HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
A client with diabetes mellitus is admitted with an upper respiratory infection. Which changes in blood glucose management should the nurse tell the client to expect?
Correct Answer: C
Rationale: Higher doses of insulin are often needed for clients with diabetes who are experiencing an infection. Infections can cause increased stress on the body, leading to elevated blood glucose levels.
Question 2 of 5
While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately?
Correct Answer: B
Rationale: Performing a bedside pregnancy test is the most appropriate immediate intervention to confirm pregnancy status, guiding surgical decisions.
Question 3 of 5
A client with chronic kidney disease on peritoneal dialysis exhibits redness, tenderness, and drainage around the catheter site on the abdominal wall. While planning care, the nurse is most concerned about preventing which complication related to these findings?
Correct Answer: B
Rationale: Peritonitis is a serious complication that can result from catheter site infections, requiring urgent prevention.
Question 4 of 5
During a routine eye examination, an older client reports decreased peripheral vision and is found to have elevated intraocular pressures. Ophthalmic drops are prescribed for primary open-angle glaucoma (POAG). Which intervention(s) should the nurse include in this client's plan of care? Select all that apply.
Correct Answer: B,D,E
Rationale: Teaching strategies for aseptic administration (
B) prevents infections, applying pressure over the inner eye corner (
D) enhances medication efficacy, and explaining lifelong use (E) ensures adherence. A reduced sodium diet (
A) is not directly related to POAG, and eye drops (
C) preserve vision, not improve it.
Question 5 of 5
A client with rheumatoid arthritis has an elevated serum rheumatoid factor. Which interpretation of this finding should the nurse make?
Correct Answer: A
Rationale: An elevated serum rheumatoid factor confirms the autoimmune nature of rheumatoid arthritis, supporting the diagnosis.