HESI LPN
Medical Surgical Assignment Exam HESI Quizlet Questions
Question 1 of 5
The healthcare provider prescribes the nonsteroidal anti-inflammatory drug (NSAID) naproxen (Naprosyn) 500 mg PO twice a day for a client with osteoarthritis. During a follow-up visit one month later, the client tells the nurse, 'The pills don't seem to be working. They are not helping the pain at all.' Which factor should influence the nurse's response?
Correct Answer: D
Rationale: The correct answer is D. NSAID response can vary among individuals, and sometimes a different NSAID may be more effective for a specific client. In this case, since the current NSAID (naproxen) is not providing pain relief, it is reasonable to consider switching to another NSAID.
Choice A is incorrect because there is no information provided to suggest noncompliance.
Choice B is incorrect as increasing the dosage without assessing the response may lead to unnecessary side effects.
Choice C is incorrect because although it may take time for NSAIDs to reach therapeutic levels, lack of pain relief after a month is a valid reason to consider changing the medication rather than waiting longer.
Question 2 of 5
An older male client tells the nurse that he is losing sleep because he has to get up several times at night to go to the bathroom, that he has trouble starting his urinary stream, and that he does not feel like his bladder is ever completely empty. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Palpating the bladder above the symphysis pubis is the most appropriate intervention in this scenario. It helps assess for urinary retention, which is a common issue in older males presenting with symptoms like difficulty starting urinary stream and feeling of incomplete bladder emptying. Collecting a urine specimen for culture analysis (
Choice
A) may be necessary in other situations like suspected urinary tract infection. Reviewing the client's fluid intake (
Choice
B) is important but does not directly address the current issue of urinary retention. Obtaining a fingerstick glucose level (
Choice
D) is not relevant to the client's urinary symptoms.
Question 3 of 5
Following a bout of diarrhea, which foods should be offered to the school-age child?
Correct Answer: D
Rationale: After rehydration, it is important to offer foods that are nonirritating to the bowel to the child. Bananas and rice are considered the best options as they are least likely to irritate the gastrointestinal tract. Apricots, peaches, and applesauce are fruits that may cause GI irritation, while milk, including chocolate milk, can also be irritating to the bowel.
Therefore, the optimal choice for a child recovering from diarrhea would be bananas and rice.
Question 4 of 5
The nurse is caring for a child who has been diagnosed with attention deficit hyperactivity disorder (ADHD). What is the most important intervention for the nurse?
Correct Answer: B
Rationale: The most important intervention for the nurse in caring for a child with ADHD is to allay any feelings of guilt the parents may have. Parents of children with ADHD often experience guilt or self-blame, thinking they are responsible for their child's condition. By addressing and alleviating these feelings, the nurse can support the parents in a crucial way.
Choice A is not the most important intervention because enrolling the child in a special education class might be a consideration but does not address the emotional needs of the parents.
Choice C is incorrect because stating that medications are lifelong may cause unnecessary distress to the parents.
Choice D is also not the most important intervention as setting limits is important but not as critical as addressing parental guilt and emotions.
Question 5 of 5
An older adult with chronic obstructive pulmonary disease (COPD) was recently admitted to the hospital with heart failure (HF). Which actions should the nurse take in providing care? (Select all that apply)
Correct Answer: D
Rationale: In a patient with COPD and HF, monitoring electrolyte levels is essential due to potential imbalances caused by medications or fluid shifts. Maintaining pulse oximetry is crucial to assess oxygenation status in COPD and HF. Providing assistance with mobility helps prevent deconditioning and complications.
Therefore, all the actions mentioned are necessary for comprehensive care in this scenario, making option D the correct answer.
Choices A, B, and C are all important aspects of managing COPD and HF, ensuring holistic and effective care.