HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
An adult client newly diagnosed with left ventricular dysfunction is admitted to the hospital with fine rales and wheezing. When assessing this client, which additional finding is the nurse likely to obtain?
Correct Answer: B
Rationale: Lower extremity edema is common in left ventricular dysfunction due to fluid buildup.
Question 2 of 5
A client receiving thrombolytic infusions for treatment of an acute myocardial infarction (AMI) has which nursing problem?
Correct Answer: B
Rationale: Risk for injury related to effects of thrombolytics is the priority due to the potential for serious bleeding complications.
Question 3 of 5
The nurse is assessing a client who is one day postoperative parathyroidectomy and finds that the client is experiencing stridor. After notifying the healthcare provider (HCP), the nurse should prepare for which procedure?
Correct Answer: C
Rationale: Tracheostomy placement is the correct intervention for managing stridor in a postoperative parathyroidectomy patient. Stridor indicates a potential airway obstruction, which can be life-threatening.
Extract:
Nurse's Notes
Orders
A 34-year-old male client presents to the emergency department (ED) for an asthma attack that began after jogging through a local park. The client is able to answer questions every few words to catch his breath. He reports using his rescue inhaler three times, but he couldn't catch his breath. He reports that his symptoms are worse when outdoors and when exercising, and episodes like this make him extremely nervous. He says that it has been a couple of months since his last asthma attack, and he came to the ED today because he noticed his inhaler was expired and was worried the medication was not working
Question 4 of 5
After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen. Which action(s) should the nurse take next? Select all that apply.
Correct Answer: B,C,D
Rationale: Additional nebulizer treatment (
B), increased oxygen (
C), and raising the bed (
D) address persistent asthma symptoms.
Extract:
History and Physical
A 34-year-old male client presents to the emergency department (ED) for an asthma attack that began after jogging through a local park. The client is able to answer questions every few words to catch his breath. He reports using his rescue inhaler three times, but he couldn't catch his breath. He reports that his symptoms are worse when outdoors and when exercising, and episodes like this make him extremely nervous. He says that it has been a couple of months since his last asthma attack, and he came to the ED today because he noticed his inhaler was expired and was worried the medication was not working.
Question 5 of 5
The nurse reviews the client's history of the presenting illness in the electronic medical record. Highlight the pieces of key subjective data which indicate the client is in need of health interventions.
Correct Answer: A,B,C
Rationale: Key data: difficulty speaking, ineffective inhaler use, and expired inhaler indicate severe asthma requiring intervention.