RN Medical Surgical HESI | Nurselytic

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RN Medical Surgical HESI Questions

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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: A

Rationale: A bedside pregnancy test confirms pregnancy status, critical for surgical planning to avoid risks to the fetus.

Question 2 of 5

A client with benign prostatic hyperplasia (BPH) is preparing for discharge following a transurethral needle ablation (TUNA), which information should the nurse include in the discharge instructions?

Correct Answer: B

Rationale: Monitoring urinary stream for decreased output detects complications like urinary retention post-TUNA, a priority for discharge teaching.

Question 3 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 4 of 5

On the third postoperative day, a client who has had a hip replacement surgery becomes anxious and diaphoretic, and begins to experience auditory hallucinations. The client denies having any pain. The client's vital signs are pulse rate 125 beats/minute, respiratory rate 36 breaths/minute, and blood pressure 166/88 mm Hg. Which nursing intervention(s) should the nurse implement? (Select all that apply.)

Correct Answer: A,B,C

Rationale: A calm demeanor, reorientation, and lorazepam address anxiety and hallucinations effectively. Television may worsen symptoms, and restraints are a last resort.

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.

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