HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
During a home visit, the nurse assesses the skin of a client with eczema who reports that an exacerbation of symptoms has occurred during the last week. Which information is most useful in determining the possible cause of the symptoms?
Correct Answer: D
Rationale: A new dog's allergens, like dander, are a plausible trigger for an eczema flare-up.
Question 2 of 5
A client with Addison's disease started taking hydrocortisone in a divided daily dose last week. It is most important for the nurse to monitor which serum laboratory value?
Correct Answer: D
Rationale: Glucose levels are crucial to monitor in clients with Addison's disease on hydrocortisone therapy. Hydrocortisone can affect glucose metabolism, potentially leading to hyperglycemia. Monitoring glucose levels helps ensure that the client's blood sugar remains within a safe range and allows for timely intervention if necessary.
Question 3 of 5
A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most immediate intervention by the nurse?
Correct Answer: B
Rationale: A serum sodium level of 185 mEq/L indicates severe hypernatremia, an emergency requiring immediate intervention to prevent neurological complications.
Question 4 of 5
The healthcare provider (HCP) prescribes diazepam 8 mg IM every 4 hours PRN for muscle spasms for a client with a fractured femur. The available vial is labeled 'Diazepam Injection, USP 10 mg/2 mL.' How many mL should the nurse administer to the client? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
Correct Answer: A
Rationale: Calculation: 10 mg/2 mL = 0.2 mL/mg, 8 mg × 0.2 mL/mg = 1.6 mL.
Extract:
Vital Signs
Nurses Notes
History and Physical
Imaging Studies
Laboratory Results
Orders
0930
• Temperature: 100.8°F (38.2°C) orally
• Heart rate: 121 bpm
• Respirations: 28 bpm
• Blood pressure: 115/76
• Oxygen saturation: 95% on room air
Question 5 of 5
The nurse is stabilizing the client and preparing her for surgery. Which goals should the nurse prioritize in the plan of care for the client while in the emergency department (ED)? Select all that apply.
Correct Answer: A,B,C,D,G
Rationale: Infection prevention (
A), pain relief (
B), education (
C), anxiety coping (
D), and fluid management (G) are critical for appendicitis surgery preparation.