Test Bank for RN Adult Medical Surgical Exam
Page |1
Test Bank 1 for RN Adult Medical Surgical
Nursing: Content Mastery Series Edition 12.0
by Alissa Althoff | All Chapters Questions and
Answers | Latest 2026/2027
Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision problems. The
visiting nurse is discussing painting the house with the client. The nurse suggests that the edge of the
steps should be painted which color?
A) Black.
B) White.
C) Light green.
D) Medium yellow. - Correct Answer :Answer: D
Yellow is the easiest for a person living with failing vision to see.
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, Test Bank for RN Adult Medical Surgical Exam
Page |2
HESI Evolve Website 11/20/2019
How should the nurse position the electrodes for modified chest lead one telemetry monitoring?
A. Negative polarity left shoulder, positive polarity right chest nipple line, ground left chest nipple line.
B. Positive polarity left shoulder, negative polarity right chest nipple line, ground left chest nipple line.
C. Positive polarity right chest nipple line, negative polarity left chest nipple line, ground left shoulder.
D. Positive polarity right shoulder, negative polarity left shoulder, ground left chest nipple line. -
Correct Answer :Answer: A
In MCL 1 monitoring, the positive electrode is placed on the client's mid-chest to the right of the
sternum, and the negative electrode is placed on the upper left part of the chest. The ground may be
placed anywhere, but is usually placed on the lower left portion of the chest.
HESI Evolve Website 11/20/2019
During suctioning, a client with an uncuffed tracheostomy tube begins to cough violently and
dislodges the tracheostomy tube. Which action should the nurse implement first?
A) Notify the healthcare provider for reinsertion.
B) Attempt to reinsert the tracheostomy tube.
C) Position the client in a lateral position with the neck extended.
D) Ventilate client's tracheostomy stoma with a manual bag-mask. - Correct Answer :Answer: B
The nurse should attempt to reinsert the tracheostomy tube by using a hemostat to open the
tracheostomy or by grasping the retention sutures (if present) to spread the opening and insert a
replacement tube (with it's obturator) into the stoma. Once in place, the obturator should
immediately be removed.
HESI Evolve Website 11/20/2019
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, Test Bank for RN Adult Medical Surgical Exam
Page |3
The nurse is planning care to prevent complication for a client with multiple myeloma. Which
intervention is most important for the nurse to include?
A. Assess for changes in size of lymph nodes
B. Safety precautions during activity
C. Administer narcotic analgesic around the clock
D. Maintain a fluid intake of 3 to 4 L per day. - Correct Answer :Answer: D
Preventions of complications related to hypercalcemia is most important. Multiple Myeloma is a
malignancy of plasma cells that infiltrates bone causing demineralization and hypercalcemia, so
maintaining a urinary output of 1.5 to 2 L per day requires an intake of 3 to 4 L to promote excretion of
serum calcium.
HESI Evolve Website 11/20/2019
A client with a 16-year history with diabetes mellitus is having renal function tests because of recent
fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which finding should
the nurse conclude as an early symptom of renal insufficiency?
A. Confusion
B. Nocturia
C. Dyspnea
D. Stomatitis - Correct Answer :Answer: A
As the glomerular filtration rate decreases in early renal insufficiency, metabolic waste products,
including urea, creatinine, and other substances, such as phenols, hormones, and electrolytes
accumulate in the blood. In the early stage of renal insufficiency, polyuria results from the inability of
the kidney's to concentrate urine and contribute to nocturia. The other symptoms listed are more
common in the later stages of renal failure.
P a g e 3 | 141
, Test Bank for RN Adult Medical Surgical Exam
Page |4
HESI Evolve Website 11/20/2019
A client with a 16-year history with diabetes mellitus is having renal function tests because of recent
fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which finding should
the nurse conclude as an early symptom of renal insufficiency?
A. Confusion
B. Nocturia
C. Dyspnea
D. Stomatitis - Correct Answer :Answer: B
As the glomerular filtration rate decreases in early renal insufficiency, metabolic waste products,
including urea, creatinine, and other substances, such as phenols, hormones, and electrolytes
accumulate in the blood. In the early stage of renal insufficiency, polyuria results from the inability of
the kidney's to concentrate urine and contribute to nocturia. The other symptoms listed are more
common in the later stages of renal failure.
HESI Evolve Website 11/20/2019
A 32-year-old female client with complaints of severe abdominal pain each month before her
menstrual period, painful intercourse, and painful defecation. Which history should the nurse obtain
that is consistent with the clients complaints?
A. Frequent urinary tract infections
B. Inability to get pregnant
C. Chronic use of laxatives
D. Premenstrual syndrome - Correct Answer :Answer: B
Dysmenorrhea, dyspareunia, and difficult/painful defecation are common symptoms of endometriosis,
which is the abnormal displacement of endometrial tissue in the dependent areas of the pelvic
peritoneum. A history of infertility is another common finding associated with endometriosis.
P a g e 4 | 141
Page |1
Test Bank 1 for RN Adult Medical Surgical
Nursing: Content Mastery Series Edition 12.0
by Alissa Althoff | All Chapters Questions and
Answers | Latest 2026/2027
Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision problems. The
visiting nurse is discussing painting the house with the client. The nurse suggests that the edge of the
steps should be painted which color?
A) Black.
B) White.
C) Light green.
D) Medium yellow. - Correct Answer :Answer: D
Yellow is the easiest for a person living with failing vision to see.
P a g e 1 | 141
, Test Bank for RN Adult Medical Surgical Exam
Page |2
HESI Evolve Website 11/20/2019
How should the nurse position the electrodes for modified chest lead one telemetry monitoring?
A. Negative polarity left shoulder, positive polarity right chest nipple line, ground left chest nipple line.
B. Positive polarity left shoulder, negative polarity right chest nipple line, ground left chest nipple line.
C. Positive polarity right chest nipple line, negative polarity left chest nipple line, ground left shoulder.
D. Positive polarity right shoulder, negative polarity left shoulder, ground left chest nipple line. -
Correct Answer :Answer: A
In MCL 1 monitoring, the positive electrode is placed on the client's mid-chest to the right of the
sternum, and the negative electrode is placed on the upper left part of the chest. The ground may be
placed anywhere, but is usually placed on the lower left portion of the chest.
HESI Evolve Website 11/20/2019
During suctioning, a client with an uncuffed tracheostomy tube begins to cough violently and
dislodges the tracheostomy tube. Which action should the nurse implement first?
A) Notify the healthcare provider for reinsertion.
B) Attempt to reinsert the tracheostomy tube.
C) Position the client in a lateral position with the neck extended.
D) Ventilate client's tracheostomy stoma with a manual bag-mask. - Correct Answer :Answer: B
The nurse should attempt to reinsert the tracheostomy tube by using a hemostat to open the
tracheostomy or by grasping the retention sutures (if present) to spread the opening and insert a
replacement tube (with it's obturator) into the stoma. Once in place, the obturator should
immediately be removed.
HESI Evolve Website 11/20/2019
P a g e 2 | 141
, Test Bank for RN Adult Medical Surgical Exam
Page |3
The nurse is planning care to prevent complication for a client with multiple myeloma. Which
intervention is most important for the nurse to include?
A. Assess for changes in size of lymph nodes
B. Safety precautions during activity
C. Administer narcotic analgesic around the clock
D. Maintain a fluid intake of 3 to 4 L per day. - Correct Answer :Answer: D
Preventions of complications related to hypercalcemia is most important. Multiple Myeloma is a
malignancy of plasma cells that infiltrates bone causing demineralization and hypercalcemia, so
maintaining a urinary output of 1.5 to 2 L per day requires an intake of 3 to 4 L to promote excretion of
serum calcium.
HESI Evolve Website 11/20/2019
A client with a 16-year history with diabetes mellitus is having renal function tests because of recent
fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which finding should
the nurse conclude as an early symptom of renal insufficiency?
A. Confusion
B. Nocturia
C. Dyspnea
D. Stomatitis - Correct Answer :Answer: A
As the glomerular filtration rate decreases in early renal insufficiency, metabolic waste products,
including urea, creatinine, and other substances, such as phenols, hormones, and electrolytes
accumulate in the blood. In the early stage of renal insufficiency, polyuria results from the inability of
the kidney's to concentrate urine and contribute to nocturia. The other symptoms listed are more
common in the later stages of renal failure.
P a g e 3 | 141
, Test Bank for RN Adult Medical Surgical Exam
Page |4
HESI Evolve Website 11/20/2019
A client with a 16-year history with diabetes mellitus is having renal function tests because of recent
fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which finding should
the nurse conclude as an early symptom of renal insufficiency?
A. Confusion
B. Nocturia
C. Dyspnea
D. Stomatitis - Correct Answer :Answer: B
As the glomerular filtration rate decreases in early renal insufficiency, metabolic waste products,
including urea, creatinine, and other substances, such as phenols, hormones, and electrolytes
accumulate in the blood. In the early stage of renal insufficiency, polyuria results from the inability of
the kidney's to concentrate urine and contribute to nocturia. The other symptoms listed are more
common in the later stages of renal failure.
HESI Evolve Website 11/20/2019
A 32-year-old female client with complaints of severe abdominal pain each month before her
menstrual period, painful intercourse, and painful defecation. Which history should the nurse obtain
that is consistent with the clients complaints?
A. Frequent urinary tract infections
B. Inability to get pregnant
C. Chronic use of laxatives
D. Premenstrual syndrome - Correct Answer :Answer: B
Dysmenorrhea, dyspareunia, and difficult/painful defecation are common symptoms of endometriosis,
which is the abnormal displacement of endometrial tissue in the dependent areas of the pelvic
peritoneum. A history of infertility is another common finding associated with endometriosis.
P a g e 4 | 141
