HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
Four days following an abdominal aortic aneurysm repair, the client is exhibiting edema of both lower extremities, and pedal pulses are not palpable. Which action should the nurse implement first?
Correct Answer: C
Rationale: Assessing pulses with a vascular doppler is critical to determine blood flow in the lower extremities, identifying potential vascular complications.
Question 2 of 5
A nurse is caring for a client with acute kidney injury (AKI). Which assessment finding warrants immediate intervention?
Correct Answer: C
Rationale: Dyspnea and sinus tachycardia indicate possible fluid overload or pulmonary edema, requiring immediate intervention.
Question 3 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 4 of 5
The nurse is caring for a client who had a cholecystectomy two days ago. The client is febrile, reporting upper abdominal pain radiating to the back, and has had three episodes of vomiting in the last 8 hours. The nurse reviews the client's serum amylase and lipase level results which are twice the normal value. Based on these findings, the nurse should recognize the client is exhibiting symptoms of which condition?
Correct Answer: D
Rationale: Acute pancreatitis is characterized by upper abdominal pain radiating to the back, vomiting, fever, and significantly elevated serum amylase and lipase levels.
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.