HESI RN
RN Medical Surgical HESI Questions
Extract:
Question 1 of 5
In assessing a client with ulcers on the lower extremity, which findings indicate that the ulcers are likely to be of venous, rather than arterial, origin?
Correct Answer: A
Rationale: Irregular shapes and severe edema are typical of venous ulcers due to impaired venous return, unlike arterial ulcers which show signs of poor perfusion.
Extract:
Flow sheets
1915
Arrival at emergency department
1920
Vital Signs:
- Temperature: 98.2° F (36.8° C)
- Heart rate: 92 beats/minute
- Respirations: 24 breaths/minute
- Blood pressure: 210/98 mmHg
- Oxygen saturation: 95% on room air
Imaging studies
1935
Head CT scan results:
- No evidence of intracranial hemorrhage
- No evidence of acute disease
Orders
- Obtain CT scan of the head.
- Insert a large bore peripheral IV.
- Start normal saline infusion at 50 mL/hour.
Question 2 of 5
The client continues to have stable neurologic assessments. The nurse provides interventions to promote client safety while in the hospital. Of the interventions below, explain if it promotes clients safety or not, or does both.
| Options | Promotes client safety'Does not promote client safety |
|---|---|
| Place the client in a room near the elevator | |
| Complete a swallow study before giving anything by mouth | |
| Provide a call button kept within reach | |
| Initiate use of the bed alarm | |
| Place client belongings out of reach | |
| Instruct the client to call before getting up |
Correct Answer: B,C,D,F
Rationale: Swallow study, call button, bed alarm, and instructing to call promote safety by preventing aspiration, falls, and ensuring assistance. Elevator proximity and unreachable belongings do not.
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: Physical activity reduces BPH risk by maintaining healthy weight, improving circulation, and regulating hormones. High protein diets and PSA tests are not preventive.
Question 4 of 5
A client has an absolute neutrophil count (ANC) of 500/mm³ (0.5 x 10â¹/L) after completing chemotherapy. Which intervention is most important for the nurse to implement?
Correct Answer: D
Rationale: Severe neutropenia (ANC 500/mm³) increases infection risk, making protective isolation critical to prevent exposure to pathogens.
Question 5 of 5
A client is hospitalized with an inflammatory bowel disease (IBD) exacerbation and is being treated with a corticosteroid. The client develops a rigid abdomen with rebound tenderness. Which action should the nurse take?
Correct Answer: D
Rationale: A rigid abdomen with rebound tenderness suggests peritonitis, a serious IBD complication. Obtaining vital signs is the priority to assess for infection, shock, or organ failure.