HESI RN
HESI RN Med Surg Exam 3 Questions
Question 1 of 5
During a home visit, the nurse should evaluate the effectiveness of a client's treatment for chronic obstructive pulmonary disease (COPD) by assessing for which primary symptom?
Correct Answer: Dyspnea is the primary symptom of COPD, and its reduction indicates effective treatment.
Rationale:
Question 2 of 5
In planning care for a client with chronic ulcerative colitis, which long-term goal is most important for the nurse to include?
Correct Answer: Reducing the number and severity of acute exacerbations is the most important long-term goal to maintain remission and prevent complications.
Rationale:
Question 3 of 5
The nurse is assessing a client who is newly diagnosed with hypothyroidism. Which assessment finding requires immediate intervention?
Correct Answer: Hypoventilation is the most critical finding because it indicates respiratory depression. Immediate intervention is required to support the client's breathing and prevent respiratory failure.
Rationale:
Question 4 of 5
The home health nurse visits a client who has a serum sodium level of 123 me/L (123 mmol/L). To explore possible etiologist for this value, what question should the nurse ask the client?
Correct Answer: This question is most relevant because excessive water or ice chip intake can lead to dilutional hyponatremia. Identifying excessive fluid intake is critical in determining if this is the cause of the client's hyponatremia.
Rationale:
Question 5 of 5
The nurse is caring for an older adult client with Alzheimer's disease who becomes increasingly agitated and is speaking to someone who is not visible to the nurse. Which action should the nurse implement?
Correct Answer: Using distraction and therapeutic communication skills is the best approach. This strategy helps redirect the client's attention to a calming activity, reducing agitation.
Rationale: