HESI RN
HESI Medical Surgical Practice Quiz
1. A client who has undergone pleural biopsy is being monitored by a nurse. Which finding indicates a potential complication for the client?
- A. Warm, dry skin
- B. Mild pain at the biopsy site
- C. Complaints of shortness of breath
- D. Capillary refill time of less than 3 seconds
Correct answer: C
Rationale: Complaints of shortness of breath are a concerning finding post-pleural biopsy, as they may indicate a complication such as a pneumothorax or hemothorax. Shortness of breath can be a sign of respiratory distress that requires immediate attention. Warm, dry skin, mild pain at the biopsy site, and a capillary refill time of less than 3 seconds are not typically associated with immediate complications following a pleural biopsy. Warm, dry skin may be a normal finding, mild pain can be expected at the biopsy site, and a capillary refill time of less than 3 seconds is within normal limits.
2. The mental health team is determining treatment options for a male patient experiencing psychotic symptoms. Which question(s) should the team answer to determine whether a community outpatient or inpatient setting is most appropriate? Select all that apply.
- A. Is the patient expressing suicidal thoughts?
- B. Does the patient have experiences with either community or inpatient mental healthcare facilities?
- C. Does the patient require a therapeutic environment to support the management of psychotic symptoms?
- D. Is the patient experiencing delusions or hallucinations?
Correct answer: B
Rationale: To determine whether a community outpatient or inpatient setting is most appropriate for a patient experiencing psychotic symptoms, it is crucial to consider if the patient has had experiences with either community or inpatient mental healthcare facilities. This helps assess the familiarity and comfort level of the patient in those settings, aiding in decision-making regarding the level of care needed. Choice A, addressing suicidal thoughts, is important for risk assessment and safety planning but does not directly help in determining the setting appropriateness between community outpatient or inpatient care. Choice C, about the need for a therapeutic environment, is significant but does not specifically assist in deciding between outpatient or inpatient care. Choice D, related to delusions or hallucinations, is relevant in assessing the symptomatology but does not directly guide the choice between community outpatient or inpatient care.
3. What is the primary purpose of using pethidine?
- A. Relieve constriction ring.
- B. Relieve pain.
- C. Affect milk production.
- D. Induce labor.
Correct answer: B
Rationale: Pethidine is primarily used to relieve pain. It is an opioid analgesic commonly used for pain relief in various medical settings. Choices A, C, and D are incorrect as pethidine is not indicated for relieving constriction ring, affecting milk production, or inducing labor.
4. A client expresses difficulty voiding in public places. How should the nurse respond?
- A. Offer to turn on the faucet in the bathroom to help stimulate urination.
- B. Suggest a prescription for a diuretic to increase urine output.
- C. Propose moving to a room with a private bathroom to enhance comfort.
- D. Close the curtain to provide maximum privacy.
Correct answer: D
Rationale: The nurse should prioritize the client's privacy when addressing issues related to voiding discomfort in public places. Closing the curtain in the current room would offer immediate privacy and support the client's needs. Turning on the faucet is not an evidence-based intervention for voiding difficulties. Prescribing a diuretic is not appropriate without further assessment. While moving to a room with a private bathroom might be ideal, it may not be immediately feasible, making ensuring privacy in the current setting the most appropriate action.
5. A client with hypothyroidism is receiving levothyroxine therapy. The healthcare provider should monitor for which of the following signs of medication overdose?
- A. Bradycardia
- B. Weight gain
- C. Tachycardia
- D. Cold intolerance
Correct answer: C
Rationale: The correct answer is C: Tachycardia. Tachycardia is a sign of levothyroxine overdose, indicating that the dose may need to be adjusted. Bradycardia (Choice A) is a sign of hypothyroidism, not an overdose of levothyroxine. Weight gain (Choice B) and cold intolerance (Choice D) are also symptoms of hypothyroidism, not medication overdose.