HESI RN
RN Medical Surgical HESI Questions
Extract:
Question 1 of 5
The nurse is preparing an older client for a magnetic resonance imaging (MRI) with contrast. Which laboratory value should the nurse report to the healthcare provider before the scan is performed?
Correct Answer: D
Rationale: Serum creatinine of 1.9 mg/dL indicates renal insufficiency, increasing the risk of contrast-induced nephropathy. This must be reported to assess the safety of administering contrast media.
Question 2 of 5
A client presents with the onset of a severe headache, fever, nuchal rigidity, and a petechial rash on arms and legs. The nurse recognizes the client is exhibiting symptoms of which condition?
Correct Answer: D
Rationale: Symptoms like headache, fever, nuchal rigidity, and petechial rash are classic for meningococcal meningitis, a bacterial infection requiring urgent treatment.
Question 3 of 5
A client with diabetes mellitus is admitted with an upper respiratory infection. Which changes in blood glucose management should the client expect?
Correct Answer: C
Rationale: Infections increase insulin resistance, necessitating higher insulin doses to manage blood glucose effectively.
Question 4 of 5
Five months following treatment for Herpes zoster (shingles), an older adult client tells the home health nurse of continuing to experience pain where the rash occurred. Which action should the nurse implement?
Correct Answer: D
Rationale: Persistent pain after shingles suggests postherpetic neuralgia, requiring a thorough pain assessment to guide treatment.
Question 5 of 5
After teaching a client newly diagnosed with cholecystitis about recommended diet changes, the nurse evaluates the client's learning. Which food choices eliminated by the client indicate to the nurse that teaching has been successful?
Correct Answer: D
Rationale: Eliminating whole milk and ice cream, which are high in fat and cholesterol, indicates successful learning, as these worsen cholecystitis.