HESI RN
Samuel Merrit University Hesi Med Surg Questions
Question 1 of 5
After a long bed rest, a client with a Foley catheter and wrist restraints has repeatedly removed the antibiotic (G) tube and NG tube.At checking the restraints, which action is most important for the nurse to take?
Correct Answer: C
Rationale: When checking the restraints, the most important action for the nurse to take is to assess capillary refill distal to the restraints. This helps to ensure that the restraints are not too tight and that blood flow to the extremities is not compromised.
Question 2 of 5
How should the nurse document the finding of pain, numbness, and tingling sensations in the lower legs?
Correct Answer: B
Rationale: The symptoms of pain, numbness, and tingling sensations in the lower legs are consistent with neuropathic pain. Neuropathic pain is a complex type of pain initiated or caused by a primary lesion or dysfunction in the nervous system.
Question 3 of 5
The nurse is preparing to administer Tylenol to a client admitted with urination issues who also has difficulty sleeping (OSA).Which interaction is most important for the nurse to implement before leaving the client?
Correct Answer: B
Rationale: The client has difficulty sleeping due to obstructive sleep apnea (OS
A), and using a positive airway pressure device can help keep their airway open and prevent dangerous pauses in breathing while they sleep.
Question 4 of 5
The nurse is caring for a patient one week post-surgery.Which finding should the nurse expect to see if the surgical incision is healing properly?
Correct Answer: D
Rationale: A well-approximated incision means that the edges of the wound are close together and aligned properly, which is a sign that the surgical incision is healing properly.
Question 5 of 5
A client arrives at the emergency department (ED) with severe right upper quadrant pain.To assess the quality of the client's pain, which approach should the nurse use?
Correct Answer: A
Rationale:
To assess the quality of the client's pain, the nurse should ask the client to describe the pain. This will help the nurse to understand the characteristics of the pain and how it is affecting the client.