HESI RN
RN Medical Surgical HESI Questions
Extract:
Question 1 of 5
A client asks the nurse for information about how to reduce risk factors for benign prostatic hyperplasia (BPH). Which information should the nurse provide?
Correct Answer: D
Rationale: Physical activity reduces BPH risk by maintaining healthy weight, improving circulation, and regulating hormones. High protein diets and PSA tests are not preventive.
Question 2 of 5
A client has an absolute neutrophil count (ANC) of 500/mm³ (0.5 x 10â¹/L) after completing chemotherapy. Which intervention is most important for the nurse to implement?
Correct Answer: D
Rationale: Severe neutropenia (ANC 500/mm³) increases infection risk, making protective isolation critical to prevent exposure to pathogens.
Question 3 of 5
The client has ____, which can cause ____ such as airway obstruction, bronchospasm, and pulmonary edema. The client also has ____, which can lead to ____ such as hyponatremia, hyperkalemia, and metabolic acidosis.
| Inhaled smoke |
| Hypometabolism |
| Increased cardiac output |
| Respiratory problems |
| Initial fluid shifts |
| Electrolyte imbalance |
| High blood sodium levels |
Correct Answer: A,B
Rationale: Inhaled smoke causes respiratory problems (airway obstruction, bronchospasm, pulmonary edema). Initial fluid shifts in burns lead to electrolyte imbalances (hyponatremia, hyperkalemia, metabolic acidosis).
Question 4 of 5
The nurse is caring for a client with chemotherapy-induced mucositis who is describing soreness of the tongue and oral issues. Which is the best initial nursing action?
Correct Answer: B
Rationale: Frequent mouth care prevents worsening of mucositis by removing debris and soothing tissues. Other actions are secondary or potentially harmful (e.g., swabs may damage mucosa).
Question 5 of 5
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?
Correct Answer: D
Rationale: Eliminating whole milk and ice cream, which are high in fat and cholesterol, indicates successful learning, as these worsen cholecystitis.