HESI LPN
Medical Surgical Assignment Exam HESI Quizlet Questions
Question 1 of 5
Based on the interpretation of this strip, what action should be implemented first?
Correct Answer: A
Rationale: The correct answer is A: 'Call a code.' In the context of ventricular fibrillation (V-Fib), immediate defibrillation is crucial. Calling a code is the first step to activating the emergency response team, including individuals trained to provide defibrillation. Starting CPR (
Choice
B) may be necessary but should follow defibrillation. Administering IV fluids (
Choice
C) and applying oxygen (
Choice
D) are important interventions in cardiac arrest cases, but in V-Fib, the priority is defibrillation to restore normal heart rhythm.
Question 2 of 5
How are type IV hypersensitivity reactions different from all other types (I, II, or III) of hypersensitivity reactions?
Correct Answer: B
Rationale: Type IV hypersensitivity reactions are mediated by T cells and cytokine release, leading to delayed reactions, unlike types I, II, and III, which involve antibodies.
Choice A is incorrect because type IV reactions do not involve antigen-antibody complexes.
Choice C is incorrect as type IV reactions do not result in immediate allergic reactions.
Choice D is incorrect as type IV reactions are not the least severe form of hypersensitivity; in fact, they are known to cause significant tissue damage and inflammation.
Question 3 of 5
What are the clinical manifestations of otitis media?
Correct Answer: C
Rationale: The correct answer is C: Fever, irritability, pulling on the ear. Clinical manifestations of otitis media commonly include fever, irritability, and children may show signs of pulling or rubbing their ears.
Choices A, B, and D are incorrect.
Choice A includes wheezing and vomiting, which are not typical symptoms of otitis media.
Choice B includes coughing, rhinorrhea, and headache, which are more commonly associated with upper respiratory infections rather than otitis media.
Choice D includes wheezing, cough, and drainage in the ear canal, which are not typical clinical manifestations of otitis media.
Question 4 of 5
The nurse is preparing a client for surgery who was admitted to the emergency center following a motor vehicle collision. The client has an open fracture of the femur and is bleeding moderately from the bone protrusion site.
Correct Answer: D
Rationale: In this scenario, the priority action is to notify the healthcare provider of the client's medication history. This is important because understanding the client's medication history, especially if they are taking anticoagulants or other medications that could affect bleeding and surgery, is crucial in ensuring safe management of the client's condition. Option A, ensuring the client is NPO and documenting the last meal, is important but not the priority in this situation. Administering pain medication (Option
B) should only be done after ensuring the client's safety and stability. Applying a sterile dressing (Option
C) is also important but not as critical as informing the healthcare provider of the medication history.
Question 5 of 5
A client reports new onset hearing loss bilaterally after taking a medication with known ototoxic effects. Which type of hearing loss should the nurse suspect?
Correct Answer: B
Rationale: The correct answer is B: Sensorineural. Ototoxic medications can lead to sensorineural hearing loss by affecting the inner ear or auditory nerve. Conductive hearing loss is related to issues in the middle or outer ear, not typically caused by ototoxic medications. Mixed hearing loss is a combination of conductive and sensorineural components. Central hearing loss is related to the central nervous system, not commonly caused by ototoxic medications.
Therefore, in this case, the nurse should suspect sensorineural hearing loss.