HESI RN Med Surg Exam 3

Extract:

Question 1 of 5

A client who is postmenopausal, obese, and is a smoker, has developed an intolerance to fatty foods and believes she is at risk for developing gallbladder problems. Which instruction should the nurse provide to help reduce the client's risk for gallbladder disease?

Correct Answer: Joining a group weight loss program is important due to obesity being a significant risk factor for gallbladder disease. Weight loss can decrease the likelihood of gallstone formation.

Rationale:

Question 2 of 5

While assisting a client to the toilet, the client begins to have a seizure and the nurse eases the client to the floor. The nurse calls for help and monitors the client until the seizing stops. Which intervention should the nurse implement first?

A. Evaluate for evidence of incontinence. B. Observe for lacerations to the tongue. C. Document details of the seizure activity. D. Observe for prolonged periods of apnoea. G. D

Correct Answer: Observing for prolonged periods of apnoea is the most urgent intervention. Apnoea can lead to hypoxia and other serious complications if not addressed immediately.

Rationale:

Question 3 of 5

A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile duct. Which finding is most important for the nurse to report to the healthcare provider?

A. Clay coloured stool. B. Distended, hard, and rigid abdomen. C. Bile-stained emesis. D. Radiating, sharp pain in right shoulder. G. B

Correct Answer: A distended, hard, and rigid abdomen is a sign of possible peritonitis or other severe abdominal complications. This finding indicates a medical emergency that requires immediate attention and intervention by the healthcare provider.

Rationale:

Question 4 of 5

The nurse is assessing clients in an outpatient diabetic clinic. Which entry provides the best indication that the client is adhering to the prescribed diabetic regimen?

A. Haemoglobin A1C of 6.2%. B. Fasting plasma glucose of 189 mg/dL (10.49 mmol/L). C. Postprandial plasma glucose of 225 mg/dL (12.49 mmol/L). D. High-density lipoprotein of 40 mg/dL (1.03 mmol/L). G. A

Correct Answer: Haemoglobin A1C of 6.2% indicates good long-term blood glucose control, reflecting adherence to the regimen.

Rationale:

Question 5 of 5

The nurse is teaching the client about incentive spirometry in the preoperative unit. Which statement regarding incentive spirometry should the nurse include with preoperative teaching?

A. Failure to keep your lungs working may result in pneumonia after surgery which could, in turn, result in death. B. Incentive spirometry is conducted routinely after surgery and will be demonstrated when you return from surgery. C. You will use the incentive spirometer for the first postoperative day until deep breathing and coughing can be done comfortably. D. Deep breathing exercises are encouraged to maintain lung capacity and to strengthen respiratory muscles, which will help prevent complications. G. D

Correct Answer: This statement explains the purpose and benefits of deep breathing exercises, providing a clear rationale for the intervention.

Rationale:

HESI RN Med Surg Exam 3 | Nurselytic

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HESI RN

HESI RN