HESI RN
Samuel Merrit University Hesi Med Surg Questions
Question 1 of 5
Two days after surgery, a male client experiences incisional pain while dangling his feet at the bedside and he refuses to ambulate as prescribed.The nurse establishes a problem of 'Activity intolerance related to pain'. Based on this problem, which outcome statement is best for the nurse to include in his care plan?
Correct Answer: A
Rationale: The goal of the care plan should be to help the client overcome his activity intolerance related to pain. This can be achieved by helping him to ambulate without discomfort.
Question 2 of 5
The healthcare provider prescribes penicillin 800,000 units intramuscularly (IM) for a patient with a streptococcal infection. The vial available is labeled Penicillin 50,000 units/mL. How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.).
Correct Answer: D
Rationale: The healthcare provider prescribed 800,000 units of penicillin and the vial available is labeled 50,000 units/mL.
To calculate the number of mL to administer, you need to divide the total number of units prescribed (800,000) by the number of units per mL (50,000). This gives you a result of 16 mL.
Question 3 of 5
When using a client with a serum potassium level of 7.5 mEq/L (7.5 mmol/L), which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Hyperkalemia can lead to life-threatening cardiac conduction disturbances.
Therefore, it is important for the nurse to determine the apical pulse rate and rhythm.
Question 4 of 5
The healthcare provider prescribes ear drops to an adult client with an ear infection.Which exacting should the nurse follow?
Correct Answer: D
Rationale: When administering ear drops to an adult client with an ear infection, the nurse should keep the patient in a supine position to administer the drops. This position allows the medication to flow into the ear canal and reach the site of infection.
Question 5 of 5
A client who is on complete bedrest frequently calls the nurse for the bedpan to urinate.Which action should the nurse take to evaluate the client for urinary retention?
Correct Answer: C
Rationale: This will help determine if there is any residual urine left in the bladder after voiding.