RN Medical Surgical HESI | Nurselytic

Questions 42

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RN Medical Surgical HESI Questions

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Question 1 of 5

A client who had a biliopancreatic diversion procedure (BPD) 3 months ago is admitted with severe dehydration. Which assessment finding warrants immediate intervention by the nurse?

Correct Answer: A

Rationale: Gastroccult positive emesis indicates gastrointestinal bleeding, a serious complication requiring immediate intervention. Other findings are common BPD side effects or less urgent.

Question 2 of 5

A patient experiences residual effects following an acute attack of Ménière's disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is effective?

Correct Answer: C

Rationale: Antihistamines reduce vertigo in Ménière's disease by decreasing inner ear fluid buildup. Ambulating without vertigo indicates effectiveness.

Question 3 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.

Question 4 of 5

A patient is admitted to the hospital with symptoms consistent with a right hemisphere stroke. Which neurovascular assessment requires immediate intervention by the nurse?

Correct Answer: A

Rationale: Pupillary changes to ipsilateral dilation suggest increased intracranial pressure, a life-threatening stroke complication requiring immediate intervention. Other findings are common but less urgent.

Question 5 of 5

A client presents with the onset of a severe headache, fever, nuchal rigidity, and a petechial rash on arms and legs. The nurse recognizes the client is exhibiting symptoms of which condition?

Correct Answer: D

Rationale: Symptoms like headache, fever, nuchal rigidity, and petechial rash are classic for meningococcal meningitis, a bacterial infection requiring urgent treatment.

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The nurse is caring for a client who had a cholecystectomy two days ago. The client is febrile, reporting upper abdominal pain radiating to the back and has had three episodes of vomiting in the last 8 hours. The nurse reviews the client's serum amylase and lipase level results which are twice the normal value. Based on these findings, the nurse should recognize the client is exhibiting symptoms of which condition?
A client with obstructive sleep apnea (OSA) calls the clinic to report difficulty wearing the continuous positive air pressure (CPAP) mask because it is uncomfortable. The client asks the nurse for an alternative way to manage sleep apnea. Which recommendation should the nurse provide?
The client is in respiratory distress with an oxygen saturation of 78% on a non-rebreather oxygen mask. His abdomen is distended and tense. His skin is pale with capillary refill of 7 seconds. His pulses are faint. Electrocardiogram reveals heart rate of 88 beats/minute, normal sinus rhythm. Lung sounds are clear and equal bilaterally. The client's temperature is 97 °F (36.1 °C). Drag from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

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