HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 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?
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.
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Question 2 of 5
The nurse is assessing a client who has left ventricular heart failure. Which assessment finding is this client most likely to exhibit?
Correct Answer: Bilateral basilar crackles are a hallmark sign of left ventricular heart failure due to pulmonary congestion.
Rationale:
Question 3 of 5
An older adult male client tells the nurse of losing sleep because of having to get up several times at night to go to the bathroom. The client also reports having trouble starting his urinary stream, and he does not feel like his bladder is ever completely empty. Which intervention should the nurse implement?
Correct Answer: Palpating the bladder assesses for distension, indicating urinary retention, a common issue in older males.
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Question 4 of 5
A client with ulcerative colitis is admitted to the medical unit during an acute exacerbation. The nurse should instruct the unlicensed assistive personnel (UAP) to report which finding related to the client's bowel movements?
Correct Answer: Blood in the stool indicates active inflammation and potential bleeding, requiring immediate attention.
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Question 5 of 5
A client reports a 2-day history of fever, vomiting, and diarrhea. The healthcare provider prescribes serum electrolyte levels to be obtained. Which laboratory results should the nurse expect?
Correct Answer: Serum potassium of 3.0 me/L and sodium of 149 me/L indicate hypokalaemia and hypernatremia, expected with dehydration from vomiting and diarrhea.
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