HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
A client with chronic kidney disease (CKD) missed dialysis yesterday to attend a funeral. The client's spouse calls the home health nurse and reports that the client is lethargic and hard to arouse. Which instruction is most important for the nurse to provide?
Correct Answer: A
Rationale: Emergency department evaluation is critical due to potential complications from missed dialysis.
Extract:
Nurse's Notes
History and Physical
Orders
Vital Signs
Laboratory Results
Day 2, 0730:
Tolerated the surgical procedure well and has been stable since surgery.
Day 3, 0700:
Client is postoperative below-the-knee amputation of the right leg, sitting up with the right residual limb hanging off the bed. Morphine on demand in the left hand area; there is no redness or drainage at the site, with 50 mL per hour infusing. Assessment.
Exhibits
Data is evaluated to determine possible condition and appropriate interventions. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
Question 2 of 5
Data is evaluated to determine possible condition and appropriate interventions. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
| Surgical rash. |
| Contractures. |
| Postoperative infection. |
| Deep vein thrombosis (DVT). |
| Actions to take Choices A. Culture wound drainage. B. Request NPO prescription. C. Administer prescribed antibiotics. D. Elevate residual limb to reduce swelling. E. Educate on incentive spirometer use. |
| Parameters to monitor Choices A. Adherence to activity prescription. B. Temperature. C. White blood cell count. D. Residual limb redness or swelling. E. Pain intensity and characteristics. |
Correct Answer: C
Rationale: Condition: Postoperative infection (
C). Actions: Administer antibiotics (
C), culture wound drainage (
A). Parameters: Temperature (
B), white blood cell count (
C).
Rationale: Elevated WBC and temperature suggest infection, requiring antibiotics and monitoring.
Extract:
Question 3 of 5
After teaching a client newly diagnosed with cholecystitis about recommended diet changes, the nurse evaluates the client's learning. Which food choices eliminated by the client indicate to the nurse that teaching has been successful?
Correct Answer: A
Rationale: Eliminating whole milk and dairy servings of ice cream is appropriate for cholecystitis, as these high-fat foods can exacerbate symptoms by stimulating gallbladder contraction.
Question 4 of 5
A nurse is caring for a client with acute kidney injury (AKI). Which assessment finding warrants immediate intervention?
Correct Answer: C
Rationale: Dyspnea and sinus tachycardia indicate possible fluid overload or pulmonary edema, requiring immediate intervention.
Question 5 of 5
Four days following an abdominal aortic aneurysm repair, the client is exhibiting edema of both lower extremities, and pedal pulses are not palpable. Which action should the nurse implement first?
Correct Answer: C
Rationale: Assessing pulses with a vascular doppler is critical to determine blood flow in the lower extremities, identifying potential vascular complications.