HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
An older adult client with symptoms of osteoarthritis asks the nurse which form of exercise would be most beneficial. Which is the best response by the nurse?
Correct Answer: D
Rationale: Swimming is low-impact, reducing joint stress while improving flexibility and strength, ideal for osteoarthritis, unlike high-impact activities like jogging or tennis.
Question 2 of 5
A client with a cervical spinal injury (C7) is experiencing autonomic dysreflexia. The nurse should first assess the client for which precipitating factor?
Correct Answer: A
Rationale: Autonomic dysreflexia is often triggered by a distended bladder, which sends signals to the spinal cord that cannot pass the injury level, causing uncontrolled sympathetic activation. Assessing for this common precipitating factor is the priority to address the underlying cause.
Question 3 of 5
The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this disease process?
Correct Answer: C
Rationale: Upper mid abdominal pain described as gnawing and burning is a hallmark symptom of PUD, directly related to ulcer formation in the stomach or duodenum, unlike other symptoms which may suggest different conditions.
Question 4 of 5
Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID 19. Which action is most important for the nurse to take?
Correct Answer: C
Rationale: Isolating the client prevents potential COVID-19 transmission, critical given symptoms suggestive of infection, protecting others until test results confirm the diagnosis.
Question 5 of 5
The nurse is caring for a client who had an appendectomy 4 hours ago. Which finding requires immediate action by the nurse?
Correct Answer: A
Rationale: A high-pitched sound (stridor) upon inspiration suggests airway obstruction, a life-threatening emergency requiring immediate action to ensure airway patency and adequate oxygenation post-surgery.