HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
A client who works at a computer most of the working day comes to the clinic reporting pain in both hands that causes the client to wake during the night. Which action should the nurse implement to assess for carpal tunnel syndrome?
Correct Answer: D
Rationale: Tapping the wrists (Tinel's sign) assesses for carpal tunnel syndrome by eliciting pain or tingling.
Question 2 of 5
The nurse assesses an adult client 24 hours following abdominal surgery and finds the client's blood pressure is 98/40 mm Hg. The client is tachycardiac, restless, and irritable. Which action should the nurse perform first?
Correct Answer: C
Rationale: Checking for bleeding is critical as symptoms suggest hypovolemic shock, a potential postoperative complication.
Extract:
Vital Signs
Nurses' Notes
History and Physical
Orders
1030
• Temperature: 99.8°F
• Heart rate: 98 beats/minute
• Respirations: 20 breaths/minute
• Blood pressure: 178/89 mmHg
• Oxygen saturation: 96% on room air
Question 3 of 5
Complete the diagram by choosing from the choices below to specify which condition the client is most likely experiencing, two actions the nurse should take to address the condition, and two parameters the nurse should monitor to assess the client's progress.
| Hypoglycemia |
| Hemorrhagic stroke |
| Urinary tract infection |
| Transient ischemic stroke |
| Actions to take Choices A. Start administering 0.9% sodium chloride IV at a rate of 100 ml/hr B. Administer oxygen at 2 l/min via nasal cannula C. Request a prescription to administer the client's home medication of aspirin D. Request a prescription for a computerized tomography (CT) scan of the client's head and neck E. Perform a National Institute of Health Stroke Scale (NIHSS) assessment |
| Parameters to Monitor Choices A. Neurological status B. Respiratory rate C. Blood pressure D. Urine output E. Oxygen saturation |
Correct Answer: D
Rationale: Condition: Transient ischemic stroke (
D). Actions: Request CT scan (
D), perform NIHSS assessment (E). Parameters: Neurological status (
A), blood pressure (
C).
Rationale: Symptoms and history suggest TIA, requiring imaging and neurological monitoring.
Extract:
Question 4 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 5 of 5
A client with oral cancer is receiving radiotherapy (RT) prior to surgery. Which intervention should the nurse teach the client to implement in managing mucositis related to RT?
Correct Answer: B
Rationale: Normal saline mouth rinses as swish and spit after meals and bedtime is an effective intervention for managing mucositis. Rinsing with saline helps to keep the mouth clean, reduce bacterial load, and soothe inflamed tissues.