HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
In assessing a client with skin ulcers on the lower extremity, which findings indicate that the ulcers are likely to be of venous, rather than arterial, origin?
Correct Answer: B
Rationale: Venous ulcers are characterized by irregular shapes and severe edema due to venous hypertension, unlike arterial ulcers which present with signs of poor perfusion like absent pulses or cool skin.
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 2 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.
| prediabetes |
| impaired glucose tolerance |
| lack of insulin production |
| hypoglycemia |
| gestational diabetes |
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 3 of 5
A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanesthesia unit. Before selecting which medication to administer, which action should the nurse implement?
Correct Answer: B
Rationale: Comparing the pain scale rating with prescribed dosing ensures the appropriate analgesic and dose are selected based on pain severity, promoting safe and effective pain management.
Question 4 of 5
An adolescent client reports to the nurse of walking with a limp due to pain localized in the right knee which worsens at night but denies any recent injury or trauma. The nurse observes swelling and tenderness in the right lower thigh and imaging results reveal radial ossification in the soft tissues. Which condition should the nurse consider as the probable cause of the findings?
Correct Answer: B
Rationale: Osteosarcoma, a bone cancer, causes pain, swelling, and radial ossification in adolescents, matching the findings. Other conditions do not align with the symptoms.
Question 5 of 5
The nurse is caring for a child with chronic kidney disease who is experiencing renal osteodystrophy. Which outcome should the nurse explain to the parents about the sequela for their child with renal osteodystrophy?
Correct Answer: A
Rationale: Renal osteodystrophy causes impaired bone formation, leading to arrested growth. Other outcomes are not specific.