HESI RN
RN Medical Surgical HESI Questions
Extract:
Question 1 of 5
On the third postoperative day, a client who has had a hip replacement surgery becomes anxious and diaphoretic, and begins to experience auditory hallucinations. The client denies having any pain. The client's vital signs are pulse rate 125 beats/minute, respiratory rate 36 breaths/minute, and blood pressure 166/88 mm Hg. Which nursing intervention(s) should the nurse implement? (Select all that apply.)
Correct Answer: A,B,C
Rationale: A calm demeanor, reorientation, and lorazepam address anxiety and hallucinations effectively. Television may worsen symptoms, and restraints are a last resort.
Question 2 of 5
An older adult client with symptoms of osteoarthritis asks the nurse which form of exercise would be most beneficial. Which is the best response by the nurse?
Correct Answer: D
Rationale: Swimming is a low-impact exercise that strengthens muscles and improves joint flexibility without stressing arthritic joints, making it ideal for osteoarthritis.
Question 3 of 5
A client with type 1 diabetes mellitus, hypertension, and chronic kidney disease is to begin hemodialysis treatment. Which statement should the nurse include in client education?
Correct Answer: C
Rationale: Insulin dosage may need reduction during hemodialysis as the dialyzer removes insulin, lowering blood glucose. The other options are incorrect: abdominal catheters are for peritoneal dialysis, medications may need adjustment, and potassium-rich foods should be limited.
Question 4 of 5
A client with diabetes mellitus is admitted with an upper respiratory infection. Which changes in blood glucose management should the client expect?
Correct Answer: C
Rationale: Infections increase insulin resistance, necessitating higher insulin doses to manage blood glucose effectively.
Question 5 of 5
A client who had a biliopancreatic diversion procedure (BPD) 3 months ago is admitted with severe dehydration. Which assessment finding warrants immediate intervention by the nurse?
Correct Answer: A
Rationale: Gastroccult positive emesis indicates gastrointestinal bleeding, a serious complication requiring immediate intervention. Other findings are common BPD side effects or less urgent.