HESI RN
Hesi RN Medical Surg Questions
Extract:
Question 1 of 5
A client is admitted to the medical unit during an exacerbation of systemic lupus erythematosus (SLE). It is most important for the nurse to report which assessment finding to the healthcare provider?
Correct Answer: B
Rationale: Hematuria indicates potential lupus nephritis, a serious renal complication requiring urgent evaluation.
Question 2 of 5
A client who works as a data entry clerk is concerned as to how a recent diagnosis of Raynaud's syndrome is going to affect the client's job performance. Which instruction should the nurse provide this client?
Correct Answer: A
Rationale: A warm workspace prevents vasospasm, reducing Raynaud's attacks during work.
Extract:
History and Physical Nurses' Notes
A 34-year-old male client presents to the emergency department (ED) for an acute asthma attack which began after jogging through a local park. The client is able to answer questions, pausing every few words to catch his breath. The client reports using a rescue inhaler three times, but he just couldn't catch his breath. The client reports that symptoms seem worse when outdoors and when exercising and that episodes like this make him extremely nervous. The client reports that it has been a couple of months since he had an asthma attack, and he came to the ED today because he noticed that his inhaler was expired and was worried the medication was not working.
Question 3 of 5
Based on the client's history and assessment data, the nurse's hypothesis is that the client's vital signs are most likely the result of disease process, medication use, or neither. Each column must have at least one, but may have more than one answer selected.
| Options | Neither disease process nor medication use | Disease process | Medication use |
|---|---|---|---|
| Blood pressure 130/86 mmHg | |||
| Respirations 28 breaths/minute | |||
| Temperature 98.9" F (37.1°C) | |||
| Heart rate 112 beats/minute | |||
| Oxygen saturation 88% on room air |
Correct Answer: A,B
Rationale: Tachypnea results from bronchospasm in asthma, impairing ventilation. Elevated heart rate is a side effect of beta-agonist inhalers used during the attack.
Extract:
Question 4 of 5
When conducting discharge teaching for a client diagnosed with diverticulosis, which diet instruction should the nurse include?
Correct Answer: D
Rationale: A high-fiber diet with increased fluids promotes bowel regularity, reducing diverticulosis complications.
Extract:
Imaging Studies
Day 1, 1100
X-ray of right foot erosion of first metatarsal joint and preservation of joint space consistent with gout
The nurse is reviewing the client's dietary choices for opportunities to pro better outcomes by limiting gout attacks
Question 5 of 5
Select the 3 dietary choices that are not part of the recommended diet gout.
| Shrimp |
| Sardines |
| Quinoa |
| Oranges |
| Oatmeal |
| Spinach |
| Liver |
Correct Answer: A,B,G
Rationale: Shrimp , sardines , and liver are high in purines, which increase uric acid levels and should be avoided in gout management.