HESI RN
Hesi Med Surg Exam 1 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who reports a sudden, severe facial numbness. The nurse observes an uneven smile with facial droop to the right side and a hand grasp strength that is weaker on the right than the left. The client denies a recent history of headaches or trauma. Which intervention should the nurse perform immediately?
Correct Answer: C
Rationale: Symptoms suggestive of a stroke require immediate initiation of IV access and evaluation for fibrinolytic therapy to restore cerebral blood flow.
Question 2 of 5
The healthcare provider prescribes penicillin 200,000 units intramuscularly for a patient with pneumonia. The available vial is labeled 'Penicillin 500,000 units/mL'. How much penicillin should be administered to the patient?
Correct Answer: B
Rationale: Dividing the prescribed dose (200,000 units) by the concentration (500,000 units/mL) yields 0.4 mL, the correct volume to administer.
Question 3 of 5
The nurse assesses a client with petechiae and ecchymosis scattered across the arms and legs. Which laboratory result should the nurse review?
Correct Answer: B
Rationale: Platelet count is critical as low levels cause petechiae and ecchymosis due to bleeding tendencies.
Question 4 of 5
How many drops per minute should the nurse set for the infusion? The patient has been prescribed 1 liter of 0.9% sodium chloride, USP to be administered intravenously (IV) over a period of 4 hours. The IV administration set delivers 10 drops/mL.
Correct Answer: B
Rationale: Calculating 1000 mL ÷ 240 min × 10 gtt/mL yields 41.7 gtt/min, rounded to 42 gtt/min.
Question 5 of 5
The healthcare provider prescribes diagnostic tests for a patient whose chest x-ray indicates pneumonia. Which diagnostic test should the nurse prepare the patient for?
Correct Answer: C
Rationale: A sputum culture and sensitivity test identifies the causative organism of pneumonia, guiding appropriate antibiotic therapy.