EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM
WITH 150 REAL EXAM QUESTIONS AND CORRECT
ANSWERS WITH WELL-ELABORATED RATIONALES/
EVOLVE HESI MEDICAL SURGICAL LATEST EXAM
2025-2026 (BRAND NEW!!)
What is tumor lysis syndrome?-ASWER-chemo or radiation
destroys cells and causes problems
What increases and decreases with tumor lysis syndrome?-
ASWER-hyperkalemia, hyperuricemia, hyperphosphatemia,
hypocalemia
What is the nursing intervention for tumor lysis syndrome?-
ASWER-push 3L of fluid a day
What medication is given prophalactically for tumor lysis, why?-
ASWER-allopurinol ––> revent buildup of uric acid adn gout
1|Page
,What is superior vena cava syndrome?-ASWER-obstruction of
SVC by tumors
What are the S&S of SVC syndrome?-ASWER-venous distention
of neck, facial edema, edema of upper extremities, dyspnea
(most common)
What should the nurse do with a suspected SVC syndrome?-
ASWER-call MD stat, give O2, ^HOB, remain with pt to ensure
airway
What are S&S of hypercalcemia?-ASWER-apathy, depression,
muscle weakness, EKG changes, fatigue anorexia, n/v
What is the nursing interventions for hypercalcemia?-ASWER-
push 3 L of fluids a day
What medications are given for hypercalcemia?-ASWER-loop
diuretics and biphosphinates
What lab values would be alarming for a cancer pt?-ASWER-
leukocytosis, neutropenia, thrombocytopenia, anemia
2|Page
, What is leukocytosis?-ASWER-elevated WBC
What does leukocytosis indicate?-ASWER-presence of infection
What is neutropenia?-ASWER-low WBC/neutrophils
What is the potential problem with neutropenia?-ASWER-can't
mount an immune response
What do you do with a pt that is neutropenic with a fever?-
ASWER-medical emergency, call MD, that pt is priority
What is thrombocytopenia?-ASWER-low platelet count
What nursing interventions should be implemented for
thrombocytopenia?-ASWER-no floss, soft tooth brush, no IM
injections
What is a shift to the left?-ASWER-bands outnumber
neutrophils, pts has an overwhelming infection
3|Page
WITH 150 REAL EXAM QUESTIONS AND CORRECT
ANSWERS WITH WELL-ELABORATED RATIONALES/
EVOLVE HESI MEDICAL SURGICAL LATEST EXAM
2025-2026 (BRAND NEW!!)
What is tumor lysis syndrome?-ASWER-chemo or radiation
destroys cells and causes problems
What increases and decreases with tumor lysis syndrome?-
ASWER-hyperkalemia, hyperuricemia, hyperphosphatemia,
hypocalemia
What is the nursing intervention for tumor lysis syndrome?-
ASWER-push 3L of fluid a day
What medication is given prophalactically for tumor lysis, why?-
ASWER-allopurinol ––> revent buildup of uric acid adn gout
1|Page
,What is superior vena cava syndrome?-ASWER-obstruction of
SVC by tumors
What are the S&S of SVC syndrome?-ASWER-venous distention
of neck, facial edema, edema of upper extremities, dyspnea
(most common)
What should the nurse do with a suspected SVC syndrome?-
ASWER-call MD stat, give O2, ^HOB, remain with pt to ensure
airway
What are S&S of hypercalcemia?-ASWER-apathy, depression,
muscle weakness, EKG changes, fatigue anorexia, n/v
What is the nursing interventions for hypercalcemia?-ASWER-
push 3 L of fluids a day
What medications are given for hypercalcemia?-ASWER-loop
diuretics and biphosphinates
What lab values would be alarming for a cancer pt?-ASWER-
leukocytosis, neutropenia, thrombocytopenia, anemia
2|Page
, What is leukocytosis?-ASWER-elevated WBC
What does leukocytosis indicate?-ASWER-presence of infection
What is neutropenia?-ASWER-low WBC/neutrophils
What is the potential problem with neutropenia?-ASWER-can't
mount an immune response
What do you do with a pt that is neutropenic with a fever?-
ASWER-medical emergency, call MD, that pt is priority
What is thrombocytopenia?-ASWER-low platelet count
What nursing interventions should be implemented for
thrombocytopenia?-ASWER-no floss, soft tooth brush, no IM
injections
What is a shift to the left?-ASWER-bands outnumber
neutrophils, pts has an overwhelming infection
3|Page
