HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client with a history of diabetes mellitus and hypertension received new medication prescriptions three days ago. Today the client returns to the clinic reporting a severe headache and blurred vision. Which intervention should the nurse implement first?
Correct Answer: Obtaining a blood pressure reading is critical to rule out hypertensive crisis, a potential cause of severe headache and blurred vision.
Rationale:
Question 2 of 5
A client with type 1 diabetes mellitus (DM) is admitted to the hospital for an emergency cholecystectomy. The client explains to the nurse about experiencing difficulty at home in keeping blood glucose levels under 200 mg/dl (11.1 mmol/L). To prevent the client from developing diabetic ketoacidosis (DKA), which intervention is most important for the nurse to include in the plan of care?
Correct Answer: Testing urine for the presence of ketones is the most important intervention. Early detection of ketones allows for prompt intervention to prevent DKA.
Rationale:
Question 3 of 5
A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink without becoming nauseated and vomiting. Which finding should the nurse report to the healthcare provider?
Correct Answer: Yellow sclera is a sign of jaundice, indicating a significant buildup of bilirubin due to a blocked bile duct, requiring immediate attention.
Rationale:
Question 4 of 5
The nurse calculates the body mass index (BMI) for an adult client who is obese. Which additional assessment finding places the client at high risk for cardiac disease?
Correct Answer: Large waist circumference with central fat is a well-known risk factor for cardiovascular disease.
Rationale:
Question 5 of 5
The nurse is planning discharge teaching for a client who has cystitis. Which information should the nurse include in the teaching plan?
Correct Answer: Wearing cotton underwear is recommended because it is breathable and helps keep the genital area dry. This can reduce the risk of bacterial growth and infection.
Rationale: