HESI RN
Hesi Med Surg Questions
Extract:
Question 1 of 5
A client with metastatic cancer reports a pain level of 10 on a pain scale of 0 to 10. Twenty minutes after the nurse administers an IV analgesic, the client reports no pain relief. Which intervention is most important for the nurse to include in this client's plan of care?
Correct Answer: A
Rationale: A fixed and continuous analgesic schedule ensures consistent pain relief for chronic severe cancer pain, preventing fluctuations and addressing inadequate response to the initial dose.
Question 2 of 5
The nurse is assessing a client who has herpes zoster. Which question will allow the nurse to gather further information about this condition?
Correct Answer: A
Rationale: Asking if everyone at home has had varicella helps determine the risk of transmission of the varicella-zoster virus, which causes herpes zoster, to non-immune individuals, informing isolation precautions.
Question 3 of 5
A male client with diabetes mellitus (DM) is transferred from the hospital to a rehabilitation facility following treatment for a stroke with resulting right hemiplegia. The client reports his feet feel uncomfortably cool at night, preventing him from falling asleep. Which action should the nurse implement?
Correct Answer: B
Rationale: A warming pad improves blood flow to the feet, addressing coolness due to diabetic neuropathy and poor circulation, while minimizing risks like burns in a client with reduced sensation.
Question 4 of 5
A client with benign prostatic hyperplasia (BPH) is preparing for discharge following a transurethral needle ablation (TUNA). Which information should the nurse include in the discharge instructions?
Correct Answer: B
Rationale: Monitoring urinary stream for decreased output is critical post-TUNA to detect complications like urinary retention or infection, ensuring kidney function and procedure effectiveness.
Question 5 of 5
An older client who experienced a cerebrovascular accident (CVA) has difficulty with visual perception and eats only half of the food on the meal tray. The client's family expresses concern about the client's nutritional status. How should the nurse respond to the family's concern?
Correct Answer: A
Rationale: Teaching visual scanning compensates for visual perception deficits post-CVA, enabling the client to see all food on the tray, addressing the root cause of poor intake and improving nutrition.