RN Medical Surgical HESI | Nurselytic

Questions 42

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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 10⁹/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.

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