HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
After teaching a client newly diagnosed with cholecystitis about recommended diet changes, the nurse evaluates the client's learning. Which food choices eliminated by the client indicate to the nurse that teaching has been successful?
Correct Answer: A
Rationale: Eliminating whole milk and dairy servings of ice cream is appropriate for cholecystitis, as these high-fat foods can exacerbate symptoms by stimulating gallbladder contraction.
Question 2 of 5
A client who suffered an electrical injury with the entrance site on the left hand and the exit site on the left foot is admitted to the burn unit. Which intervention is most important for the nurse to include in this client's plan of care?
Correct Answer: A
Rationale: Continuous cardiac monitoring is crucial due to the risk of arrhythmias from electrical injuries.
Question 3 of 5
A client with an external fixation device for a fractured left femur is troubled with left foot pain. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Assessing peripheral pulses is critical to determine if foot pain is due to compromised blood flow, a potential emergency.
Question 4 of 5
A client with chronic kidney disease (CKD) missed dialysis yesterday to attend a funeral. The client's spouse calls the home health nurse and reports that the client is lethargic and hard to arouse. Which instruction is most important for the nurse to provide?
Correct Answer: A
Rationale: Emergency department evaluation is critical due to potential complications from missed dialysis.
Question 5 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.