HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
The nurse is assessing a client who is one day postoperative parathyroidectomy and finds that the client is experiencing stridor. After notifying the healthcare provider (HCP), the nurse should prepare for which procedure?
Correct Answer: C
Rationale: Tracheostomy placement is the correct intervention for managing stridor, indicating potential airway obstruction in a postoperative parathyroidectomy patient.
Extract:
History and Physical
Nurse's Notes
A 34-year-old male client presents to the emergency department (ED) for an asthma attack that began after jogging through a local park. The client is able to answer questions every few words to catch his breath. He reports using his rescue inhaler three times, but he couldn't catch his breath. He reports that his symptoms are worse when outdoors and when exercising, and episodes like this make him extremely nervous. He says that it has been a couple of months since his last asthma attack, and he came to the ED today because he noticed his inhaler was expired and was worried the medication was not working.
Question 2 of 5
The nurse performs an initial focused assessment of the client. Based on the client's history and assessment data, the nurse's hypothesis is that the client's vital signs are most likely the result of a disease process, medication use, or neither.
| Options | Neither Disease Process Nor Medication Use | Medication Use | Disease Process |
|---|---|---|---|
| Temperature: 98.9°F (Neither) | |||
| Heart rate: 112 beats per minute (Disease Process) | |||
| Respirations: 28 breaths per minute (Disease Process) | |||
| Blood pressure: 130/86 mmHg (Neither) | |||
| Oxygen saturation: 88% (Disease Process) |
Correct Answer: A,B,C,D,E
Rationale: Temperature and blood pressure are normal (neither), while heart rate, respirations, and oxygen saturation reflect asthma (disease process).
Extract:
Question 3 of 5
Which instruction should the nurse include in the discharge teaching for a client who has gastroesophageal reflux?
Correct Answer: C
Rationale: Elevating the head of the bed prevents acid reflux, reducing symptoms.
Question 4 of 5
The nurse obtains a fingerstick blood glucose level using a bedside glucose meter from a client with a prescribed sliding scale insulin protocol. The meter indicates 56 mg/dL (3.12 mmol/L). At this time, which intervention should the nurse implement first?
Correct Answer: B
Rationale: Giving the client six ounces of non-diet carbonated soda is the correct first intervention. The client's blood glucose level is significantly below the normal range (hypoglycemia). Administering a fast-acting carbohydrate, such as non-diet soda, helps to quickly increase the blood glucose level to a safer range.
Question 5 of 5
The nurse is caring for a client with a history of type 2 diabetes mellitus (DM) and hypertension who arrived at the clinic for a scheduled visit. Which finding should the nurse recognize as a possible complication?
Correct Answer: C
Rationale: A serum creatinine level of 1.6 mg/dL indicates impaired kidney function, a significant complication in clients with type 2 diabetes and hypertension, suggesting diabetic or hypertensive nephropathy.