NURSING Med SURG Practice EXAM Questions and
Answers from evolve HESI Rated A+ new update 2022
Questions
□ The nurse is assessing a client's laboratory values following
administration of chemotherapy. Which lab value leads the
nurse to suspect that the client is experiencing tumor lysis
syndrome (TLS)?
A Serum PTT of 10 seconds.
B Serum calcium of 5 mg/dl. Correct
C Oxygen saturation of 90%.
D Hemoglobin of 10 g/dl.
□ TLS results in hyperkalemia, hypocalcemia,
hyperuricemia, and hyperphosphatemia. A serum calcium
level of 5 (B), which is low, is an indicator of possible
tumor lysis syndrome. (A, C, and D) are not particularly
related to TLS. Awarded 0.0 points out of 1.0 possible
points.
□ 2.ID: 6974889585A client is admitted to the hospital
with a diagnosis of severe acute diverticulitis. Which
assessment finding should the nurse expect this client to
exhibit?
A Lower left quadrant pain and a low-grade fever. Correct
B Severe pain at McBurney's point and
nausea. C Abdominal pain and intermittent tenesmus.
D Exacerbations of severe diarrhea.
NURSING Med SURG Practice EXAM Questions and
Answers from evolve HESI Rated A+ new update 2022
,NURSING Med SURG Practice EXAM Questions and
Answers from evolve HESI Rated A+ new update 2022
□ Left lower quadrant pain occurs with diverticulitis
because the sigmoid colon is the most common area for
diverticula, and the inflammation of diverticula causes a low-
grade fever (A). (B) would be indicative of appendicitis. (C
and D) are symptoms exhibited with ulcerative colitis.
Awarded 0.0 points out of 1.0 possible points.
□ 3.ID: 6974891763During CPR, when attempting to
ventilate a client's lungs, the nurse notes that the chest is
not moving. What action should the nurse take first?
A Use a laryngoscope to check for a foreign body lodged in
the esophagus.
B Reposition the head to validate that the head is in the proper
position to open the airway. Correct
C Turn the client to the side and administer three back blows.
D Perform a finger sweep of the mouth to remove any vomitus.
□ The most frequent cause of inadequate aeration of the
NURSING Med SURG Practice EXAM Questions and
Answers from evolve HESI Rated A+ new update 2022
,NURSING Med SURG Practice EXAM Questions and
Answers from evolve HESI Rated A+ new update 2022
client's lungs during CPR is improper positioning of the head
resulting in occlusion of the airway (B). A foreign body can
occlude the airway, but this is not common unless choking
preceded the cardiac emergency, and (A, C and D) should
not be the nurse's first action. Awarded 0.0 points out of 1.0
possible points.
□ 4.ID: 6974891794A client is admitted to the hospital
with a medical diagnosis of pneumococcal pneumonia. The
nurse knows that the prognosis for gram-negative
pneumonias (such as E. coli, Klebsiella, Pseudomonas, and
Proteus) is very poor because
A they occur in the lower lobe alveoli which are more sensitive
to infection.
B gram-negative organisms are more resistant to antibiotic
therapy. Correct
C they occur in healthy young adults who have recently been
debilitated by an upper respiratory infection.
D gram-negative pneumonias usually affect infants and small
children.
□ The gram-negative organisms are resistant to drug
therapy (B) which makes recovery very difficult. Gram-
negative pneumonias affect all lobes of the lung (A). The
mean age for contracting this type of pneumonia is 50
years (C and D), and it usually strikes debilitated persons
such as alcoholics, diabetics, and those with chronic lung
NURSING Med SURG Practice EXAM Questions and
Answers from evolve HESI Rated A+ new update 2022
, NURSING Med SURG Practice EXAM Questions and
Answers from evolve HESI Rated A+ new update 2022
diseases.
Awarded 0.0 points out of 1.0 possible points.
□ 5.ID: 6974891705A client is placed on a mechanical
ventilator following a cerebral hemorrhage, and vecuronium
bromide (Norcuron) 0.04 mg/kg q12 hours IV is prescribed.
What is the priority nursing diagnosis for this client?
A Impaired communication related to paralysis of skeletal
muscles. Correct
B High risk for infection related to increased
intracranial pressure.
C Potential for injury related to impaired lung
expansion. D Social isolation related to inability to
communicate.
□ To increase the client's tolerance of endotracheal
intubation and/or mechanical ventilation, a skeletal-muscle
relaxant, such as vecuronium, is usually prescribed. Impaired
NURSING Med SURG Practice EXAM Questions and
Answers from evolve HESI Rated A+ new update 2022
Answers from evolve HESI Rated A+ new update 2022
Questions
□ The nurse is assessing a client's laboratory values following
administration of chemotherapy. Which lab value leads the
nurse to suspect that the client is experiencing tumor lysis
syndrome (TLS)?
A Serum PTT of 10 seconds.
B Serum calcium of 5 mg/dl. Correct
C Oxygen saturation of 90%.
D Hemoglobin of 10 g/dl.
□ TLS results in hyperkalemia, hypocalcemia,
hyperuricemia, and hyperphosphatemia. A serum calcium
level of 5 (B), which is low, is an indicator of possible
tumor lysis syndrome. (A, C, and D) are not particularly
related to TLS. Awarded 0.0 points out of 1.0 possible
points.
□ 2.ID: 6974889585A client is admitted to the hospital
with a diagnosis of severe acute diverticulitis. Which
assessment finding should the nurse expect this client to
exhibit?
A Lower left quadrant pain and a low-grade fever. Correct
B Severe pain at McBurney's point and
nausea. C Abdominal pain and intermittent tenesmus.
D Exacerbations of severe diarrhea.
NURSING Med SURG Practice EXAM Questions and
Answers from evolve HESI Rated A+ new update 2022
,NURSING Med SURG Practice EXAM Questions and
Answers from evolve HESI Rated A+ new update 2022
□ Left lower quadrant pain occurs with diverticulitis
because the sigmoid colon is the most common area for
diverticula, and the inflammation of diverticula causes a low-
grade fever (A). (B) would be indicative of appendicitis. (C
and D) are symptoms exhibited with ulcerative colitis.
Awarded 0.0 points out of 1.0 possible points.
□ 3.ID: 6974891763During CPR, when attempting to
ventilate a client's lungs, the nurse notes that the chest is
not moving. What action should the nurse take first?
A Use a laryngoscope to check for a foreign body lodged in
the esophagus.
B Reposition the head to validate that the head is in the proper
position to open the airway. Correct
C Turn the client to the side and administer three back blows.
D Perform a finger sweep of the mouth to remove any vomitus.
□ The most frequent cause of inadequate aeration of the
NURSING Med SURG Practice EXAM Questions and
Answers from evolve HESI Rated A+ new update 2022
,NURSING Med SURG Practice EXAM Questions and
Answers from evolve HESI Rated A+ new update 2022
client's lungs during CPR is improper positioning of the head
resulting in occlusion of the airway (B). A foreign body can
occlude the airway, but this is not common unless choking
preceded the cardiac emergency, and (A, C and D) should
not be the nurse's first action. Awarded 0.0 points out of 1.0
possible points.
□ 4.ID: 6974891794A client is admitted to the hospital
with a medical diagnosis of pneumococcal pneumonia. The
nurse knows that the prognosis for gram-negative
pneumonias (such as E. coli, Klebsiella, Pseudomonas, and
Proteus) is very poor because
A they occur in the lower lobe alveoli which are more sensitive
to infection.
B gram-negative organisms are more resistant to antibiotic
therapy. Correct
C they occur in healthy young adults who have recently been
debilitated by an upper respiratory infection.
D gram-negative pneumonias usually affect infants and small
children.
□ The gram-negative organisms are resistant to drug
therapy (B) which makes recovery very difficult. Gram-
negative pneumonias affect all lobes of the lung (A). The
mean age for contracting this type of pneumonia is 50
years (C and D), and it usually strikes debilitated persons
such as alcoholics, diabetics, and those with chronic lung
NURSING Med SURG Practice EXAM Questions and
Answers from evolve HESI Rated A+ new update 2022
, NURSING Med SURG Practice EXAM Questions and
Answers from evolve HESI Rated A+ new update 2022
diseases.
Awarded 0.0 points out of 1.0 possible points.
□ 5.ID: 6974891705A client is placed on a mechanical
ventilator following a cerebral hemorrhage, and vecuronium
bromide (Norcuron) 0.04 mg/kg q12 hours IV is prescribed.
What is the priority nursing diagnosis for this client?
A Impaired communication related to paralysis of skeletal
muscles. Correct
B High risk for infection related to increased
intracranial pressure.
C Potential for injury related to impaired lung
expansion. D Social isolation related to inability to
communicate.
□ To increase the client's tolerance of endotracheal
intubation and/or mechanical ventilation, a skeletal-muscle
relaxant, such as vecuronium, is usually prescribed. Impaired
NURSING Med SURG Practice EXAM Questions and
Answers from evolve HESI Rated A+ new update 2022
