HESI RN Medical Surgical Exam I | Nurselytic

Questions 54

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HESI RN Medical Surgical Exam I Questions

Extract:


Question 1 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: C

Rationale: Checking for bleeding is critical as symptoms suggest hypovolemic shock, a potential postoperative complication.

Question 2 of 5

A client who takes daily supplemental iron tablets for iron deficiency anemia reports feeling increasingly fatigued. Which laboratory value should the nurse review?

Correct Answer: A

Rationale: A complete blood count assesses red blood cells and hemoglobin, critical for evaluating anemia progression.

Question 3 of 5

A client with oral cancer is receiving radiotherapy (RT) prior to surgery. Which intervention should the nurse teach the client to implement in managing mucositis related to RT?

Correct Answer: B

Rationale: Normal saline mouth rinses as swish and spit after meals and bedtime is an effective intervention for managing mucositis. Rinsing with saline helps to keep the mouth clean, reduce bacterial load, and soothe inflamed tissues.

Question 4 of 5

When teaching a client with Parkinson's disease, which rationale for the prescription of carbidopa-levodopa should the nurse include?

Correct Answer: B

Rationale: Carbidopa-levodopa increases dopamine availability, improving muscle function in Parkinson's disease.

Extract:

Vital Signs
Nurses Notes
History and Physical
Imaging Studies
Laboratory Results
Orders
0930
• Temperature: 100.8°F (38.2°C) orally
• Heart rate: 121 bpm
• Respirations: 28 bpm
• Blood pressure: 115/76
• Oxygen saturation: 95% on room air


Question 5 of 5

The nurse is stabilizing the client and preparing her for surgery. Which goals should the nurse prioritize in the plan of care for the client while in the emergency department (ED)? Select all that apply.

Correct Answer: A,B,C,D,G

Rationale: Infection prevention (
A), pain relief (
B), education (
C), anxiety coping (
D), and fluid management (G) are critical for appendicitis surgery preparation.

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