HESI RN
Samuel Merrit University Hesi Med Surg Questions
Extract:
Question 1 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.
Question 2 of 5
An ulcerated foot peronet (FP) is to be implemented. The UAPs state they have not yet been educated on this before charging assignments.What action should the nurse take first?
Correct Answer: A
Rationale: It is important for the UAP to receive proper education and training on how to care for a foot ulcer before being assigned to care for a client with this condition.
Question 3 of 5
Which of the following responses would be the most therapeutic when communicating with a client who has recently had a visit from their significant other and is displaying changes in behavior?
Correct Answer: D
Rationale: This response is most therapeutic because it offers the client an opportunity to talk and express their feelings while also focusing on the positive aspects of their visit.
Question 4 of 5
The nurse is teaching a client how to self-administer subcutaneous heparin injections.Which instruction should the nurse include?
Correct Answer: A
Rationale: Inject in abdominal area at least 2 inches from the umbilicus. When administering subcutaneous heparin injections, it is important to choose an injection site on either your tummy or outer areas of your left or right thigh. Your tummy is usually best as the injection site and it is important that you change the site each time.
Question 5 of 5
A postoperative client has been prescribed three different analgesics for different levels of pain.What is the most important intervention the nurse should take when administering these medications to the client?
Correct Answer: C
Rationale: The most important intervention the nurse should take when administering these medications to the client is to assess the client's pain level and administer the appropriate medication based on the level of pain.