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
1. The nurse is caring for a client receiving tamoxifen for the treatment of breast cancer.
Which action should the nurse include in the client's plan of care?
a. Increase fluid intake.
b. Monitor sodium chloride intake.
c. Assist the client in coping with hot flashes.
d. Encourage milk products to increase calcium intake.
- Correct Answer :c. Assist the client in coping with hot flashes.
Tamoxifen, an estrogen receptor blocking agent, can cause hot flashes, so client education
regarding menopausal-like symptoms should be included in the plan of care.
2. The nurse is caring for a client who is admitted with a hemorrhagic stroke. Which nursing
action should be included in the plan of care? a. Perform active range of motion three times
daily.
b. Monitor for Battle's sign every four hours.
c. Teach measures to avoid the Valsalva maneuver.
d. Maintain the head of bed in a flat position.
- Correct Answer :c. Teach measures to avoid the Valsalva maneuver.
A+ TEST BANK 1
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
The Valsalva maneuver, straining with bowel movements while holding one's breath,
increases intracerebral pressure (ICP) which may induce bleeding or rupture of cerebral blood
vessels.
3. The nurse is caring for a client with multiple trauma after a motor vehicle collision. The
nurse learns that the client has secondary syphilis. Which precaution should the nurse
implement?
a. A mask should be worn by anyone entering the client's room.
b. Handwashing is required before and after contact with the client.
c. Gloves should be worn during direct contact with the client's skin.
d. No precautions in addition to standard precautions are necessary.
- Correct Answer :c. Gloves should be worn during direct contact with the client's skin.
The secondary stage of syphilis is a systemic blood-borne disease that presents with skin
lesions and rashes that may drain the highly contagious spirochete, so gloves should be worn
during direct contact with the client's skin. The client should be placed on contact
precautions.
4. The nurse is providing discharge instructions to a client who has undergone a left
orchiectomy for testicular cancer. Which statement indicates that the client understands his
post-operative care and prognosis?
a. "I should continue to perform testicular self-examination (TSE) monthly on my remaining
testicle."
b. "I should wear an athletic supporter and cup to prevent testicular cancer in my remaining
testicle."
c. "I should always use a condom because I am at increased risk for acquiring a sexually
transmitted disease."
A+ TEST BANK 2
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
d. "I should make sure my sons know how to perform TSE because they are at increased risk
for this type of cancer."
- Correct Answer :a. "I should continue to perform testicular self-examination (TSE) monthly
on my remaining testicle."
Although testicular cancer protocols, such as surgery, radiation, or chemotherapy, focus on
the primary site of testicular cancer, these treatments do not reduce the risk of testicular
cancer in the remaining testicle, so early recognition is the best prevention. The client's
understanding is reflected in the statement to perform monthly TSE for changes in size,
shape, or consistency of the testis that may indicate early cancer.
5. A client with heart failure is prescribed digoxin 0.125 mg PO. The client's apical heart rate
is70 beats per minute, blood pressure is 125/75 mmHg, and respirations are 18 breaths per
minute. Which action should the nurse implement next?
a. Administer the medication.
b. Inform the healthcare provider.
c. Review the vital sign flowsheet.
d. Reassess the apical heart rate.
- Correct Answer :a. Administer the medication.
Obtaining the apical heart rate is a common parameter prior to administering digoxin, which
may indicate early digoxin toxicity if the heart rate is less than 60 beats per minute, so the
dose should be administered since the client is not demonstrating any signs of toxicity.
6. When teaching a client with breast cancer about the prescribed radiation therapy for
treatment, what information is important to include?
a. Dry, itchy skin changes may occur.
A+ TEST BANK 3
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
b. There is a possibility of long bone pain.
c. Permanent pigment changes to the breast may result.
d. A low-residue diet may be prescribed to reduce the likelihood of diarrhea.
- Correct Answer :a. Dry, itchy skin changes may occur.
Side effects from radiation to the breast most often include temporary skin changes such as
dryness, tenderness, redness, swelling, and pruritus.
7. A client with chest pain, dizziness, and vomiting for the last 2 hours is admitted for
evaluation for Acute Coronary Syndrome (ACS). Which cardiac biomarker should the
registered nurse (RN) anticipate to be elevated if the client experienced myocardial damage?
a. Creatine Kinase (CK-MB).
b. Serum troponin.
c. Myoglobin.
d. Ischemia modified albumin –
Correct Answer :b. Serum troponin.
Troponin is the most sensitive and specific test for myocardial damage. Troponin elevation is
more specific than CK-MB
8. A nurse is preparing a teaching plan for a client who is postmenopausal. Which measure is
most important for the nurse to include to prevent osteoporosis?
a. Take a multivitamin daily.
b. Use only low fat milk products.
c. Perform weight resistance exercises.
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
1. The nurse is caring for a client receiving tamoxifen for the treatment of breast cancer.
Which action should the nurse include in the client's plan of care?
a. Increase fluid intake.
b. Monitor sodium chloride intake.
c. Assist the client in coping with hot flashes.
d. Encourage milk products to increase calcium intake.
- Correct Answer :c. Assist the client in coping with hot flashes.
Tamoxifen, an estrogen receptor blocking agent, can cause hot flashes, so client education
regarding menopausal-like symptoms should be included in the plan of care.
2. The nurse is caring for a client who is admitted with a hemorrhagic stroke. Which nursing
action should be included in the plan of care? a. Perform active range of motion three times
daily.
b. Monitor for Battle's sign every four hours.
c. Teach measures to avoid the Valsalva maneuver.
d. Maintain the head of bed in a flat position.
- Correct Answer :c. Teach measures to avoid the Valsalva maneuver.
A+ TEST BANK 1
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
The Valsalva maneuver, straining with bowel movements while holding one's breath,
increases intracerebral pressure (ICP) which may induce bleeding or rupture of cerebral blood
vessels.
3. The nurse is caring for a client with multiple trauma after a motor vehicle collision. The
nurse learns that the client has secondary syphilis. Which precaution should the nurse
implement?
a. A mask should be worn by anyone entering the client's room.
b. Handwashing is required before and after contact with the client.
c. Gloves should be worn during direct contact with the client's skin.
d. No precautions in addition to standard precautions are necessary.
- Correct Answer :c. Gloves should be worn during direct contact with the client's skin.
The secondary stage of syphilis is a systemic blood-borne disease that presents with skin
lesions and rashes that may drain the highly contagious spirochete, so gloves should be worn
during direct contact with the client's skin. The client should be placed on contact
precautions.
4. The nurse is providing discharge instructions to a client who has undergone a left
orchiectomy for testicular cancer. Which statement indicates that the client understands his
post-operative care and prognosis?
a. "I should continue to perform testicular self-examination (TSE) monthly on my remaining
testicle."
b. "I should wear an athletic supporter and cup to prevent testicular cancer in my remaining
testicle."
c. "I should always use a condom because I am at increased risk for acquiring a sexually
transmitted disease."
A+ TEST BANK 2
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
d. "I should make sure my sons know how to perform TSE because they are at increased risk
for this type of cancer."
- Correct Answer :a. "I should continue to perform testicular self-examination (TSE) monthly
on my remaining testicle."
Although testicular cancer protocols, such as surgery, radiation, or chemotherapy, focus on
the primary site of testicular cancer, these treatments do not reduce the risk of testicular
cancer in the remaining testicle, so early recognition is the best prevention. The client's
understanding is reflected in the statement to perform monthly TSE for changes in size,
shape, or consistency of the testis that may indicate early cancer.
5. A client with heart failure is prescribed digoxin 0.125 mg PO. The client's apical heart rate
is70 beats per minute, blood pressure is 125/75 mmHg, and respirations are 18 breaths per
minute. Which action should the nurse implement next?
a. Administer the medication.
b. Inform the healthcare provider.
c. Review the vital sign flowsheet.
d. Reassess the apical heart rate.
- Correct Answer :a. Administer the medication.
Obtaining the apical heart rate is a common parameter prior to administering digoxin, which
may indicate early digoxin toxicity if the heart rate is less than 60 beats per minute, so the
dose should be administered since the client is not demonstrating any signs of toxicity.
6. When teaching a client with breast cancer about the prescribed radiation therapy for
treatment, what information is important to include?
a. Dry, itchy skin changes may occur.
A+ TEST BANK 3
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
b. There is a possibility of long bone pain.
c. Permanent pigment changes to the breast may result.
d. A low-residue diet may be prescribed to reduce the likelihood of diarrhea.
- Correct Answer :a. Dry, itchy skin changes may occur.
Side effects from radiation to the breast most often include temporary skin changes such as
dryness, tenderness, redness, swelling, and pruritus.
7. A client with chest pain, dizziness, and vomiting for the last 2 hours is admitted for
evaluation for Acute Coronary Syndrome (ACS). Which cardiac biomarker should the
registered nurse (RN) anticipate to be elevated if the client experienced myocardial damage?
a. Creatine Kinase (CK-MB).
b. Serum troponin.
c. Myoglobin.
d. Ischemia modified albumin –
Correct Answer :b. Serum troponin.
Troponin is the most sensitive and specific test for myocardial damage. Troponin elevation is
more specific than CK-MB
8. A nurse is preparing a teaching plan for a client who is postmenopausal. Which measure is
most important for the nurse to include to prevent osteoporosis?
a. Take a multivitamin daily.
b. Use only low fat milk products.
c. Perform weight resistance exercises.
A+ TEST BANK 4
