2026 EVOLVE ELSEVIER HESI MED SURG EXAM
NEWEST 2026 ACTUAL EXAM| COMPLETE 200 REAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|| BRAND
NEW PDF!!!
A 20-year-old female client calls the nurse to report a lump she found
in her breast. Which response is the best for the nurse to provide?
A) Check it again in one month, and if it is still there schedule an
appointment.
B) Most lumps are benign, but it is always best to come in for an
examination.
C) Try not to worry too much about it, because usually, most lumps
are benign.
D) If you are in your menstrual period it is not a good time to check
for lumps.
B) Most lumps are benign, but it is always best to come in for an
examination.
(B) provides the best response because it addresses the client's anxiety
most effectively and encourages prompt and immediate action for a
potential problem. (A) postpones treatment if the lump is malignant, and
does not relieve the client's anxiety. (C and D) provide false reassurance
and do not help relieve anxiety.
The nurse should be correct in withholding a dose of digoxin in a
client with congestive heart failure without specific instruction from
the healthcare provider if the client's
A) serum digoxin level is 1.5.
B) blood pressure is 104/68.
C) serum potassium level is 3.
D) apical pulse is 68/min.
C) serum potassium level is 3.
Hypokalemia (C) can precipitate digitalis toxicity in persons receiving
digoxin which will increase the chance of dangerous dysrhythmias (normal
potassium level is 3.5 to 5.5 mEq/L). The therapeutic range for digoxin is
,0.8 to 2 ng/ml (toxic levels= >2 ng/ml); (A) is within this range. (B) would
not warrant the nurse withholding the digoxin. The nurse should withhold
the digoxin if the apical pulse is less than 60/min (D).
In assessing a client diagnosed with primary hyperaldosteronism, the
nurse expects the laboratory test results to indicate a decreased
serum level of which substance?
A) Sodium.
B) Antidiuretic hormone.
C) Potassium.
D) Glucose.
C) Potassium.
Clients with primary aldosteronism exhibit a profound decline in the serum
levels of potassium (C) (hypokalemia)--hypertension is the most prominent
and universal sign. (A) is normal or elevated, depending on the amount of
water reabsorbed with the sodium. (B) is decreased with diabetes insipidus.
(D) is not affected by primary aldosteronism.
Based on the analysis of the client's atrial fibrillation, the nurse
should prepare the client for which treatment protocol?
A) Diuretic therapy.
B) Pacemaker implantation.
C) Anticoagulation therapy.
D) Cardiac catheterization.
C) Anticoagulation therapy.
The client is experiencing atrial fibrillation, and the nurse should prepare
the client for anticoagulation therapy (C) which should be prescribed before
rhythm control therapies to prevent cardioembolic events which result from
blood pooling in the fibrillating atria. (A, B, and D) are not indicated.
Which information about mammograms is most important to provide
a post-menopausal female client?
A) Breast self-examinations are not needed if annual mammograms
are obtained.
B) Radiation exposure is minimized by shielding the abdomen with a
lead-lined apron.
C) Yearly mammograms should be done regardless of previous
normal x-rays.
D) Women at high risk should have annual routine and ultrasound
mammograms.
, C) Yearly mammograms should be done regardless of previous normal x-
rays.
The current breast screening recommendation is a yearly mammogram
after age 40 (C). Breast self-exam (A) continues to be a priority
recommendation for all women because a small lump (or tumor) is often
first felt by a woman before a mammogram is obtained. The radiation
exposure from a mammogram is low, so (B) is not normally provided. The
frequency of using routine and ultrasound mammograms (D) in women with
high-risk variables, such as a history of breast cancer, the presence of
BRC1 and BRC2 genes, or 2 first-degree relatives with breast cancer,
should be recommended and followed closely by the healthcare provider.
In assessing cancer risk, the nurse identifies which woman as being
at greatest risk of developing breast cancer?
A) A 35-year-old multipara who never breastfed.
B) A 50-year-old whose mother had unilateral breast cancer.
C) A 55-year-old whose mother-in-law had bilateral breast cancer.
D) A 20-year-old whose menarche occurred at age 9.
B) A 50-year-old whose mother had unilateral breast cancer.
The most predictive risk factors for development of breast cancer are over
40 years of age and a positive family history (occurrence in the immediate
family, i.e., mother or sister). Other risk factors include nulliparity, no history
of breastfeeding, early menarche and late menopause. Although all of the
women described have one of the risk factors for developing breast cancer,
(B) has the greater risk over (A, C, and D).
Which reaction should the nurse identify in a client who is responding
to stimulation of the sympathetic nervous system?
A) Pupil constriction.
B) Increased heart rate.
C) Bronchial constriction.
D) Decreased blood pressure.
B) Increased heart rate.
Any stressor that is perceived as threatening to homeostasis acts to
stimulate the sympathetic nervous system and manifests as a flight-or-fight
response, which includes an increase in heart rate (B). (A, C, and D) are
responses of the parasympathetic nervous system.
A client receiving cholestyramine (Questran) for hyperlipidemia
should be evaluated for what vitamin deficiency?
NEWEST 2026 ACTUAL EXAM| COMPLETE 200 REAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|| BRAND
NEW PDF!!!
A 20-year-old female client calls the nurse to report a lump she found
in her breast. Which response is the best for the nurse to provide?
A) Check it again in one month, and if it is still there schedule an
appointment.
B) Most lumps are benign, but it is always best to come in for an
examination.
C) Try not to worry too much about it, because usually, most lumps
are benign.
D) If you are in your menstrual period it is not a good time to check
for lumps.
B) Most lumps are benign, but it is always best to come in for an
examination.
(B) provides the best response because it addresses the client's anxiety
most effectively and encourages prompt and immediate action for a
potential problem. (A) postpones treatment if the lump is malignant, and
does not relieve the client's anxiety. (C and D) provide false reassurance
and do not help relieve anxiety.
The nurse should be correct in withholding a dose of digoxin in a
client with congestive heart failure without specific instruction from
the healthcare provider if the client's
A) serum digoxin level is 1.5.
B) blood pressure is 104/68.
C) serum potassium level is 3.
D) apical pulse is 68/min.
C) serum potassium level is 3.
Hypokalemia (C) can precipitate digitalis toxicity in persons receiving
digoxin which will increase the chance of dangerous dysrhythmias (normal
potassium level is 3.5 to 5.5 mEq/L). The therapeutic range for digoxin is
,0.8 to 2 ng/ml (toxic levels= >2 ng/ml); (A) is within this range. (B) would
not warrant the nurse withholding the digoxin. The nurse should withhold
the digoxin if the apical pulse is less than 60/min (D).
In assessing a client diagnosed with primary hyperaldosteronism, the
nurse expects the laboratory test results to indicate a decreased
serum level of which substance?
A) Sodium.
B) Antidiuretic hormone.
C) Potassium.
D) Glucose.
C) Potassium.
Clients with primary aldosteronism exhibit a profound decline in the serum
levels of potassium (C) (hypokalemia)--hypertension is the most prominent
and universal sign. (A) is normal or elevated, depending on the amount of
water reabsorbed with the sodium. (B) is decreased with diabetes insipidus.
(D) is not affected by primary aldosteronism.
Based on the analysis of the client's atrial fibrillation, the nurse
should prepare the client for which treatment protocol?
A) Diuretic therapy.
B) Pacemaker implantation.
C) Anticoagulation therapy.
D) Cardiac catheterization.
C) Anticoagulation therapy.
The client is experiencing atrial fibrillation, and the nurse should prepare
the client for anticoagulation therapy (C) which should be prescribed before
rhythm control therapies to prevent cardioembolic events which result from
blood pooling in the fibrillating atria. (A, B, and D) are not indicated.
Which information about mammograms is most important to provide
a post-menopausal female client?
A) Breast self-examinations are not needed if annual mammograms
are obtained.
B) Radiation exposure is minimized by shielding the abdomen with a
lead-lined apron.
C) Yearly mammograms should be done regardless of previous
normal x-rays.
D) Women at high risk should have annual routine and ultrasound
mammograms.
, C) Yearly mammograms should be done regardless of previous normal x-
rays.
The current breast screening recommendation is a yearly mammogram
after age 40 (C). Breast self-exam (A) continues to be a priority
recommendation for all women because a small lump (or tumor) is often
first felt by a woman before a mammogram is obtained. The radiation
exposure from a mammogram is low, so (B) is not normally provided. The
frequency of using routine and ultrasound mammograms (D) in women with
high-risk variables, such as a history of breast cancer, the presence of
BRC1 and BRC2 genes, or 2 first-degree relatives with breast cancer,
should be recommended and followed closely by the healthcare provider.
In assessing cancer risk, the nurse identifies which woman as being
at greatest risk of developing breast cancer?
A) A 35-year-old multipara who never breastfed.
B) A 50-year-old whose mother had unilateral breast cancer.
C) A 55-year-old whose mother-in-law had bilateral breast cancer.
D) A 20-year-old whose menarche occurred at age 9.
B) A 50-year-old whose mother had unilateral breast cancer.
The most predictive risk factors for development of breast cancer are over
40 years of age and a positive family history (occurrence in the immediate
family, i.e., mother or sister). Other risk factors include nulliparity, no history
of breastfeeding, early menarche and late menopause. Although all of the
women described have one of the risk factors for developing breast cancer,
(B) has the greater risk over (A, C, and D).
Which reaction should the nurse identify in a client who is responding
to stimulation of the sympathetic nervous system?
A) Pupil constriction.
B) Increased heart rate.
C) Bronchial constriction.
D) Decreased blood pressure.
B) Increased heart rate.
Any stressor that is perceived as threatening to homeostasis acts to
stimulate the sympathetic nervous system and manifests as a flight-or-fight
response, which includes an increase in heart rate (B). (A, C, and D) are
responses of the parasympathetic nervous system.
A client receiving cholestyramine (Questran) for hyperlipidemia
should be evaluated for what vitamin deficiency?
