HESI RN
Hesi RN Medical Surg Questions
Extract:
Question 1 of 5
The nurse is obtaining a client's fingerstick glucose level. After gently milking the client's finger, the nurse observes that the distal tip of the finger appears reddened and engorged. Which action should the nurse take?
Correct Answer: D
Rationale: Applying pressure reduces engorgement, ensuring an accurate glucose sample and preventing trauma.
Question 2 of 5
Methotrexate is prescribed for a client with rheumatoid arthritis (RA) who is also taking aspirin. Which is the best explanation for the nurse to provide as to why a second medication has been added?
Correct Answer: D
Rationale: Methotrexate slows RA progression, while aspirin manages symptoms, addressing both disease and comfort.
Question 3 of 5
Which findings during the admission assessment should the nurse document that are related to a client diagnosed with Cushing's syndrome?
Correct Answer: C
Rationale: Central obesity with thin extremities is characteristic of Cushing's syndrome due to cortisol-induced fat redistribution.
Question 4 of 5
While caring for a client with amyotrophic lateral sclerosis (ALS), the nurse performs a neurological assessment every four hours. Which assessment finding warrants immediate intervention by the nurse?
Correct Answer: D
Rationale: Weakened cough risks aspiration pneumonia, a life-threatening ALS complication requiring urgent intervention.
Question 5 of 5
A client reports to the clinic nurse of recently experiencing symptoms of frequent urination, hunger, and great thirst. What finding(s) would the nurse consider as most significant to report to the healthcare provider? Select all that apply.
Correct Answer: C,D
Rationale: Elevated glucose and HbA1C indicate diabetes, correlating with the client's symptoms and requiring urgent management.