HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client who had a biliopancreatic diversion procedure (BDP) 3 months ago is admitted with severe dehydration. Which assessment finding warrants immediate intervention by the nurse?
Correct Answer: Occult positive emesis indicates potential gastrointestinal bleeding, requiring immediate intervention.
Rationale:
Question 2 of 5
The home health nurse visits a client who has a serum sodium level of 123 me/L (123 mmol/L). To explore possible etiologist for this value, what question should the nurse ask the client?
Correct Answer: This question is most relevant because excessive water or ice chip intake can lead to dilutional hyponatremia. Identifying excessive fluid intake is critical in determining if this is the cause of the client's hyponatremia.
Rationale:
Question 3 of 5
The nurse reviews discharge instructions with a client who has gastroesophageal reflux disease (GERD). Which instruction is most important for the nurse to emphasize?
Correct Answer: Remaining upright following meals is crucial to prevent stomach contents from flowing back into the oesophagus.
Rationale:
Question 4 of 5
The nurse is providing education to a client who is returning home with an indwelling urinary catheter after having a transurethral resection of the prostate (TURP). Which statement made by the client demonstrates a need for the nurse to clarify the instructions?
Correct Answer: Starting pelvic floor exercises might be beneficial in the long term, but immediately following surgery with a catheter in place, it is not appropriate. The nurse should clarify when to start these exercises.
Rationale:
Question 5 of 5
The nurse plans to provide diet instructions to a client who was recently diagnosed with diverticulosis. Which dietary modification should the nurse include in the teaching plan?
Correct Answer: Increasing the intake of insoluble fibber is crucial for managing diverticulosis. Insoluble fibber helps promote regular bowel movements, reducing the risk of diverticula formation.
Rationale: