HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
The nurse assesses an adult client 24 hours after a bowel exploration and formation of a sigmoid colostomy. Which assessment finding should be reported to the surgeon immediately?
Correct Answer: D
Rationale: Purple stoma mucosa indicates possible ischemia, requiring immediate reporting to prevent tissue necrosis.
Question 2 of 5
The nurse has conducted a cancer prevention community education program. In evaluating the participants' understanding of the carcinogens, which statement indicates an accurate understanding?
Correct Answer: A
Rationale: Carcinogens cause genetic mutations leading to cancer, accurately described by substances changing cells.
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: B
Rationale: Severe headache, fever, nuchal rigidity, and petechial rash are classic symptoms of meningococcal meningitis.
Question 4 of 5
A client who had a C5 spinal cord injury 2 years ago is admitted to the emergency department (ED) with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit?
Correct Answer: D
Rationale: Profuse diaphoresis and severe headache are classic symptoms of autonomic dysreflexia due to sympathetic overactivity.
Question 5 of 5
During a home visit, the nurse assesses the skin of a client with eczema who reports that an exacerbation of symptoms has occurred during the last week. Which information is most useful in determining the possible cause of the symptoms?
Correct Answer: D
Rationale: A new dog's allergens, like dander, are a plausible trigger for an eczema flare-up.