Questions 57

HESI RN

HESI RN Test Bank

HESI RN Medical Surgical Nursing Questions

Extract:


Question 1 of 5

A client with heart failure (HF) returns to the clinic two weeks after adjustments were made to the prescribed cardiac glycoside, diuretic, and potassium supplement. The client's lungs are clear, heart rate is 58 beats/minute, and serum potassium level is 2.9 mEq/L (2.9 mmol/L). Which action is most important for the nurse to implement?

Correct Answer: B

Rationale: Reporting hypokalemia (2.9 mEq/L) is critical to prevent arrhythmias, especially with cardiac glycosides.

Question 2 of 5

The nurse includes the problem of 'Risk for infection' in the plan of care for a client with myelosuppression. Which laboratory value of care provides the greatest support for this nursing problem?

Correct Answer: B

Rationale: A low white blood cell count (1,500/mm³) indicates leukopenia, increasing infection risk, unlike other values.

Question 3 of 5

A middle-aged client reports a sudden onset of seeing flashing lights and floating spots. Which is the best nursing action?

Correct Answer: A

Rationale: Flashing lights and floaters suggest retinal detachment, requiring urgent ophthalmic evaluation.

Question 4 of 5

Acute soft tissue injuries provide the nurse with a variety of teaching opportunities. Which instruction should the nurse provide to a client with a soft tissue injury?

Correct Answer: C

Rationale: Intermittent ice reduces swelling and pain in acute soft tissue injuries, prioritizing over other instructions.

Question 5 of 5

The nurse is caring for a client who reports a sudden, severe headache, and facial numbness. The nurse asks the client to smile and observes an uneven smile with facial droop to the right side and a hand grasp strength that is weaker on the right than the left. The client denies a recent history of headaches or trauma. After obtaining vital signs, the nurse should implement which intervention?

Correct Answer: D

Rationale: A focused history assesses for stroke risk factors like anticoagulant use, critical for managing neurological symptoms.

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