HESI RN
HESI RN Medical Surgical Exam I 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: B
Rationale: Performing a bedside pregnancy test is the most appropriate immediate intervention to confirm pregnancy status, guiding surgical decisions.
Question 2 of 5
A nurse is caring for a client with acute kidney injury (AKI). Which assessment finding warrants immediate intervention?
Correct Answer: C
Rationale: Dyspnea and sinus tachycardia indicate possible fluid overload or pulmonary edema, requiring immediate intervention.
Question 3 of 5
A client who suffered an electrical injury with the entrance site on the left hand and the exit site on the left foot is admitted to the burn unit. Which intervention is most important for the nurse to include in this client's plan of care?
Correct Answer: A
Rationale: Continuous cardiac monitoring is crucial due to the risk of arrhythmias from electrical injuries.
Question 4 of 5
A client with chronic kidney disease (CKD) missed dialysis yesterday to attend a funeral. The client's spouse calls the home health nurse and reports that the client is lethargic and hard to arouse. Which instruction is most important for the nurse to provide?
Correct Answer: A
Rationale: Emergency department evaluation is critical due to potential complications from missed dialysis.
Question 5 of 5
A client receiving thrombolytic infusions for treatment of an acute myocardial infarction (AMI) has which nursing problem?
Correct Answer: B
Rationale: Risk for injury related to effects of thrombolytics is the priority due to the potential for serious bleeding complications.