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