HESI RN
HESI RN Med Surg Questions
Extract:
Nurse Notes
Laboratory Results
The client is a 58-year-old male who wants to be screened for diabetes mellitus. The client has a sister who has type 2 diabetes mellitus. He has a history of depression, which is treated with paroxetine 10 mg PO every day. The client also discloses that he occasionally takes cannabis in edible form. He denies smoking or drinking. He works in a chemical factory where he is occasionally exposed to fumes. The client's body mass index (BMI) is 28 kg/m3.
Question 1 of 5
Based on the laboratory data, the client has diabetes mellitusprediabeteshypoglycemiagestational diabetes related to fatty liver diseaseimpaired glucose tolerancetolerance occupational exposurelack of insulin production.
Correct Answer: A,B
Rationale: Prediabetes and impaired glucose tolerance are indicated by elevated but sub-diabetic glucose levels, reflecting insulin resistance, unlike hypoglycemia or gestational diabetes which do not fit the client's profile.
Extract:
Question 2 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 3 of 5
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?
Correct Answer: C
Rationale: Placing the child in a quiet environment addresses the irritability and sensitivity to light and sound caused by Kawasaki disease, reducing stress and discomfort. Other interventions, while important, are not the priority.
Question 4 of 5
The nurse is caring for a client receiving thrombolytic therapy following an acute myocardial infarction (MI). Which nursing problem should the nurse identify as priority for this client?
Correct Answer: A
Rationale: Thrombolytic therapy increases bleeding risk, making the risk for injury due to bleeding the priority, as it can lead to severe complications like hemorrhage, requiring immediate monitoring and intervention.
Question 5 of 5
An infant born 2 days ago has not passed a meconium stool and begins to vomit bilious secretions. Which action should the nurse take first?
Correct Answer: B
Rationale: Gathering IV supplies addresses the risk of dehydration and shock from vomiting and possible bowel obstruction, which is the priority. Other actions are less urgent.