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.
The nurse administered tPA and conducted neurologic assessments every 15 minutes during the infusion.
The tPA infusion finished and the nurse performed neurologic assessments every 30 minutes for the 6 hours following the administration.
The client was noted to be stable with unchanged neurologic assessments.
The nurse begins to plan care for the client's recovery and identifies interdisciplinary team members who can assist with the client's recovery.
Question 1 of 5
The nurse begins to plan care for the client's recovery and identifies interdisciplinary team members who can assist with the client's recovery. Select the interdisciplinary team members who should assist the client in recovery.
Correct Answer: A,B,C,D
Rationale: Occupational, speech, and physical therapists address functional and communication deficits post-stroke, while a case manager coordinates care.
Extract:
Question 2 of 5
A client with a closed head injury demonstrates signs of syndrome of inappropriate antidiuretic hormone (SIADH). Which additional finding should the nurse expect to obtain?
Correct Answer: A
Rationale: SIADH causes fluid retention due to excessive ADH, leading to weight gain and hyponatremia. The other findings (fremitus, hypernatremia, dilute urine) are not consistent with SIADH.
Question 3 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 4 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 5 of 5
While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately?
Correct Answer: A
Rationale: A bedside pregnancy test confirms pregnancy status, critical for surgical planning to avoid risks to the fetus.