MED SURG HESI GRADE A+
COMPLETE EXAM QUESTIONS AND
100% VERIFIED ANSWERS (2026/2027)
PASS GUARANTEE
Am20-year-
oldmfemalemclientmcallsmthemnursemtomreportmamlumpmshemfoundminmhermbreast.mWhichmresponsemis
mthembestmformthemnursemtomprovide?
A)mCheckmitmagainminmonemmonth,mandmifmitmismstillmtheremschedulemanmappointment.m
B)mMostmlumpsmarembenign,mbutmitmismalwaysmbestmtomcomeminmformanmexamination.m
C)mTrymnotmtomworrymtoommuchmaboutmit,mbecausemusually,mmostmlumpsmarembenign.m
D)mIfmyoumareminmyourmmenstrualmperiodmitmismnotmamgoodmtimemtomcheckmformlumps.m-
mCORRECTmANSWERmB)mMostmlumpsmarembenign,mbutmitmismalwaysmbestmtomcomeminmformanmexami
nation.m
(B)mprovidesmthembestmresponsembecausemitmaddressesmthemclient'smanxietymmostmeffectivelymandm
encouragesmpromptmandmimmediatemactionmformampotentialmproblem.m(A)mpostponesmtreatmentmi
fmthemlumpmismmalignant,mandmdoesmnotmrelievemthemclient'smanxiety.m(CmandmD)mprovidemfalsemrea
ssurancemandmdomnotmhelpmrelievemanxiety.
Themnursemshouldmbemcorrectminmwithholdingmamdosemofmdigoxinminmamclientmwithmcongestivemhear
tmfailuremwithoutmspecificminstructionmfrommthemhealthcaremprovidermifmthemclient's
A)mserummdigoxinmlevelmism1.5.m
B)mbloodmpressuremism104/68.m
C)mserummpotassiummlevelmism3.m
D)mapicalmpulsemism68/min.m-mCORRECTmANSWERmC)mserummpotassiummlevelmism3.m
Hypokalemiam(C)mcanmprecipitatemdigitalismtoxicityminmpersonsmreceivingmdigoxinmwhichmwillmincre
asemthemchancemofmdangerousmdysrhythmiasm(normalmpotassiummlevelmism3.5mtom5.5mmEq/L).mThe
mtherapeuticmrangemformdigoxinmism0.8mtom2mng/mlm(toxicmlevels=m>2mng/ml);m(A)mismwithinmthismran
,ge.m(B)mwouldmnotmwarrantmthemnursemwithholdingmthemdigoxin.mThemnursemshouldmwithholdmthem
digoxinmifmthemapicalmpulsemismlessmthanm60/minm(D).
Inmassessingmamclientmdiagnosedmwithmprimarymhyperaldosteronism,mthemnursemexpectsmthemlabor
atorymtestmresultsmtomindicatemamdecreasedmserummlevelmofmwhichmsubstance?
A)mSodium.m
B)mAntidiureticmhormone.m
C)mPotassium.m
D)mGlucose.m-mCORRECTmANSWERmC)mPotassium.m
Clientsmwithmprimarymaldosteronismmexhibitmamprofoundmdeclineminmthemserummlevelsmofmpotassiu
mm(C)m(hypokalemia)--
hypertensionmismthemmostmprominentmandmuniversalmsign.m(A)mismnormalmormelevated,mdepending
monmthemamountmofmwatermreabsorbedmwithmthemsodium.m(B)mismdecreasedmwithmdiabetesminsipid
us.m(D)mismnotmaffectedmbymprimarymaldosteronism.
Basedmonmthemanalysismofmthemclient'smatrialmfibrillation,mthemnursemshouldmpreparemthemclientmfor
mwhichmtreatmentmprotocol?
A)mDiureticmtherapy.m
B)mPacemakermimplantation.m
C)mAnticoagulationmtherapy.m
D)mCardiacmcatheterization.m-mCORRECTmANSWERmC)mAnticoagulationmtherapy.m
Themclientmismexperiencingmatrialmfibrillation,mandmthemnursemshouldmpreparemthemclientmformantic
oagulationmtherapym(C)mwhichmshouldmbemprescribedmbeforemrhythmmcontrolmtherapiesmtompreve
ntmcardioembolicmeventsmwhichmresultmfrommbloodmpoolingminmthemfibrillatingmatria.m(A,mB,mandmD
)maremnotmindicated.
, Whichminformationmaboutmmammogramsmismmostmimportantmtomprovidemampost-
menopausalmfemalemclient?
A)mBreastmself-examinationsmaremnotmneededmifmannualmmammogramsmaremobtained.m
B)mRadiationmexposuremismminimizedmbymshieldingmthemabdomenmwithmamlead-linedmapron.m
C)mYearlymmammogramsmshouldmbemdonemregardlessmofmpreviousmnormalmx-rays.m
D)mWomenmatmhighmriskmshouldmhavemannualmroutinemandmultrasoundmmammograms.m-
mCORRECTmANSWERmC)mYearlymmammogramsmshouldmbemdonemregardlessmofmpreviousmnormalmx-
rays.m
Themcurrentmbreastmscreeningmrecommendationmismamyearlymmammogrammaftermagem40m(C).mBrea
stmself-
examm(A)mcontinuesmtombemamprioritymrecommendationmformallmwomenmbecausemamsmallmlumpm(o
rmtumor)mismoftenmfirstmfeltmbymamwomanmbeforemammammogrammismobtained.mThemradiationmexpo
suremfrommammammogrammismlow,msom(B)mismnotmnormallymprovided.mThemfrequencymofmusingmrou
tinemandmultrasoundmmammogramsm(D)minmwomenmwithmhigh-
riskmvariables,msuchmasmamhistorymofmbreastmcancer,mthempresencemofmBRC1mandmBRC2mgenes,morm2
mfirst-
degreemrelativesmwithmbreastmcancer,mshouldmbemrecommendedmandmfollowedmcloselymbymthemhe
althcaremprovider.
Inmassessingmcancermrisk,mthemnursemidentifiesmwhichmwomanmasmbeingmatmgreatestmriskmofmdevelo
pingmbreastmcancer?
A)mAm35-year-oldmmultiparamwhomnevermbreastfed.m
B)mAm50-year-oldmwhosemmothermhadmunilateralmbreastmcancer.m
C)mAm55-year-oldmwhosemmother-in-lawmhadmbilateralmbreastmcancer.m
D)mAm20-year-oldmwhosemmenarchemoccurredmatmagem9.m-mCORRECTmANSWERmB)mAm50-year-
oldmwhosemmothermhadmunilateralmbreastmcancer.m
Themmostmpredictivemriskmfactorsmformdevelopmentmofmbreastmcancermaremoverm40myearsmofmagema
ndmampositivemfamilymhistorym(occurrenceminmthemimmediatemfamily,mi.e.,mmothermormsister).mOthe
rmriskmfactorsmincludemnulliparity,mnomhistorymofmbreastfeeding,mearlymmenarchemandmlatemmenop
COMPLETE EXAM QUESTIONS AND
100% VERIFIED ANSWERS (2026/2027)
PASS GUARANTEE
Am20-year-
oldmfemalemclientmcallsmthemnursemtomreportmamlumpmshemfoundminmhermbreast.mWhichmresponsemis
mthembestmformthemnursemtomprovide?
A)mCheckmitmagainminmonemmonth,mandmifmitmismstillmtheremschedulemanmappointment.m
B)mMostmlumpsmarembenign,mbutmitmismalwaysmbestmtomcomeminmformanmexamination.m
C)mTrymnotmtomworrymtoommuchmaboutmit,mbecausemusually,mmostmlumpsmarembenign.m
D)mIfmyoumareminmyourmmenstrualmperiodmitmismnotmamgoodmtimemtomcheckmformlumps.m-
mCORRECTmANSWERmB)mMostmlumpsmarembenign,mbutmitmismalwaysmbestmtomcomeminmformanmexami
nation.m
(B)mprovidesmthembestmresponsembecausemitmaddressesmthemclient'smanxietymmostmeffectivelymandm
encouragesmpromptmandmimmediatemactionmformampotentialmproblem.m(A)mpostponesmtreatmentmi
fmthemlumpmismmalignant,mandmdoesmnotmrelievemthemclient'smanxiety.m(CmandmD)mprovidemfalsemrea
ssurancemandmdomnotmhelpmrelievemanxiety.
Themnursemshouldmbemcorrectminmwithholdingmamdosemofmdigoxinminmamclientmwithmcongestivemhear
tmfailuremwithoutmspecificminstructionmfrommthemhealthcaremprovidermifmthemclient's
A)mserummdigoxinmlevelmism1.5.m
B)mbloodmpressuremism104/68.m
C)mserummpotassiummlevelmism3.m
D)mapicalmpulsemism68/min.m-mCORRECTmANSWERmC)mserummpotassiummlevelmism3.m
Hypokalemiam(C)mcanmprecipitatemdigitalismtoxicityminmpersonsmreceivingmdigoxinmwhichmwillmincre
asemthemchancemofmdangerousmdysrhythmiasm(normalmpotassiummlevelmism3.5mtom5.5mmEq/L).mThe
mtherapeuticmrangemformdigoxinmism0.8mtom2mng/mlm(toxicmlevels=m>2mng/ml);m(A)mismwithinmthismran
,ge.m(B)mwouldmnotmwarrantmthemnursemwithholdingmthemdigoxin.mThemnursemshouldmwithholdmthem
digoxinmifmthemapicalmpulsemismlessmthanm60/minm(D).
Inmassessingmamclientmdiagnosedmwithmprimarymhyperaldosteronism,mthemnursemexpectsmthemlabor
atorymtestmresultsmtomindicatemamdecreasedmserummlevelmofmwhichmsubstance?
A)mSodium.m
B)mAntidiureticmhormone.m
C)mPotassium.m
D)mGlucose.m-mCORRECTmANSWERmC)mPotassium.m
Clientsmwithmprimarymaldosteronismmexhibitmamprofoundmdeclineminmthemserummlevelsmofmpotassiu
mm(C)m(hypokalemia)--
hypertensionmismthemmostmprominentmandmuniversalmsign.m(A)mismnormalmormelevated,mdepending
monmthemamountmofmwatermreabsorbedmwithmthemsodium.m(B)mismdecreasedmwithmdiabetesminsipid
us.m(D)mismnotmaffectedmbymprimarymaldosteronism.
Basedmonmthemanalysismofmthemclient'smatrialmfibrillation,mthemnursemshouldmpreparemthemclientmfor
mwhichmtreatmentmprotocol?
A)mDiureticmtherapy.m
B)mPacemakermimplantation.m
C)mAnticoagulationmtherapy.m
D)mCardiacmcatheterization.m-mCORRECTmANSWERmC)mAnticoagulationmtherapy.m
Themclientmismexperiencingmatrialmfibrillation,mandmthemnursemshouldmpreparemthemclientmformantic
oagulationmtherapym(C)mwhichmshouldmbemprescribedmbeforemrhythmmcontrolmtherapiesmtompreve
ntmcardioembolicmeventsmwhichmresultmfrommbloodmpoolingminmthemfibrillatingmatria.m(A,mB,mandmD
)maremnotmindicated.
, Whichminformationmaboutmmammogramsmismmostmimportantmtomprovidemampost-
menopausalmfemalemclient?
A)mBreastmself-examinationsmaremnotmneededmifmannualmmammogramsmaremobtained.m
B)mRadiationmexposuremismminimizedmbymshieldingmthemabdomenmwithmamlead-linedmapron.m
C)mYearlymmammogramsmshouldmbemdonemregardlessmofmpreviousmnormalmx-rays.m
D)mWomenmatmhighmriskmshouldmhavemannualmroutinemandmultrasoundmmammograms.m-
mCORRECTmANSWERmC)mYearlymmammogramsmshouldmbemdonemregardlessmofmpreviousmnormalmx-
rays.m
Themcurrentmbreastmscreeningmrecommendationmismamyearlymmammogrammaftermagem40m(C).mBrea
stmself-
examm(A)mcontinuesmtombemamprioritymrecommendationmformallmwomenmbecausemamsmallmlumpm(o
rmtumor)mismoftenmfirstmfeltmbymamwomanmbeforemammammogrammismobtained.mThemradiationmexpo
suremfrommammammogrammismlow,msom(B)mismnotmnormallymprovided.mThemfrequencymofmusingmrou
tinemandmultrasoundmmammogramsm(D)minmwomenmwithmhigh-
riskmvariables,msuchmasmamhistorymofmbreastmcancer,mthempresencemofmBRC1mandmBRC2mgenes,morm2
mfirst-
degreemrelativesmwithmbreastmcancer,mshouldmbemrecommendedmandmfollowedmcloselymbymthemhe
althcaremprovider.
Inmassessingmcancermrisk,mthemnursemidentifiesmwhichmwomanmasmbeingmatmgreatestmriskmofmdevelo
pingmbreastmcancer?
A)mAm35-year-oldmmultiparamwhomnevermbreastfed.m
B)mAm50-year-oldmwhosemmothermhadmunilateralmbreastmcancer.m
C)mAm55-year-oldmwhosemmother-in-lawmhadmbilateralmbreastmcancer.m
D)mAm20-year-oldmwhosemmenarchemoccurredmatmagem9.m-mCORRECTmANSWERmB)mAm50-year-
oldmwhosemmothermhadmunilateralmbreastmcancer.m
Themmostmpredictivemriskmfactorsmformdevelopmentmofmbreastmcancermaremoverm40myearsmofmagema
ndmampositivemfamilymhistorym(occurrenceminmthemimmediatemfamily,mi.e.,mmothermormsister).mOthe
rmriskmfactorsmincludemnulliparity,mnomhistorymofmbreastfeeding,mearlymmenarchemandmlatemmenop