HESI RN
HESI RN Medical Surgical Nursing Questions
Extract:
Question 1 of 5
The drainage in the chest tube of a client with emphysema has changed from viscous green to clear watery fluid. Which action is best for the nurse to take?
Correct Answer: C
Rationale: A culture of the changed drainage assesses for infection or other causes, prioritizing over imaging, antibiotics, or tube manipulation.
Question 2 of 5
The nurse assesses an adult client 24 hours following abdominal surgery and finds the client's blood pressure is 98/40 mm Hg. The client is tachycardiac, restless, and irritable. Which action should the nurse perform first?
Correct Answer: D
Rationale: Checking for bleeding addresses potential hypovolemic shock, indicated by low blood pressure and tachycardia, prioritizing over IV rate or notification.
Question 3 of 5
While assessing a client following lithotripsy with stent insertion, which data indicates to the nurse that the procedure was successful?
Correct Answer: A
Rationale: Collecting stone fragments directly confirms the success of lithotripsy in breaking down the stone, unlike symptom relief or lab values.
Question 4 of 5
After being transferred from the emergency department to a medical unit, a client vomits into an emesis basin. The nurse observes the emesis as seen in the picture. Which assessment should the nurse complete first?
Correct Answer: A
Rationale: Vital signs assess hemodynamic stability, critical for potential gastrointestinal bleeding indicated by coffee-ground emesis, prioritizing over other assessments.
Extract:
History and Physical
Nurses' Notes
Orders
Imaging Studies
The client is a young male who appears to be 25 to 30 years old. He was found unconscious on a sidewalk by a jogger who was passing by. The jogger called an ambulance, and the emergency medical technicians (EMTS) transported the client to the hospital. The client is arousable but unable to say what his name is or what happened to him. A STAT head computed tomography (CT) scan in the emergency department showed no abnormalities, so the client will be admitted to the medical floor for observation and further tests.
Exhibits
The nurse provides education about seizures to the client and asks the client to explain what he understands about his condition.
Question 5 of 5
The nurse provides education about seizures to the client and asks the client to explain what he understands about his condition. For each statement click to specify if the client demonstrates an understanding or no understanding.
| Options | Understanding | No understanding |
|---|---|---|
| I can stop taking the phenytoin If I go for a while and don't have a seizure.' | ||
| Having a medic alert bracelet might be a good idea, but it is up to me to decide if I want it or not.' | ||
| I don't need to go to the hospital if I have another seizure unless it is a very long seizure or if I have several in a row.' | ||
| There are really no lifestyle changes that I can do that will affect my risk for having another seizure.' | ||
| I may never know why I started having seizures.' |
Correct Answer: E
Rationale: Only the statement about unknown seizure causes shows understanding; others reflect misconceptions about medication, safety, and lifestyle.