HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
The nurse plans to provide diet instructions to a client who was recently diagnosed with diverticulosis. Which dietary modification should the nurse include in the teaching plan?
Correct Answer: Increasing the intake of insoluble fibber is crucial for managing diverticulosis. Insoluble fibber helps promote regular bowel movements, reducing the risk of diverticula formation.
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Question 2 of 5
The nurse is assessing a client who has left ventricular heart failure. Which assessment finding is this client most likely to exhibit?
Correct Answer: Bilateral basilar crackles are a hallmark sign of left ventricular heart failure due to pulmonary congestion.
Rationale:
Question 3 of 5
An older female resident of a long-term care facility with early-stage Alzheimer's disease frequently wanders into the wrong room. To help this client recognize her room, which intervention should the nurse implement?
Correct Answer: Placing a picture of the client on her door provides a clear visual cue for recognition.
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Question 4 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.
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Question 5 of 5
The nurse is caring for a client admitted to the unit for possible hyperthyroidism. The client describes weakness, nervousness, a racing heartbeat, and recent weight loss of 15 pounds (6.8 kg). Which action should the nurse implement first?
Correct Answer: Monitoring the client's vital signs frequently is the first action the nurse should take. This helps assess the client's current condition, detect any immediate complications, and guide further interventions. It is crucial to ensure the client's stability before implementing other care measures.
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