HESI RN
Hesi Med Surg Exam 1 Questions
Extract:
Question 1 of 5
While providing care for a patient with Guillain-Barre syndrome, the nurse conducts a neurological assessment every four hours. Which finding from the assessment requires immediate intervention by the nurse?
Correct Answer: C
Rationale: Loss of sensation at T-8 indicates potential progression of Guillain-Barre syndrome, risking paralysis, and requires immediate intervention.
Question 2 of 5
The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving a psoralen and ultraviolet A light (PUVA) treatment. Which assessment finding indicates that the client has been overexposed to the treatment?
Correct Answer: D
Rationale: Tenderness and generalized erythema indicate overexposure to PUVA, signaling potential burns or excessive UV exposure.
Question 3 of 5
The nurse is preparing a client for surgery who was admitted to the emergency center following a motor vehicle collision. The client has a fracture of the femur and is bleeding at the bone protrusion site. During the preoperative assessment, the nurse determines that the client currently receives heparin subcutaneously daily. Which is the priority nursing action?
Correct Answer: A
Rationale: Notifying the healthcare provider of the client's heparin use is critical as it increases bleeding risk, requiring potential adjustments to the surgical plan or anticoagulation management.
Question 4 of 5
The nurse is educating a client, who was admitted with a blood glucose level of 580 mg/dL, on how to prevent complications related to diabetes mellitus. Which statement made by the client indicates they have understood the information?
Correct Answer: B
Rationale: Using salt, herbs, and spices supports a healthy diet, aiding diabetes management and reducing complication risks.
Question 5 of 5
What information should the nurse include in the teaching plan for a patient diagnosed with gastroesophageal reflux disease (GERD)?
Correct Answer: D
Rationale: Wearing loose clothing reduces pressure on the abdomen, helping to minimize GERD symptoms by preventing reflux.