HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
A client is hospitalized with an inflammatory bowel disease (IBD) exacerbation and is being treated with a corticosteroid. The client develops a rigid abdomen with rebound tenderness. Which action should the nurse take?
Correct Answer: D
Rationale: A rigid abdomen with rebound tenderness suggests a surgical emergency like bowel perforation. Obtaining vital signs assesses hemodynamic stability, guiding urgent intervention.
Question 2 of 5
The nurse is preparing an older adult client for a magnetic resonance imaging (MRI) with contrast. Which laboratory value should the nurse report to the healthcare provider before the scan is performed?
Correct Answer: B
Rationale: Elevated serum creatinine (1.9 mg/dL) indicates impaired kidney function, increasing the risk of contrast-induced nephropathy, requiring reporting before an MRI with contrast.
Question 3 of 5
The healthcare provider prescribes diazepam 8 mg IM every 4 hours PRN muscle spasms for a client with a fractured femur. The available vial is labeled, 'Diazepam Injection, USP 10 mg/2 mL.' How many mL should the nurse administer to the client? (Enter numerical value only. If rounding is required round to the nearest tenth.)
Correct Answer: 1.6 mL
Rationale: The vial provides 5 mg/mL (10 mg/2 mL). For an 8 mg dose, the nurse should administer 1.6 mL (8 mg ÷ 5 mg/mL), calculated to meet the prescribed dose.
Question 4 of 5
While caring for a client with full thickness burns covering 40% of the body, the nurse observes purulent drainage from the wounds. Before reporting this finding to the healthcare provider, the nurse should evaluate which laboratory value?
Correct Answer: A
Rationale: Purulent drainage suggests infection. An elevated neutrophil count indicates an immune response to bacterial infection, critical to evaluate before reporting to confirm the infection's presence.
Extract:
Patient Data History and Physical
Laboratory Results
The client is a 58-year-old male who wants to be screened for diabetes mellitus. The client has a sister who has type 2 diabetes mellitus. He has a history of depression, which is treated with paroxetine 10 mg PO every day. The client also discloses that he occasionally takes cannabis in edible form. He denies smoking or drinking. He works in a chemical factory where he is occasionally exposed to fumes. The client's body mass index (BMI) is 28 kg/m3. Nurse Notes Discussed the Dietary Approaches to Stop Hypertension (DASH) diet with the client and gave examples of appropriate portion sizes.
Question 5 of 5
What item(s) should be included in the treatment regimen for this client? Select all that apply.
Correct Answer: A,C,G
Rationale: For a client with prediabetes, exercise planning, weight reduction, and nutrition education improve insulin sensitivity and reduce diabetes risk, unlike insulin or extra carbohydrates which are not indicated.