWERS-Discuss perimenopause and related comfort measures
Which assessment finding by the nurse during a client's clinical breast examination requires follow-up? -
CORRECT ANSWERS-Newly retracted nipple
In preparing a discharge plan for a 22-year-old male client diagnosed with Buerger's disease
(thromboangiitis obliterans), which referral is most important? - CORRECT ANSWERS-Smoking
cessation program
A 67 year old woman who lives alone tripped on a rug in her home and fractured her hip. Which
predisposing factor probably led to the fracture in the proximal end of her femur? - CORRECT
ANSWERS-Osteoporosis resulting from hormonal changes
During a health fair, a 72-year-old male client tells the nurse that he is experiencing shortness of breath.
Auscultation reveals crackles and wheezing in both lungs. Suspecting that the client might have chronic
bronchitis, which classic symptom should the nurse expect this client to have? - CORRECT
ANSWERS-Productive cough with grayish-white sputum
