HESI RN
RN Medical Surgical HESI Questions
Extract:
Question 1 of 5
A patient is admitted to the hospital with symptoms consistent with a right hemisphere stroke. Which neurovascular assessment requires immediate intervention by the nurse?
Correct Answer: A
Rationale: Pupillary changes to ipsilateral dilation suggest increased intracranial pressure, a life-threatening stroke complication requiring immediate intervention. Other findings are common but less urgent.
Question 2 of 5
A client has an absolute neutrophil count (ANC) of 500/mm³ (0.5 x 10â¹/L) after completing chemotherapy. Which intervention is most important for the nurse to implement?
Correct Answer: D
Rationale: Severe neutropenia (ANC 500/mm³) increases infection risk, making protective isolation critical to prevent exposure to pathogens.
Extract:
Flow sheets
1915
Arrival at emergency department
1920
Vital Signs:
- Temperature: 98.2° F (36.8° C)
- Heart rate: 92 beats/minute
- Respirations: 24 breaths/minute
- Blood pressure: 210/98 mmHg
- Oxygen saturation: 95% on room air
Imaging studies
1935
Head CT scan results:
- No evidence of intracranial hemorrhage
- No evidence of acute disease
Orders
- Obtain CT scan of the head.
- Insert a large bore peripheral IV.
- Start normal saline infusion at 50 mL/hour.
The nurse administered tPA and conducted neurologic assessments every 15 minutes during the infusion.
The tPA infusion finished and the nurse performed neurologic assessments every 30 minutes for the 6 hours following the administration.
The client was noted to be stable with unchanged neurologic assessments.
The nurse begins to plan care for the client's recovery and identifies interdisciplinary team members who can assist with the client's recovery.
Question 3 of 5
The nurse begins to plan care for the client's recovery and identifies interdisciplinary team members who can assist with the client's recovery. Select the interdisciplinary team members who should assist the client in recovery.
| Occupational Therapist |
| Speech Therapist |
| Case manager |
| Physical therapist |
| Chief Nursing Officer |
Correct Answer: A,B,C,D
Rationale: Occupational, speech, and physical therapists address functional and communication deficits post-stroke, while a case manager coordinates care.
Extract:
Question 4 of 5
A client with obstructive sleep apnea (OSA) calls the clinic to report difficulty wearing the continuous positive air pressure (CPAP) mask because it is uncomfortable. The client asks the nurse for an alternative way to manage sleep apnea. Which recommendation should the nurse provide?
Correct Answer: C
Rationale: Weight loss reduces airway obstruction in OSA by decreasing fat deposits around the neck, offering an effective alternative to CPAP.
Extract:
The client is a 68-year-old with a history of diabetes, hypertension (HTN), coronary artery disease (CAD), and recently diagnosed with end-stage renal disease (ESRD). She has been placed on hemodialysis three times a week for one month. She presents to the emergency department (ED) with fatigue, generalized weakness, muscle cramps, tingling sensation in arms and legs, and lightheadedness following 3 days of illness during which her husband reports she has complained of nausea and had a poor appetite and was not able to go for her scheduled dialysis.
Question 5 of 5
The nurse is reviewing the physician orders. Which of the following physician's orders requires priority attention from the nurse? Select all that apply.
Correct Answer: F,G
Rationale: Cardiac monitor and EKG are priorities due to chest discomfort and CAD history, indicating possible myocardial infarction or arrhythmia.