HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client with chronic venous insufficiency is being discharged from the hospital and plans to return home. Which client statement indicates an understanding of home care instructions?
Correct Answer: Avoiding sitting and crossing the legs prevents worsening of venous insufficiency by promoting blood flow.
Rationale:
Question 2 of 5
A client who had a biliopancreatic diversion procedure (BDP) 3 months ago is admitted with severe dehydration. Which assessment finding warrants immediate intervention by the nurse?
Correct Answer: Occult positive emesis indicates potential gastrointestinal bleeding, requiring immediate intervention.
Rationale:
Question 3 of 5
The chest x-ray for a client who is admitted for pneumonia shows a pleural effusion with decreased air flow in the entire left upper lobe. After auscultating the left upper lobe, which breath sounds documented by the nurse verify the x-ray findings?
Correct Answer: Diminished breath sounds in the left upper lobe are consistent with a pleural effusion, correlating with the x-ray findings.
Rationale:
Question 4 of 5
A client with type 2 diabetes mellitus (DM) is being discharged after treatment for an acute bronchitis infection. The nurse is providing teaching for medications to be taken at home, which includes a new prescription for self-administered glargine insulin 20 units SUBQ at bedtime. The client asks if they now have type 1 diabetes mellitus. How should the nurse respond?
Correct Answer: Explaining that insulin injections will likely be discontinued once stress and illness resolve is accurate for type 2 diabetes in this context.
Rationale:
Question 5 of 5
A client with peptic ulcer disease (PUD) is admitted to the medical unit. Which assessment finding requires the most immediate intervention by the nurse?
Correct Answer: Vomiting coffee-grounds emesis indicates gastrointestinal bleeding, requiring immediate intervention.
Rationale: