HESI RN
RN Medical Surgical HESI Questions
Extract:
Question 1 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.
Question 2 of 5
Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID-19. Which action is most important for the nurse to take?
Correct Answer: B
Rationale: Isolating the client prevents potential COVID-19 transmission, prioritizing immediate safety over teaching, reporting, or contact tracing.
Question 3 of 5
A patient experiences residual effects following an acute attack of Ménière's disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is effective?
Correct Answer: C
Rationale: Antihistamines reduce vertigo in Ménière's disease by decreasing inner ear fluid buildup. Ambulating without vertigo indicates effectiveness.
Question 4 of 5
The client is in respiratory distress with an oxygen saturation of 78% on a non-rebreather oxygen mask. His abdomen is distended and tense. His skin is pale with capillary refill of 7 seconds. His pulses are faint. Electrocardiogram reveals heart rate of 88 beats/minute, normal sinus rhythm. Lung sounds are clear and equal bilaterally. The client's temperature is 97 °F (36.1 °C). Drag from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
Correct Answer: C
Rationale: Abdominal compartment syndrome is indicated by distended abdomen and respiratory distress. Paracentesis and fluid boluses address pressure and perfusion. Monitor oxygen saturation and urine output to assess progress.
Question 5 of 5
In assessing a client with ulcers on the lower extremity, which findings indicate that the ulcers are likely to be of venous, rather than arterial, origin?
Correct Answer: A
Rationale: Irregular shapes and severe edema are typical of venous ulcers due to impaired venous return, unlike arterial ulcers which show signs of poor perfusion.