HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
The nurse calculates the body mass index (BMI) for an adult client who is obese. Which additional assessment finding places the client at high risk for cardiac disease?
Correct Answer: Large waist circumference with central fat is a well-known risk factor for cardiovascular disease.
Rationale:
Question 2 of 5
A client with type 2 diabetes mellitus (DM) is being discharged after treatment for an acute bronchitis infection. The nurse is providing teaching for medications to be taken at home, which includes a new prescription for self-administered glargine insulin 20 units SUBQ at bedtime. The client asks if they now have type 1 diabetes mellitus. How should the nurse respond?
Correct Answer: Explaining that insulin injections will likely be discontinued once stress and illness resolve is accurate for type 2 diabetes in this context.
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
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:
Question 5 of 5
A client with hyperthyroidism tells the home health nurse, 'I stopped taking my antithyroid medication and now I feel anxious. I can feel my heart racing and pounding.' Which assessment is most important for the nurse to obtain?
Correct Answer: Obtaining vital signs is critical to evaluate for thyrotoxic crisis, indicated by anxiety and heart racing.
Rationale: