EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM QUESTIONS AND AN-
SWERS UPDATED LATEST 2025 EXAM|EVOLVE ELSEVIER HESI MED SURG
ACTUAL EXAM QUESTIONS AND ANSWERS UPDATED(2025/2026 NEW)
Study online at https://quizlet.com/_hkbme6
1. A 20-year-old female client calls the B) Most lumps are benign, but it is always best
nurse to report a lump she found in her to come in for an examination.
breast. Which response is the best for
the nurse to provide? (B) provides the best response because it ad-
A) Check it again in one month, and if it dresses the client's anxiety most effectively and
is still there schedule an appointment. encourages prompt and immediate action for
B) Most lumps are benign, but it is al- a potential problem. (A) postpones treatment if
ways best to come in for an examina- the lump is malignant, and does not relieve the
tion. client's anxiety. (C and D) provide false reassur-
C) Try not to worry too much about it, be- ance and do not help relieve anxiety.
cause usually, most lumps are benign.
D) If you are in your menstrual period it
is not a good time to check for lumps.
2. The nurse should be correct in withhold- C) serum potassium level is 3.
ing a dose of digoxin in a client with
congestive heart failure without specific Hypokalemia (C) can precipitate digitalis toxicity
instruction from the healthcare provider in persons receiving digoxin which will increase
if the client's the chance of dangerous dysrhythmias (normal
A) serum digoxin level is 1.5. potassium level is 3.5 to 5.5 mEq/L). The thera-
B) blood pressure is 104/68. peutic range for digoxin is 0.8 to 2 ng/ml (toxic
C) serum potassium level is 3. levels= >2 ng/ml); (A) is within this range. (B)
D) apical pulse is 68/min. would not warrant the nurse withholding the
digoxin. The nurse should withhold the digoxin
if the apical pulse is less than 60/min (D).
3. In assessing a client diagnosed with pri- C) Potassium.
mary hyperaldosteronism, the nurse ex-
pects the laboratory test results to indi- Clients with primary aldosteronism exhibit a
cate a decreased serum level of which profound decline in the serum levels of potas-
, EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM QUESTIONS AND AN-
SWERS UPDATED LATEST 2025 EXAM|EVOLVE ELSEVIER HESI MED SURG
ACTUAL EXAM QUESTIONS AND ANSWERS UPDATED(2025/2026 NEW)
Study online at https://quizlet.com/_hkbme6
substance? sium (C) (hypokalemia)--hypertension is the
A) Sodium. most prominent and universal sign. (A) is nor-
B) Antidiuretic hormone. mal or elevated, depending on the amount of
C) Potassium. water reabsorbed with the sodium. (B) is de-
D) Glucose. creased with diabetes insipidus. (D) is not af-
fected by primary aldosteronism.
4. Based on the analysis of the client's atrial C) Anticoagulation therapy.
fibrillation, the nurse should prepare the
client for which treatment protocol? The client is experiencing atrial fibrillation, and
A) Diuretic therapy. the nurse should prepare the client for anti-
B) Pacemaker implantation. coagulation therapy (C) which should be pre-
C) Anticoagulation therapy. scribed before rhythm control therapies to pre-
D) Cardiac catheterization. vent cardioembolic events which result from
blood pooling in the fibrillating atria. (A, B, and
D) are not indicated.
5. Which information about mammo- C) Yearly mammograms should be done re-
grams is most important to provide a gardless of previous normal x-rays.
post-menopausal female client?
A) Breast self-examinations are not The current breast screening recommendation
needed if annual mammograms are ob- is a yearly mammogram after age 40 (C). Breast
tained. self-exam (A) continues to be a priority recom-
B) Radiation exposure is minimized by mendation for all women because a small lump
shielding the abdomen with a lead-lined (or tumor) is often first felt by a woman be-
apron. fore a mammogram is obtained. The radiation
C) Yearly mammograms should be done exposure from a mammogram is low, so (B)
regardless of previous normal x-rays. is not normally provided. The frequency of us-
D) Women at high risk should have an- ing routine and ultrasound mammograms (D)
in women with high-risk variables, such as a
history of breast cancer, the presence of BRC1
, EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM QUESTIONS AND AN-
SWERS UPDATED LATEST 2025 EXAM|EVOLVE ELSEVIER HESI MED SURG
ACTUAL EXAM QUESTIONS AND ANSWERS UPDATED(2025/2026 NEW)
Study online at https://quizlet.com/_hkbme6
nual routine and ultrasound mammo- and BRC2 genes, or 2 first-degree relatives with
grams. breast cancer, should be recommended and fol-
lowed closely by the healthcare provider.
6. In assessing cancer risk, the nurse iden- B) A 50-year-old whose mother had unilateral
tifies which woman as being at greatest breast cancer.
risk of developing breast cancer?
A) A 35-year-old multipara who never The most predictive risk factors for development
breastfed. of breast cancer are over 40 years of age and
B) A 50-year-old whose mother had uni- a positive family history (occurrence in the im-
lateral breast cancer. mediate family, i.e., mother or sister). Other risk
C) A 55-year-old whose mother-in-law factors include nulliparity, no history of breast-
had bilateral breast cancer. feeding, early menarche and late menopause.
D) A 20-year-old whose menarche oc- Although all of the women described have one
curred at age 9. of the risk factors for developing breast cancer,
(B) has the greater risk over (A, C, and D).
7. Which reaction should the nurse identify B) Increased heart rate.
in a client who is responding to stimu-
lation of the sympathetic nervous sys- Any stressor that is perceived as threaten-
tem? ing to homeostasis acts to stimulate the sym-
A) Pupil constriction. pathetic nervous system and manifests as a
B) Increased heart rate. flight-or-fight response, which includes an in-
C) Bronchial constriction. crease in heart rate (B). (A, C, and D) are re-
D) Decreased blood pressure. sponses of the parasympathetic nervous sys-
tem.
8. A client receiving cholestyramine (Ques- A) K.
tran) for hyperlipidemia should be eval-
uated for what vitamin deficiency? Clients should be monitored for an increased
A) K. prothrombin time and prolonged bleeding
SWERS UPDATED LATEST 2025 EXAM|EVOLVE ELSEVIER HESI MED SURG
ACTUAL EXAM QUESTIONS AND ANSWERS UPDATED(2025/2026 NEW)
Study online at https://quizlet.com/_hkbme6
1. A 20-year-old female client calls the B) Most lumps are benign, but it is always best
nurse to report a lump she found in her to come in for an examination.
breast. Which response is the best for
the nurse to provide? (B) provides the best response because it ad-
A) Check it again in one month, and if it dresses the client's anxiety most effectively and
is still there schedule an appointment. encourages prompt and immediate action for
B) Most lumps are benign, but it is al- a potential problem. (A) postpones treatment if
ways best to come in for an examina- the lump is malignant, and does not relieve the
tion. client's anxiety. (C and D) provide false reassur-
C) Try not to worry too much about it, be- ance and do not help relieve anxiety.
cause usually, most lumps are benign.
D) If you are in your menstrual period it
is not a good time to check for lumps.
2. The nurse should be correct in withhold- C) serum potassium level is 3.
ing a dose of digoxin in a client with
congestive heart failure without specific Hypokalemia (C) can precipitate digitalis toxicity
instruction from the healthcare provider in persons receiving digoxin which will increase
if the client's the chance of dangerous dysrhythmias (normal
A) serum digoxin level is 1.5. potassium level is 3.5 to 5.5 mEq/L). The thera-
B) blood pressure is 104/68. peutic range for digoxin is 0.8 to 2 ng/ml (toxic
C) serum potassium level is 3. levels= >2 ng/ml); (A) is within this range. (B)
D) apical pulse is 68/min. would not warrant the nurse withholding the
digoxin. The nurse should withhold the digoxin
if the apical pulse is less than 60/min (D).
3. In assessing a client diagnosed with pri- C) Potassium.
mary hyperaldosteronism, the nurse ex-
pects the laboratory test results to indi- Clients with primary aldosteronism exhibit a
cate a decreased serum level of which profound decline in the serum levels of potas-
, EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM QUESTIONS AND AN-
SWERS UPDATED LATEST 2025 EXAM|EVOLVE ELSEVIER HESI MED SURG
ACTUAL EXAM QUESTIONS AND ANSWERS UPDATED(2025/2026 NEW)
Study online at https://quizlet.com/_hkbme6
substance? sium (C) (hypokalemia)--hypertension is the
A) Sodium. most prominent and universal sign. (A) is nor-
B) Antidiuretic hormone. mal or elevated, depending on the amount of
C) Potassium. water reabsorbed with the sodium. (B) is de-
D) Glucose. creased with diabetes insipidus. (D) is not af-
fected by primary aldosteronism.
4. Based on the analysis of the client's atrial C) Anticoagulation therapy.
fibrillation, the nurse should prepare the
client for which treatment protocol? The client is experiencing atrial fibrillation, and
A) Diuretic therapy. the nurse should prepare the client for anti-
B) Pacemaker implantation. coagulation therapy (C) which should be pre-
C) Anticoagulation therapy. scribed before rhythm control therapies to pre-
D) Cardiac catheterization. vent cardioembolic events which result from
blood pooling in the fibrillating atria. (A, B, and
D) are not indicated.
5. Which information about mammo- C) Yearly mammograms should be done re-
grams is most important to provide a gardless of previous normal x-rays.
post-menopausal female client?
A) Breast self-examinations are not The current breast screening recommendation
needed if annual mammograms are ob- is a yearly mammogram after age 40 (C). Breast
tained. self-exam (A) continues to be a priority recom-
B) Radiation exposure is minimized by mendation for all women because a small lump
shielding the abdomen with a lead-lined (or tumor) is often first felt by a woman be-
apron. fore a mammogram is obtained. The radiation
C) Yearly mammograms should be done exposure from a mammogram is low, so (B)
regardless of previous normal x-rays. is not normally provided. The frequency of us-
D) Women at high risk should have an- ing routine and ultrasound mammograms (D)
in women with high-risk variables, such as a
history of breast cancer, the presence of BRC1
, EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM QUESTIONS AND AN-
SWERS UPDATED LATEST 2025 EXAM|EVOLVE ELSEVIER HESI MED SURG
ACTUAL EXAM QUESTIONS AND ANSWERS UPDATED(2025/2026 NEW)
Study online at https://quizlet.com/_hkbme6
nual routine and ultrasound mammo- and BRC2 genes, or 2 first-degree relatives with
grams. breast cancer, should be recommended and fol-
lowed closely by the healthcare provider.
6. In assessing cancer risk, the nurse iden- B) A 50-year-old whose mother had unilateral
tifies which woman as being at greatest breast cancer.
risk of developing breast cancer?
A) A 35-year-old multipara who never The most predictive risk factors for development
breastfed. of breast cancer are over 40 years of age and
B) A 50-year-old whose mother had uni- a positive family history (occurrence in the im-
lateral breast cancer. mediate family, i.e., mother or sister). Other risk
C) A 55-year-old whose mother-in-law factors include nulliparity, no history of breast-
had bilateral breast cancer. feeding, early menarche and late menopause.
D) A 20-year-old whose menarche oc- Although all of the women described have one
curred at age 9. of the risk factors for developing breast cancer,
(B) has the greater risk over (A, C, and D).
7. Which reaction should the nurse identify B) Increased heart rate.
in a client who is responding to stimu-
lation of the sympathetic nervous sys- Any stressor that is perceived as threaten-
tem? ing to homeostasis acts to stimulate the sym-
A) Pupil constriction. pathetic nervous system and manifests as a
B) Increased heart rate. flight-or-fight response, which includes an in-
C) Bronchial constriction. crease in heart rate (B). (A, C, and D) are re-
D) Decreased blood pressure. sponses of the parasympathetic nervous sys-
tem.
8. A client receiving cholestyramine (Ques- A) K.
tran) for hyperlipidemia should be eval-
uated for what vitamin deficiency? Clients should be monitored for an increased
A) K. prothrombin time and prolonged bleeding
