HESI RN
RN Medical Surgical HESI Questions
Extract:
Question 1 of 5
A client with acquired immune deficiency syndrome (AIDS) and Pneumocystis jiroveci pneumonia has a CD4+ T cell count of 200 cells/mm³ (20%). The client asks the nurse why they have these recurring massive infections. Which pathophysiologic mechanism should the nurse describe in response to this client's question?
Correct Answer: B
Rationale: HIV destroys CD4+ T cells, impairing cellular immunity and macrophage activation, leading to opportunistic infections like Pneumocystis jiroveci pneumonia.
Question 2 of 5
Specify which findings indicate early interventions for an ischemic stroke were effective? Each focused assessment area may support more than one clinical finding.
Correct Answer: B
Rationale: Speaking in short sentences, ambulating with a walker, and tearful sharing indicate improved speech, mobility, and emotional function post-stroke intervention.
Question 3 of 5
Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID-19. Which action is most important for the nurse to take?
Correct Answer: B
Rationale: Isolating the client prevents potential COVID-19 transmission, prioritizing immediate safety over teaching, reporting, or contact tracing.
Extract:
The client is a 68-year-old with a history of diabetes, hypertension (HTN), coronary artery disease (CAD), and recently diagnosed with end-stage renal disease (ESRD). She has been placed on hemodialysis three times a week for one month. She presents to the emergency department (ED) with fatigue, generalized weakness, muscle cramps, tingling sensation in arms and legs, and lightheadedness following 3 days of illness during which her husband reports she has complained of nausea and had a poor appetite and was not able to go for her scheduled dialysis.
Question 4 of 5
The nurse is reviewing the physician orders. Which of the following physician's orders requires priority attention from the nurse? Select all that apply.
Correct Answer: F,G
Rationale: Cardiac monitor and EKG are priorities due to chest discomfort and CAD history, indicating possible myocardial infarction or arrhythmia.
Extract:
Question 5 of 5
A client has an absolute neutrophil count (ANC) of 500/mm³ (0.5 x 10â¹/L) after completing chemotherapy. Which intervention is most important for the nurse to implement?
Correct Answer: D
Rationale: Severe neutropenia (ANC 500/mm³) increases infection risk, making protective isolation critical to prevent exposure to pathogens.