HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
During a routine eye examination, an older client reports decreased peripheral vision and is found to have elevated intraocular pressures. Ophthalmic drops are prescribed for primary open-angle glaucoma (POAG). Which intervention(s) should the nurse include in this client's plan of care? Select all that apply.
Correct Answer: B,D,E
Rationale: Teaching strategies for aseptic administration (
B) prevents infections, applying pressure over the inner eye corner (
D) enhances medication efficacy, and explaining lifelong use (E) ensures adherence. A reduced sodium diet (
A) is not directly related to POAG, and eye drops (
C) preserve vision, not improve it.
Extract:
Nurse's Notes
History and Physical
Orders
Vital Signs
Laboratory Results
Day 2, 0730:
Tolerated the surgical procedure well and has been stable since surgery.
Day 3, 0700:
Client is postoperative below-the-knee amputation of the right leg, sitting up with the right residual limb hanging off the bed. Morphine on demand in the left hand area; there is no redness or drainage at the site, with 50 mL per hour infusing. Assessment.
Exhibits
Data is evaluated to determine possible condition and appropriate interventions. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
Question 2 of 5
Data is evaluated to determine possible condition and appropriate interventions. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
| Surgical rash. |
| Contractures. |
| Postoperative infection. |
| Deep vein thrombosis (DVT). |
| Actions to take Choices A. Culture wound drainage. B. Request NPO prescription. C. Administer prescribed antibiotics. D. Elevate residual limb to reduce swelling. E. Educate on incentive spirometer use. |
| Parameters to monitor Choices A. Adherence to activity prescription. B. Temperature. C. White blood cell count. D. Residual limb redness or swelling. E. Pain intensity and characteristics. |
Correct Answer: C
Rationale: Condition: Postoperative infection (
C). Actions: Administer antibiotics (
C), culture wound drainage (
A). Parameters: Temperature (
B), white blood cell count (
C).
Rationale: Elevated WBC and temperature suggest infection, requiring antibiotics and monitoring.
Extract:
Question 3 of 5
A client asks the nurse for information about how to reduce risk factors for benign prostatic hyperplasia (BPH). Which information should the nurse provide?
Correct Answer: D
Rationale: Increasing physical activity can reduce the risk of BPH by improving overall health and mitigating risk factors like obesity.
Question 4 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 5 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.