HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
The nurse is teaching a client with gastritis about self-management. Which statement made by the client should the nurse recognize as needing additional education?
Correct Answer: Drinking plenty of water with meals can dilute stomach acid and interfere with digestion, potentially worsening gastritis symptoms.
Rationale:
Question 2 of 5
The nurse is obtaining vital sign measurements every 15 minutes for a client who had an emergency appendectomy and currently has a temperature of 101.4°F (38.6°C). Which vital sign measurements should the nurse report to the healthcare provider?
Correct Answer: Heart rate 110 beats/minute and blood pressure 88/56 mmHg indicate tachycardia and hypotension, suggesting potential complications like sepsis or hypovolemia, requiring immediate reporting.
Rationale:
Question 3 of 5
A client who had a biliopancreatic diversion procedure (BDP) 3 months ago is admitted with severe dehydration. Which assessment finding warrants immediate intervention by the nurse?
Correct Answer: Occult positive emesis indicates potential gastrointestinal bleeding, requiring immediate intervention.
Rationale:
Question 4 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 5 of 5
A client who has a history of hypothyroidism was admitted with lethargy and confusion. Which additional finding warrants immediate action by the nurse?
Correct Answer: A further decline in level of consciousness can indicate a myxoedema coma, a life-threatening complication.
Rationale: