HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
The nurse is developing a teaching plan for a client with peripheral arterial disease (PAD) who has a history of a myocardial infarction (MI) and smokes two packs of cigarettes daily. Which instruction has the greatest priority?
Correct Answer: Enrolling in a smoking cessation program is the highest priority, as smoking exacerbates PAD and increases cardiovascular risk.
Rationale:
Question 2 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 3 of 5
A client with fluid volume overload is admitted to the hospital for diuresis. Which assessment should the nurse perform to evaluate the client's fluid balance?
Correct Answer: Weight is the most accurate and direct measure of fluid balance, as fluctuations reflect changes in body fluid.
Rationale:
Question 4 of 5
A client with peptic ulcer disease (PUD) is admitted to the medical unit. Which assessment finding requires the most immediate intervention by the nurse?
Correct Answer: Vomiting coffee-grounds emesis indicates gastrointestinal bleeding, requiring immediate intervention.
Rationale:
Question 5 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: