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RN Evolve Hesi Medical Surgical Exam Versions A &
B Each Version with 100 questions and Correct
answers with Rationales/ RN Hesi Med Surg Exam
Prep Test Bank / Hesi Medical Surgical Practice
Test Bank
A client on telemetry has a pattern of uncontrolled atrial
fibrillation with a rapid ventricular response. Based on
this finding, the nurse anticipates assisting the physician
with which treatment? - ...ANSWER...✓✓ Perform
synchronized cardioversion.
A practical nurse (PN) tells the charge nurse in a long-
term facility that she does not want to be assigned to one
particular resident. She reports that the male client keeps
insisting that she is his daughter and begs her to stay in
his room. What is the best managerial decision? -
...ANSWER...✓✓ Reassign the PN until the resident can be
assessed more completely for reality orientation.
Client census is often used to determine staffing needs.
Which method of obtaining census determination for a
particular unit provides the best formula for determining
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long-range staffing patterns? - ...ANSWER...✓✓ Average
daily census
The nurse is counseling a healthy 30-year-old female
client regarding osteoporosis prevention. Which activity
would be most beneficial in achieving the client's goal of
osteoporosis prevention? - ...ANSWER...✓✓ Cross-
country skiing
Which condition should the nurse anticipate as a potential
problem in a female client with a neurogenic bladder? -
...ANSWER...✓✓ Infection
A client is being discharged following radioactive seed
implantation for prostate cancer. What is the most
important information that the nurse should provide to
this client's family? - ...ANSWER...✓✓ Follow exposure
precautions.
In assessing a client with an arteriovenous (AV) shunt
who is scheduled for dialysis today, the nurse notes the
absence of a thrill or bruit at the shunt site. What action
should the nurse take? - ...ANSWER...✓✓ Notify the
healthcare provider of the findings immediately.
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The nurse notes that the client's drainage has decreased
from 50 to 5 mL/hr 12 hours after chest tube insertion for
hemothorax. What is the best initial action for the nurse
to take? - ...ANSWER...✓✓ Assess for kinks or dependent
loops in the tubing.
The nurse is assessing a 75-year-old client for symptoms
of hyperglycemia. Which symptom of hyperglycemia is an
older adult most likely to exhibit? - ...ANSWER...✓✓
Infection
Which abnormal laboratory finding indicates that a client
with diabetes needs further evaluation for diabetic
nephropathy? - ...ANSWER...✓✓ Microalbuminuria
Which change in laboratory values indicates to the nurse
that a client with rheumatoid arthritis may be
experiencing an adverse effect of methotrexate therapy?
- ...ANSWER...✓✓ Decrease in hemoglobin level
Which consideration is most important when the nurse is
assigning a room for a client being admitted with
RN Evolve Hesi Medical Surgical Exam Versions A &
B Each Version with 100 questions and Correct
answers with Rationales/ RN Hesi Med Surg Exam
Prep Test Bank / Hesi Medical Surgical Practice
Test Bank
A client on telemetry has a pattern of uncontrolled atrial
fibrillation with a rapid ventricular response. Based on
this finding, the nurse anticipates assisting the physician
with which treatment? - ...ANSWER...✓✓ Perform
synchronized cardioversion.
A practical nurse (PN) tells the charge nurse in a long-
term facility that she does not want to be assigned to one
particular resident. She reports that the male client keeps
insisting that she is his daughter and begs her to stay in
his room. What is the best managerial decision? -
...ANSWER...✓✓ Reassign the PN until the resident can be
assessed more completely for reality orientation.
Client census is often used to determine staffing needs.
Which method of obtaining census determination for a
particular unit provides the best formula for determining
,2|Page
long-range staffing patterns? - ...ANSWER...✓✓ Average
daily census
The nurse is counseling a healthy 30-year-old female
client regarding osteoporosis prevention. Which activity
would be most beneficial in achieving the client's goal of
osteoporosis prevention? - ...ANSWER...✓✓ Cross-
country skiing
Which condition should the nurse anticipate as a potential
problem in a female client with a neurogenic bladder? -
...ANSWER...✓✓ Infection
A client is being discharged following radioactive seed
implantation for prostate cancer. What is the most
important information that the nurse should provide to
this client's family? - ...ANSWER...✓✓ Follow exposure
precautions.
In assessing a client with an arteriovenous (AV) shunt
who is scheduled for dialysis today, the nurse notes the
absence of a thrill or bruit at the shunt site. What action
should the nurse take? - ...ANSWER...✓✓ Notify the
healthcare provider of the findings immediately.
, 3|Page
The nurse notes that the client's drainage has decreased
from 50 to 5 mL/hr 12 hours after chest tube insertion for
hemothorax. What is the best initial action for the nurse
to take? - ...ANSWER...✓✓ Assess for kinks or dependent
loops in the tubing.
The nurse is assessing a 75-year-old client for symptoms
of hyperglycemia. Which symptom of hyperglycemia is an
older adult most likely to exhibit? - ...ANSWER...✓✓
Infection
Which abnormal laboratory finding indicates that a client
with diabetes needs further evaluation for diabetic
nephropathy? - ...ANSWER...✓✓ Microalbuminuria
Which change in laboratory values indicates to the nurse
that a client with rheumatoid arthritis may be
experiencing an adverse effect of methotrexate therapy?
- ...ANSWER...✓✓ Decrease in hemoglobin level
Which consideration is most important when the nurse is
assigning a room for a client being admitted with
