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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
1. A client with acute renal injury (AKI) weighs 110.3
pounds (50 kg) and has a potassium level of 6.7 mEq/L
(6.7 mmol/L) is admitted to the hospital. Which prescribed
medication should the nurse administer first?
Reference Range:
Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)]
A. Sodium polystyrene sulfonate 15 grams by mouth.
B. Sevelamer one tablet by mouth.
C. Calcium acetate one tablet by mouth.
D. Epoetin alfa, recombinant 2,500 units subcutaneously.
E. Calcium acetate one tablet by mouth. - ...ANSWER...✓✓
A. Sodium polystyrene sulfonate 15 grams by mouth.
Elevated potassium (hyperkalemia) requires urgent
treatment to prevent complications like arrhythmias.
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Sodium polystyrene sulfonate helps lower potassium
levels.
2. The nurse is preparing an older client for a magnetic
resonance imaging (MRI) with contrast. Which laboratory
value should the nurse report to the healthcare provider
before the scan is performed?
Reference Range:
Glycosylated hemoglobin (A1c) [4% to 5.9%]
Creatinine [0.5 to 1.1 mg/dL (44 to 97 umol/L)]
Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]
Blood Urea Nitrogen (BUN) [10 to 20 mg/dL (3.6 to 7.1
mmol)]
A. Fasting blood sugar of 200 mg/dL (11.1 mmol/L).
B. Glycosylated hemoglobin A1c of 8%.
C. Blood urea nitrogen of 22 mg/dL (7.9 mmol/L).
D. Serum creatinine of 1.9 mg/dL (169 umol/L). -
...ANSWER...✓✓ D. Serum creatinine of 1.9 mg/dL (169
umol/L).
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A creatinine level of 1.9 mg/dL indicates possible kidney
dysfunction. This value should be reported to the
healthcare provider before contrast is administered to
avoid nephrotoxicity.
3. A client with type 1 diabetes mellitus, hypertension, and
chronic kidney disease is to begin hemodialysis
treatment. Which statement should the nurse include in
the client education?
A. Prepare for an abdominal catheter.
B. Continue routine medications.
C. Expect the insulin dosage to be reduced.
D. Include potassium-rich foods in the diet. -
...ANSWER...✓✓ C. Expect the insulin dosage to be
reduced.
Hemodialysis can lower blood glucose levels, so the
insulin dosage may need adjustment to prevent
hypoglycemia.
4. A patient is admitted to the hospital with symptoms
consistent with right hemisphere stroke. Which
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neurovascular assessment requires immediate
intervention by the nurse?
A. Pupillary changes to ipsilateral dilation.
B. Left-sided facial drooping and dysphagia.
C. Orientation to person and place only.
D. Unequal bilateral hand grip strengths. -
...ANSWER...✓✓ A. Pupillary changes to ipsilateral
dilation.
This could indicate increased intracranial pressure or
herniation, which requires immediate intervention.
5. After performing a head-to-toe-assessment for a
client with Addison's disease, the nurse reports findings
to the healthcare provider. The findings include moist
mucous membranes, strong palpable peripheral pulses,
and blood pressure 132/88 mmHg. The client verbalizes
understanding of the illness and importance of taking
medications every day. Which action should the nurse
implement?
A. Make a referral for social services at home.
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
1. A client with acute renal injury (AKI) weighs 110.3
pounds (50 kg) and has a potassium level of 6.7 mEq/L
(6.7 mmol/L) is admitted to the hospital. Which prescribed
medication should the nurse administer first?
Reference Range:
Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)]
A. Sodium polystyrene sulfonate 15 grams by mouth.
B. Sevelamer one tablet by mouth.
C. Calcium acetate one tablet by mouth.
D. Epoetin alfa, recombinant 2,500 units subcutaneously.
E. Calcium acetate one tablet by mouth. - ...ANSWER...✓✓
A. Sodium polystyrene sulfonate 15 grams by mouth.
Elevated potassium (hyperkalemia) requires urgent
treatment to prevent complications like arrhythmias.
,2|Page
Sodium polystyrene sulfonate helps lower potassium
levels.
2. The nurse is preparing an older client for a magnetic
resonance imaging (MRI) with contrast. Which laboratory
value should the nurse report to the healthcare provider
before the scan is performed?
Reference Range:
Glycosylated hemoglobin (A1c) [4% to 5.9%]
Creatinine [0.5 to 1.1 mg/dL (44 to 97 umol/L)]
Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]
Blood Urea Nitrogen (BUN) [10 to 20 mg/dL (3.6 to 7.1
mmol)]
A. Fasting blood sugar of 200 mg/dL (11.1 mmol/L).
B. Glycosylated hemoglobin A1c of 8%.
C. Blood urea nitrogen of 22 mg/dL (7.9 mmol/L).
D. Serum creatinine of 1.9 mg/dL (169 umol/L). -
...ANSWER...✓✓ D. Serum creatinine of 1.9 mg/dL (169
umol/L).
,3|Page
A creatinine level of 1.9 mg/dL indicates possible kidney
dysfunction. This value should be reported to the
healthcare provider before contrast is administered to
avoid nephrotoxicity.
3. A client with type 1 diabetes mellitus, hypertension, and
chronic kidney disease is to begin hemodialysis
treatment. Which statement should the nurse include in
the client education?
A. Prepare for an abdominal catheter.
B. Continue routine medications.
C. Expect the insulin dosage to be reduced.
D. Include potassium-rich foods in the diet. -
...ANSWER...✓✓ C. Expect the insulin dosage to be
reduced.
Hemodialysis can lower blood glucose levels, so the
insulin dosage may need adjustment to prevent
hypoglycemia.
4. A patient is admitted to the hospital with symptoms
consistent with right hemisphere stroke. Which
, 4|Page
neurovascular assessment requires immediate
intervention by the nurse?
A. Pupillary changes to ipsilateral dilation.
B. Left-sided facial drooping and dysphagia.
C. Orientation to person and place only.
D. Unequal bilateral hand grip strengths. -
...ANSWER...✓✓ A. Pupillary changes to ipsilateral
dilation.
This could indicate increased intracranial pressure or
herniation, which requires immediate intervention.
5. After performing a head-to-toe-assessment for a
client with Addison's disease, the nurse reports findings
to the healthcare provider. The findings include moist
mucous membranes, strong palpable peripheral pulses,
and blood pressure 132/88 mmHg. The client verbalizes
understanding of the illness and importance of taking
medications every day. Which action should the nurse
implement?
A. Make a referral for social services at home.
