HESI RN
Hesi Med Surg Questions
Extract:
Question 1 of 5
A male client with diabetes mellitus (DM) is transferred from the hospital to a rehabilitation facility following treatment for a stroke with resulting right hemiplegia. The client reports his feet feel uncomfortably cool at night, preventing him from falling asleep. Which action should the nurse implement?
Correct Answer: B
Rationale: A warming pad improves blood flow to the feet, addressing coolness due to diabetic neuropathy and poor circulation, while minimizing risks like burns in a client with reduced sensation.
Question 2 of 5
The nurse is teaching a client with cancer about skin care for the portal site receiving external beam radiation. Which client action about skin care indicates a need for further teaching?
Correct Answer: B
Rationale: Washing with antibacterial soap can dry and irritate the sensitive skin at the radiation site, increasing the risk of damage. Mild, unscented soap is recommended, indicating a need for further teaching.
Question 3 of 5
Which admission assessment findings should the nurse document related to a client who has been diagnosed with Cushing's syndrome?
Correct Answer: D
Rationale: Central-type obesity with thin extremities is a hallmark of Cushing's syndrome due to cortisol-induced fat redistribution and muscle wasting, making it a key finding to document.
Question 4 of 5
An adult woman with Grave's disease is admitted with severe dehydration and malnutrition. She is currently restless and refusing to eat. Which action is most important for the nurse to implement?
Correct Answer: C
Rationale: Maintaining a patent IV site allows administration of fluids, electrolytes, and nutrients, addressing the critical dehydration and malnutrition in Grave's disease, which takes precedence over other supportive measures.
Question 5 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: C
Rationale: Performing a bedside pregnancy test immediately confirms or rules out pregnancy, ensuring safe surgical planning, as abdominal surgery poses risks to a fetus.