HESI RN
Hesi Med Surg Questions
Extract:
Question 1 of 5
A client who fractured the right femur from a fall at home is placed in skeletal traction while awaiting surgery. When the client tells the nurse the need to urinate, which intervention should the nurse implement?
Correct Answer: B
Rationale: Maintaining traction while using a urinal preserves fracture alignment and stabilization, allowing safe and comfortable urination without compromising the injury.
Question 2 of 5
A client who fractured the right femur from a fall at home is placed in skeletal traction while awaiting surgery. When the client tells the nurse the need to urinate, which intervention should the nurse implement?
Correct Answer: B
Rationale: Maintaining traction while using a urinal preserves fracture alignment and stabilization, allowing safe and comfortable urination without compromising the injury.
Question 3 of 5
Which admission assessment findings should the nurse document related to a client who has been diagnosed with Cushing's syndrome?
Correct Answer: D
Rationale: Central-type obesity with thin extremities is a hallmark of Cushing's syndrome due to cortisol-induced fat redistribution and muscle wasting, making it a key finding to document.
Question 4 of 5
An older client who experienced a cerebrovascular accident (CVA) has difficulty with visual perception and eats only half of the food on the meal tray. The client's family expresses concern about the client's nutritional status. How should the nurse respond to the family's concern?
Correct Answer: A
Rationale: Teaching visual scanning compensates for visual perception deficits post-CVA, enabling the client to see all food on the tray, addressing the root cause of poor intake and improving nutrition.
Question 5 of 5
A client with metastatic cancer reports a pain level of 10 on a pain scale of 0 to 10. Twenty minutes after the nurse administers an IV analgesic, the client reports no pain relief. Which intervention is most important for the nurse to include in this client's plan of care?
Correct Answer: A
Rationale: A fixed and continuous analgesic schedule ensures consistent pain relief for chronic severe cancer pain, preventing fluctuations and addressing inadequate response to the initial dose.