HESI RN
HESI RN Med Surg 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: Elevated rheumatoid factor is an autoantibody indicating the autoimmune nature of rheumatoid arthritis, confirming the disease process, not necessarily its severity or organ involvement.
Question 2 of 5
A client experiences residual effects following an acute attack of Ménière's disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is effective?
Correct Answer: D
Rationale: Antihistamines for Ménière's disease target vertigo, a hallmark symptom. Ambulating without vertigo indicates the medication's effectiveness in controlling this symptom.
Question 3 of 5
A client with draining skin lesions of the lower extremity is admitted with possible methicillin resistant Staphylococcus aureus (MRSA). What nursing intervention(s) should the nurse include in the plan of care? Select all that apply.
Correct Answer: A,C,E
Rationale: Standard precautions with a mask, culturing wound drainage for MRSA confirmation, and contact precautions prevent transmission and guide treatment, critical for managing potential MRSA infections.
Question 4 of 5
Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID 19. Which action is most important for the nurse to take?
Correct Answer: C
Rationale: Isolating the client prevents potential COVID-19 transmission, critical given symptoms suggestive of infection, protecting others until test results confirm the diagnosis.
Question 5 of 5
The clinic nurse receives a call from a parent of a 10-year-old who reports that their child just returned from summer camp and has developed an expanding circular red rash on the arm. The parent asks the nurse which over-the-counter (OTC) product is safe to use. How should the nurse respond?
Correct Answer: D
Rationale: An expanding circular rash may indicate Lyme disease, requiring urgent medical evaluation. OTC products may be ineffective or harmful.