HESI RN
Samuel Merrit University Hesi Med Surg Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has only months predicted to live. The client avoids questions regarding plans for care.What is the next approach for the nurse to use when discussing end of life issues with the client?
Correct Answer: C
Rationale: Nurses who provide end of life care are trained to communicate in a way that is concise, yet sensitive. A personalized approach is often taken to meet the unique communication needs of each patient and to recognize when a person may be in pain or distressed.
Question 2 of 5
The nurse is providing postoperative care for a client who complains of severe pain after receiving codeine 30 mg orally one hour ago.Which intervention should the nurse implement next?
Correct Answer: B
Rationale: The nurse should reassess the client's pain level and determine if additional interventions are needed to manage the pain.
Question 3 of 5
A postoperative client has been prescribed three different analgesics for different levels of pain.What is the most important intervention the nurse should take when administering these medications to the client?
Correct Answer: C
Rationale: The most important intervention the nurse should take when administering these medications to the client is to assess the client's pain level and administer the appropriate medication based on the level of pain.
Question 4 of 5
A healthcare organization requires nurses to chart by exception. Which assessment should the nurse document?
Correct Answer: A
Rationale: Charting by exception means that the nurse only documents findings that deviate from the established norm or expected outcome. In this case, the nurse should document the assessment that is not within normal limits, which is 'Basilar lung sounds that are diminished in the left lung.'
Question 5 of 5
A client receives a prescription for a one-time dose of metronidazole 2 grams by mouth. The medication is available in 500 mg tablets. How many tablets should the nurse administer? (Enter numerical value only).
Correct Answer: D
Rationale: The client has been prescribed a one-time dose of metronidazole 2 grams by mouth. Since 1 gram is equal to 1000 milligrams (mg), 2 grams is equal to 2000 mg. The medication is available in 500 mg tablets, so the nurse should administer 2000 mg / 500 mg/tablet = 4 tablets.