HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
A client reports to the nurse of recently visiting someone who has a shingles infection. The client believes that having had chickenpox as a child will be protective against shingles. How should the nurse respond? Select all that apply.
Correct Answer: A,C,E
Rationale: Distinguishing herpes varicella and zoster (
A), affirming the chickenpox-shingles link (
C), and instructing to report symptoms (E) educate the client and promote early intervention.
Question 2 of 5
A client with chronic kidney disease on peritoneal dialysis exhibits redness, tenderness, and drainage around the catheter site on the abdominal wall. While planning care, the nurse is most concerned about preventing which complication related to these findings?
Correct Answer: B
Rationale: Peritonitis is a serious complication that can result from catheter site infections, requiring urgent prevention.
Question 3 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 4 of 5
A nurse is developing home care instructions for a client with peripheral artery disease (PAD). Which intervention should the nurse include?
Correct Answer: B
Rationale: Structured exercise, such as walking, improves blood flow and reduces symptoms in PAD.
Question 5 of 5
The nurse assesses an adult client 24 hours after a bowel exploration and formation of a sigmoid colostomy. Which assessment finding should be reported to the surgeon immediately?
Correct Answer: D
Rationale: Purple stoma mucosa indicates possible ischemia, requiring immediate reporting to prevent tissue necrosis.