RN Medical Surgical HESI | Nurselytic

Questions 42

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RN Medical Surgical HESI Questions

Extract:


Question 1 of 5

An older adult client with symptoms of osteoarthritis asks the nurse which form of exercise would be most beneficial. Which is the best response by the nurse?

Correct Answer: D

Rationale: Swimming is a low-impact exercise that strengthens muscles and improves joint flexibility without stressing arthritic joints, making it ideal for osteoarthritis.

Question 2 of 5

A client with a closed head injury demonstrates signs of syndrome of inappropriate antidiuretic hormone (SIADH). Which additional finding should the nurse expect to obtain?

Correct Answer: A

Rationale: SIADH causes fluid retention due to excessive ADH, leading to weight gain and hyponatremia. The other findings (fremitus, hypernatremia, dilute urine) are not consistent with SIADH.

Extract:

A 70-year-old female presents to the emergency department through triage with a noticeable facial droop and garbled speech. After having a few drinks at a local seafood restaurant, the client's husband noticed his wife's speech became difficult to understand.


Question 3 of 5

The triage nurse does a rapid assessment of the client. Which data indicates the client is in need of immediate health interventions?

Correct Answer: B,C

Rationale: Facial droop and garbled speech are stroke symptoms requiring immediate intervention to prevent brain damage.

Extract:


Question 4 of 5

In assessing a client with ulcers on the lower extremity, which findings indicate that the ulcers are likely to be of venous, rather than arterial, origin?

Correct Answer: A

Rationale: Irregular shapes and severe edema are typical of venous ulcers due to impaired venous return, unlike arterial ulcers which show signs of poor perfusion.

Question 5 of 5

Five months following treatment for Herpes zoster (shingles), an older adult client tells the home health nurse of continuing to experience pain where the rash occurred. Which action should the nurse implement?

Correct Answer: D

Rationale: Persistent pain after shingles suggests postherpetic neuralgia, requiring a thorough pain assessment to guide treatment.

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