EVOLVE ELSEVIER HESI MED
SURG TEST BANK / EVOLVE
HESI MEDICAL SURGICAL
Exam Study Guide – 350
Practice Questions with
Verified Answers with
Rationales. GRADED A+. Latest
2026/2027 Update
A 20-year-old female client calls the nurse to report a lump she found in her
breast. Which response is the best for the nurse to provide?
A) Check it again in one month, and if it is still there schedule an appointment.
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. -
Answer✔✔-B) Most lumps are benign, but it is always best to come in for an
examination.
,(B) provides the best response because it addresses the client's anxiety most
effectively and encourages prompt and immediate action for a potential
problem. (A) postpones treatment if the lump is malignant, and does not
relieve the client's anxiety. (C and D) provide false reassurance and do not help
relieve anxiety.
The nurse should be correct in withholding a dose of digoxin in a client with
congestive heart failure without specific instruction from the healthcare
provider if the client's
A) serum digoxin level is 1.5.
B) blood pressure is 104/68.
C) serum potassium level is 3.
D) apical pulse is 68/min. - Answer✔✔-C) serum potassium level is 3.
Hypokalemia (C) can precipitate digitalis toxicity in persons receiving digoxin
which will increase the chance of dangerous dysrhythmias (normal potassium
level is 3.5 to 5.5 mEq/L). The therapeutic range for digoxin is 0.8 to 2 ng/ml
(toxic levels= >2 ng/ml); (A) is within this range. (B) would not warrant the
nurse withholding the digoxin. The nurse should withhold the digoxin if the
apical pulse is less than 60/min (D).
In assessing a client diagnosed with primary hyperaldosteronism, the nurse
expects the laboratory test results to indicate a decreased serum level of which
substance?
A) Sodium.
B) Antidiuretic hormone.
C) Potassium.
D) Glucose. - Answer✔✔-C) Potassium.
, Clients with primary aldosteronism exhibit a profound decline in the serum
levels of potassium (C) (hypokalemia)--hypertension is the most prominent and
universal sign. (A) is normal or elevated, depending on the amount of water
reabsorbed with the sodium. (B) is decreased with diabetes insipidus. (D) is not
affected by primary aldosteronism.
Based on the analysis of the client's atrial fibrillation, the nurse should prepare
the client for which treatment protocol?
A) Diuretic therapy.
B) Pacemaker implantation.
C) Anticoagulation therapy.
D) Cardiac catheterization. - Answer✔✔-C) Anticoagulation therapy.
The client is experiencing atrial fibrillation, and the nurse should prepare the
client for anticoagulation therapy (C) which should be prescribed before
rhythm control therapies to prevent cardioembolic events which result from
blood pooling in the fibrillating atria. (A, B, and D) are not indicated.
Which information about mammograms is most important to provide a post-
menopausal female client?
A) Breast self-examinations are not needed if annual mammograms are
obtained.
B) Radiation exposure is minimized by shielding the abdomen with a lead-lined
apron.
C) Yearly mammograms should be done regardless of previous normal x-rays.
D) Women at high risk should have annual routine and ultrasound
mammograms. - Answer✔✔-C) Yearly mammograms should be done
regardless of previous normal x-rays.
SURG TEST BANK / EVOLVE
HESI MEDICAL SURGICAL
Exam Study Guide – 350
Practice Questions with
Verified Answers with
Rationales. GRADED A+. Latest
2026/2027 Update
A 20-year-old female client calls the nurse to report a lump she found in her
breast. Which response is the best for the nurse to provide?
A) Check it again in one month, and if it is still there schedule an appointment.
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. -
Answer✔✔-B) Most lumps are benign, but it is always best to come in for an
examination.
,(B) provides the best response because it addresses the client's anxiety most
effectively and encourages prompt and immediate action for a potential
problem. (A) postpones treatment if the lump is malignant, and does not
relieve the client's anxiety. (C and D) provide false reassurance and do not help
relieve anxiety.
The nurse should be correct in withholding a dose of digoxin in a client with
congestive heart failure without specific instruction from the healthcare
provider if the client's
A) serum digoxin level is 1.5.
B) blood pressure is 104/68.
C) serum potassium level is 3.
D) apical pulse is 68/min. - Answer✔✔-C) serum potassium level is 3.
Hypokalemia (C) can precipitate digitalis toxicity in persons receiving digoxin
which will increase the chance of dangerous dysrhythmias (normal potassium
level is 3.5 to 5.5 mEq/L). The therapeutic range for digoxin is 0.8 to 2 ng/ml
(toxic levels= >2 ng/ml); (A) is within this range. (B) would not warrant the
nurse withholding the digoxin. The nurse should withhold the digoxin if the
apical pulse is less than 60/min (D).
In assessing a client diagnosed with primary hyperaldosteronism, the nurse
expects the laboratory test results to indicate a decreased serum level of which
substance?
A) Sodium.
B) Antidiuretic hormone.
C) Potassium.
D) Glucose. - Answer✔✔-C) Potassium.
, Clients with primary aldosteronism exhibit a profound decline in the serum
levels of potassium (C) (hypokalemia)--hypertension is the most prominent and
universal sign. (A) is normal or elevated, depending on the amount of water
reabsorbed with the sodium. (B) is decreased with diabetes insipidus. (D) is not
affected by primary aldosteronism.
Based on the analysis of the client's atrial fibrillation, the nurse should prepare
the client for which treatment protocol?
A) Diuretic therapy.
B) Pacemaker implantation.
C) Anticoagulation therapy.
D) Cardiac catheterization. - Answer✔✔-C) Anticoagulation therapy.
The client is experiencing atrial fibrillation, and the nurse should prepare the
client for anticoagulation therapy (C) which should be prescribed before
rhythm control therapies to prevent cardioembolic events which result from
blood pooling in the fibrillating atria. (A, B, and D) are not indicated.
Which information about mammograms is most important to provide a post-
menopausal female client?
A) Breast self-examinations are not needed if annual mammograms are
obtained.
B) Radiation exposure is minimized by shielding the abdomen with a lead-lined
apron.
C) Yearly mammograms should be done regardless of previous normal x-rays.
D) Women at high risk should have annual routine and ultrasound
mammograms. - Answer✔✔-C) Yearly mammograms should be done
regardless of previous normal x-rays.
