HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client with hyperthyroidism tells the home health nurse, 'I stopped taking my antithyroid medication and now I feel anxious. I can feel my heart racing and pounding.' Which assessment is most important for the nurse to obtain?
Correct Answer: Obtaining vital signs is critical to evaluate for thyrotoxic crisis, indicated by anxiety and heart racing.
Rationale:
Question 2 of 5
The nurse is caring for a client admitted to the unit for possible hyperthyroidism. The client describes weakness, nervousness, a racing heartbeat, and recent weight loss of 15 pounds (6.8 kg). Which action should the nurse implement first?
Correct Answer: Monitoring the client's vital signs frequently is the first action the nurse should take. This helps assess the client's current condition, detect any immediate complications, and guide further interventions. It is crucial to ensure the client's stability before implementing other care measures.
Rationale:
Question 3 of 5
The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this medical diagnosis?
Correct Answer: Upper midabdominal pain described as gnawing and burning is a classic symptom of PUD.
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 in the operating room received succinylcholine. The client is experiencing muscle rigidity and has an extremely high temperature. Which action should the nurse implement?
Correct Answer: Preparing ice packs for placement in the client's axillary area is a direct and immediate action to help reduce the client's extremely high temperature. Cooling measures are crucial to manage hyperthermia and prevent further complications.
Rationale: