HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
The nurse is teaching the client about incentive spirometry in the preoperative unit. Which statement regarding incentive spirometry should the nurse include with preoperative teaching?
Correct Answer: This statement explains the purpose and benefits of deep breathing exercises, providing a clear rationale for the intervention.
Rationale:
Question 2 of 5
The nurse administers galantamine hydrobromide to a client with early onset Alzheimer's disease. Which nursing problem addresses its therapeutic use?
Correct Answer: Disturbed thought processes are directly related to the therapeutic use of galantamine hydrobromide. This medication helps enhance cognitive function by increasing the levels of acetylcholine in the brain, which is crucial for memory and thinking.
Rationale:
Question 3 of 5
During a home visit, the nurse should evaluate the effectiveness of a client's treatment for chronic obstructive pulmonary disease (COPD) by assessing for which primary symptom?
Correct Answer: Dyspnea is the primary symptom of COPD, and its reduction indicates effective treatment.
Rationale:
Question 4 of 5
A client who weighs 176 pounds is admitted to the intensive care unit with a serum glucose level of 600 mg/dL (33.3 mmol/L). Regular insulin at a rate of 0.1 unit/kg/hour is prescribed. The pharmacy provides a solution of regular insulin 100 units/100 mL of normal saline. The nurse should set the infusion pump to deliver how many mL/hours?
Correct Answer: The nurse should set the pump to 8 mL/hour, calculated as 176 pounds ÷ 2.2 = 80 kg, 80 kg × 0.1 unit/kg/hour = 8 units/hour, 8 units ÷ (100 units/100 mL) = 8 mL/hour.
Rationale:
Question 5 of 5
A client with type 1 diabetes mellitus (DM) is admitted to the hospital for an emergency cholecystectomy. The client explains to the nurse about experiencing difficulty at home in keeping blood glucose levels under 200 mg/dl (11.1 mmol/L). To prevent the client from developing diabetic ketoacidosis (DKA), which intervention is most important for the nurse to include in the plan of care?
Correct Answer: Testing urine for the presence of ketones is the most important intervention. Early detection of ketones allows for prompt intervention to prevent DKA.
Rationale: