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 1 / Hesi Medical Surgical Practice Test
Bank
An older adult with coronary artery disease and hypertension was brought to the Emergency
Department by her daughter because she has become increasingly weak and confused. The client was
found by a neighbor wandering her neighborhood unable to locate her home. The client's daughter
tells the nurse that her mother takes a "water pill" for her blood pressure 2 or 3 times a day. The label
on the medication bottle that she brought to the hospital states, "hydrochlorothiazide. Take 1 tablet
daily." The client is admitted with fluid volume deficit. - Correct Answer :
Page 1
Vital Signs: Orthostatic Changes
1. Since the client has a fluid volume deficit, the nurse anticipates a decrease in which vital sign when
she changes position?
A. Respiratory Rate
B. Blood Pressure.
C. Temperature.
D. Pulse Rate - Correct Answer :B. Blood Pressure
2. The nurse plans to assess the client for orthostatic vital sign changes. Which action will the nurse
take first?
A. Assist the client to a standing position.
A+ TEST BANK 1
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
B. Position the client in a supine position.
C. Elevate the head of the client's bed.
D. Dangle the clients feet at the bedside. - Correct Answer :B. Position the client in a supine position.
3. The nurse takes the first blood pressure measurement. After recording the first blood pressure
measurement, what action will the nurse take?
A. Count the client's radial pulse rate.
B. Remove the blood pressure cuff.
C. Help the client change positions.
D. Assess for an auscultatory gap. - Correct Answer :A. Count the client's radial pulse.
Page 2
Age-related Risk Factors
The nurse discusses factors that contributed to the client's fluid volume deficit with her daughter, and
receives orders for labs to be obtained.
1. Which problem often occurs in older client's and may have contributed to the fluid volume deficit
the client is experiencing?
A. Decreased hepatic blood flow.
B. Decreased drug absorption.
C. Decreased drug half-life.
D. Decreased GI acidity. - Correct Answer :A. Decreased hepatic blood flow.
The nurse is aware that older clients often experience an increased in the amount of free, unbound
drug molecules, which has the potential to increase the pharmacological effects of the drug.
A+ TEST BANK 2
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
2. Which lab test will the nurse monitor to determine if this may be a factor contributing to the client's
problem?
A. Serum creatinine.
B. Serum protein.
C. AST.
D. BUN. - Correct Answer :B. Serum Protein.
3. Which labs would the nurse expect the Healthcare Provider (HCP) to order? (Choose all that apply)
A. BUN
B. Serum creatinine
C. Urine specific gravity and osmolality
D. Liver function panel
E. None of the above - Correct Answer :A. BUN
B. Serum creatinine
C. Urine specific gravity and osmolality
D. Liver function panel
Page 3
Assessment
In addition to obtaining the client's vital signs, the nurse performs additional assessments.
1. For ongoing evaluation of the client's fluid volume status, which assessment data is most important
to obtain?
A. Urine color.
B. Capillary refill.
C. Body weight.
D. Skin turgor. - Correct Answer :C. Body weight.
A+ TEST BANK 3
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
The client's daughter reports that her mother usually weighs about 137 lbs. and is 5 feet, 3 inches in
height. The nurse weighs the client and obtains a measurement of 60 kg.
2. The nurse explains to the client's daughter that the client has lost approximately how many pounds?
A. 3
B. 5
C. 4
D. 7 - Correct Answer :B. 5
The nurse continues to assess the client and observes that the client's skin tents when a fold of skin
over her sternum is pinched.
3. What action should the nurse implement?
A. Confirm this finding by pinching the skin on her hand.
B. Notify the healthcare provider that the client is now retaining fluid.
C. Advise the client that the fluid deficit seems to be worsening.
D. Document the presence of inelastic skin turgor. - Correct Answer :D. Document the presence of
inelastic skin turgor.
Page 4
The nurse starts an intravenous line to administer fluids. The prescription states "3% sodium chloride
injection to infuse at 100 mL/hour." The client's most recent serum sodium level is 135 mEq/L (135
mmol/L).
1. What action should the nurse take?
A. Hang sodium chloride 0.9% injection at 100 mL/hour.
B. Begin infusing 3% sodium chloride injection at keep-vein-open rate.
C. Start the 3% sodium chloride injection as prescribed.
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 1 / Hesi Medical Surgical Practice Test
Bank
An older adult with coronary artery disease and hypertension was brought to the Emergency
Department by her daughter because she has become increasingly weak and confused. The client was
found by a neighbor wandering her neighborhood unable to locate her home. The client's daughter
tells the nurse that her mother takes a "water pill" for her blood pressure 2 or 3 times a day. The label
on the medication bottle that she brought to the hospital states, "hydrochlorothiazide. Take 1 tablet
daily." The client is admitted with fluid volume deficit. - Correct Answer :
Page 1
Vital Signs: Orthostatic Changes
1. Since the client has a fluid volume deficit, the nurse anticipates a decrease in which vital sign when
she changes position?
A. Respiratory Rate
B. Blood Pressure.
C. Temperature.
D. Pulse Rate - Correct Answer :B. Blood Pressure
2. The nurse plans to assess the client for orthostatic vital sign changes. Which action will the nurse
take first?
A. Assist the client to a standing position.
A+ TEST BANK 1
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
B. Position the client in a supine position.
C. Elevate the head of the client's bed.
D. Dangle the clients feet at the bedside. - Correct Answer :B. Position the client in a supine position.
3. The nurse takes the first blood pressure measurement. After recording the first blood pressure
measurement, what action will the nurse take?
A. Count the client's radial pulse rate.
B. Remove the blood pressure cuff.
C. Help the client change positions.
D. Assess for an auscultatory gap. - Correct Answer :A. Count the client's radial pulse.
Page 2
Age-related Risk Factors
The nurse discusses factors that contributed to the client's fluid volume deficit with her daughter, and
receives orders for labs to be obtained.
1. Which problem often occurs in older client's and may have contributed to the fluid volume deficit
the client is experiencing?
A. Decreased hepatic blood flow.
B. Decreased drug absorption.
C. Decreased drug half-life.
D. Decreased GI acidity. - Correct Answer :A. Decreased hepatic blood flow.
The nurse is aware that older clients often experience an increased in the amount of free, unbound
drug molecules, which has the potential to increase the pharmacological effects of the drug.
A+ TEST BANK 2
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
2. Which lab test will the nurse monitor to determine if this may be a factor contributing to the client's
problem?
A. Serum creatinine.
B. Serum protein.
C. AST.
D. BUN. - Correct Answer :B. Serum Protein.
3. Which labs would the nurse expect the Healthcare Provider (HCP) to order? (Choose all that apply)
A. BUN
B. Serum creatinine
C. Urine specific gravity and osmolality
D. Liver function panel
E. None of the above - Correct Answer :A. BUN
B. Serum creatinine
C. Urine specific gravity and osmolality
D. Liver function panel
Page 3
Assessment
In addition to obtaining the client's vital signs, the nurse performs additional assessments.
1. For ongoing evaluation of the client's fluid volume status, which assessment data is most important
to obtain?
A. Urine color.
B. Capillary refill.
C. Body weight.
D. Skin turgor. - Correct Answer :C. Body weight.
A+ TEST BANK 3
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
The client's daughter reports that her mother usually weighs about 137 lbs. and is 5 feet, 3 inches in
height. The nurse weighs the client and obtains a measurement of 60 kg.
2. The nurse explains to the client's daughter that the client has lost approximately how many pounds?
A. 3
B. 5
C. 4
D. 7 - Correct Answer :B. 5
The nurse continues to assess the client and observes that the client's skin tents when a fold of skin
over her sternum is pinched.
3. What action should the nurse implement?
A. Confirm this finding by pinching the skin on her hand.
B. Notify the healthcare provider that the client is now retaining fluid.
C. Advise the client that the fluid deficit seems to be worsening.
D. Document the presence of inelastic skin turgor. - Correct Answer :D. Document the presence of
inelastic skin turgor.
Page 4
The nurse starts an intravenous line to administer fluids. The prescription states "3% sodium chloride
injection to infuse at 100 mL/hour." The client's most recent serum sodium level is 135 mEq/L (135
mmol/L).
1. What action should the nurse take?
A. Hang sodium chloride 0.9% injection at 100 mL/hour.
B. Begin infusing 3% sodium chloride injection at keep-vein-open rate.
C. Start the 3% sodium chloride injection as prescribed.
A+ TEST BANK 4
