EVOLVE HESI MED-SURG EXAM (LATEST 2025/2026 UPDATE) PRACTICE TEST |50 REAL QUESTIONS WITH CORRECT ANSWERS AND RATIONALE.

EVOLVE HESI MED-SURG EXAM (LATEST i,- i,- i,- i,- i,-




2025/2026 UPDATE) PRACTICE TEST |50 i,- i,- i,- i,- i,-




REAL QUESTIONS WITH CORRECT i,- i,- i,- i,-




ANSWERS AND RATIONALE. i,- i,-




In assessing a client diagnosed with primary hyperaldosteronism,
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the nurse expects the laboratory test results to indicate a
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decreased serum level of which substance? i,- i,- i,- i,- i,-




A) Sodium.
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B) Antidiuretic hormone.
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C) Potassium.
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D) Glucose.
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Clients with primary aldosteronism exhibit a profound decline in
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the serum levels of potassium (C) (hypokalemia)--hypertension is
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the most prominent and universal sign. (A) is normal or elevated,
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depending on the amount of water reabsorbed with the sodium.
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(B) is decreased with diabetes insipidus. (D) is not affected by
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primary aldosteronism. i,-




Based on the analysis of the client's atrial fibrillation, the nurse
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should prepare the client for which treatment protocol?
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,A) Diuretic therapy.
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B) Pacemaker implantation.
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C) Anticoagulation therapy.
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D) Cardiac catheterization.
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The client is experiencing atrial fibrillation, and the nurse should
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prepare the client for anticoagulation therapy (C) which should be
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prescribed before rhythm control therapies to prevent i,- i,- i,- i,- i,- i,- i,-



cardioembolic events which result from blood pooling in the i,- i,- i,- i,- i,- i,- i,- i,- i,-



fibrillating atria. (A, B, and D) are not indicated. i,- i,- i,- i,- i,- i,- i,- i,-




Which information about mammograms is most important to
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provide a post-menopausal female client?
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A) Breast self-examinations are not needed if annual
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mammograms are obtained. i,- i,- i,-




B) Radiation exposure is minimized by shielding the abdomen
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with a lead-lined apron.
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C) Yearly mammograms should be done regardless of previous
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normal x-rays. i,- i,-




D) Women at high risk should have annual routine and
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ultrasound mammograms. C) Yearly mammograms should bei,- i,-i,- i,- i,- i,- i,- i,- i,-



done regardless of previous normal x-rays.
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,The current breast screening recommendation is a yearly
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mammogram after age 40 (C). Breast self-exam (A) continues to i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



be a priority recommendation for all women because a small
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lump (or tumor) is often first felt by a woman before a
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mammogram is obtained. The radiation exposure from a i,- i,- i,- i,- i,- i,- i,- i,-



mammogram is low, so (B) is not normally provided. The i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



frequency of using routine and ultrasound mammograms (D) ini,- i,- i,- i,- i,- i,- i,- i,- i,-



women with high-risk variables, such as a history of breast cancer,
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the presence of BRC1 and BRC2 genes, or 2 first-degree relatives
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with breast cancer, should be recommended and followed closely
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by the healthcare provider.
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In assessing cancer risk, the nurse identifies which woman as
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being at greatest risk of developing breast cancer?
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A) A 35-year-old multipara who never breastfed.
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B) A 50-year-old whose mother had unilateral breast cancer.
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C) A 55-year-old whose mother-in-law had bilateral breast
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cancer. i,-




D) A 20-year-old whose menarche occurred at age 9.
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year-old whose mother had unilateral breast cancer.
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The most predictive risk factors for development of breast cancer
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are over 40 years of age and a positive family history (occurrence
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in the immediate family, i.e., mother or sister). Other risk factors
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include nulliparity, no history of breastfeeding, early menarche
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, and late menopause. Although all of the women described have
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one of the risk factors for developing breast cancer, (B) has the
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greater risk over (A, C, and D). i,- i,- i,- i,- i,- i,-




Which reaction should the nurse identify in a client who is
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responding to stimulation of the sympathetic nervous system? i,- i,- i,- i,- i,- i,- i,-




A) Pupil constriction.
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B) Increased heart rate.
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C) Bronchial constriction.
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D) Decreased blood pressure.
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Any stressor that is perceived as threatening to homeostasis acts
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to stimulate the sympathetic nervous system and manifests as a
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flight-or-fight response, which includes an increase in heart rate i,- i,- i,- i,- i,- i,- i,- i,- i,-



(B). (A, C, and D) are responses of the parasympathetic nervous
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system.


A client receiving cholestyramine (Questran) for hyperlipidemia
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should be evaluated for what vitamin deficiency?
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A) K. i,- i,-




B) B12.
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C) B6. i,- i,-




D) C. i,- i,-i,- i,- A) K. i,- i,-