Med Surg HESI Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

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Med Surg HESI Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• What instruction should the nurse give a client who is diagnosed with fibrocystic

changes of the breast?

• Observe cyst size fluctuations as a sign of malignancy.
• Use estrogen supplements to reduce breast discomfort.
• Notify the healthcare provider if whitish nipple discharge occurs.
• Perform a breast self-exam (BSE) procedure monthly.

Correct Answer: D

• A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry

unit. What initial medication should the nurse anticipate administering to the client?

• Xylocaine (Lidocaine).
• Procainamide (Pronestyl).
• Phenytoin (Dilantin).
• Digoxin (Lanoxin).

Correct Answer: D

• A client receiving cholestyramine (Questran) for hyperlipidemia should be evaluated

for what vitamin deficiency?

• K.

B) B12.

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C) B6.

• C.

Correct Answer: A

• Which reaction should the nurse identify in a client who is responding to stimulation

of the sympathetic nervous system?

• Pupil constriction.
• Increased heart rate.
• Bronchial constriction.
• Decreased blood pressure.

Correct Answer: B

• In assessing cancer risk, the nurse identifies which woman as being at greatest risk

of developing breast cancer?

• A 35-year-old multipara who never breastfed.
• A 50-year-old whose mother had unilateral breast cancer.
• A 55-year-old whose mother-in-law had bilateral breast cancer.
• A 20-year-old whose menarche occurred at age 9.

Correct Answer: B

• Which information about mammograms is most important to provide a post-

menopausal female client?

• Breast self-examinations are not needed if annual mammograms are obtained.
• Radiation exposure is minimized by shielding the abdomen with a lead-lined apron.
• Yearly mammograms should be done regardless of previous normal x-rays.
• Women at high risk should have annual routine and ultrasound mammograms.

Correct Answer: C

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• Based on the analysis of the client's atrial fibrillation, the nurse should prepare the

client for which treatment protocol?

• Diuretic therapy.
• Pacemaker implantation.
• Anticoagulation therapy.
• Cardiac catheterization.

Correct Answer: C

• In assessing a client diagnosed with primary hyperaldosteronism, the nurse expects

the laboratory test results to indicate a decreased serum level of which substance?

• Sodium.
• Antidiuretic hormone.
• Potassium.
• Glucose.

Correct Answer: C

• 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:

• Serum digoxin level is 1.5.
• Blood pressure is 104/68.
• Serum potassium level is 3.
• Apical pulse is 68/min.

Correct Answer: C

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• 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?

• Check it again in one month, and if it is still there schedule an appointment.
• Most lumps are benign, but it is always best to come in for an examination.
• Try not to worry too much about it, because usually, most lumps are benign.
• If you are in your menstrual period it is not a good time to check for lumps.

Correct Answer: B

• The nurse is assessing a client's laboratory values following administration of

chemotherapy. Which lab value leads the nurse to suspect that the client is experiencing tumor lysis syndrome (TLS)?

• Serum PTT of 10 seconds.
• Serum calcium of 5 mg/dl.
• Oxygen saturation of 90%.
• Hemoglobin of 10 g/dl.

Correct Answer: B

• A client has undergone insertion of a permanent pacemaker. When developing a

discharge teaching plan, the nurse writes a goal of, "The client will verbalize symptoms of pacemaker failure." Which symptoms are most important to teach the client?

• Facial flushing.
• Fever.
• Pounding headache.
• Feelings of dizziness.

Correct Answer: D