RN Medical Surgical HESI | Nurselytic

Questions 42

HESI RN

Home > HESI RN > HESI Medical Surgical > RN Medical Surgical HESI
HESI RN Test Bank

RN Medical Surgical HESI Questions

Question 1 of 5

The nurse is caring for a client who had an appendectomy 4 hours ago. Which finding requires immediate action by the nurse?

Correct Answer: C

Rationale: A high-pitched sound (stridor) indicates airway obstruction, a life-threatening emergency requiring immediate action. Other findings are expected or less urgent post-appendectomy.

Question 2 of 5

While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately?

Correct Answer: A

Rationale: A bedside pregnancy test confirms pregnancy status, critical for surgical planning to avoid risks to the fetus.

Question 3 of 5

A patient is admitted to the hospital with symptoms consistent with a right hemisphere stroke. Which neurovascular assessment requires immediate intervention by the nurse?

Correct Answer: A

Rationale: Pupillary changes to ipsilateral dilation suggest increased intracranial pressure, a life-threatening stroke complication requiring immediate intervention. Other findings are common but less urgent.

Question 4 of 5

A client who received 6 units of packed red blood cells 3 days ago for a lower gastrointestinal (GI) bleed is now displaying signs of shortness of breath with occasional stridor and is reporting muscle cramping. Which serum laboratory value should the nurse immediately report to the healthcare provider?

Correct Answer: C

Rationale: Hypocalcemia (calcium 6.5 mg/dL) can cause stridor and muscle cramping, especially after blood transfusions due to citrate binding. This critical value requires immediate reporting.

Question 5 of 5

A client with acute renal injury (AKI) weighs 110.3 pounds (50 kg) and has a potassium level of 6.7 mEq/L (6.7 mmol/L) is admitted to the hospital. Which prescribed medication should the nurse administer first?

Correct Answer: A

Rationale: Sodium polystyrene sulfonate is prioritized because it directly addresses hyperkalemia (elevated potassium), a life-threatening condition in AKI that can cause cardiac arrhythmias. The other medications address phosphorus levels or anemia, which are less urgent.

Similar Questions

After teaching a client newly diagnosed with cholecystitis about recommended diet changes, the nurse evaluates the client's learning. Which food choices eliminated by the client indicate to the nurse that teaching has been successful?
The client is in respiratory distress with an oxygen saturation of 78% on a non-rebreather oxygen mask. His abdomen is distended and tense. His skin is pale with capillary refill of 7 seconds. His pulses are faint. Electrocardiogram reveals heart rate of 88 beats/minute, normal sinus rhythm. Lung sounds are clear and equal bilaterally. The client's temperature is 97 °F (36.1 °C). Drag from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
A client with a closed head injury demonstrates signs of syndrome of inappropriate antidiuretic hormone (SIADH). Which additional finding should the nurse expect to obtain?
The triage nurse does a rapid assessment of the client. Which data indicates the client is in need of immediate health interventions?
In assessing a client with ulcers on the lower extremity, which findings indicate that the ulcers are likely to be of venous, rather than arterial, origin?

Access More Questions!

HESI RN Basic

$89/ 30 days

 

HESI RN Premium

$150/ 90 days