HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
A nurse is caring for a client with acute kidney injury (AKI). Which assessment finding warrants immediate intervention?
Correct Answer: C
Rationale: Dyspnea and sinus tachycardia indicate possible fluid overload or pulmonary edema, requiring immediate intervention.
Question 2 of 5
Four days following an abdominal aortic aneurysm repair, the client is exhibiting edema of both lower extremities, and pedal pulses are not palpable. Which action should the nurse implement first?
Correct Answer: C
Rationale: Assessing pulses with a vascular doppler is critical to determine blood flow in the lower extremities, identifying potential vascular complications.
Question 3 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: B
Rationale: Performing a bedside pregnancy test is the most appropriate immediate intervention to confirm pregnancy status, guiding surgical decisions.
Question 4 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.
Question 5 of 5
A client who is experiencing a first gouty arthritis attack reports excruciating pain in the right great toe. The nurse inspects the inflamed joint and administers ibuprofen 800mg PO as prescribed. Which instruction should the nurse include in the discharge teaching?
Correct Answer: D
Rationale: Avoiding the consumption of wine, beer, and coffee is crucial for managing gout. Alcohol, particularly beer and wine, contains high levels of purines, which can increase uric acid production and exacerbate gout symptoms. Alcohol also promotes dehydration, which can lead to higher uric acid concentrations in the blood. Both of these factors can trigger gout attacks.