HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
The practical nurse (PN) reports to the charge nurse that a client who is receiving a parenteral nutrition infusion has a capillary glucose of 365 mg/dL (20.3 mmol/L). Which action should the charge nurse implement?
Correct Answer: Determining if the client has a sliding scale insulin prescription allows for prompt management of hyperglycaemia.
Rationale:
Question 2 of 5
The home health nurse is caring for a client with Parkinson's disease who is beginning to experience swallowing difficulties. Which intervention should the nurse include in this client's plan of care?
Correct Answer: Encouraging a semi-solid diet with thick liquids is appropriate to manage dysphagia and reduce choking risk.
Rationale:
Question 3 of 5
When teaching a client with Parkinson's disease, which rationale for the prescription of carbidopa-levodopa should the nurse include?
Correct Answer: Carbidopa-levodopa increases dopamine availability, helping muscles function correctly.
Rationale:
Question 4 of 5
An older client who is agitated, dyspneic, orthopneic, and using accessory muscles to breathe is admitted for further treatment. Initial assessment includes a heart rate of 128 beats/minute and irregular, respirations of 38 breaths/minute, blood pressure of 168/100 mm Hg, and oxygen saturation of 90% on room air. Wheezes and crackles are noted throughout bilateral lung fields. An hour after the administration of furosemide 60 mg IV push (IVP), which assessments should the nurse obtain to determine the client's response to treatment? Select all that apply.
Correct Answer: Lung sounds, oxygen saturation, and urinary output are direct measures of furosemide's effectiveness in reducing fluid overload and improving respiratory status.
Rationale:
Question 5 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.
Rationale: