HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client with peptic ulcer disease (PUD) is admitted to the medical unit. Which assessment finding requires the most immediate intervention by the nurse?
Correct Answer: Vomiting coffee-grounds emesis indicates gastrointestinal bleeding, requiring immediate intervention.
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 nurse is providing education to a client who is returning home with an indwelling urinary catheter after having a transurethral resection of the prostate (TURP). Which statement made by the client demonstrates a need for the nurse to clarify the instructions?
Correct Answer: Starting pelvic floor exercises might be beneficial in the long term, but immediately following surgery with a catheter in place, it is not appropriate. The nurse should clarify when to start these exercises.
Rationale:
Question 4 of 5
The nurse administers regular insulin SUBQ at 0700 to a client with type 1 diabetes mellitus (DM), after which the client eats one-half of the breakfast provided. At 1000, the client reports being hungry. Which action should the nurse implement?
Correct Answer: Providing a snack of cheese and crackers is appropriate to stabilize blood glucose levels and prevent hypoglycaemia.
Rationale:
Question 5 of 5
The nurse is obtaining a health history from a new client who has a history of kidney stones. Which statement by the client indicates an increased risk for renal calculi?
Correct Answer: Eating cheese frequently can increase the risk of calcium oxalate stones due to high calcium content.
Rationale: