HESI RN
HESI RN Med Surg Adult Health Questions
Question 1 of 5
A client arrives at the emergency department (ED) following a motor vehicle collision. The nurse observes the client experiencing increasing dyspnea and notes absent breath sounds on the left side. Which procedure should the nurse prepare the client for?
Correct Answer: B
Rationale: Absent breath sounds and increasing dyspnea suggest a pneumothorax, requiring chest tube insertion to re-expand the lung.
Question 2 of 5
Which findings during the admission assessment should the nurse document that are related to a client diagnosed with Cushing's syndrome?
Correct Answer: D
Rationale: Central-type obesity with thin extremities is a characteristic feature of Cushing's syndrome due to cortisol excess.
Question 3 of 5
A client with a new diagnosis of glaucoma is concerned about going blind. To help prevent blindness due to glaucoma, the nurse should instruct the client to implement which action(s)? Select all that apply.
Correct Answer: B,C,E
Rationale: Following the prescribed eye drop regimen, reporting visual changes, and regular eye pressure checks are critical to managing intraocular pressure and preventing optic nerve damage in glaucoma.
Question 4 of 5
When caring for a client with a cervical spinal cord injury, which intervention is the most important for the nurse to implement?
Correct Answer: C
Rationale: Immobilizing the head in anatomical alignment is crucial to prevent further spinal cord injury by stabilizing the cervical spine.
Question 5 of 5
An older adult client who experienced a cerebrovascular accident (CVA) has difficulty eating due to visual perception issues. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Teaching visual scanning techniques helps the client compensate for visual perception difficulties, improving food intake and promoting independence.