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
A client is admitted to the medical intensive care unit with a diagnosis of myocardial
infarction. The client's history indicates the infarction occurred ten hours ago. Which
laboratory test result would the nurse expect this client to exhibit?
A. Elevated LDH
B. Elevated serum amylase
C. Elevated CK-MB
D. Elevated hematocrit –
Correct Answer :C. Elevated CK-MB
Rationale:
The cardiac isoenzyme CK-MB (C) is the one of the cardiac markers to indicate myocardial
damage in the presence of MI symptoms and after a positive troponin. The troponin levels will
elevate within 2-3 hours indicating myocardial ischemia, followed by the CK-MB cardiac
markers within 6-9 hours, peaking within 12 to 20 hours after myocardial infarction (MI).
A client has a staging procedure for cancer of the breast and ask the nurse which type of
breast cancer has the poorest prognosis. Which information should the nurse offer the client?
A+ TEST BANK 1
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
A. Stage II
B. Invasive infiltrating ductal carcinoma
C. T1N0M0
D. Inflammatory with peau d'orange
- Correct Answer :D. Inflammatory with peau d'orange
Rationale:
Inflammatory breast cancer onset is very rapid and a very rare form of breast cancer and is
considered the most aggressive form of breast malignancies. It is often mistaken for a breast
infection because it has a thickened appearance like an orange peel (peau d'orange), causing
the breast to become swollen and tender.
A middle-aged male client with diabetes continues to eat an abundance of foods that are high
in sugar and fat. According to the Health Belief Model, which event is most likely to increase
the client's willingness to become compliant with the prescribed diet?
A. He visits his diabetic brother who just had surgery to amputate an infected foot
B. He is provided with the most current information about the dangers of untreated diabetes
C. He comments on the community service announcements about preventing complications
associated with diabetes
D. His wife expresses a sincere willingness to prepare meals that are within his prescribed diet
- Correct Answer :A. He visits his diabetic brother who just had surgery to amputate an
infected foot
Rationale:
A+ TEST BANK 2
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
The loss of a limb due to diabetes by a family member should be the strongest event or "cue
to action" and is most likely to increase the client's perceived seriousness of the disease.
A client is admitted for further testing to confirm sarcoidosis. Which diagnostic test provides
definitive information that the nurse should report to the healthcare provider?
A. Lung tissue biopsy
B. Positive blood cultures
C. Magnetic resonance imaging (MRI)
D. Computerized tomography (CT) of the thorax
- Correct Answer :A. Lung tissue biopsy
Rationale:
Sarcoidosis is an inflammatory condition that is characterized by the formation of widespread
granulomatous lesions involving a pulmonary primary site. Although chest radiography
identifies sarcoidosis, lung tissue biopsy obtained by bronchoscopy or bronchoalveolar lavage
provides definitive confirmation.
A client with a completed ischemic stroke has a blood pressure of 180/90 mm Hg. Which
action should the nurse implement?
A. Position the head of the bed (HOB) flat
B. Withhold intravenous fluids
C. Administer a bolus of IV fluids
D. Give an antihypertensive medication –
A+ TEST BANK 3
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
Correct Answer :D. Give an antihypertensive medication
Rationale:
Most ischemic strokes occur during sleep when baseline blood pressure declines or blood
viscosity increases due to minimal fluid intake. Completed strokes usually produce neurologic
deficits within an hour, and the client's current elevated blood pressure requires
antihypertensive medication.
An elderly client is admitted with a diagnosis of bacterial pneumonia. The nurse's assessment
of the client will most likely reveal which sign/symptom?
A. Leukocytosis and febrile
B. Polycythemia and crackles
C. Pharyngitis and sputum production
D. Confusion and tachycardia
- Correct Answer :D. Confusion and tachycardia
Rationale:
The onset of pneumonia in the elderly may be signaled by general deterioration, confusion,
increased heart rate or increased respiratory rate due to the decreased oxygen- carbon
dioxide exchange at the alveoli, known as the V-Q mismatch.
The nurse is working with a 71-year-old obese client with bilateral osteoarthritis (OA) of the
hips. What recommendation should the nurse make that is most beneficial in protecting the
client's joints?
A. Increase the amount of calcium intake in the diet
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
A client is admitted to the medical intensive care unit with a diagnosis of myocardial
infarction. The client's history indicates the infarction occurred ten hours ago. Which
laboratory test result would the nurse expect this client to exhibit?
A. Elevated LDH
B. Elevated serum amylase
C. Elevated CK-MB
D. Elevated hematocrit –
Correct Answer :C. Elevated CK-MB
Rationale:
The cardiac isoenzyme CK-MB (C) is the one of the cardiac markers to indicate myocardial
damage in the presence of MI symptoms and after a positive troponin. The troponin levels will
elevate within 2-3 hours indicating myocardial ischemia, followed by the CK-MB cardiac
markers within 6-9 hours, peaking within 12 to 20 hours after myocardial infarction (MI).
A client has a staging procedure for cancer of the breast and ask the nurse which type of
breast cancer has the poorest prognosis. Which information should the nurse offer the client?
A+ TEST BANK 1
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
A. Stage II
B. Invasive infiltrating ductal carcinoma
C. T1N0M0
D. Inflammatory with peau d'orange
- Correct Answer :D. Inflammatory with peau d'orange
Rationale:
Inflammatory breast cancer onset is very rapid and a very rare form of breast cancer and is
considered the most aggressive form of breast malignancies. It is often mistaken for a breast
infection because it has a thickened appearance like an orange peel (peau d'orange), causing
the breast to become swollen and tender.
A middle-aged male client with diabetes continues to eat an abundance of foods that are high
in sugar and fat. According to the Health Belief Model, which event is most likely to increase
the client's willingness to become compliant with the prescribed diet?
A. He visits his diabetic brother who just had surgery to amputate an infected foot
B. He is provided with the most current information about the dangers of untreated diabetes
C. He comments on the community service announcements about preventing complications
associated with diabetes
D. His wife expresses a sincere willingness to prepare meals that are within his prescribed diet
- Correct Answer :A. He visits his diabetic brother who just had surgery to amputate an
infected foot
Rationale:
A+ TEST BANK 2
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
The loss of a limb due to diabetes by a family member should be the strongest event or "cue
to action" and is most likely to increase the client's perceived seriousness of the disease.
A client is admitted for further testing to confirm sarcoidosis. Which diagnostic test provides
definitive information that the nurse should report to the healthcare provider?
A. Lung tissue biopsy
B. Positive blood cultures
C. Magnetic resonance imaging (MRI)
D. Computerized tomography (CT) of the thorax
- Correct Answer :A. Lung tissue biopsy
Rationale:
Sarcoidosis is an inflammatory condition that is characterized by the formation of widespread
granulomatous lesions involving a pulmonary primary site. Although chest radiography
identifies sarcoidosis, lung tissue biopsy obtained by bronchoscopy or bronchoalveolar lavage
provides definitive confirmation.
A client with a completed ischemic stroke has a blood pressure of 180/90 mm Hg. Which
action should the nurse implement?
A. Position the head of the bed (HOB) flat
B. Withhold intravenous fluids
C. Administer a bolus of IV fluids
D. Give an antihypertensive medication –
A+ TEST BANK 3
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
Correct Answer :D. Give an antihypertensive medication
Rationale:
Most ischemic strokes occur during sleep when baseline blood pressure declines or blood
viscosity increases due to minimal fluid intake. Completed strokes usually produce neurologic
deficits within an hour, and the client's current elevated blood pressure requires
antihypertensive medication.
An elderly client is admitted with a diagnosis of bacterial pneumonia. The nurse's assessment
of the client will most likely reveal which sign/symptom?
A. Leukocytosis and febrile
B. Polycythemia and crackles
C. Pharyngitis and sputum production
D. Confusion and tachycardia
- Correct Answer :D. Confusion and tachycardia
Rationale:
The onset of pneumonia in the elderly may be signaled by general deterioration, confusion,
increased heart rate or increased respiratory rate due to the decreased oxygen- carbon
dioxide exchange at the alveoli, known as the V-Q mismatch.
The nurse is working with a 71-year-old obese client with bilateral osteoarthritis (OA) of the
hips. What recommendation should the nurse make that is most beneficial in protecting the
client's joints?
A. Increase the amount of calcium intake in the diet
A+ TEST BANK 4
