HESI RN
HESI RN Med Surg Exam Questions
Question 1 of 5
A confused older adult client is having trouble sleeping at night and is sometimes found wandering in the hallway. Which nursing intervention should the nurse implement first?
Correct Answer: C
Rationale: A back rub is a non-invasive, calming intervention to promote relaxation and sleep, which should be tried before pharmacological or restrictive measures.
Question 2 of 5
A client is being admitted to the unit with a varicella zoster virus infection. Which room should the charge nurse assign to the client?
Correct Answer: A
Rationale: Varicella zoster virus spreads via contact and airborne routes, requiring a private room with both contact and airborne precautions to prevent transmission.
Question 3 of 5
The nurse is preparing a client for surgery and notices that the signed consent form has an error. The form states that the client is to have the left leg amputated. However, the client's right leg is marked for the surgery. The nurse administered the preoperative opioid medication 10 minutes ago and there are no family members present. Which action should the nurse implement?
Correct Answer: B
Rationale: Contacting the healthcare provider to reschedule ensures the error is corrected, preventing a wrong-site surgery, especially since the client is medicated.
Question 4 of 5
A client is being discharged postsurgery. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: A
Rationale: Calling the pharmacy to determine medication instructions indicates a lack of understanding, as the client should receive clear medication instructions from the healthcare provider or nurse before discharge.
Question 5 of 5
A 19-year-old client is admitted to the hospital with severe right lower quadrant abdominal pain. The father is requesting to know his son's laboratory test results. Which is the best response for the nurse to provide?
Correct Answer: D
Rationale: A 19-year-old is legally an adult, and under HIPAA, medical information cannot be shared with parents without the client's consent.