HESI RN
Samuel Merrit University Hesi Med Surg Questions
Extract:
Question 1 of 5
A 19-year-old client is admitted to the hospital with severe right lower quadrant abdominal pain. The father is requesting to know his son's laboratory test results. Which is the best response for the nurse to provide?
Correct Answer: C
Rationale: The best response for the nurse to provide is 'I can only give medical information to your son because he is an adult.' Since the client is 19 years old and considered an adult, the nurse must respect the client's right to privacy and confidentiality.
Question 2 of 5
A healthcare organization requires nurses to chart by exception. Which assessment should the nurse document?
Correct Answer: A
Rationale: Charting by exception means that the nurse only documents findings that deviate from the established norm or expected outcome. In this case, the nurse should document the assessment that is not within normal limits, which is 'Basilar lung sounds that are diminished in the left lung.'
Question 3 of 5
A client presents to the doctor's office with a report of fatigue and difficulty sleeping.Which information should the nurse recognize as a potential contributing factor?
Correct Answer: C
Rationale: Antibiotics can have side effects that may contribute to fatigue and difficulty sleeping.
Question 4 of 5
The nurse plans to encourage a group of young adult clients to engage in problem-solving strategies.Which of the following is most useful for the nurse to include?
Correct Answer: B
Rationale: Simulation activities provide a safe and controlled environment for young adult clients to practice problem-solving strategies and learn from their experiences.
Question 5 of 5
An accident arrives at the emergency department (ED) with severe right lower quadrant abdominal pain.To assess the intensity of the client's pain, which approach should the nurse use?
Correct Answer: B
Rationale: The assessment of pain intensity by a validated pain scale is a critical initial step, and a patient's self-reporting is widely considered as the key to effective pain management. According to good practice guidelines, clinicians must accept a patient's statement, regardless of their own opinions.