HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
An older female resident of a long-term care facility with early-stage Alzheimer's disease frequently wanders into the wrong room. To help this client recognize her room, which intervention should the nurse implement?
Correct Answer: Placing a picture of the client on her door provides a clear visual cue for recognition.
Rationale:
Question 2 of 5
The nurse is caring for a client admitted to the unit for possible hyperthyroidism. The client describes weakness, nervousness, a racing heartbeat, and recent weight loss of 15 pounds (6.8 kg). Which action should the nurse implement first?
Correct Answer: Monitoring the client's vital signs frequently is the first action the nurse should take. This helps assess the client's current condition, detect any immediate complications, and guide further interventions. It is crucial to ensure the client's stability before implementing other care measures.
Rationale:
Question 3 of 5
A client is newly diagnosed with type 2 diabetes mellitus. The nurse is educating the client about self-monitoring blood glucose (SMBG) and haemoglobin A1C. Which statement by the client indicates teaching has been effective?
Correct Answer: Washing hands with warm soapy water prevents infections and ensures accurate glucose readings.
Rationale:
Question 4 of 5
A client with heart failure (HF) is waiting in the preoperative area for a scheduled procedure and tells the nurse, 'My heart feels like it is beating too fast and I feel faint.' After initiating a call for an electrocardiogram (ECG), which assessment data is most important for the nurse to obtain?
Correct Answer: The rhythm of the apical pulse is critical to identify possible arrhythmias causing palpitations and faintness.
Rationale:
Question 5 of 5
The nurse is caring for an older adult client with Alzheimer's disease who becomes increasingly agitated and is speaking to someone who is not visible to the nurse. Which action should the nurse implement?
Correct Answer: Using distraction and therapeutic communication skills is the best approach. This strategy helps redirect the client's attention to a calming activity, reducing agitation.
Rationale: