HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
A client who takes daily supplemental iron tablets for iron deficiency anemia reports feeling increasingly fatigued. Which laboratory value should the nurse review?
Correct Answer: A
Rationale: A complete blood count assesses red blood cells and hemoglobin, critical for evaluating anemia progression.
Extract:
History and Physical
A 34-year-old male client presents to the emergency department (ED) for an asthma attack that began after jogging through a local park. The client is able to answer questions every few words to catch his breath. He reports using his rescue inhaler three times, but he couldn't catch his breath. He reports that his symptoms are worse when outdoors and when exercising, and episodes like this make him extremely nervous. He says that it has been a couple of months since his last asthma attack, and he came to the ED today because he noticed his inhaler was expired and was worried the medication was not working.
Question 2 of 5
The nurse reviews the client's history of the presenting illness in the electronic medical record. Highlight the pieces of key subjective data which indicate the client is in need of health interventions.
Correct Answer: A,B,C
Rationale: Key data: difficulty speaking, ineffective inhaler use, and expired inhaler indicate severe asthma requiring intervention.
Extract:
Question 3 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.
Question 4 of 5
The healthcare provider prescribes 100 mL of 0.9% normal saline to be infused within 15 minutes. The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.)
Correct Answer: A
Rationale: Calculation: 100 mL ÷ 0.25 hours (15 minutes) = 400 mL/hr.
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
Question 5 of 5
The nurse has identified the priority problem for the client and now needs to determine proper care interventions. Based on the client's history and assessment data, which actions should the nurse anticipate? Select all that apply.
Correct Answer: A,B,E
Rationale: Administering medications (
A), providing teaching (
B), and obtaining medication history (E) address acute asthma and prevent recurrence.