HESI RN
RN Medical Surgical HESI Questions
Extract:
Question 1 of 5
Specify which findings indicate early interventions for an ischemic stroke were effective? Each focused assessment area may support more than one clinical finding.
Correct Answer: B
Rationale: Speaking in short sentences, ambulating with a walker, and tearful sharing indicate improved speech, mobility, and emotional function post-stroke intervention.
Question 2 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 3 of 5
A client presents with the onset of a severe headache, fever, nuchal rigidity, and a petechial rash on arms and legs. The nurse recognizes the client is exhibiting symptoms of which condition?
Correct Answer: D
Rationale: Symptoms like headache, fever, nuchal rigidity, and petechial rash are classic for meningococcal meningitis, a bacterial infection requiring urgent treatment.
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 4 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 5 of 5
A patient experiences residual effects following an acute attack of Ménière's disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is effective?
Correct Answer: C
Rationale: Antihistamines reduce vertigo in Ménière's disease by decreasing inner ear fluid buildup. Ambulating without vertigo indicates effectiveness.