HESI RN
HESI RN Med Surg Exam 2 Questions
Extract:
Question 1 of 5
While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately?
Correct Answer: C
Rationale: The correct answer is C because confirming pregnancy ensures safe surgical planning.
Choice A risks fetal harm.
Choice B does not confirm pregnancy.
Choice D is premature without confirmation.
Question 2 of 5
Four days following an abdominal aortic aneurysm repair, the client is exhibiting edema of both lower extremities, and pedal pulses are not palpable. Which action should the nurse implement first?
Correct Answer: A
Rationale: The correct answer is A because a Doppler assesses blood flow, critical for detecting complications like thrombosis.
Choice B is secondary.
Choice C is unrelated to pulses.
Choice D addresses edema but not pulses.
Question 3 of 5
A client with metastatic cancer reports a pain level of 10 on a 0 to 10 scale. Twenty minutes after the nurse administers an IV analgesic, the client states, 'No pain relief yet.' Which intervention is most important for the nurse to include in this client's plan of care?
Correct Answer: B
Rationale: The correct answer is B because a fixed analgesic schedule maintains consistent pain control in severe cases.
Choice A is routine but not immediate.
Choice C is part of management but secondary.
Choice D is essential but not the primary intervention.
Question 4 of 5
The nurse assesses an adult client 24 hours following abdominal surgery and finds the client's blood pressure is 98/40 mm Hg. The client is tachycardic, restless, and irritable. Which action should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A because low blood pressure and tachycardia suggest bleeding, which checking under the back can confirm.
Choice B is not the priority.
Choice C is secondary.
Choice D follows assessment.
Question 5 of 5
A client who works at a computer most of the working day comes to the clinic reporting pain in both hands that causes the client to awake during the night. Which action should the nurse implement to assess for carpal tunnel syndrome?
Correct Answer: C
Rationale: The correct answer is C because Tinel's sign (tapping the wrist) tests for carpal tunnel syndrome by eliciting tingling or pain.
Choice A is unrelated.
Choice B is non-specific.
Choice D tests a different condition.