RN Medical Surgical HESI | Nurselytic

Questions 42

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RN Medical Surgical HESI Questions

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Question 1 of 5

A patient experiences residual effects following an acute attack of Ménière's disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is effective?

Correct Answer: C

Rationale: Antihistamines reduce vertigo in Ménière's disease by decreasing inner ear fluid buildup. Ambulating without vertigo indicates effectiveness.

Question 2 of 5

A client is hospitalized with an inflammatory bowel disease (IBD) exacerbation and is being treated with a corticosteroid. The client develops a rigid abdomen with rebound tenderness. Which action should the nurse take?

Correct Answer: D

Rationale: A rigid abdomen with rebound tenderness suggests peritonitis, a serious IBD complication. Obtaining vital signs is the priority to assess for infection, shock, or organ failure.

Question 3 of 5

A client asks the nurse for information about how to reduce risk factors for benign prostatic hyperplasia (BPH). Which information should the nurse provide?

Correct Answer: D

Rationale: Physical activity reduces BPH risk by maintaining healthy weight, improving circulation, and regulating hormones. High protein diets and PSA tests are not preventive.

Question 4 of 5

A client presents with the onset of a severe headache, fever, nuchal rigidity, and a petechial rash on arms and legs. The nurse recognizes the client is exhibiting symptoms of which condition?

Correct Answer: D

Rationale: Symptoms like headache, fever, nuchal rigidity, and petechial rash are classic for meningococcal meningitis, a bacterial infection requiring urgent treatment.

Question 5 of 5

A client with diabetes mellitus is admitted with an upper respiratory infection. Which changes in blood glucose management should the client expect?

Correct Answer: C

Rationale: Infections increase insulin resistance, necessitating higher insulin doses to manage blood glucose effectively.

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The client is in respiratory distress with an oxygen saturation of 78% on a non-rebreather oxygen mask. His abdomen is distended and tense. His skin is pale with capillary refill of 7 seconds. His pulses are faint. Electrocardiogram reveals heart rate of 88 beats/minute, normal sinus rhythm. Lung sounds are clear and equal bilaterally. The client's temperature is 97 °F (36.1 °C). Drag from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
The nurse is caring for a client who had an appendectomy 4 hours ago. Which finding requires immediate action by the nurse?
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