HESI RN
Hesi RN Medical Surg Questions
Extract:
Question 1 of 5
The nurse is performing a physical assessment of a client. Which finding should the nurse recognize is a result of a compromised peripheral arterial circulation of the lower extremity?
Correct Answer: A
Rationale: Uneven hair distribution results from reduced blood flow impairing hair follicle nutrition, a sign of peripheral arterial disease.
Question 2 of 5
A client with leukemia is receiving chemotherapy. The nurse observes the client is weak, pale, and febrile. After reviewing the client's most recent laboratory data which reveals a platelet count of 25,000/mm3 (25 x 109/L), which intervention should the nurse include in the plan of care?
Correct Answer: B
Rationale: Monitoring for occult blood is critical with severe thrombocytopenia to detect internal bleeding early, preventing life-threatening complications.
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: D
Rationale: Platelet count is directly related to petechiae and ecchymosis, indicating potential thrombocytopenia causing bleeding tendencies.
Question 4 of 5
The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain?
Correct Answer: B
Rationale: Dietary intake is critical as high-fat foods exacerbate pancreatitis pain, guiding dietary modifications for pain management.
Question 5 of 5
A college student comes to the school's health clinic troubled by urinary frequency and burning with right lower back pain. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Measuring temperature and pulse assesses for systemic infection, such as pyelonephritis, which is urgent given the symptoms.