HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
An adult client who had bariatric surgery two months ago has developed a postoperative stricture. For the past week, the client has experienced nausea, vomiting, and anorexia, and is admitted to the hospital for fluid resuscitation. At this time the client denies feeling any pain. Which intervention should the nurse implement?
Correct Answer: Keeping the client NPO prevents further irritation and allows the stricture to heal.
Rationale:
Question 2 of 5
The nurse is planning discharge teaching for a client who has cystitis. Which information should the nurse include in the teaching plan?
Correct Answer: Wearing cotton underwear is recommended because it is breathable and helps keep the genital area dry. This can reduce the risk of bacterial growth and infection.
Rationale:
Question 3 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 4 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:
Question 5 of 5
To ensure client adherence to the postoperative regimen, which content is most important for the nurse to include in the preoperative teaching?
Correct Answer: Informing the client about early mobilization is essential to prevent complications such as DVT, pulmonary embolism, and pneumonia.
Rationale: