RN Medical Surgical HESI | Nurselytic

Questions 42

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RN Medical Surgical HESI Questions

Extract:


Question 1 of 5

A client is hospitalized with an inflammatory bowel disease (IBD) exacerbation and is being treated with a corticosteroid. The client develops a rigid abdomen with rebound tenderness. Which action should the nurse take?

Correct Answer: D

Rationale: A rigid abdomen with rebound tenderness suggests peritonitis, a serious IBD complication. Obtaining vital signs is the priority to assess for infection, shock, or organ failure.

Question 2 of 5

A client with a closed head injury demonstrates signs of syndrome of inappropriate antidiuretic hormone (SIADH). Which additional finding should the nurse expect to obtain?

Correct Answer: A

Rationale: SIADH causes fluid retention due to excessive ADH, leading to weight gain and hyponatremia. The other findings (fremitus, hypernatremia, dilute urine) are not consistent with SIADH.

Question 3 of 5

A client with benign prostatic hyperplasia (BPH) is preparing for discharge following a transurethral needle ablation (TUNA), which information should the nurse include in the discharge instructions?

Correct Answer: B

Rationale: Monitoring urinary stream for decreased output detects complications like urinary retention post-TUNA, a priority for discharge teaching.

Extract:

The patient is a 68-year-old with a history of diabetes, hypertension (HTN), coronary artery disease (CAD), and recently diagnosed with end-stage renal disease (ESRD). She has been placed on hemodialysis three times a week for one month. She presents to the emergency department (ED) with fatigue, generalized weakness, muscle cramps, tingling sensation in arms and legs, and lightheadedness following 3 days of illness during which her husband reports she has complained of nausea and had a poor appetite and was not able to go for her scheduled dialysis 2 days ago.


Question 4 of 5

For each assessment finding, explain whether the actions taken were effective or ineffective.

OptionsEffectiveIneffective
Denies cramps, weakness, or nausea
BP 116/68 mm Hg, HR 75 bpm
Potassium level 3.6 mEq/L (3.6 mmol/L)
Verbalizes commitment to dialysis appointments
Client states that she will need to resume her Lisinopril to control blood pressure
Client is eager to add dark green vegetables and potatoes to her diet

Correct Answer: A,B,C,D

Rationale: Denying symptoms, normalized vitals, potassium, and dialysis commitment indicate effective actions. Misunderstandings about Lisinopril and diet suggest ineffective education.

Extract:


Question 5 of 5

The healthcare provider prescribes 1 liter of 0.9% sodium chloride, USP intravenously (IV) to be infused over 10 hours for a client. How many mL/hr should the nurse program the infusion pump to deliver? (Enter numerical value only.)

Correct Answer: 100

Rationale: 1000 mL divided by 10 hours equals 100 mL/hr.

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