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 necessary to manage stridor, which indicates airway obstruction in a postoperative parathyroidectomy patient.
Question 2 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 3 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 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: D
Rationale: Acute pancreatitis is characterized by upper abdominal pain radiating to the back, vomiting, fever, and significantly elevated serum amylase and lipase levels.
Question 5 of 5
A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most immediate intervention by the nurse?
Correct Answer: B
Rationale: A serum sodium level of 185 mEq/L indicates severe hypernatremia, an emergency requiring immediate intervention to prevent neurological complications.