HESI RN
Hesi Med Surg Exam 1 Questions
Extract:
Question 1 of 5
A young adult client with osteoarthritis of both knees expresses the desire to continue daily walks in the park with friends. How should the nurse respond?
Correct Answer: A
Rationale: Encouraging the client to continue their walking routine supports their desire to stay active and promotes muscle strength, flexibility, and overall well-being, which are beneficial for managing osteoarthritis.
Question 2 of 5
What information should the nurse include in the teaching plan for a patient diagnosed with gastroesophageal reflux disease (GERD)?
Correct Answer: D
Rationale: Wearing loose clothing reduces pressure on the abdomen, helping to minimize GERD symptoms by preventing reflux.
Question 3 of 5
A client receives a prescription for 1 liter of lactated Ringer's intravenously (IV) to be infused over 8 hours. The IV administration set delivers 15 gtt/mL. How many mL/hr should the nurse program the infusion pump to deliver?
Correct Answer: B
Rationale: Dividing 1000 mL by 8 hours yields 125 mL/hr, the correct infusion rate.
Question 4 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 5 of 5
A client with right hydronephrosis and a history of renal calculi is preparing for discharge following a retrograde pyelogram. Which instruction should the nurse include in the client's discharge instructions?
Correct Answer: B
Rationale: Monitoring urinary output detects complications like obstruction in hydronephrosis or renal calculi.