HESI RN Medical Surgical Exam I | Nurselytic

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HESI RN Medical Surgical Exam I Questions

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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: 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 2 of 5

A client who suffered an electrical injury with the entrance site on the left hand and the exit site on the left foot is admitted to the burn unit. Which intervention is most important for the nurse to include in this client's plan of care?

Correct Answer: A

Rationale: Continuous cardiac monitoring is crucial due to the risk of arrhythmias from electrical injuries.

Question 3 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 4 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.

Question 5 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.

Similar Questions

Complete the diagram by choosing from the choices below to specify which condition the client is most likely experiencing, two actions the nurse should take to address the condition, and two parameters the nurse should monitor to assess the client's progress.
A client is recovering from the surgical removal of glass in the right eye. Which intervention should the nurse implement immediately following the procedure?
The nurse is stabilizing the client and preparing her for surgery. Which goals should the nurse prioritize in the plan of care for the client while in the emergency department (ED)? Select all that apply.
After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen. Which action(s) should the nurse take next? Select all that apply.
A client asks the nurse for information about how to reduce risk factors for benign prostatic hyperplasia (BPH). Which information should the nurse provide?

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