HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client with heart failure (HF) is waiting in the preoperative area for a scheduled procedure and tells the nurse, 'My heart feels like it is beating too fast and I feel faint.' After initiating a call for an electrocardiogram (ECG), which assessment data is most important for the nurse to obtain?
Correct Answer: The rhythm of the apical pulse is critical to identify possible arrhythmias causing palpitations and faintness.
Rationale:
Question 2 of 5
A client with a bowel obstruction is experiencing intractable vomiting for the last several hours despite the administration of prescribed antiemetics. The nurse obtains the client's arterial blood gas (ABG) results which identify a pH of 7.50, a PaCO2 of 42 mm Hg, and an HCO3 of 33 me/L (33 mmol/L). The nurse should interpret these results as confirming which acid-base imbalance?
Correct Answer: Metabolic alkalosis is characterized by a high pH and elevated HCO3, resulting from loss of stomach acid due to vomiting.
Rationale:
Question 3 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.
Rationale:
Question 4 of 5
An older female resident of a long-term care facility with early-stage Alzheimer's disease frequently wanders into the wrong room. To help this client recognize her room, which intervention should the nurse implement?
Correct Answer: Placing a picture of the client on her door provides a clear visual cue for recognition.
Rationale:
Question 5 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: