HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
An older adult male client tells the nurse of losing sleep because of having to get up several times at night to go to the bathroom. The client also reports having trouble starting his urinary stream, and he does not feel like his bladder is ever completely empty. Which intervention should the nurse implement?
Correct Answer: Palpating the bladder assesses for distension, indicating urinary retention, a common issue in older males.
Rationale:
Question 2 of 5
The chest x-ray for a client who is admitted for pneumonia shows a pleural effusion with decreased air flow in the entire left upper lobe. After auscultating the left upper lobe, which breath sounds documented by the nurse verify the x-ray findings?
Correct Answer: Diminished breath sounds in the left upper lobe are consistent with a pleural effusion, correlating with the x-ray findings.
Rationale:
Question 3 of 5
A client with chronic venous insufficiency is being discharged from the hospital and plans to return home. Which client statement indicates an understanding of home care instructions?
Correct Answer: Avoiding sitting and crossing the legs prevents worsening of venous insufficiency by promoting blood flow.
Rationale:
Question 4 of 5
In planning care for a client with chronic ulcerative colitis, which long-term goal is most important for the nurse to include?
Correct Answer: Reducing the number and severity of acute exacerbations is the most important long-term goal to maintain remission and prevent complications.
Rationale:
Question 5 of 5
A client in the operating room received succinylcholine. The client is experiencing muscle rigidity and has an extremely high temperature. Which action should the nurse implement?
Correct Answer: Preparing ice packs for placement in the client's axillary area is a direct and immediate action to help reduce the client's extremely high temperature. Cooling measures are crucial to manage hyperthermia and prevent further complications.
Rationale: