HESI RN
Hesi RN Medical Surg Questions
Extract:
Question 1 of 5
The nurse is caring for a client that is unconscious and having seizures. Which nursing intervention is most essential in this client's plan of care (POC)?
Correct Answer: C
Rationale: Oral suction prevents aspiration of secretions during seizures, ensuring airway patency and safety.
Question 2 of 5
A client who has small cell carcinoma of the lung is admitted with symptoms of syndrome of inappropriate antidiuretic hormone (SIADH). As the client responds to treatment, the client's serum sodium level increases from 120 mEq/L (120 mmol/L) to 125 mEq/L (125 mmol/L). Based on this finding, which intervention should the nurse implement?
Correct Answer: B
Rationale: Maintaining fluid restriction supports gradual correction of hyponatremia in SIADH, preventing further sodium dilution.
Question 3 of 5
The nurse is developing a plan of care for a client who reports blurred vision and who is newly diagnosed with cardiovascular disease. Which outcome should the nurse include in the plan of care for this client?
Correct Answer: B
Rationale: A blood pressure goal of less than 140/80 mm Hg is specific and aligns with cardiovascular health targets, addressing blurred vision linked to hypertension.
Question 4 of 5
Which dietary instruction is most important for the nurse to explain to a client who has had gastric bypass surgery?
Correct Answer: C
Rationale: Small, frequent meals prevent stomach pouch stretching and dumping syndrome, optimizing nutrient absorption.
Question 5 of 5
The nurse is caring for a client who is receiving teletherapy radiation for a malignant tumor. Which Instruction regarding skin care of the portal site should the nurse provide?
Correct Answer: B
Rationale: Protecting the portal site from sunlight prevents exacerbated skin reactions during radiation therapy.