HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client with ulcerative colitis is admitted to the medical unit during an acute exacerbation. The nurse should instruct the unlicensed assistive personnel (UAP) to report which finding related to the client's bowel movements?
Correct Answer: Blood in the stool indicates active inflammation and potential bleeding, requiring immediate attention.
Rationale:
Question 2 of 5
A client with Crohn's disease is admitted to the medical unit with a three-day history of abdominal cramping, nausea, and vomiting. Which prescription should the nurse implement first?
Correct Answer: Inserting a nasogastric tube and attaching it to low intermittent suction is the most immediate priority to decompress the stomach and relieve nausea and vomiting.
Rationale:
Question 3 of 5
A client with chronic venous insufficiency is being discharged from the hospital and plans to return home. Which client statement indicates an understanding of home care instructions?
Correct Answer: Avoiding sitting and crossing the legs prevents worsening of venous insufficiency by promoting blood flow.
Rationale:
Question 4 of 5
The nurse completes the admission assessment of a client with systemic lupus erythematosus. Which finding requires immediate follow-up by the nurse?
Correct Answer: Haematuria requires immediate follow-up because it can indicate serious renal involvement or a possible flare-up of lupus nephritis.
Rationale:
Question 5 of 5
A client with a history of diabetes mellitus and hypertension received new medication prescriptions three days ago. Today the client returns to the clinic reporting a severe headache and blurred vision. Which intervention should the nurse implement first?
Correct Answer: Obtaining a blood pressure reading is critical to rule out hypertensive crisis, a potential cause of severe headache and blurred vision.
Rationale: