HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
The nurse is evaluating a client's understanding of diet teaching about the DASH (Dietary Approaches to Stop Hypertension) eating plan. Which behavior indicates that the client is adhering to the eating plan?
Correct Answer: C
Rationale: The DASH plan emphasizes low-fat dairy, like fat-free yogurt, aligning with the client's behavior, unlike other options which do not specifically reflect DASH principles.
Question 2 of 5
A client has an absolute neutrophil count (ANC) of 500/mm3 (0.5 x 10/L) after completing chemotherapy. Which intervention is most important for the nurse to implement?
Correct Answer: C
Rationale: Severe neutropenia (ANC 500/mm3) increases infection risk, making protective isolation the priority to minimize exposure to pathogens, preventing potentially life-threatening infections.
Question 3 of 5
The nurse is caring for a client with chemotherapy induced mucositis who is describing soreness of the tongue and oral tissues. Which is the best initial nursing action?
Correct Answer: D
Rationale: Frequent mouth care maintains oral hygiene, reduces infection risk, and soothes irritated tissues in mucositis, serving as the initial step before other interventions like analgesics.
Question 4 of 5
A client experiencing a sudden onset of confusion and trouble speaking at home is transported to the emergency department. The client does not understand simple commands and appears very frustrated. Which intervention should the nurse perform in the immediate management of the client?
Correct Answer: D
Rationale: Determining symptom onset and progression is critical for diagnosing conditions like stroke, guiding urgent management decisions, and assessing eligibility for time-sensitive treatments.
Question 5 of 5
A client who fractured the right femur from a fall at home is placed in traction while awaiting surgery. When the client informs the nurse of the need to urinate, which intervention should the nurse implement?
Correct Answer: D
Rationale: Maintaining traction while using a urinal prevents disruption of fracture alignment, ensuring stability and minimizing complications, while addressing the client's need to urinate.