HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
A client who had a C5 spinal cord injury 2 years ago is admitted to the emergency department (ED) with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit?
Correct Answer: D
Rationale: Profuse diaphoresis and severe headache are classic symptoms of autonomic dysreflexia due to sympathetic overactivity.
Question 2 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: Increasing physical activity can reduce the risk of BPH by improving overall health and mitigating risk factors like obesity.
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, indicating potential airway obstruction in a postoperative parathyroidectomy patient.
Extract:
Nurse's Notes
History and Physical
Initial Assessment
Temperature: 98.9°F
Heart rate: 112 beats per minute
Respirations: 28 breaths per minute
Blood pressure: 130/86 mmHg
Oxygen saturation: 88%
Lung sounds reveal expiratory wheezes
Capillary refill time: 2 seconds
Exhibits
The nurse has completed a client history and initial assessment and is now planning on prioritizing care of the client.
Complete the following sentences by choosing from the list of corresponding options
Based on the history and assessment data, the nurse should prioritize AnxietyImpaired gas exchangeIneffective airway clearanceActivity intolerance as the priority problem for this client, as evidenced by the client's statement, "I was jogging when it started.""I used my rescue inhaler three times, but I couldn’t catch my breath.""My symptoms are worse when outdoors and when exercising.""I noticed my inhaler was expired and was worried the medication was not working."
Question 4 of 5
Based on the history and assessment data, the nurse should prioritize [dropdown] as the priority problem for this client, as evidenced by the client's statement, [dropdown].
Correct Answer: B
Rationale: Impaired gas exchange is prioritized due to low oxygen saturation and ineffective inhaler use.
Extract:
Question 5 of 5
The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving a psoralen and ultraviolet A light (PUVA). Which assessment finding indicates overexposure to this treatment?
Correct Answer: D
Rationale: Tenderness and generalized erythema indicate phototoxic reactions from PUVA overexposure.