HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
The nurse reviews discharge instructions with a client who has gastroesophageal reflux disease (GERD). Which instruction is most important for the nurse to emphasize?
Correct Answer: Remaining upright following meals is crucial to prevent stomach contents from flowing back into the oesophagus.
Rationale:
Question 2 of 5
In planning care for a client with chronic ulcerative colitis, which long-term goal is most important for the nurse to include?
Correct Answer: Reducing the number and severity of acute exacerbations is the most important long-term goal to maintain remission and prevent complications.
Rationale:
Question 3 of 5
A client with fluid volume overload is admitted to the hospital for diuresis. Which assessment should the nurse perform to evaluate the client's fluid balance?
Correct Answer: Weight is the most accurate and direct measure of fluid balance, as fluctuations reflect changes in body fluid.
Rationale:
Question 4 of 5
A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How should the nurse respond?
Correct Answer: An elimination diet helps identify foods that may cause or exacerbate symptoms, allowing effective management.
Rationale:
Question 5 of 5
A client with ulcerative colitis is admitted to the medical unit during an acute exacerbation. The nurse should instruct the unlicensed assistive personnel (UAP) to report which finding related to the client's bowel movements?
Correct Answer: Blood in the stool indicates active inflammation and potential bleeding, requiring immediate attention.
Rationale: