HESI RN
RN Medical Surgical HESI Questions
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 1 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.
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 2 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: B
Rationale: Elevated amylase and lipase, fever, abdominal pain radiating to the back, and vomiting indicate acute pancreatitis, likely triggered by the recent cholecystectomy.
Question 3 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 4 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 5 of 5
A client with benign prostatic hyperplasia (BPH) is preparing for discharge following a transurethral needle ablation (TUNA), which information should the nurse include in the discharge instructions?
Correct Answer: B
Rationale: Monitoring urinary stream for decreased output detects complications like urinary retention post-TUNA, a priority for discharge teaching.