RN Evolve Hesi Medical Surgical Exam
Versions A & B
RN Evolve Hesi Medical Surgical Exam
Versions A & B Each Version with Verified
questions and Correct answers with Detailed
Rationales/ RN Hesi Med Surg Exam Prep Test
Bank / Hesi Medical Surgical Practice Test
Bank
A client asks the nurse about the purpose of beginning chemotherapy (CT) because the tumor is still
very small. Which information supports the explanation that the nurse should provide?
Side effects are less likely if therapy is started early.
Collateral circulation increases as the tumor grows.
Sensitivity of cancer cells to CT is based on cell cycle rate.
The cell count of the tumor reduces by half with each dose. - Correct Answer :The cell count of the
tumor reduces by half with each dose.
rationale:
Initiating chemotherapy while the tumor is small provides a better chance of eradicating all cancer
cells because 50% of cancer cells or tumor cells are killed with each dose.
A+ TEST BANK 1
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
During the assessment of a client who is 24 hours post-hemicolectomy with a temporary colostomy,
the nurse determines that the client's stoma is dry and dark red in color. What action should the nurse
implement?
Notify the surgeon.
Document the assesment.
Secure a colostomy pouch over the stoma.
Place petrolatum gauze dressing over the stoma - Correct Answer :Notify the surgeon.
rationale:
The stoma should appear reddish pink and moist, which indicates circulatory perfusion to the surgical
diversion of the intestine. If the stoma becomes dry, firm, flaccid, or is dark red or purple, the stoma is
ischemic, and the surgeon should be notified immediately.
During the initial outbreak of genital herpes simplex for a female client, what should be the nurse's
primary focus in planning care?
Promotion of comfort.
Prevention of pregnancy.
Instruction in condom use.
Information about transmission. - Correct Answer :Promotion of comfort.
rationale:
A+ TEST BANK 2
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
The initial outbreak of genital herpes simplex in a woman causes severe discomfort. Promotion of
comfort is the first priority.
A man who smokes two packs of cigarettes a day wants to know if smoking is contributing to the
difficulty that he and his wife are having getting pregnant. What information is best for the nurse to
provide? (Select all that apply.)
Select all that apply
Only marijuana cigarettes affect sperm count.
Smoking can decrease the quantity and quality of sperm.
The first semen analysis should be repeated to confirm sperm counts.
Cessation of smoking improves general health and fertility.
Sperm specimens should be collected in 2 subsequent days. - Correct Answer :smoking can decreases
quantity and quality(possibly)
the first semen analysis should be repeated to confirm sperm count
rationale: The use of tobacco, alcohol, and marijuana may affect a man's sperm counts.
A female client with type 2 diabetes mellitus reports dysuria. Which assessment finding is most
important for the nurse to report to the healthcare provider?
Suprapublic pain and distention.
Bounding pulse at 100 beats/minute.
A+ TEST BANK 3
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
Fingerstick glucose of 300 mg/dl.
Small vesicular perineal lesions. - Correct Answer :Fingerstick glucose of 300 mg/dl.
rationale:
Elevated fingerstick glucose levels needs to be reported tot he healthcare provider, so a plan of care
can be adjusted to treat the elevated glucose level. Also elevated glucose levels, spills into the urine
and provide a medium for bacterial growth.
The nurse is caring for a client with end stage liver disease who is being assessed for the presence of
asterixis. To assess the client for asterixis, what position should the nurse ask the client to
demonstrate?
Extend the left arm laterally with the left palm upward.
Extend the arm, dorsiflex the wrist, and extend the fingers.
Extend the arms and hold this position for 30 seconds.
Extend arms with both legs adducted to shoulder width. - Correct Answer :Extend the arm, dorsiflex
the wrist, and extend the fingers.
rationale:
Asterixis (flapping tremor, liver flap) is a hand-flapping tremor that is often seen frequently in hepatic
encephalopathy. The tremor is induced by extending the arm and dorsiflexing the wrist causing rapid,
non-rhythmic extension and flexion of the wrist while attempting to hold position.
A client who has just tested positive for human immunodeficiency virus (HIV) does not appear to hear
what the nurse is saying during post-test counseling. Which information should the nurse offer to
A+ TEST BANK 4
Versions A & B
RN Evolve Hesi Medical Surgical Exam
Versions A & B Each Version with Verified
questions and Correct answers with Detailed
Rationales/ RN Hesi Med Surg Exam Prep Test
Bank / Hesi Medical Surgical Practice Test
Bank
A client asks the nurse about the purpose of beginning chemotherapy (CT) because the tumor is still
very small. Which information supports the explanation that the nurse should provide?
Side effects are less likely if therapy is started early.
Collateral circulation increases as the tumor grows.
Sensitivity of cancer cells to CT is based on cell cycle rate.
The cell count of the tumor reduces by half with each dose. - Correct Answer :The cell count of the
tumor reduces by half with each dose.
rationale:
Initiating chemotherapy while the tumor is small provides a better chance of eradicating all cancer
cells because 50% of cancer cells or tumor cells are killed with each dose.
A+ TEST BANK 1
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
During the assessment of a client who is 24 hours post-hemicolectomy with a temporary colostomy,
the nurse determines that the client's stoma is dry and dark red in color. What action should the nurse
implement?
Notify the surgeon.
Document the assesment.
Secure a colostomy pouch over the stoma.
Place petrolatum gauze dressing over the stoma - Correct Answer :Notify the surgeon.
rationale:
The stoma should appear reddish pink and moist, which indicates circulatory perfusion to the surgical
diversion of the intestine. If the stoma becomes dry, firm, flaccid, or is dark red or purple, the stoma is
ischemic, and the surgeon should be notified immediately.
During the initial outbreak of genital herpes simplex for a female client, what should be the nurse's
primary focus in planning care?
Promotion of comfort.
Prevention of pregnancy.
Instruction in condom use.
Information about transmission. - Correct Answer :Promotion of comfort.
rationale:
A+ TEST BANK 2
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
The initial outbreak of genital herpes simplex in a woman causes severe discomfort. Promotion of
comfort is the first priority.
A man who smokes two packs of cigarettes a day wants to know if smoking is contributing to the
difficulty that he and his wife are having getting pregnant. What information is best for the nurse to
provide? (Select all that apply.)
Select all that apply
Only marijuana cigarettes affect sperm count.
Smoking can decrease the quantity and quality of sperm.
The first semen analysis should be repeated to confirm sperm counts.
Cessation of smoking improves general health and fertility.
Sperm specimens should be collected in 2 subsequent days. - Correct Answer :smoking can decreases
quantity and quality(possibly)
the first semen analysis should be repeated to confirm sperm count
rationale: The use of tobacco, alcohol, and marijuana may affect a man's sperm counts.
A female client with type 2 diabetes mellitus reports dysuria. Which assessment finding is most
important for the nurse to report to the healthcare provider?
Suprapublic pain and distention.
Bounding pulse at 100 beats/minute.
A+ TEST BANK 3
, RN Evolve Hesi Medical Surgical Exam
Versions A & B
Fingerstick glucose of 300 mg/dl.
Small vesicular perineal lesions. - Correct Answer :Fingerstick glucose of 300 mg/dl.
rationale:
Elevated fingerstick glucose levels needs to be reported tot he healthcare provider, so a plan of care
can be adjusted to treat the elevated glucose level. Also elevated glucose levels, spills into the urine
and provide a medium for bacterial growth.
The nurse is caring for a client with end stage liver disease who is being assessed for the presence of
asterixis. To assess the client for asterixis, what position should the nurse ask the client to
demonstrate?
Extend the left arm laterally with the left palm upward.
Extend the arm, dorsiflex the wrist, and extend the fingers.
Extend the arms and hold this position for 30 seconds.
Extend arms with both legs adducted to shoulder width. - Correct Answer :Extend the arm, dorsiflex
the wrist, and extend the fingers.
rationale:
Asterixis (flapping tremor, liver flap) is a hand-flapping tremor that is often seen frequently in hepatic
encephalopathy. The tremor is induced by extending the arm and dorsiflexing the wrist causing rapid,
non-rhythmic extension and flexion of the wrist while attempting to hold position.
A client who has just tested positive for human immunodeficiency virus (HIV) does not appear to hear
what the nurse is saying during post-test counseling. Which information should the nurse offer to
A+ TEST BANK 4
