HESI RN Med Surg Exam

Question 1 of 5

A client is being discharged postsurgery. Which information provided by the client requires additional instruction by the nurse?

A. Call the pharmacy to see which medications should be taken.B. Verify that a follow-up appointment has been scheduled.C. Notify the healthcare provider (HCP) if a fever develops.D. Use movement techniques taught by the physical therapists.

Correct Answer: A

Rationale: Calling the pharmacy to determine medication instructions indicates a lack of understanding, as the client should receive clear medication instructions from the healthcare provider or nurse before discharge.

Question 2 of 5

The nurse observes a newly employed unlicensed assistive personnel (UAP) checking the temperature of an adult client using a tympanic thermometer. The UAP pulls the client's auricle up and back and prepares to insert the thermometer. Which action should the nurse implement?

A. Advise the UAP to hold the thermometer securely in place for a full three minutes.B. Use positive reinforcement to affirm that the procedure is being performed correctly.C. Demonstrate the correct technique for pulling the client's auricle down and back.D. Remind the UAP to lubricate the thermometer before gently inserting in the ear.

Correct Answer: B

Rationale: The UAP is correctly pulling the auricle up and back for an adult, which straightens the ear canal for accurate tympanic temperature measurement. Positive reinforcement encourages correct technique.

Question 3 of 5

The nurse attaches a pulse oximeter to a client's finger and obtains an oxygen saturation reading of 91%. Which assessment finding most likely contributes to this reading?

A. Capillary refill time is 2 seconds.B. 2+ edema of fingers and hands.C. Blood pressure is 142/88 mm Hg.D. Radial pulse volume is 3+.

Correct Answer: B

Rationale: Edema in the fingers and hands can interfere with the pulse oximeter's light transmission, leading to inaccurate or low oxygen saturation readings.

Question 4 of 5

A client is being admitted to the unit with a varicella zoster virus infection. Which room should the charge nurse assign to the client?

A. A private room with both contact and airborne precautions.B. A semiprivate room with a roommate who has the same diagnosis and airborne precautions.C. A private room with both standard and droplet precautions.D. A semiprivate room with a roommate who has the same diagnosis and contact precautions.

Correct Answer: A

Rationale: Varicella zoster virus spreads via contact and airborne routes, requiring a private room with both contact and airborne precautions to prevent transmission.

Question 5 of 5

The nurse is caring for a client with type 2 diabetes mellitus who had surgery for a large bowel resection with a colostomy placement. The client has now developed hyperglycemia which requires self-injections of insulin after discharge. When designing the postoperative plan of care, which outcome statement should the nurse use?

A. The client will adhere to the medication regimen after discharge.B. The client attempts to self-administer insulin but is unable to perform injection.C. The client will demonstrate ability to change the ostomy bag in two days.D. The client's breath sounds will be auscultated by the nurse every 4 hours.

Correct Answer: A

Rationale: Adhering to the insulin regimen is a client-centered outcome that addresses the critical need to manage hyperglycemia post-discharge.

HESI RN Med Surg Exam | Nurselytic

Nurselytic

HESI RN

HESI RN