Evolve Med-Surge / Med Surg HESI Practice questions & Correct Answers
A 20-year-old female client calls the B) Most lumps are benign, but it is always best to come in for an examination
nurse to report a lump she found in her
breast. Which response is the best for the (B) provides the best response because it addresses the client's anxiety mos
nurse to provide? effectively and encourages prompt and immediate action for a potential pro
A) Check it again in one month, and if it is (A) postpones treatment if the lump is malignant, and does not relieve the cl
still there schedule an appointment. anxiety. (C and D) provide false reassurance and do not help relieve anxiety.
B) Most lumps are benign, but it is always
best to come in for an examination.
C) Try not to worry too much about it,
because usually, most lumps are benign.
D) If you are in your menstrual period it is
not a good time to check for lumps.
,Evolve Med-Surge / Med Surg HESI Practice questions & Correct Answers
A 32-year-old female client complains of B) Inability to get pregnant.
severe abdominal pain each month
before her menstrual period, painful Dysmenorrhea, dyspareunia, and difficulty or painful defecation are common
intercourse, and painful defecation. symptoms of endometriosis, which is the abnormal displacement of endome
Which additional history should the nurse tissue in the dependent areas of the pelvic peritoneum. A history of infertility
obtain that is consistent with the client's another common finding associated with endometriosis. Although (A, C, and
complaints? are common, nonspecific gynecological complaints, the most common
A) Frequent urinary tract infections. complaints of the client with endometriosis are pain and infertility.
B) Inability to get pregnant.
C) Premenstrual syndrome.
D) Chronic use of laxatives.
A 46-year-old female client is admitted A) Serum creatinine.
for acute renal failure secondary to
diabetes and hypertension. Which test is Creatinine (A) is a product of muscle metabolism that is filtered by the
the best indicator of adequate glomerular glomerulus, and blood levels of this substance are not affected by dietary o
filtration? intake. An elevated creatinine strongly indicates nephron loss, reducing filtra
A) Serum creatinine. (B) is also an indicator of renal activity, but it can be affected by non-renal fa
B) Blood Urea Nitrogen (BUN). such as hypovolemia and increased protein intake. (C) is a nonspecific test fo
C) Sedimentation rate. acute or chronic inflammatory processes. (D) is useful in assessing hydration
D) Urine specific gravity. status, but not as useful in assessing glomerular function.
,Evolve Med-Surge / Med Surg HESI Practice questions & Correct Answers
A 49-year-old female client arrives at the B) Discuss perimenopause and related comfort measures.
clinic for an annual exam and asks the
nurse why she becomes excessively The perimenopausal period begins about 10 years before menopause with t
diaphoretic and feels warm during cessation of menstruation at the average ages of 52 to 54. Lower estrogen le
nighttime. What is the nurse's best causes FSH and LH secretion in bursts (surges), which triggers vasomotor
response? instability, night sweats, and hot flashes, so discussions about the perimenop
A) Explain the effect of the follicle- body's changes, comfort measures (B), and treatment options should be
stimulating and luteinizing hormones. provided. In-depth pathophysiology of the symptoms (A) may only confuse
B) Discuss perimenopause and related client. There is no indication that the client has tuberculosis and an infection,
comfort measures. and D) are not indicated.
C) Assess lung fields and for a cough
productive of blood-tinged mucous.
D) Ask if a fever above 101º F has
occurred in the last 24 hours.
, Evolve Med-Surge / Med Surg HESI Practice questions & Correct Answers
A 51-year-old truck driver who smokes A) Information about smoking cessation.
two packs of cigarettes a day and is 30
pounds overweight is diagnosed with Smoking has been associated with ulcer formation, and stopping or decreas
having a gastric ulcer. What content is the number of cigarettes smoked per day is an important aspect of ulcer
most important for the nurse to include in management (A). Diet management includes a reduction in high-fiber/high-
the discharge teaching for this client? roughage foods as well as spicy foods. (B) would be indicated for inflammat
A) Information about smoking cessation. bowel disease. Sodium and caloric intake are not the key elements in an ulce
B) Diet instructions for a low-residue diet. diet. Although this client does need (C), the management of his ulcer is the k
C) Instructions on a weight-loss program. factor at this point. (D) would actually increase gastric acid production.
D) The importance of increasing milk in
the diet.
A 20-year-old female client calls the B) Most lumps are benign, but it is always best to come in for an examination
nurse to report a lump she found in her
breast. Which response is the best for the (B) provides the best response because it addresses the client's anxiety mos
nurse to provide? effectively and encourages prompt and immediate action for a potential pro
A) Check it again in one month, and if it is (A) postpones treatment if the lump is malignant, and does not relieve the cl
still there schedule an appointment. anxiety. (C and D) provide false reassurance and do not help relieve anxiety.
B) Most lumps are benign, but it is always
best to come in for an examination.
C) Try not to worry too much about it,
because usually, most lumps are benign.
D) If you are in your menstrual period it is
not a good time to check for lumps.
,Evolve Med-Surge / Med Surg HESI Practice questions & Correct Answers
A 32-year-old female client complains of B) Inability to get pregnant.
severe abdominal pain each month
before her menstrual period, painful Dysmenorrhea, dyspareunia, and difficulty or painful defecation are common
intercourse, and painful defecation. symptoms of endometriosis, which is the abnormal displacement of endome
Which additional history should the nurse tissue in the dependent areas of the pelvic peritoneum. A history of infertility
obtain that is consistent with the client's another common finding associated with endometriosis. Although (A, C, and
complaints? are common, nonspecific gynecological complaints, the most common
A) Frequent urinary tract infections. complaints of the client with endometriosis are pain and infertility.
B) Inability to get pregnant.
C) Premenstrual syndrome.
D) Chronic use of laxatives.
A 46-year-old female client is admitted A) Serum creatinine.
for acute renal failure secondary to
diabetes and hypertension. Which test is Creatinine (A) is a product of muscle metabolism that is filtered by the
the best indicator of adequate glomerular glomerulus, and blood levels of this substance are not affected by dietary o
filtration? intake. An elevated creatinine strongly indicates nephron loss, reducing filtra
A) Serum creatinine. (B) is also an indicator of renal activity, but it can be affected by non-renal fa
B) Blood Urea Nitrogen (BUN). such as hypovolemia and increased protein intake. (C) is a nonspecific test fo
C) Sedimentation rate. acute or chronic inflammatory processes. (D) is useful in assessing hydration
D) Urine specific gravity. status, but not as useful in assessing glomerular function.
,Evolve Med-Surge / Med Surg HESI Practice questions & Correct Answers
A 49-year-old female client arrives at the B) Discuss perimenopause and related comfort measures.
clinic for an annual exam and asks the
nurse why she becomes excessively The perimenopausal period begins about 10 years before menopause with t
diaphoretic and feels warm during cessation of menstruation at the average ages of 52 to 54. Lower estrogen le
nighttime. What is the nurse's best causes FSH and LH secretion in bursts (surges), which triggers vasomotor
response? instability, night sweats, and hot flashes, so discussions about the perimenop
A) Explain the effect of the follicle- body's changes, comfort measures (B), and treatment options should be
stimulating and luteinizing hormones. provided. In-depth pathophysiology of the symptoms (A) may only confuse
B) Discuss perimenopause and related client. There is no indication that the client has tuberculosis and an infection,
comfort measures. and D) are not indicated.
C) Assess lung fields and for a cough
productive of blood-tinged mucous.
D) Ask if a fever above 101º F has
occurred in the last 24 hours.
, Evolve Med-Surge / Med Surg HESI Practice questions & Correct Answers
A 51-year-old truck driver who smokes A) Information about smoking cessation.
two packs of cigarettes a day and is 30
pounds overweight is diagnosed with Smoking has been associated with ulcer formation, and stopping or decreas
having a gastric ulcer. What content is the number of cigarettes smoked per day is an important aspect of ulcer
most important for the nurse to include in management (A). Diet management includes a reduction in high-fiber/high-
the discharge teaching for this client? roughage foods as well as spicy foods. (B) would be indicated for inflammat
A) Information about smoking cessation. bowel disease. Sodium and caloric intake are not the key elements in an ulce
B) Diet instructions for a low-residue diet. diet. Although this client does need (C), the management of his ulcer is the k
C) Instructions on a weight-loss program. factor at this point. (D) would actually increase gastric acid production.
D) The importance of increasing milk in
the diet.
