HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A female college student comes to the school's health clinic reporting urinary frequency and burning with right lower back pain. Which intervention should the nurse implement first?
Correct Answer: Measuring temperature and heart rate provides immediate information about potential systemic infection or instability.
Rationale:
Question 2 of 5
The nurse is teaching a client with gastritis about self-management. Which statement made by the client should the nurse recognize as needing additional education?
Correct Answer: Drinking plenty of water with meals can dilute stomach acid and interfere with digestion, potentially worsening gastritis symptoms.
Rationale:
Question 3 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 4 of 5
Which statement by a client with systemic lupus erythematosus (SLE) indicates the best understanding of proper skin care?
Correct Answer: Using strong sunblock is crucial to protect skin and prevent flares in SLE.
Rationale:
Question 5 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: