HESI RN
HESI RN Medical Surgical Exam I Questions
Question 1 of 5
A client who is experiencing a first gouty arthritis attack reports excruciating pain in the right great toe. The nurse inspects the inflamed joint and administers ibuprofen 800mg PO as prescribed. Which instruction should the nurse include in the discharge teaching?
Correct Answer: D
Rationale: Avoiding the consumption of wine, beer, and coffee is crucial for managing gout. Alcohol, particularly beer and wine, contains high levels of purines, which can increase uric acid production and exacerbate gout symptoms. Alcohol also promotes dehydration, which can lead to higher uric acid concentrations in the blood. Both of these factors can trigger gout attacks.
Question 2 of 5
A client receiving thrombolytic infusions for treatment of an acute myocardial infarction (AMI) has which nursing problem?
Correct Answer: B
Rationale: Risk for injury related to effects of thrombolytics is the priority due to the potential for serious bleeding complications.
Question 3 of 5
A nurse is developing home care instructions for a client with peripheral artery disease (PAD). Which intervention should the nurse include?
Correct Answer: B
Rationale: Structured exercise, such as walking, improves blood flow and reduces symptoms in PAD.
Question 4 of 5
The nurse has conducted a cancer prevention community education program. In evaluating the participants' understanding of the carcinogens, which statement indicates an accurate understanding?
Correct Answer: A
Rationale: Carcinogens cause genetic mutations leading to cancer, accurately described by substances changing cells.
Question 5 of 5
A client is recovering from the surgical removal of glass in the right eye. Which intervention should the nurse implement immediately following the procedure?
Correct Answer: C
Rationale: Providing an eye shield to be worn while sleeping protects the operated eye from injury, promoting healing.