EVOLVE ELSEVIER HESI MED SURG LATEST
2026/ 2027 TEST BANK| COMPLETE 400 REAL
EXAM QUESTIONS AND CORRECT ANSWERS
WITH WELL-ELABORATED RATIONALES/
GRADED A+| HESI-RN MED-SURG TEST LATEST
EXAM (BRAND NEW!!)
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract
infection (UTI) Prescriptions for intravenous antibiotics and insulin infusion are
initiated. Which serum laboratory value warrants the most immediate intervention
by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell counts of 15000mm
d. potassium of 2.5 meq/l - ANSWER-d. potassium of 2.5 meq/l
An adult male client is admitted for pneumocystis carinil pneumonia (PCP)
secondary to aids. While hospitalized he receives IV pentamidine isethionate
therapy. In preparing this client for discharge what important aspect regarding his
medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is being used.
b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or aerosol pentamine
every month
d. IV pentamine may offer protection to others aids related conditions such as
kaposis sarcoma - ANSWER-c. it will be necessary to continue prophylactic doses
of IV or aerosol pentamine every month
A client receiving doxorubicin (adriamycin) intravenously complains of pain at the
insertion site. the nurse notes edema at the site. which intervention is most
important for the nurse to implement?
A. assesses for erythema
,B. administer the antidote
C. apply warm compressions
D. discontinue the IV fluids. - ANSWER-D. discontinue the IV fluids.
a client with heart failure is prescribed spironolactone (aldactone). which
information is most important for the nurse to provide to the client about diet
modifications?
A. do not add salt to foods during preparation
B. refrain from eating foods high in potassium.
C. restrict fluid intake to 1000 ml per day
D. increase fluid intake of milk and milk products. - ANSWER-B. refrain from
eating foods high in potassium.
After abdominal surgery, a male client is prescribed low molecular weight heparin.
during administration of the medication, the client asks the nurse why he is
receiving this medication. which is the best response for the nurse to provide?
A. this medication is a blood thinner given to prevent blood clot formation
B. this medication enhances antibiotics to prevent infection
C. this medication dissolves any clots that develop in the legs
D. this abdominal injection assists in the healing of the abdominal wound. -
ANSWER-A. this medication is a blood thinner given to prevent blood clot
formation
rationale: unfractionated heparin or low molecular weight heparin is can
anticoagulant that inhibits thrombin-mediated conversion of fibrinogen to fibrin,
and is given prophylactically to prevent postoperative venous thrombosis in order
to prevent pulmonary embolism or deep vein thrombosis following knee or
abdominal surgeries
The healthcare provider prescribes naproxen twice daily for a client with
osteoarthritis in the hands. the client tells the nurse that the drug does not seem to
be effective after 3 weeks. which is the best response for the nurse to provide?
A. the frequency of the dosing in necessary to increase the effectiveness
B. therapeutic blood levels of this drug are reached in 4 to 6 weeks.
C. another type of anti-steroidal anti-inflammatory drug may be indicated
D. systemic corticosteroids re the next drug of choice for pain relief. - ANSWER-
C. another type of anti-steroidal anti-inflammatory drug may be indicated
,rationale: individual responses to nonsteroidal anti-inflammatory drugs are vary
from person to person, so another non-steroidal anti-inflammatory drug (NSAID)
may be indicated for this particular client
Which method of medication administration provides the client with the greatest
first-pass effect?
A. oral
B. sublingual
C. intravenous
D. subcutaneous. - ANSWER-A. oral
A client subjective data includes dysuria, urgency, and urinary frequency. What
action should the nurse implement next?
a. collects a clean catch specimen
b. palpates the suprapubic region
c. instructs to wipe from front to back
d. inquiries about recent sexual activity - ANSWER-a. collect a clean catch
specimen
A client tells the nurse that her biopsy results indicate that the cancer cells are well
differentiated How should the nurse respond?
a. offers the client reassurance that this information indicates that the client’s
cancer cells are benign
b. explain that these tissue cells often respond more effectively to radiation than to
chemotherapy
c. asks the client if the healthcare provider has given her any information about the
classification of her cancer
d. helps the client make plans to begin immediate treatment since her cancer is
likely to spread quickly - ANSWER-c. ask the client if the healthcare provider has
given her any information about the classification of her cancer
A client with a chronic kidney disease is treated on hemodialysis. During the 1
treatment clients blood pressure drops from 150/90 to 80/30 Which action should
the nurse take first?
a. monitor bp q45 minutes
, b. lowers the head of the chair and elevate feet
c. stops dialysis treatment
d. administers 5% albumin IV - ANSWER-c. stop dialysis treatment
A client with deep vein thrombosis (DVT) is receiving a continues infusion of
heparin sodium 25,000 unit in 5% dextrose injection 250ml. The prescription
indicates the dosage should be increase 900 units/hr. The nurse should program the
infusion pump to deliver how many ml/hr? - ANSWER-9 mL/hour
The nurse is obtaining the admission history for a client with suspected peptic ulcer
disease (PUD). Which subjective data reported by the client supports this
diagnosis?
a. upper mid abdominal gnawing and burning pain
b. severe abdominal cramps and diarrhea after eating spicy foods
c. marked loss of weight and appetite over the last few months
d. use of chewable and liquid antacids for indigestion - ANSWER-a. upper mid
abdominal gnawing and burning pain
A male adult comes to the urgent care clinic 5 days after being diagnosed with
influenza. He is short of breath, febrile, and coughing green colored sputum.
Which intervention should the nurse implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound - ANSWER-a. obtain a sputum sample for
culture
A client with sickle cell anemia develops a fever during the last hour of
administration of a unit of packed red blood cell. When notifying the healthcare
provider what information should the nurse provide first using the SBAR
communication process?
a. explains specific reason for urgent notification
b. preface the report by stating the clients name and admitting diagnosis
c. communicates the pre-transfusion temperatures
d. obtains prn prescription for acetaminophen for fever 101f - ANSWER-a. explain
specific reason for urgent notification
2026/ 2027 TEST BANK| COMPLETE 400 REAL
EXAM QUESTIONS AND CORRECT ANSWERS
WITH WELL-ELABORATED RATIONALES/
GRADED A+| HESI-RN MED-SURG TEST LATEST
EXAM (BRAND NEW!!)
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract
infection (UTI) Prescriptions for intravenous antibiotics and insulin infusion are
initiated. Which serum laboratory value warrants the most immediate intervention
by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell counts of 15000mm
d. potassium of 2.5 meq/l - ANSWER-d. potassium of 2.5 meq/l
An adult male client is admitted for pneumocystis carinil pneumonia (PCP)
secondary to aids. While hospitalized he receives IV pentamidine isethionate
therapy. In preparing this client for discharge what important aspect regarding his
medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is being used.
b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or aerosol pentamine
every month
d. IV pentamine may offer protection to others aids related conditions such as
kaposis sarcoma - ANSWER-c. it will be necessary to continue prophylactic doses
of IV or aerosol pentamine every month
A client receiving doxorubicin (adriamycin) intravenously complains of pain at the
insertion site. the nurse notes edema at the site. which intervention is most
important for the nurse to implement?
A. assesses for erythema
,B. administer the antidote
C. apply warm compressions
D. discontinue the IV fluids. - ANSWER-D. discontinue the IV fluids.
a client with heart failure is prescribed spironolactone (aldactone). which
information is most important for the nurse to provide to the client about diet
modifications?
A. do not add salt to foods during preparation
B. refrain from eating foods high in potassium.
C. restrict fluid intake to 1000 ml per day
D. increase fluid intake of milk and milk products. - ANSWER-B. refrain from
eating foods high in potassium.
After abdominal surgery, a male client is prescribed low molecular weight heparin.
during administration of the medication, the client asks the nurse why he is
receiving this medication. which is the best response for the nurse to provide?
A. this medication is a blood thinner given to prevent blood clot formation
B. this medication enhances antibiotics to prevent infection
C. this medication dissolves any clots that develop in the legs
D. this abdominal injection assists in the healing of the abdominal wound. -
ANSWER-A. this medication is a blood thinner given to prevent blood clot
formation
rationale: unfractionated heparin or low molecular weight heparin is can
anticoagulant that inhibits thrombin-mediated conversion of fibrinogen to fibrin,
and is given prophylactically to prevent postoperative venous thrombosis in order
to prevent pulmonary embolism or deep vein thrombosis following knee or
abdominal surgeries
The healthcare provider prescribes naproxen twice daily for a client with
osteoarthritis in the hands. the client tells the nurse that the drug does not seem to
be effective after 3 weeks. which is the best response for the nurse to provide?
A. the frequency of the dosing in necessary to increase the effectiveness
B. therapeutic blood levels of this drug are reached in 4 to 6 weeks.
C. another type of anti-steroidal anti-inflammatory drug may be indicated
D. systemic corticosteroids re the next drug of choice for pain relief. - ANSWER-
C. another type of anti-steroidal anti-inflammatory drug may be indicated
,rationale: individual responses to nonsteroidal anti-inflammatory drugs are vary
from person to person, so another non-steroidal anti-inflammatory drug (NSAID)
may be indicated for this particular client
Which method of medication administration provides the client with the greatest
first-pass effect?
A. oral
B. sublingual
C. intravenous
D. subcutaneous. - ANSWER-A. oral
A client subjective data includes dysuria, urgency, and urinary frequency. What
action should the nurse implement next?
a. collects a clean catch specimen
b. palpates the suprapubic region
c. instructs to wipe from front to back
d. inquiries about recent sexual activity - ANSWER-a. collect a clean catch
specimen
A client tells the nurse that her biopsy results indicate that the cancer cells are well
differentiated How should the nurse respond?
a. offers the client reassurance that this information indicates that the client’s
cancer cells are benign
b. explain that these tissue cells often respond more effectively to radiation than to
chemotherapy
c. asks the client if the healthcare provider has given her any information about the
classification of her cancer
d. helps the client make plans to begin immediate treatment since her cancer is
likely to spread quickly - ANSWER-c. ask the client if the healthcare provider has
given her any information about the classification of her cancer
A client with a chronic kidney disease is treated on hemodialysis. During the 1
treatment clients blood pressure drops from 150/90 to 80/30 Which action should
the nurse take first?
a. monitor bp q45 minutes
, b. lowers the head of the chair and elevate feet
c. stops dialysis treatment
d. administers 5% albumin IV - ANSWER-c. stop dialysis treatment
A client with deep vein thrombosis (DVT) is receiving a continues infusion of
heparin sodium 25,000 unit in 5% dextrose injection 250ml. The prescription
indicates the dosage should be increase 900 units/hr. The nurse should program the
infusion pump to deliver how many ml/hr? - ANSWER-9 mL/hour
The nurse is obtaining the admission history for a client with suspected peptic ulcer
disease (PUD). Which subjective data reported by the client supports this
diagnosis?
a. upper mid abdominal gnawing and burning pain
b. severe abdominal cramps and diarrhea after eating spicy foods
c. marked loss of weight and appetite over the last few months
d. use of chewable and liquid antacids for indigestion - ANSWER-a. upper mid
abdominal gnawing and burning pain
A male adult comes to the urgent care clinic 5 days after being diagnosed with
influenza. He is short of breath, febrile, and coughing green colored sputum.
Which intervention should the nurse implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound - ANSWER-a. obtain a sputum sample for
culture
A client with sickle cell anemia develops a fever during the last hour of
administration of a unit of packed red blood cell. When notifying the healthcare
provider what information should the nurse provide first using the SBAR
communication process?
a. explains specific reason for urgent notification
b. preface the report by stating the clients name and admitting diagnosis
c. communicates the pre-transfusion temperatures
d. obtains prn prescription for acetaminophen for fever 101f - ANSWER-a. explain
specific reason for urgent notification
