HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
A client is recovering from an episode of urinary tract calculi. During discharge teaching, the client asks about dietary restrictions. In discussing fluid intake, the nurse should include which type of fluid limitation?
Correct Answer: B
Rationale: Citrus fruit juices should be limited as they increase urine acidity, contributing to certain kidney stone formations.
Question 2 of 5
An adult client newly diagnosed with left ventricular dysfunction is admitted to the hospital with fine rales and wheezing. When assessing this client, which additional finding is the nurse likely to obtain?
Correct Answer: B
Rationale: Lower extremity edema is common in left ventricular dysfunction due to fluid buildup.
Question 3 of 5
A client with an external fixation device for a fractured left femur is troubled with left foot pain. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Assessing peripheral pulses is critical to determine if foot pain is due to compromised blood flow, a potential emergency.
Question 4 of 5
The nurse is assessing a client who is one day postoperative parathyroidectomy and finds that the client is experiencing stridor. After notifying the healthcare provider (HCP), the nurse should prepare for which procedure?
Correct Answer: C
Rationale: Tracheostomy placement is the correct intervention for managing stridor in a postoperative parathyroidectomy patient. Stridor indicates a potential airway obstruction, which can be life-threatening.
Question 5 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: B
Rationale: Performing a bedside pregnancy test is the most appropriate immediate intervention to confirm pregnancy status, guiding surgical decisions.