HESI RN
Hesi Med Surg Exam 1 Questions
Extract:
Question 1 of 5
A patient in the operating room has been administered succinylcholine and is now experiencing muscle rigidity and an extremely high temperature. What should the nurse do next?
Correct Answer: C
Rationale: Applying ice packs addresses hyperthermia in malignant hyperthermia, a critical response to succinylcholine-induced symptoms.
Question 2 of 5
The nurse is providing discharge teaching to an older patient hospitalized for treatment of venous leg ulcers. What instructions should the nurse include in the teaching plan?
Correct Answer: A,B,D
Rationale: A diet high in protein and vitamins A and C, leg elevation, and daily ankle inspections support healing and early detection of complications in venous leg ulcers.
Question 3 of 5
A patient with a full-thickness burn covering 40% of their body is exhibiting purulent drainage at the wound site. Before reporting this finding to the healthcare provider, which of the patient's laboratory values should the nurse review?
Correct Answer: C
Rationale: WBC count indicates infection, relevant to purulent drainage in a burn wound.
Question 4 of 5
The nurse is caring for a patient with a burn that is severely swollen, and the wound bed appears brown and yellow. The patient reports no pain. How should the nurse classify the depth of this burn?
Correct Answer: B
Rationale: A painless, brown/yellow, swollen burn indicates full-thickness damage, involving the epidermis and dermis.
Question 5 of 5
A patient with small cell carcinoma of the lung is admitted with syndrome of inappropriate antidiuretic hormone (SIADH). The patient's serum sodium level increases from 120 mEq/L to 125 mEq/L as they respond to treatment. Based on this finding, what intervention should the nurse implement?
Correct Answer: A
Rationale: Maintaining fluid restriction is key in SIADH to prevent further sodium dilution, supporting the patient's improving sodium levels.