HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
A client has an absolute neutrophil count (ANC) of 500/mm3 (0.5 x 10/L) after completing chemotherapy. Which intervention is most important for the nurse to implement?
Correct Answer: C
Rationale: Severe neutropenia (ANC 500/mm3) increases infection risk, making protective isolation the priority to minimize exposure to pathogens, preventing potentially life-threatening infections.
Question 2 of 5
The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this disease process?
Correct Answer: C
Rationale: Upper mid abdominal pain described as gnawing and burning is a hallmark symptom of PUD, directly related to ulcer formation in the stomach or duodenum, unlike other symptoms which may suggest different conditions.
Question 3 of 5
After initiating a steroid nebulizer treatment for a client with asthma in respiratory distress, which intervention is most important for the nurse to implement?
Correct Answer: C
Rationale: Elevating the head of the bed to 90 degrees improves lung expansion and breathing mechanics, critical for a client in respiratory distress, addressing immediate respiratory needs.
Question 4 of 5
A client has an absolute neutrophil count (ANC) of 500/mm3 (0.5 x 10/L) after completing chemotherapy. Which intervention is most important for the nurse to implement?
Correct Answer: C
Rationale: Severe neutropenia (ANC 500/mm3) increases infection risk, making protective isolation the priority to minimize exposure to pathogens, preventing potentially life-threatening infections.
Question 5 of 5
The healthcare provider prescribes diazepam 8 mg IM every 4 hours PRN muscle spasms for a client with a fractured femur. The available vial is labeled, 'Diazepam Injection, USP 10 mg/2 mL.' How many mL should the nurse administer to the client? (Enter numerical value only. If rounding is required round to the nearest tenth.)
Correct Answer: 1.6 mL
Rationale: The vial provides 5 mg/mL (10 mg/2 mL). For an 8 mg dose, the nurse should administer 1.6 mL (8 mg ÷ 5 mg/mL), calculated to meet the prescribed dose.