HESI RN
RN Medical Surgical HESI Questions
Extract:
Question 1 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 2 of 5
A client with benign prostatic hyperplasia (BPH) is preparing for discharge following a transurethral needle ablation (TUNA), which information should the nurse include in the discharge instructions?
Correct Answer: B
Rationale: Monitoring urinary stream for decreased output detects complications like urinary retention post-TUNA, a priority for discharge teaching.
Question 3 of 5
The nurse prepares a teaching plan for an adult client with metabolic syndrome. Which finding(s) should the nurse address to help the client reduce the risk for diabetes mellitus and vascular disease? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Abdominal obesity, hypertension, high triglycerides, and hyperglycemia are metabolic syndrome components that increase diabetes and vascular disease risk. Elevated HDL is protective, and hypothyroidism is not directly related.
Extract:
A 70-year-old female presents to the emergency department through triage with a noticeable facial droop and garbled speech. After having a few drinks at a local seafood restaurant, the client's husband noticed his wife's speech became difficult to understand.
Question 4 of 5
The triage nurse does a rapid assessment of the client. Which data indicates the client is in need of immediate health interventions?
Correct Answer: B,C
Rationale: Facial droop and garbled speech are stroke symptoms requiring immediate intervention to prevent brain damage.
Extract:
Question 5 of 5
A client is hospitalized with an inflammatory bowel disease (IBD) exacerbation and is being treated with a corticosteroid. The client develops a rigid abdomen with rebound tenderness. Which action should the nurse take?
Correct Answer: D
Rationale: A rigid abdomen with rebound tenderness suggests peritonitis, a serious IBD complication. Obtaining vital signs is the priority to assess for infection, shock, or organ failure.