Med Surg HESI Exam Questions and
Answers with Verified Solutions | Latest
Updated 2026
A 20-year-old female client calls B) Most lumps are benign, but it is always
the best to
nurse to report a lump she found come in for an examination.
in (B) provides the best response because it
her breast. Which response is the addresses the client's anxiety most
best for the nurse to provide? effectively and
A) Check it again in one month, encourages prompt and immediate action
and for a
if it is still there schedule an potential problem. (A) postpones treatment
appointment. if the
B) Most lumps are benign, but it is lump is malignant, and does not relieve the
always best to come in for an client's
examination. anxiety. (C and D) provide false
C) Try not to worry too much about reassurance and
it, because usually, most lumps do not help relieve anxiety.
are
benign.
D) If you are in your menstrual
period it is not a good time to
check
for lumps.
,The nurse should be correct in C) serum potassium level is 3.
withholding a dose of digoxin in a Hypokalemia (C) can precipitate digitalis
client with congestive heart failure toxicity in
without specific instruction from persons receiving digoxin which will
the increase the
healthcare provider if the client's chance of dangerous dysrhythmias
A) serum digoxin level is 1.5. (normal
B) blood pressure is 104/68. potassium level is 3.5 to 5.5 mEq/L). The
C) serum potassium level is 3. therapeutic range for digoxin is 0.8 to 2
D) apical pulse is 68/min. 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).
In assessing a client diagnosed C) Potassium.
with Clients with primary aldosteronism exhibit
primary hyperaldosteronism, the a
nurse expects the laboratory test profound decline in the serum levels of
results to indicate a decreased potassium
serum level of which substance? (C) (hypokalemia)--hypertension is the
A) Sodium. most
B) Antidiuretic hormone. prominent and universal sign. (A) is normal
C) Potassium. or
D) Glucose. elevated, depending on the amount of
water
reabsorbed with the sodium. (B) is
decreased with
diabetes insipidus. (D) is not affected by
primary
aldosteronism.
,Based on the analysis of the C) Anticoagulation therapy.
client's The client is experiencing atrial fibrillation,
atrial fibrillation, the nurse should and the
prepare the client for which nurse should prepare the client for
treatment protocol? anticoagulation
A) Diuretic therapy. therapy (C) which should be prescribed
B) Pacemaker implantation. before
C) Anticoagulation therapy. rhythm control therapies to prevent
D) Cardiac catheterization. cardioembolic
events which result from blood pooling in
the
fibrillating atria. (A, B, and D) are not
indicated.
, Which information about C) Yearly mammograms should be done
mammograms is most important to regardless
provide a post-menopausal female of previous normal x-rays.
client? The current breast screening
A) Breast self-examinations are recommendation is a
not yearly mammogram after age 40 (C).
needed if annual mammograms Breast self-
are exam (A) continues to be a priority
obtained. recommendation for all women because a
B) Radiation exposure is small
minimized lump (or tumor) is often first felt by a
by shielding the abdomen with a woman
lead-lined apron. before a mammogram is obtained. The
C) Yearly mammograms should be radiation
done regardless of previous exposure from a mammogram is low, so
normal (B) is not
x-rays. normally provided. The frequency of using
D) Women at high risk should routine
have and ultrasound mammograms (D) in
annual routine and ultrasound women with
mammograms. 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.
Answers with Verified Solutions | Latest
Updated 2026
A 20-year-old female client calls B) Most lumps are benign, but it is always
the best to
nurse to report a lump she found come in for an examination.
in (B) provides the best response because it
her breast. Which response is the addresses the client's anxiety most
best for the nurse to provide? effectively and
A) Check it again in one month, encourages prompt and immediate action
and for a
if it is still there schedule an potential problem. (A) postpones treatment
appointment. if the
B) Most lumps are benign, but it is lump is malignant, and does not relieve the
always best to come in for an client's
examination. anxiety. (C and D) provide false
C) Try not to worry too much about reassurance and
it, because usually, most lumps do not help relieve anxiety.
are
benign.
D) If you are in your menstrual
period it is not a good time to
check
for lumps.
,The nurse should be correct in C) serum potassium level is 3.
withholding a dose of digoxin in a Hypokalemia (C) can precipitate digitalis
client with congestive heart failure toxicity in
without specific instruction from persons receiving digoxin which will
the increase the
healthcare provider if the client's chance of dangerous dysrhythmias
A) serum digoxin level is 1.5. (normal
B) blood pressure is 104/68. potassium level is 3.5 to 5.5 mEq/L). The
C) serum potassium level is 3. therapeutic range for digoxin is 0.8 to 2
D) apical pulse is 68/min. 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).
In assessing a client diagnosed C) Potassium.
with Clients with primary aldosteronism exhibit
primary hyperaldosteronism, the a
nurse expects the laboratory test profound decline in the serum levels of
results to indicate a decreased potassium
serum level of which substance? (C) (hypokalemia)--hypertension is the
A) Sodium. most
B) Antidiuretic hormone. prominent and universal sign. (A) is normal
C) Potassium. or
D) Glucose. elevated, depending on the amount of
water
reabsorbed with the sodium. (B) is
decreased with
diabetes insipidus. (D) is not affected by
primary
aldosteronism.
,Based on the analysis of the C) Anticoagulation therapy.
client's The client is experiencing atrial fibrillation,
atrial fibrillation, the nurse should and the
prepare the client for which nurse should prepare the client for
treatment protocol? anticoagulation
A) Diuretic therapy. therapy (C) which should be prescribed
B) Pacemaker implantation. before
C) Anticoagulation therapy. rhythm control therapies to prevent
D) Cardiac catheterization. cardioembolic
events which result from blood pooling in
the
fibrillating atria. (A, B, and D) are not
indicated.
, Which information about C) Yearly mammograms should be done
mammograms is most important to regardless
provide a post-menopausal female of previous normal x-rays.
client? The current breast screening
A) Breast self-examinations are recommendation is a
not yearly mammogram after age 40 (C).
needed if annual mammograms Breast self-
are exam (A) continues to be a priority
obtained. recommendation for all women because a
B) Radiation exposure is small
minimized lump (or tumor) is often first felt by a
by shielding the abdomen with a woman
lead-lined apron. before a mammogram is obtained. The
C) Yearly mammograms should be radiation
done regardless of previous exposure from a mammogram is low, so
normal (B) is not
x-rays. normally provided. The frequency of using
D) Women at high risk should routine
have and ultrasound mammograms (D) in
annual routine and ultrasound women with
mammograms. 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.
