HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
The nurse determines that an adult client who is admitted to the postanesthesia care unit (PACU) following abdominal surgery has a tympanic temperature of 94.6°F (34.8°C), a heart rate of 88 beats per minute, a respiratory rate of 14 breaths per minute, and a blood pressure of 94/68 mm Hg. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Verifying the low temperature with another method is critical to confirm or rule out hypothermia.
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: C
Rationale: Checking for bleeding is critical as symptoms suggest hypovolemic shock, a potential postoperative complication.
Question 3 of 5
An adult client newly diagnosed with left ventricular dysfunction is admitted to the hospital with fine rales and wheezing. When assessing this client, which additional finding is the nurse likely to obtain?
Correct Answer: B
Rationale: Lower extremity edema is common in left ventricular dysfunction due to fluid buildup.
Question 4 of 5
The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving a psoralen and ultraviolet A light (PUVA). Which assessment finding indicates overexposure to this treatment?
Correct Answer: D
Rationale: Tenderness and generalized erythema indicate phototoxic reactions from PUVA overexposure.
Question 5 of 5
A nurse is developing home care instructions for a client with peripheral artery disease (PAD). Which intervention should the nurse include?
Correct Answer: B
Rationale: Structured exercise, such as walking, improves blood flow and reduces symptoms in PAD.