HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
History and Physical
Nurse's Notes
A 34-year-old male client presents to the emergency department (ED) for an asthma attack that began after jogging through a local park. The client is able to answer questions every few words to catch his breath. He reports using his rescue inhaler three times, but he couldn't catch his breath. He reports that his symptoms are worse when outdoors and when exercising, and episodes like this make him extremely nervous. He says that it has been a couple of months since his last asthma attack, and he came to the ED today because he noticed his inhaler was expired and was worried the medication was not working.
Question 1 of 5
The nurse performs an initial focused assessment of the client. Based on the client's history and assessment data, the nurse's hypothesis is that the client's vital signs are most likely the result of a disease process, medication use, or neither.
| Options | Neither Disease Process Nor Medication Use | Medication Use | Disease Process |
|---|---|---|---|
| Temperature: 98.9°F (Neither) | |||
| Heart rate: 112 beats per minute (Disease Process) | |||
| Respirations: 28 breaths per minute (Disease Process) | |||
| Blood pressure: 130/86 mmHg (Neither) | |||
| Oxygen saturation: 88% (Disease Process) |
Correct Answer: A,B,C,D,E
Rationale: Temperature and blood pressure are normal (neither), while heart rate, respirations, and oxygen saturation reflect asthma (disease process).
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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