HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
A client with metastatic cancer reports a pain level of 10 on a scale of 0 to 10. Twenty minutes after the nurse administers an IV analgesic, the client reports no pain relief. Which intervention is most important for the nurse to include in this client's plan of care?
Correct Answer: C
Rationale: Persistent pain despite IV analgesia suggests breakthrough pain, requiring monitoring to adjust the pain management regimen promptly, addressing exacerbations effectively.
Question 2 of 5
While assisting a client to the toilet, the client begins to have a seizure and the nurse eases the client to the floor. The nurse calls for help and monitors the client until the seizing stops. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Prolonged apnea during a seizure can lead to hypoxia or cardiac arrest, making it the priority to monitor to ensure respiratory status and client safety post-seizure.
Question 3 of 5
The nurse is admitting a client with possible tuberculosis (TB). The client is placed in a private room with airborne precautions pending diagnostic test results. Which diagnostic test should the nurse review to confirm the diagnosis of TB?
Correct Answer: A
Rationale: A sputum culture positive for Mycobacterium tuberculosis is the gold standard for confirming TB diagnosis, as it directly identifies the causative bacterium, unlike other tests which may suggest but not confirm TB.
Question 4 of 5
The nurse is caring for a client who had a cholecystectomy two days ago. The client is febrile, reporting upper abdominal pain radiating to the back, and has had three episodes of vomiting in the last 8 hours. The nurse reviews the client's serum amylase and lipase level results which are twice the normal value. Based on these findings, the nurse should recognize the client is exhibiting symptoms of which condition?
Correct Answer: B
Rationale: Elevated amylase and lipase with fever, vomiting, and upper abdominal pain radiating to the back indicate acute pancreatitis, a potential post-cholecystectomy complication.
Question 5 of 5
A family suspects that AIDS dementia is occurring in their adult child who is HIV positive. Which symptom confirms the suspicion?
Correct Answer: C
Rationale: A change in handwriting indicates graphomotor impairment, a specific neurological symptom of AIDS dementia, reflecting cognitive dysfunction, unlike other symptoms which are less specific.