HESI RN
Samuel Merrit University Hesi Med Surg Questions
Extract:
Question 1 of 5
A client receives a prescription for dextromethorphan 30 mg every 6 to 8 hours as needed for cough. The bottle is labeled 'Dextromethorphan for Oral Suspension, USP 30 mg per 15 mL'. How many tablespoons should the nurse instruct the client to take within each dose? (Enter numerical value only).
Correct Answer: A
Rationale: Since the prescription is for 30 mg of dextromethorphan and the bottle is labeled 'Dextromethorphan for Oral Suspension, USP 30 mg per 15 mL', the client should take 15 mL of the suspension per dose. Since there are 15 mL in 1 tablespoon, the client should take 1 tablespoon of the suspension per dose.
Question 2 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.
Question 3 of 5
A client arrives at the emergency department (ED) with severe right upper quadrant pain.To assess the quality of the client's pain, which approach should the nurse use?
Correct Answer: A
Rationale:
To assess the quality of the client's pain, the nurse should ask the client to describe the pain. This will help the nurse to understand the characteristics of the pain and how it is affecting the client.
Question 4 of 5
The nurse observes that a client is using accessory muscles. Which vital sign should the nurse obtain first?
Correct Answer: B
Rationale: If a nurse observes that a client is using accessory muscles, it indicates an obstruction of the airways, which reduces oxygen saturation. Accessory muscles help in the act of forced expiration to wash out carbon dioxide and improve oxygen saturation.
Therefore, the nurse should obtain the respiratory rate first.
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.