HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client with type 1 diabetes mellitus calls the home care nurse and reports taking a morning dose of 70/30 insulin before realizing they have a stomach virus and are now unable to eat breakfast due to nausea. Which initial instruction should the nurse provide the client?
Correct Answer: Monitoring blood glucose levels and drinking fluids helps prevent dehydration and maintain glucose control.
Rationale:
Question 2 of 5
The home health nurse visits a client who has a serum sodium level of 123 me/L (123 mmol/L). To explore possible etiologist for this value, what question should the nurse ask the client?
Correct Answer: This question is most relevant because excessive water or ice chip intake can lead to dilutional hyponatremia. Identifying excessive fluid intake is critical in determining if this is the cause of the client's hyponatremia.
Rationale:
Question 3 of 5
When teaching a client with Parkinson's disease, which rationale for the prescription of carbidopa-levodopa should the nurse include?
Correct Answer: Carbidopa-levodopa increases dopamine availability, helping muscles function correctly.
Rationale:
Question 4 of 5
An adult client has been admitted to the hospital with asthma exacerbation. Which trigger should the nurse identify as being the most significant cause of this client's asthma complications?
Correct Answer: Cleaning with household supplies is a significant trigger due to chemical irritants provoking asthma attacks.
Rationale:
Question 5 of 5
The nurse is caring for an older adult client with Alzheimer's disease who becomes increasingly agitated and is speaking to someone who is not visible to the nurse. Which action should the nurse implement?
Correct Answer: Using distraction and therapeutic communication skills is the best approach. This strategy helps redirect the client's attention to a calming activity, reducing agitation.
Rationale: