HESI RN
RN Medical Surgical HESI Questions
Extract:
Question 1 of 5
After performing a head-to-toe assessment for a client with Addison's disease, the nurse reports findings to the healthcare provider. The findings include moist mucous membranes, strong palpable peripheral pulses, and blood pressure 132/88 mm Hg. The client verbalizes understanding of the illness and importance of taking medications every day. Which action should the nurse implement?
Correct Answer: C
Rationale: With stable vital signs, adequate hydration, and good self-care knowledge, the client is ready for discharge. The other actions are unnecessary given the client's stable condition.
Question 2 of 5
After performing a head-to-toe assessment for a client with Addison's disease, the nurse reports findings to the healthcare provider. The findings include moist mucous membranes, strong palpable peripheral pulses, and blood pressure 132/88 mm Hg. The client verbalizes understanding of the illness and importance of taking medications every day. Which action should the nurse implement?
Correct Answer: C
Rationale: With stable vital signs, adequate hydration, and good self-care knowledge, the client is ready for discharge. The other actions are unnecessary given the client's stable condition.
Question 3 of 5
The client has ____, which can cause ____ such as airway obstruction, bronchospasm, and pulmonary edema. The client also has ____, which can lead to ____ such as hyponatremia, hyperkalemia, and metabolic acidosis.
| Inhaled smoke |
| Hypometabolism |
| Increased cardiac output |
| Respiratory problems |
| Initial fluid shifts |
| Electrolyte imbalance |
| High blood sodium levels |
Correct Answer: A,B
Rationale: Inhaled smoke causes respiratory problems (airway obstruction, bronchospasm, pulmonary edema). Initial fluid shifts in burns lead to electrolyte imbalances (hyponatremia, hyperkalemia, metabolic acidosis).
Question 4 of 5
The nurse is preparing an older client for a magnetic resonance imaging (MRI) with contrast. Which laboratory value should the nurse report to the healthcare provider before the scan is performed?
Correct Answer: D
Rationale: Serum creatinine of 1.9 mg/dL indicates renal insufficiency, increasing the risk of contrast-induced nephropathy. This must be reported to assess the safety of administering contrast media.
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.