HESI RN
RN Medical Surgical HESI Questions
Extract:
Question 1 of 5
After initiating a steroid nebulizer treatment for a client with asthma in respiratory distress, which intervention is most important for the nurse to implement?
Correct Answer: C
Rationale: Elevating the head of bed improves breathing by reducing diaphragm pressure and enhancing lung expansion, critical during asthma-related respiratory distress.
Extract:
The patient 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 2 days ago.
Question 2 of 5
For each assessment finding, explain whether the actions taken were effective or ineffective.
| Options | Effective | Ineffective |
|---|---|---|
| Denies cramps, weakness, or nausea | ||
| BP 116/68 mm Hg, HR 75 bpm | ||
| Potassium level 3.6 mEq/L (3.6 mmol/L) | ||
| Verbalizes commitment to dialysis appointments | ||
| Client states that she will need to resume her Lisinopril to control blood pressure | ||
| Client is eager to add dark green vegetables and potatoes to her diet |
Correct Answer: A,B,C,D
Rationale: Denying symptoms, normalized vitals, potassium, and dialysis commitment indicate effective actions. Misunderstandings about Lisinopril and diet suggest ineffective education.
Extract:
Question 3 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.
Question 4 of 5
The nurse is caring for a client who had a cholecystectomy two days ago. The client is febrile, reporting upper abdominal pain radiating to the back and has had three episodes of vomiting in the last 8 hours. The nurse reviews the client's serum amylase and lipase level results which are twice the normal value. Based on these findings, the nurse should recognize the client is exhibiting symptoms of which condition?
Correct Answer: B
Rationale: Elevated amylase and lipase, fever, abdominal pain radiating to the back, and vomiting indicate acute pancreatitis, likely triggered by the recent cholecystectomy.
Question 5 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.