HESI RN
RN Medical Surgical HESI Questions
Extract:
Question 1 of 5
A client with a closed head injury demonstrates signs of syndrome of inappropriate antidiuretic hormone (SIADH). Which additional finding should the nurse expect to obtain?
Correct Answer: A
Rationale: SIADH causes fluid retention due to excessive ADH, leading to weight gain and hyponatremia. The other findings (fremitus, hypernatremia, dilute urine) are not consistent with SIADH.
Question 2 of 5
In assessing a client with ulcers on the lower extremity, which findings indicate that the ulcers are likely to be of venous, rather than arterial, origin?
Correct Answer: A
Rationale: Irregular shapes and severe edema are typical of venous ulcers due to impaired venous return, unlike arterial ulcers which show signs of poor perfusion.
Question 3 of 5
A patient is admitted to the hospital with symptoms consistent with a right hemisphere stroke. Which neurovascular assessment requires immediate intervention by the nurse?
Correct Answer: A
Rationale: Pupillary changes to ipsilateral dilation suggest increased intracranial pressure, a life-threatening stroke complication requiring immediate intervention. Other findings are common but less urgent.
Extract:
Flow sheets
1915
Arrival at emergency department
1920
Vital Signs:
- Temperature: 98.2° F (36.8° C)
- Heart rate: 92 beats/minute
- Respirations: 24 breaths/minute
- Blood pressure: 210/98 mmHg
- Oxygen saturation: 95% on room air
Imaging studies
1935
Head CT scan results:
- No evidence of intracranial hemorrhage
- No evidence of acute disease
Orders
- Obtain CT scan of the head.
- Insert a large bore peripheral IV.
- Start normal saline infusion at 50 mL/hour.
The nurse administered tPA and conducted neurologic assessments every 15 minutes during the infusion.
The tPA infusion finished and the nurse performed neurologic assessments every 30 minutes for the 6 hours following the administration.
The client was noted to be stable with unchanged neurologic assessments.
The nurse begins to plan care for the client's recovery and identifies interdisciplinary team members who can assist with the client's recovery.
Question 4 of 5
The nurse begins to plan care for the client's recovery and identifies interdisciplinary team members who can assist with the client's recovery. Select the interdisciplinary team members who should assist the client in recovery.
| Occupational Therapist |
| Speech Therapist |
| Case manager |
| Physical therapist |
| Chief Nursing Officer |
Correct Answer: A,B,C,D
Rationale: Occupational, speech, and physical therapists address functional and communication deficits post-stroke, while a case manager coordinates care.
Extract:
Question 5 of 5
The nurse is providing dietary instructions for a client who is being discharged after passing a calcium oxalate renal stone. Which food should the nurse instruct the client to avoid?
Correct Answer: B
Rationale: Spinach is high in oxalate, which contributes to calcium oxalate stone formation, and should be avoided.