HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 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 2 of 5
The nurse is preparing to obtain a rapid coronavirus (COVID-19) test for a client who was exposed to the virus eight days ago. The client is experiencing fever, cough, and shortness of breath. Which action is most important for the nurse to take?
Correct Answer: Maintaining a 6 feet distance unless wearing PPE is crucial to ensure the nurse's safety and reduce the risk of virus transmission.
Rationale:
Question 3 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 4 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 5 of 5
A client who is postmenopausal, obese, and is a smoker, has developed an intolerance to fatty foods and believes she is at risk for developing gallbladder problems. Which instruction should the nurse provide to help reduce the client's risk for gallbladder disease?
Correct Answer: Joining a group weight loss program is important due to obesity being a significant risk factor for gallbladder disease. Weight loss can decrease the likelihood of gallstone formation.
Rationale: