HESI RN
Hesi Med Surg Exam 1 Questions
Extract:
Question 1 of 5
A patient with gouty arthritis is experiencing tenderness and swelling in the right ankle and big toe. The nurse notes that the inflammation extends above the ankle area. The patient has been prescribed colchicine and indomethacin. What should the nurse include in the discharge teaching?
Correct Answer: B
Rationale: Drinking ample water helps flush uric acid, reducing crystal formation and inflammation in gouty arthritis.
Question 2 of 5
Which group of foods is best for the nurse to recommend for clients with a strong family history of colon and rectal cancers?
Correct Answer: C
Rationale: High-fiber foods like oatmeal, raisins, and fruit with skin reduce colorectal cancer risk by promoting gut health.
Question 3 of 5
An elderly patient is admitted with an acute onset of diverticulitis, and intravenous antibiotic therapy is started. What should the nurse do next?
Correct Answer: D
Rationale: Maintaining NPO status rests the bowel, promoting healing during acute diverticulitis.
Question 4 of 5
A client presents to the emergency department reporting chest pain that is radiating to the left arm, shortness of breath, and diaphoresis. Which medication does the nurse anticipate being prescribed by the healthcare provider?
Correct Answer: A
Rationale: Morphine is typically prescribed for myocardial infarction symptoms to relieve pain and reduce cardiac workload.
Question 5 of 5
A patient with small cell carcinoma of the lung is admitted with syndrome of inappropriate antidiuretic hormone (SIADH). The patient's serum sodium level increases from 120 mEq/L to 125 mEq/L as they respond to treatment. Based on this finding, what intervention should the nurse implement?
Correct Answer: A
Rationale: Maintaining fluid restriction is key in SIADH to prevent further sodium dilution, supporting the patient's improving sodium levels.