RN Evolve Hesi Medical Surgical Exam
Versions A & B
RN Evolve Hesi Medical Surgical Exam
Versions A & B Each Version with Verified
questions and Correct answers with Detailed
Rationales/ RN Hesi Med Surg Exam Prep Test
Bank / Hesi Medical Surgical Practice Test
Bank
The nurse is caring for a client with aplastic anemia who is hospitalized for weight loss and
generalized weakness. Laboratory values show a white blood count (WBC) of 2,500/mm3 and
a platelet count of 160,000/mm3. Which intervention is the primary focus in the client's plan
of care for the nurse to implement?
a. Assist with frequent ambulation.
b. Encourage visitors to visit.
c. Maintain strict protective precautions.
d. Avoid peripheral injections. - Correct Answer :c. Maintain strict protective precautions.
The client should be under strict protective transmission precautions because the WBC values
are low and normal WBC levels are 4,000-10,000/mm3, so the client is at an increasingly high
risk for infection.
A client in an ambulatory clinic describes awaking in the middle of the night with difficulty
breathing and shortness of breath related to paroxysmal nocturnal dyspnea. Which
underlying condition should the nurse identify in the client's history?
a. Chronic bronchitis.
A+ TEST BANK 1
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
b. Gastroesophageal reflux disease (GERD).
c. Heart failure (HF).
d. Chronic pancreatitis. - Correct Answer :c. Heart failure (HF).
Paroxysmal nocturnal dyspnea is classic sign of heart failure and is secondary to fluid overload
associated with heart failure which causes pulmonary edema
A client's prostate-specific antigen (PSA) exam result showed a PSA density of 0.13 ng/mL.
Which conclusion regarding this lab data is accurate?
a. Probable prostatitis.
b. Low risk for prostate cancer.
c. The presence of cancer cells.
d. A biopsy of the prostate is indicated. - Correct Answer :b. Low risk for prostate cancer.
Clients with a PSA density of less than 0.15 ng/mL are considered at low risk for prostate
cancer.
The nurse is teaching a client diagnosed with peripheral arterial disease. Which genitourinary
system complication should the nurse include in the teaching?
a. Altered sexual response.
b. Sterility.
c. Urinary incontinence.
d. Decreased pelvic muscle tone. - Correct Answer :a. Altered sexual response.
A+ TEST BANK 2
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
Peripheral arterial disease (PAD) is a cardiovascular condition characterized by narrowing of
the arteries and reduced blood flow to the extremities. PAD is known to alter the blood flow
to the male's penis and is associated with erectile dysfunction in men.
A client with acute appendicitis is experiencing anxiety and loss of sleep about missing the
final examination week at college. Which outcome is most important for the nurse to include
in the plan of care?
a. Sleeping six to eight hours.
b. Achieve a sense of control.
c. Utilize problem-solving skills.
d. Increased focus of attention. - Correct Answer :b. Achieve a sense of control.
The experience of psychological discomfort may be as real as physical pain for the client and
should be seen as a priority in care. Because the client is experiencing anxiety, achieving a
sense of control is the overall outcome of this client's nursing care plan.
A couple trying to cope with an infertility problem wants to know what can be done to
preserve emotional equilibrium. Which is the best response for the nurse to provide?
a. "Tell your friends and family so that they can help you."
b. "Get involved with a support group. I will give you some names."
c. "Talk only to other friends who are infertile since only they can help."
d. "Start adoption proceedings immediately since obtaining an infant is very difficult." -
Correct Answer :b. "Get involved with a support group. I will give you some names."
A support group provides a safe haven for the couple to share their feelings and experience
and gain insight from others dealing with the same experience and let's them know they are
not alone in their situation.
A+ TEST BANK 3
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
The nurse is caring for a client who returns to the unit following a colonoscopy. Which finding
should the nurse report to the healthcare provider immediately?
a. Large amounts of expelled flatus with mucus.
b. Tympanic abdomen and hyperactive bowel sounds.
c. Increased abdominal pain with rebound tenderness.
d. Complaint of feeling weak with watery diarrheal stools. - Correct Answer :c. Increased
abdominal pain with rebound tenderness.
Positive rebound tenderness following a colonoscopy may be an indication of perforation and
the development of peritonitis and requires follow-up immediately.
A client has been told that there is cataract formation over his both eyes. Which finding
should the nurse expect when assessing the client?
a. Decreased color perception.
b. Presence of floaters.
c. Loss of central vision.
d. Reduced peripheral vision. - Correct Answer :a. Decreased color perception.
Decreased color perception occurs with cataract formation. Cataract formation is also
associated with blurred vision and a global loss of vision that is so gradual that the client may
not be aware of it.
A client is admitted to the hospital with a traumatic brain injury after his head violently struck
a brick wall during a gang fight. Which finding is most important for the nurse to assess
further?
A+ TEST BANK 4
Versions A & B
RN Evolve Hesi Medical Surgical Exam
Versions A & B Each Version with Verified
questions and Correct answers with Detailed
Rationales/ RN Hesi Med Surg Exam Prep Test
Bank / Hesi Medical Surgical Practice Test
Bank
The nurse is caring for a client with aplastic anemia who is hospitalized for weight loss and
generalized weakness. Laboratory values show a white blood count (WBC) of 2,500/mm3 and
a platelet count of 160,000/mm3. Which intervention is the primary focus in the client's plan
of care for the nurse to implement?
a. Assist with frequent ambulation.
b. Encourage visitors to visit.
c. Maintain strict protective precautions.
d. Avoid peripheral injections. - Correct Answer :c. Maintain strict protective precautions.
The client should be under strict protective transmission precautions because the WBC values
are low and normal WBC levels are 4,000-10,000/mm3, so the client is at an increasingly high
risk for infection.
A client in an ambulatory clinic describes awaking in the middle of the night with difficulty
breathing and shortness of breath related to paroxysmal nocturnal dyspnea. Which
underlying condition should the nurse identify in the client's history?
a. Chronic bronchitis.
A+ TEST BANK 1
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
b. Gastroesophageal reflux disease (GERD).
c. Heart failure (HF).
d. Chronic pancreatitis. - Correct Answer :c. Heart failure (HF).
Paroxysmal nocturnal dyspnea is classic sign of heart failure and is secondary to fluid overload
associated with heart failure which causes pulmonary edema
A client's prostate-specific antigen (PSA) exam result showed a PSA density of 0.13 ng/mL.
Which conclusion regarding this lab data is accurate?
a. Probable prostatitis.
b. Low risk for prostate cancer.
c. The presence of cancer cells.
d. A biopsy of the prostate is indicated. - Correct Answer :b. Low risk for prostate cancer.
Clients with a PSA density of less than 0.15 ng/mL are considered at low risk for prostate
cancer.
The nurse is teaching a client diagnosed with peripheral arterial disease. Which genitourinary
system complication should the nurse include in the teaching?
a. Altered sexual response.
b. Sterility.
c. Urinary incontinence.
d. Decreased pelvic muscle tone. - Correct Answer :a. Altered sexual response.
A+ TEST BANK 2
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
Peripheral arterial disease (PAD) is a cardiovascular condition characterized by narrowing of
the arteries and reduced blood flow to the extremities. PAD is known to alter the blood flow
to the male's penis and is associated with erectile dysfunction in men.
A client with acute appendicitis is experiencing anxiety and loss of sleep about missing the
final examination week at college. Which outcome is most important for the nurse to include
in the plan of care?
a. Sleeping six to eight hours.
b. Achieve a sense of control.
c. Utilize problem-solving skills.
d. Increased focus of attention. - Correct Answer :b. Achieve a sense of control.
The experience of psychological discomfort may be as real as physical pain for the client and
should be seen as a priority in care. Because the client is experiencing anxiety, achieving a
sense of control is the overall outcome of this client's nursing care plan.
A couple trying to cope with an infertility problem wants to know what can be done to
preserve emotional equilibrium. Which is the best response for the nurse to provide?
a. "Tell your friends and family so that they can help you."
b. "Get involved with a support group. I will give you some names."
c. "Talk only to other friends who are infertile since only they can help."
d. "Start adoption proceedings immediately since obtaining an infant is very difficult." -
Correct Answer :b. "Get involved with a support group. I will give you some names."
A support group provides a safe haven for the couple to share their feelings and experience
and gain insight from others dealing with the same experience and let's them know they are
not alone in their situation.
A+ TEST BANK 3
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
The nurse is caring for a client who returns to the unit following a colonoscopy. Which finding
should the nurse report to the healthcare provider immediately?
a. Large amounts of expelled flatus with mucus.
b. Tympanic abdomen and hyperactive bowel sounds.
c. Increased abdominal pain with rebound tenderness.
d. Complaint of feeling weak with watery diarrheal stools. - Correct Answer :c. Increased
abdominal pain with rebound tenderness.
Positive rebound tenderness following a colonoscopy may be an indication of perforation and
the development of peritonitis and requires follow-up immediately.
A client has been told that there is cataract formation over his both eyes. Which finding
should the nurse expect when assessing the client?
a. Decreased color perception.
b. Presence of floaters.
c. Loss of central vision.
d. Reduced peripheral vision. - Correct Answer :a. Decreased color perception.
Decreased color perception occurs with cataract formation. Cataract formation is also
associated with blurred vision and a global loss of vision that is so gradual that the client may
not be aware of it.
A client is admitted to the hospital with a traumatic brain injury after his head violently struck
a brick wall during a gang fight. Which finding is most important for the nurse to assess
further?
A+ TEST BANK 4
