HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 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 2 of 5
Which diet modification should the nurse suggest to a client who was recently diagnosed with diverticulitis?
Correct Answer: Reducing roughage during acute diverticulitis prevents irritation of inflamed diverticula.
Rationale:
Question 3 of 5
While assisting a client to the toilet, the client begins to have a seizure and the nurse eases the client to the floor. The nurse calls for help and monitors the client until the seizing stops. Which intervention should the nurse implement first?
Correct Answer: Observing for prolonged periods of apnoea is the most urgent intervention. Apnoea can lead to hypoxia and other serious complications if not addressed immediately.
Rationale:
Question 4 of 5
The nurse is obtaining vital sign measurements every 15 minutes for a client who had an emergency appendectomy and currently has a temperature of 101.4°F (38.6°C). Which vital sign measurements should the nurse report to the healthcare provider?
Correct Answer: Heart rate 110 beats/minute and blood pressure 88/56 mmHg indicate tachycardia and hypotension, suggesting potential complications like sepsis or hypovolemia, requiring immediate reporting.
Rationale:
Question 5 of 5
The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this medical diagnosis?
Correct Answer: Upper midabdominal pain described as gnawing and burning is a classic symptom of PUD.
Rationale: