HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
A client with an external fixation device for a fractured left femur is troubled with left foot pain. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Assessing peripheral pulses is critical to determine if foot pain is due to compromised blood flow, a potential emergency.
Question 2 of 5
When teaching a client with Parkinson's disease, which rationale for the prescription of carbidopa-levodopa should the nurse include?
Correct Answer: B
Rationale: Carbidopa-levodopa increases dopamine availability, improving muscle function in Parkinson's disease.
Question 3 of 5
The nurse obtains a fingerstick blood glucose level using a bedside glucose meter from a client with a prescribed sliding scale insulin protocol. The meter indicates 56 mg/dL (3.12 mmol/L). At this time, which intervention should the nurse implement first?
Correct Answer: B
Rationale: Giving the client six ounces of non-diet carbonated soda is the correct first intervention. The client's blood glucose level is significantly below the normal range (hypoglycemia). Administering a fast-acting carbohydrate, such as non-diet soda, helps to quickly increase the blood glucose level to a safer range.
Question 4 of 5
A client is recovering from the surgical removal of glass in the right eye. Which intervention should the nurse implement immediately following the procedure?
Correct Answer: C
Rationale: Providing an eye shield to be worn while sleeping protects the operated eye from injury, promoting healing.
Question 5 of 5
A client who is experiencing a first gouty arthritis attack reports excruciating pain in the right great toe. The nurse inspects the inflamed joint and administers ibuprofen 800mg PO as prescribed. Which instruction should the nurse include in the discharge teaching?
Correct Answer: D
Rationale: Avoiding the consumption of wine, beer, and coffee is crucial for managing gout. Alcohol, particularly beer and wine, contains high levels of purines, which can increase uric acid production and exacerbate gout symptoms. Alcohol also promotes dehydration, which can lead to higher uric acid concentrations in the blood. Both of these factors can trigger gout attacks.