HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
The nurse is assessing a client who has left ventricular heart failure. Which assessment finding is this client most likely to exhibit?
Correct Answer: Bilateral basilar crackles are a hallmark sign of left ventricular heart failure due to pulmonary congestion.
Rationale:
Question 2 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 3 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 4 of 5
The nurse is teaching the client about incentive spirometry in the preoperative unit. Which statement regarding incentive spirometry should the nurse include with preoperative teaching?
Correct Answer: This statement explains the purpose and benefits of deep breathing exercises, providing a clear rationale for the intervention.
Rationale:
Question 5 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: