HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 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.
Question 2 of 5
The nurse is assessing a client who is one day postoperative parathyroidectomy and finds that the client is experiencing stridor. After notifying the healthcare provider (HCP), the nurse should prepare for which procedure?
Correct Answer: C
Rationale: Tracheostomy placement is the correct intervention for managing stridor, indicating potential airway obstruction in a postoperative parathyroidectomy patient.
Question 3 of 5
The nurse is caring for a client with a history of type 2 diabetes mellitus (DM) and hypertension who arrived at the clinic for a scheduled visit. Which finding should the nurse recognize as a possible complication?
Correct Answer: C
Rationale: A serum creatinine level of 1.6 mg/dL indicates impaired kidney function, a significant complication in clients with type 2 diabetes and hypertension, suggesting diabetic or hypertensive nephropathy.
Extract:
Nurse's Notes
Orders
A 34-year-old male client presents to the emergency department (ED) for an asthma attack that began after jogging through a local park. The client is able to answer questions every few words to catch his breath. He reports using his rescue inhaler three times, but he couldn't catch his breath. He reports that his symptoms are worse when outdoors and when exercising, and episodes like this make him extremely nervous. He says that it has been a couple of months since his last asthma attack, and he came to the ED today because he noticed his inhaler was expired and was worried the medication was not working
Question 4 of 5
After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen. Which action(s) should the nurse take next? Select all that apply.
Correct Answer: B,C,D
Rationale: Additional nebulizer treatment (
B), increased oxygen (
C), and raising the bed (
D) address persistent asthma symptoms.
Extract:
Question 5 of 5
Which instruction should the nurse include in the discharge teaching for a client who has gastroesophageal reflux?
Correct Answer: C
Rationale: Elevating the head of the bed prevents acid reflux, reducing symptoms.