Page 1 of 113
HESI Med Surg Evolve Elsevier Test Bank
2026: Verified Questions, Answers &
Rationales for Guaranteed Exam Success
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.
,Page 2 of 113
D) Women at high risk should have annual routine and ultrasound
mammograms. - ✔ANASWER✔-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 breast
cancer, the presence of BRC1 and BRC2 genes, or 2 first-degree
relatives with breast cancer, should be recommended and
followed closely by the healthcare provider.
,Page 3 of 113
In assessing cancer risk, the nurse identifies which woman as being
at greatest risk of developing breast cancer?
A) A 35-year-old multipara who never breastfed.
B) A 50-year-old whose mother had unilateral breast cancer.
C) A 55-year-old whose mother-in-law had bilateral breast cancer.
D) A 20-year-old whose menarche occurred at age 9. -
✔ANASWER✔-B) A 50-year-old whose mother had unilateral breast
cancer.
The most predictive risk factors for development of breast
cancer are over 40 years of age and a positive family history
(occurrence in the immediate family, i.e., mother or sister).
Other risk factors include nulliparity, no history of
, Page 4 of 113
breastfeeding, early menarche and late menopause. Although
all of the women described have one of the risk factors for
developing breast cancer, (B) has the greater risk over (A, C,
and D).
Which reaction should the nurse identify in a client who is
responding to stimulation of the sympathetic nervous system?
A) Pupil constriction.
B) Increased heart rate.
C) Bronchial constriction.
D) Decreased blood pressure. - ✔ANASWER✔-B) Increased heart
rate.
HESI Med Surg Evolve Elsevier Test Bank
2026: Verified Questions, Answers &
Rationales for Guaranteed Exam Success
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.
,Page 2 of 113
D) Women at high risk should have annual routine and ultrasound
mammograms. - ✔ANASWER✔-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 breast
cancer, the presence of BRC1 and BRC2 genes, or 2 first-degree
relatives with breast cancer, should be recommended and
followed closely by the healthcare provider.
,Page 3 of 113
In assessing cancer risk, the nurse identifies which woman as being
at greatest risk of developing breast cancer?
A) A 35-year-old multipara who never breastfed.
B) A 50-year-old whose mother had unilateral breast cancer.
C) A 55-year-old whose mother-in-law had bilateral breast cancer.
D) A 20-year-old whose menarche occurred at age 9. -
✔ANASWER✔-B) A 50-year-old whose mother had unilateral breast
cancer.
The most predictive risk factors for development of breast
cancer are over 40 years of age and a positive family history
(occurrence in the immediate family, i.e., mother or sister).
Other risk factors include nulliparity, no history of
, Page 4 of 113
breastfeeding, early menarche and late menopause. Although
all of the women described have one of the risk factors for
developing breast cancer, (B) has the greater risk over (A, C,
and D).
Which reaction should the nurse identify in a client who is
responding to stimulation of the sympathetic nervous system?
A) Pupil constriction.
B) Increased heart rate.
C) Bronchial constriction.
D) Decreased blood pressure. - ✔ANASWER✔-B) Increased heart
rate.
