HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client with Crohn's disease is admitted to the medical unit with a three-day history of abdominal cramping, nausea, and vomiting. Which prescription should the nurse implement first?
Correct Answer: Inserting a nasogastric tube and attaching it to low intermittent suction is the most immediate priority to decompress the stomach and relieve nausea and vomiting.
Rationale:
Question 2 of 5
The nurse is preparing a prescription for enoxaparin 40 mg subcutaneous (sub) daily. Enoxaparin is available in a pre-filled cartridge labelled, '60 mg per 0.6 mL.' How many mL should the nurse administer?
Correct Answer: The nurse should administer 0.4 mL, calculated as (40 mg ÷ 60 mg) × 0.6 mL = 0.4 mL.
Rationale:
Question 3 of 5
The practical nurse (PN) reports to the charge nurse that a client who is receiving a parenteral nutrition infusion has a capillary glucose of 365 mg/dL (20.3 mmol/L). Which action should the charge nurse implement?
Correct Answer: Determining if the client has a sliding scale insulin prescription allows for prompt management of hyperglycaemia.
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
A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How should the nurse respond?
Correct Answer: An elimination diet helps identify foods that may cause or exacerbate symptoms, allowing effective management.
Rationale: