HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 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.
Question 2 of 5
Five months following treatment for herpes zoster, an older adult client tells the home health nurse of continuing to experience pain where the rash occurred. Which action should the nurse implement?
Correct Answer: D
Rationale: Persistent pain post-herpes zoster suggests postherpetic neuralgia. A comprehensive pain assessment is the priority to understand its characteristics and guide management, unlike other actions which are less relevant.
Question 3 of 5
A client who reports feeling chronically fatigued has a hemoglobin of 10 g/dL (110 mmol/L), hematocrit of 34% (0.34 volume fraction), and microcytic and hypochromic red blood cells (RBCs). Based on these findings, which dinner selection should the nurse suggest to the client?
Correct Answer: D
Rationale: Microcytic, hypochromic RBCs suggest iron deficiency anemia. Beef steak provides heme iron, broccoli offers non-heme iron, and oranges enhance absorption with vitamin C, addressing the client's anemia.
Question 4 of 5
A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanesthesia unit. Before selecting which medication to administer, which action should the nurse implement?
Correct Answer: B
Rationale: Comparing the pain scale rating with prescribed dosing ensures the appropriate analgesic and dose are selected based on pain severity, promoting safe and effective pain management.
Question 5 of 5
A client who had a biliopancreatic diversion procedure (BDP) 3 months ago is admitted with severe dehydration. Which assessment finding warrants immediate intervention by the nurse?
Correct Answer: B
Rationale: Occult positive emesis indicates vomiting, which can exacerbate dehydration through significant fluid loss, requiring immediate intervention in a post-BDP client already dehydrated.