HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
The nurse is performing a physical assessment of a client. Which finding should the nurse recognize is a result of a compromised peripheral arterial circulation of the lower extremity?
Correct Answer: Uneven hair distribution is a classic sign of compromised peripheral arterial circulation due to decreased blood flow.
Rationale:
Question 2 of 5
A client is newly diagnosed with type 2 diabetes mellitus. The nurse is educating the client about self-monitoring blood glucose (SMBG) and haemoglobin A1C. Which statement by the client indicates teaching has been effective?
Correct Answer: Washing hands with warm soapy water prevents infections and ensures accurate glucose readings.
Rationale:
Question 3 of 5
An older adult male client tells the nurse of losing sleep because of having to get up several times at night to go to the bathroom. The client also reports having trouble starting his urinary stream, and he does not feel like his bladder is ever completely empty. Which intervention should the nurse implement?
Correct Answer: Palpating the bladder assesses for distension, indicating urinary retention, a common issue in older males.
Rationale:
Question 4 of 5
The chest x-ray for a client who is admitted for pneumonia shows a pleural effusion with decreased air flow in the entire left upper lobe. After auscultating the left upper lobe, which breath sounds documented by the nurse verify the x-ray findings?
Correct Answer: Diminished breath sounds in the left upper lobe are consistent with a pleural effusion, correlating with the x-ray findings.
Rationale:
Question 5 of 5
A client with chronic venous insufficiency is being discharged from the hospital and plans to return home. Which client statement indicates an understanding of home care instructions?
Correct Answer: Avoiding sitting and crossing the legs prevents worsening of venous insufficiency by promoting blood flow.
Rationale: