HESI MEDICAL SURGICAL NURSING EXAM.
,1. A client is admitted to the hospital with a traumatic brain injury after his head violently struck a brick wall during a gang fight. Wh
finding is most important for the nurse to assess further?
A. A scalp laceration oozing blood.
B. Headache rated "10" on a 0-10 scale.
C. • Serosanguineous nasal drainage. Correct
D. Dizziness, nausea and transient confusion.
Awarded 1.0 points out of 1.0 possible
points.
,owing a head injury should be evaluated to determine the presence of cerebral spinal fluid which would indicate a tear in the dura
making the client susceptible to meningitis.
Awarded 1.0 points out of 1.0 possible
points.
, 2. A couple trying to cope with an infertility problem wants to know what can be done to preserve emotional equilibrium. What is the bes
response for the nurse to provide?
A. "Start adoption proceedings immediately since obtaining an infant is very difficult."
B. "Tell your friends and family so that they can help you."
C. "Talkonly to other friends who are infertile since only they can help."
D. • "Get involved with a support group. I will give you some names." Correct
Awarded 1.0 points out of 1.0 possible
points.